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While theoretical connections between social inequity and boredom have been established, empirical evidence is lacking. Inequity aversion is important in this relationship. If individuals believe that the amount of work invested in pursuing an outcome has been unfairly devalued in relation to the investment of others, they may feel that their investment is greater than the outcome's worth. This experimental study explores whether devaluation of one's investment in a task, in relation to another individual's investment required to obtain equal rewards, is experienced as boredom. Undergraduate and graduate students (N = 31) were randomly assigned to one of three conditions and performed a monotonous task in the presence of a confederate, for equal reward. Exposure time to the confederate varied. It was expected that participants who spent more time on the task than the confederate would report more boredom and a negatively distorted time experience. Significant between-group effects were found for Tedium (F(2, 28) = 3.55, p = .04) and Temporal Estimation (F(2, 28) = 5.37, p = .01). Participants who spent more time on the task felt more bored (Mdiff = -1.05, p = .05) and rated time as progressing slower (Mdiff = -1.26, p = .03). There were no significant differences between the other conditions. A parsimonious interpretation is that the perceived inequity in resource investment costs associated with different lengths of social exposure during the boredom-inducing task increased the salience of investment loss, which was experienced as boredom and resulted in a distorted time experience.

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Background: Impulsive choice is associated with both cocaine use and relapse. Little is known about the influence of transient states on impulsive choice in people who use cocaine (PWUC).Objective: This study investigated the direct effects of induced boredom on impulsive choice (i.e., temporal discounting) in PWUC relative to well-matched community controls.Methods: Forty-one PWUC (≥1× cocaine use in past 3 months; 7 females) and 38 demographically matched controls (5 females) underwent two experimental conditions in counterbalanced order. Temporal discounting was assessed immediately after a standardized boredom induction task (peg-turning) and a self-selected video watched for the same duration (non-boredom). Subjective mood state and perceived task characteristics were assessed at baseline, during experimental manipulations, and after the choice task.Results: PWUC and controls were well matched on sex, age, and socioeconomic status. Groups were also similar in reported use of drugs other than cocaine, except for recent cigarette and alcohol use (PWUC > controls). As expected, peg-turning increased boredom in the sample overall, with higher boredom reported during peg-turning than the video (p < .001, η2p = .20). Participants overall exhibited greater impulsive choice after boredom than non-boredom (p = .028, η2p = .07), with no preferential effects in PWUC (p > .05, BF01 = 2.9).Conclusion: Experimentally induced boredom increased state impulsivity irrespective of cocaine use status - in PWUC and carefully matched controls - suggesting a broad link between boredom and impulsive choice. This is the first study to show that transient boredom directly increases impulsive choice. Data support a viable laboratory method to further parse the effects of boredom on impulsive choice.

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Throughout the COVID-19 pandemic, studies have demonstrated increases in boredom and its negative impact on mental health. This cross-sectional study examines state and trait boredom at four different points of the pandemic using an online sample of participants from the United States (n = 783). The results showed significant increases in boredom proneness, state boredom, substance use, loneliness, and distress. Boredom was associated with increases in each of these variables and a greater likelihood of testing positive for COVID-19. Moreover, the increases in distress, loneliness, and substance use became non-significant when controlling for boredom. Boredom proneness remained associated with all adverse outcomes when accounting for state boredom. In contrast, the relationships between state boredom and most adverse outcomes lost significance when controlling for boredom proneness, and state boredom was positively associated with increased hope for the future. Overall, the results suggest that high boredom proneness is an important vulnerability factor for poor psychological health and risky behaviors during the pandemic. However, high levels of recent state boredom, independent of boredom proneness, do not predict similarly negative outcomes. State boredom may indicate the extent to which one remains hopeful that circumstances will improve without resorting to risky, potentially maladaptive coping strategies.

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OBJECTIVES: Hoarding disorder in older adults often develops in the context of co-occurring psychosocial maladies, and treatment response tends to be suboptimal. This preliminary investigation explored several ageing-related factors and their relationship to hoarding symptom severity (HSS), and examined treatment response to 15 sessions of cognitive behavioural therapy (CBT) with in-home support. METHODS: Twenty-nine participants (Mage = 67) completed self-report questionnaires measuring HSS, self-control, indecisiveness, depression, loneliness, social support and boredom, before (T1) and after (T2) treatment. RESULTS: At T1, HSS was associated marginally with loneliness and significantly with all other variables, except social support. At T2, HSS and depression decreased significantly and only boredom and self-control remained associated with HSS. Attrition rates were high, and those with low social support were more likely to discontinue treatment prematurely. CONCLUSIONS: Increasing social support may improve treatment retention, and pre-emptively reducing sources of boredom and increasing self-control during treatment might improve outcomes for older adults with hoarding disorder.

