Amanda E. F. Hagen’s research while affiliated with Dalhousie University and other places

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Publications (6)


Corrigendum: What explains the link between romantic conflict with gambling problems? Testing a serial mediational model
  • Article
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November 2023

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39 Reads

Amanda E. F. Hagen

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Correlations and descriptive statistics.
Comparison of the indirect effects of conflict on gambling problems through negative affect and coping motives and the specific indirect effects.
What explains the link between romantic conflict with gambling problems? Testing a serial mediational model

July 2023

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60 Reads

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3 Citations

Introduction: While individuals have many motives to gamble, one particularly risky motive for gambling is to cope with negative affect. Conflict with one's romantic partner is a strong predictor of negative affect, which may elicit coping motives for gambling and, in turn, gambling-related problems. Support for this mediational model was demonstrated in relation to drinking-related problems. We extended this model to gambling. Method: Using a cross-sectional design, we examined links between romantic conflict (Partner-Specific Rejecting Behaviors Scale), negative affect (Depression, Anxiety, and Stress Scales-21), coping gambling motives (Gambling Motives Questionnaire, coping subscale), and gambling-related problems [Problem Gambling Severity Index (PGSI)] in 206 regular gamblers (64% men; mean age = 44.7 years; mean PGSI = 8.7) who were in a romantic relationship and recruited through Qualtrics Panels in July 2021. Results: Results supported our hypothesis that the association between romantic conflict and gambling-related problems would be sequentially mediated through negative affect and coping gambling motives, β = 0.38, 95% CI [0.27, 0.39], and also showed a strong single mediation pathway through negative affect alone, β = 0.27, 95% CI [0.17, 0.38]. Discussion: Negative affect and coping gambling motives partially explain the link between romantic conflict and gambling-related problems. Interventions should target both negative affect and coping gambling motives in response to romantic conflict to reduce gambling-related problems in partnered gamblers.


Drinking to Cope Mediates the Association between Dyadic Conflict and Drinking Behavior: A Study of Romantic Couples during the COVID-19 Pandemic

July 2023

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106 Reads

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1 Citation

The COVID-19 pandemic spurred public health measures to reduce viral spread. Concurrently, increases in alcohol consumption and conflict in romantic partnerships were observed. Pre-pandemic research demonstrated a bidirectional association between couples’ conflict and drinking. Recent research shows one’s drinking motives (proximal predictors of drinking behavior) can influence another person’s drinking in close relationships. It is possible that individuals are drinking to cope with distress following romantic conflict. The current study examined 348 cohabitating couples during the first lockdown in the spring of 2020. Our analyses examined coping motives as a mediator between dyadic conflict and drinking behavior using actor–partner interdependence models. Results showed that conflict was associated with greater reports of own drinking in gendered (distinguishable) and nongendered (indistinguishable) analyses through coping motives. Further, in mixed-gender couples, men partners’ coping motives predicted less drinking in women, while women partners’ coping motives predicted marginally more drinking in men. Partner effects may have been observed due to the increased romantic partner influence during the COVID-19 lockdown. While these results suggest that men’s coping motives may be protective against women’s drinking, more concerning possibilities are discussed. The importance of considering dyadic influences on drinking is highlighted; clinical and policy implications are identified.


A Perfect Storm: Unintended Effects of Homeschooling on Parents’ Mental Health and Cannabis Use Behaviors During the Pandemic