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In the field of emotion regulation studies, cognitive reappraisal has been established as the preferred strategy for coping with painful negative feelings. For some, however, asking them to think more about an already distressing situation can be quite literally "like pulling teeth." Indeed, many people voluntarily cause themselves physical pain during upsetting situations (e.g., getting a deep tissue massage after a stressful week or hitting a punching bag when angry); however, there is currently little empirical evidence of the relative effectiveness of such behaviors. The present study tested two primary hypotheses: (a) some people will choose to inflict pain to regulate negative emotional states; and (b) pain provides effective short-term relief from negative emotion. The findings from these two studies demonstrate that, given the opportunity, participants will choose to use physical pain in addition to other strategies, like reappraisal or distraction, to cope with various sources of negative emotion. We further show that physical sensation in general, and pain in particular, are equally effective in coping with negative emotion. These results suggest a reconsideration of the dominance of cognitively based emotion regulation. We discuss the implication that benign physical pain may be a broadly effective and underrecognized coping strategy. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

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BACKGROUND: Residents in training have high rates of depression and are reluctant to seek treatment. The goal of the study was to conduct a survey with a high response rate to better understand resident attitudes about mental health. METHODS: A multi-site study of residents from three teaching hospitals in the USA completed a 21-item anonymous questionnaire, on their smartphones, during mandatory lecture sessions. RESULTS: Three-hundred and sixteen resident surveys were completed during 24 didactic sessions. The overall response rate from resident-only presentations was 87.8% and ranged from 76.9% to 100% in presentations that included both residents and other attendees. A significant majority of residents indicated that physicians who seek treatment for medical conditions would not seek treatment for depression (87.7%), physicians do not see acceptance of mental health treatment as a sign of strength (80.1%), and most residents with depression cope with it alone (69.0%). Factors that would encourage residents to seek treatment, including easy access to mental healthcare and acceptance of treatment in the workplace environment, varied significantly when residents were grouped by age and gender. CONCLUSIONS: While residents believe that physicians are highly resistant to mental health treatment, targeted strategies may increase the acceptance of treatment. Administration of surveys to physicians on smartphones at the time of lecture or presentation may improve the response rate.

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[This corrects the article DOI: 10.1007/s40670-019-00745-x.].

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OBJECTIVE: Intrusive negative affect and concurrent deficits in positive affect are hallmarks of posttraumatic stress disorder (PTSD). We sought to further extend the extant literature by exploring the experience of negative affect intrusion upon potentially positive situations (here termed, "negative affect interference," NAI). METHOD: Two studies with adults endorsing at least 1 traumatic event (Study 1, N = 294; Study 2, N = 286) examined how NAI and more general hedonic deficits (HD) relate to psychopathology, trauma exposure characteristics, and ratings of normed visual stimuli. RESULTS: Study 1 found that NAI and HD were positively correlated with PTSD symptoms and childhood trauma, and NAI incremented over depressive symptoms in predicting PTSD severity. Study 2 results indicated additional strong positive correlations between NAI and HD and anhedonia, affect regulation problems, negative affect, and neuroticism. NAI and HD were found to increment over trait NA in predicting PTSD symptoms. Individuals endorsing elevated NAI and HD rated positively valenced pictures (including food and erotic images) as less arousing, although not more negative. CONCLUSIONS: These findings expand conceptualizations of anhedonia and emotional numbing by drawing attention to negative affect in otherwise positive contexts. (PsycINFO Database Record

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OBJECTIVE: To evaluate the features and modes of adaptation to aging among Methadone Maintenance Treatment (MMT) enrollees. SETTING: Beth Israel Medical Center in New York City. PARTICIPANTS: A sample of 156 MMT enrollees (103/66 percent males and 53/34 percent females) age 24-68 years. Twenty-nine percent of participants were aged 55 or older. DESIGN: A cross-sectional, multivariate, correlational design. OUTCOME MEASURES: Participants were administered the MMSE, ASI, BSI, as well as measures of impulsiveness and quality of life (QOL). RESULTS: Older adults were more likely to have had longer periods of treatment (p < 0.01), less likely to report current heroin use (p < 0.05) and overall drug use (p < 0.05), but were more likely to have a history of comorbid alcohol misuse (p < 0.01). Advanced age was also associated with less impulsiveness, hostility, paranoia, and interpersonal sensitivity (p < 0.01), more chronic medical problems (p < 0.05), greater use of medication for medical problems (p < 0.05), and more liberal take home medicine schedules (p < 0.01). However, no differences were found between older and younger participants with respect to their scores on the Overall Social Support scale (p > 0.05), the Personal Well-Being Index (p > 0.05) and the Satisfaction with Life Scale (p > 0.05), suggesting comparable levels of QOL. Furthermore, the rate of contact for older participants with medical professionals did not differ significantly from that of younger participants (p > 0.05). Only 7.1 percent of older participants reported regular contact with a primary care physician; a rate that is slightly lower than the rate in the overall population. CONCLUSIONS: The findings from the present study highlight at least two underappreciated challenges that clinicians are increasingly likely encounter in their work with the aging MMT population. These challenges are: (1) that despite numerous medical and psychiatric complaints, only a small proportion of MMT patients have regular contact with a primary care physician and the rate of contact does not appear to increase with age and (2) even with age-related declines in psychiatric comorbidity and illicit substance use, the suboptimal level of QOL that is characteristic of the MMT population as a whole does not improve with aging and length of tenure in MMT.

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CHRONIC BOREDOM and the conditions that induce boredom are associated with a host of undesirable outcomes. It is proposed that the course and treatment of schizophrenia and other severe mental illnesses (SMI) that require extended care in community-based treatment facilities are often complicated by such outcomes. Brief case studies are used to illustrate how sustained boredom can contribute to (1) postpsychotic mood disturbances, (2) increased risk-taking and substance-seeking behaviors in the residual phases of the illness, (3) the exacerbation of positive symptoms such as paranoia and hallucinations, (4) changes in distractibility and overall cognitive efficiency, and (5) a hypohedonic state of highly generalized uninterest. The observation is made that despite the potential value of boredom as a prodomal marker, few, if any, of the instruments commonly used to assess clinical change include a measure of boredom. It is suggested that training in covert boredom coping skills should be integrated into the social skills training and rehabilitation strategies currently employed with individuals with severe and persistent mental disorders.

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