Cannabis

The COVID-19 pandemic resulted in families self-isolating under incredible stress. Viral containment strategies included school closures with parents left to homeschool their children with few supports from the educational system. Recent data show that those with children at home were more likely to drink heavily during the pandemic (Rodriguez et al., in press). Gaps remain, however, in understanding whether these effects are due to the stresses of homeschooling and whether they extend to cannabis use. Seven-hundred-and-sixty Canadian romantic couples (total N=1520 participants; mean age = 57 years; 50% women) who were self-isolating together during the month of April 2020 were recruited through Qualtrics Panel Surveys. Measures were completed retrospectively in early July 2020; participants were asked to report on their feelings and behavior in April 2020 during lockdown. They completed the GAD-7 (Spitzer et al., 2006) and the PHQ-9 (Kronke et al., 2001) to assess anxiety and depression, brief versions of four subscales of the COVID-19 Stress Scales (Taylor et al., 2020) to assess stress around the pandemic, and the Life Orientation Test – Revised (Chiesi et al., 2013) to assess optimism. They completed a measure of role strain (Statistics Canada, 2015) and a measure of conflict with their partner (Murray et al., 2003). They also completed a validated measure of cannabis use frequency and quantity (Cuttler et al., 2017), as well as two validated items from the Brief Cannabis Motives Measures (Bartel et al., 2020) to assess cannabis use to cope with depression and anxiety, respectively. All measures were completed for a 30-day timeframe during the month of April. Participants also reported on whether they were homeschooling one or more children in Grade 1-12 during the month of April. Data was analyzed with a one-way (homeschooling group) Analysis of Covariance (ANCOVA) controlling for group differences in age; a Bonferroni-correction was applied to account for multiple tests. Compared to those who did not homeschool (n=1116), those who did homeschool (n=404) experienced significantly more depression (p=.001), more COVID-19-related stress around socioeconomic consequences (p<.001) and traumatic stress (p<.001), and less optimism (p=.002). And those who homeschooled experienced more role strain between their home and work responsibilities (p<.001) and more conflict both toward and from their partner (p’s<.001) than those who did not homeschool. Those who homeschooled also used cannabis significantly more frequently in the month of April than those who did not homeschool (p=.003). Compared to cannabis users who did not homeschool (n=122), cannabis users who did homeschool (n=61) reported more frequent cannabis use to cope with both depression and anxiety (p’s = .003). These findings suggest that unintended consequences of our societal viral containment strategies include more depression, pessimism, role strain, inter-parental conflict, and certain COVID-related stresses, and extend to more frequent cannabis use to cope with negative affect, among parents required to homeschool during the pandemic. These unintended mental health and substance misuse consequences for parents need to be considered when planning for an educational strategy in the fall and for any future waves of the pandemic.


The effects of excessive and compulsive online searching of COVID-19 information (“cyberchondria”) on general and COVID-19-specific anxiety and fear in romantic couples during lockdown

April 2021

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72 Reads

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2 Citations

European Psychiatry

Introduction Cyberchondria involves excessive and uncontrollable online searching of information about a perceived illness. This behavior can cause or maintain distress. Objectives Little is known about cyberchondria during the COVID-19 pandemic or how cyberchondria in one individual may cause distress in their significant other if they are self-isolating together; our study sought to fill these gaps. Methods We conducted a Qualtrics Panel survey with 760 cohabitating Canadian couples; in June 2020, participants retrospectively reported on their cyberchondria behavior, general anxiety, and COVID-19 fears during the month of April 2020, while adhering to stay-at-home advisories. Two separate actor-partner interdependence models (APIMs) used cyberchondria excessiveness and compulsion to predict generalized anxiety and COVID-19 danger/contamination fears in the actor and partner. Results Both cyberchondria excessiveness and compulsion were associated with higher general anxiety and higher COVID-19 danger/contamination fears in the individual (actor effects). Partner cyberchondria compulsion was associated with higher general anxiety in the individual whereas partner cyberchondria excessiveness was associated with higher COVID-19 danger/contamination fears in the individual (partner effects). Conclusions Findings suggest that excessive and uncontrollable searching of information about COVID-19 on the internet during lockdown may contribute to distress in both the individual engaging in the cyberchondria behavior, and in their romantic partner. Moreover, different aspects of cyberchondria in the partner (compulsion vs. excessiveness) appears to contribute to general vs. COVID-19-specific anxiety/fears in the partner, respectively. Future research should examine mechanisms underlying the observed partner effects (e.g., co-rumination, social contagion) and reasons for the differential partner effects of cyberchondria components.


Negative rumination as a function of depressive symptoms (BDI-II median split), alcohol condition, and sex. Negative rumination was measured by the negative items on the TQ, assessed three days after an in-lab social interaction. Error bars indicate standard errors. **p < .01
Positive rumination as a function of depressive symptoms (BDI-II median split), alcohol condition, and sex. Positive rumination was measured by the positive items on the TQ, assessed three days after an in-lab social interaction. Error bars indicate standard error. *p < .05
Mediation of the effect of beverage condition on positive post-event rumination by change in state social anxiety. *p < .05, solid lines indicate significant pathways; dotted lines indicate non-significant pathways. Values indicate pathway coefficients; parenthetical values refer to the direct effect coefficients
The Effects of Alcohol and Depressive Symptoms on Positive and Negative Post-Event Rumination in Social Anxiety

August 2020

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176 Reads

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5 Citations

Cognitive Therapy and Research

Background Social anxiety (SA) is highly comorbid with alcohol use disorder (AUD). Alcohol may be negatively reinforcing for SA individuals by dampening post-event rumination (i.e., negative rumination following social interactions). Prior research has supported this hypothesis with negative rumination. Depression, commonly comorbid with SA and AUD, also features rumination.Method Through secondary analyses, we examined the effects of alcohol consumption before an in-lab social interaction and depressive symptoms on both negative and positive post-event rumination about the interaction. Ninety-four high SA undergraduates were randomized to consume alcohol or no alcohol before the interaction; depressive symptoms were measured. Post-event rumination was measured three days later.ResultsThose higher (vs lower) in depressive symptoms reported more negative rumination. Those randomized to the alcohol (vs no alcohol) condition reported more positive rumination after the interaction.Conclusions Individuals with SA may find alcohol positively reinforcing by increasing positive post-event rumination, independent of negative reinforcement effects. Clinical implications are discussed.

Citations (3)


... Subgroup analyses were carried out for the associations between escape and problem gambling for the different scale categories, grouped into motives, expectancies, and others. The motives group included 14 studies that used either the GMQ or GMQ-F (e.g., Devos et al., 2017;Grubbs & Rosansky, 2020;Hagen et al., 2023;Hollingshead et al., 2016;Jauregui et al., 2018;Kim et al., 2019;MacLaren et al., 2012MacLaren et al., , 2015Marchetti et al., 2019;Myrseth & Notelaers, 2017;Rapinda et al., 2023;Schellenberg et al., 2016;Stewart & Zack, 2008;Tabri et al., 2015). The expectancies group included five studies; all used the GOES, the only outcome expectancies measure identified that incorporates gambling for escape. ...

Reference:

Examining the Strength of the Association Between Problem Gambling and Gambling to Escape. A Systematic Review and Meta-Analysis
What explains the link between romantic conflict with gambling problems? Testing a serial mediational model

... Scores from both parents were summed into a single couple score to capture collective parent depression. This creation of a composite score across parents is similar to the approach we used in past studies with couples to capture a dyadic level variable [55,56]. Depression scores between Parent A and Parent B were highly correlated (r = 0.49, p ≤ 0.001), providing psychometric support for this approach. ...

Drinking to Cope Mediates the Association between Dyadic Conflict and Drinking Behavior: A Study of Romantic Couples during the COVID-19 Pandemic

... Thus, we found no evidence that alcohol consumption reduces rumination, state metacognitions, or sadness in depressed individuals. Interestingly, our findings are consistent with those of a recent study on social anxiety, in which alcohol consumption had no attenuating effect on negative (post-event) rumination (Hagen et al., 2020), although consumption reduced (social) anxiety (Stevens et al., 2014). Mollaahmetoglu and colleagues (2021) found that alcohol had an effect on ruminative thoughts and mood at a low dose (about 0.2 mg/L) but not at a high dose (about 0.6 mg/L). ...

The Effects of Alcohol and Depressive Symptoms on Positive and Negative Post-Event Rumination in Social Anxiety

Cognitive Therapy and Research