Personal goal systems in anxiety and depression Dysphoria, anxiety, and reduced facilitation in adolescents’ personal goal systems Joanne M. Dickson Nicholas J. Moberly University of Liverpool University of Exeter Correspondence Dr Joanne M. Dickson Division of Clinical Psychology Whelan Building Brownlow Hill Liverpool L69 3GB Email: j.dickson@liv.ac.uk Tel: +44-(0)151-794 5536 Fax: +44-(0)151-794 5537 1 Personal goal systems in anxiety and depression 2 Abstract The study investigated whether symptoms of anxiety and depression are independently associated with reduced goal facilitation in a school sample of adolescents (N = 119). Participants listed their goals and rated the extent to which they facilitated or inhibited each other. Anxious and depressive symptoms were both associated with reduced levels of goal facilitation, although regression analyses revealed that depressive symptoms but not anxious symptoms were independently associated with reduced levels of goal facilitation. Similarly, ratings of distress and repetitive thinking associated with participants’ most conflicting goals were independently associated with depressive symptoms but not anxious symptoms. There was no association between the number of goals listed and anxious or depressive symptoms. Results suggest that dysphoria, but not anxiety, is independently associated with reduced coherence in personal goal systems and a negative preoccupation with conflicting goals. Personal goal systems in anxiety and depression 3 Anxiety and depression are serious mental health problems that remain among the most prevalent and recurring forms of emotional disturbance that young people experience (Wittchen, Nelson, & Lachner, 1998). Even moderate levels of anxiety and depression have been shown to impact negatively on the quality of life of young people (Kendall & Brady, 1995) and studies have shown that these emotional conditions in youth represent risk factors for the development of later adult psychopathology (e.g., Ollendick, 1998). It is only relatively recently that research has begun to examine psychological processes associated with adolescent anxiety and depression from a motivational perspective (e.g., Dickson, 2004). Studying anxiety and dysphoria concurrently provides an opportunity to examine shared and distinct psychological features characterizing these emotional conditions. Prominent theories of motivation (e.g., Gray, 1982) and self-regulation (e.g., Carver & Scheier, 1998) contend that human behaviour is fundamentally a goaldriven activity. Goal pursuit is thought to play a particularly important role in the development of self-defining processes and identity formation during adolescence (Nurmi, 1993). Despite the importance of goal motivation in people’s lives, we know little about goal processes that may be linked to anxiety and depression in adolescence. This study examined whether symptoms of anxiety and depression in adolescence are associated with shared and/or distinct patterns of goal motivation, specifically in terms of reduced levels of mutual facilitation among goals and increased distress and repetitive thought relating to the pursuit of conflicting goals. Personal goals have been defined as cognitive representations of possible states or outcomes that an individual seeks to attain (Austin & Vancouver, 1996). Previous research with adult samples has demonstrated that successful pursuit of personal goals or strivings is related to various measures of subjective well-being, Personal goal systems in anxiety and depression 4 such as positive affect and life satisfaction (e.g., Sheldon & Houser-Marko, 2001). Striving to pursue one’s personal goals, irrespective of whether goals are achieved, is believed to promote psychological well-being, positive adaptations to daily life, and personality development (Sheldon, Kasser, Smith, & Share, 2002). However, goal content and organization may moderate the association between goal striving and psychological well-being. Recent research indicates that distinct patterns of goal orientation differentiate anxious and depressed adolescents, relative to controls (Dickson & MacLeod, 2006; Dickson & MacLeod, 2004). Empirically, anxiety and depression have both been associated with increased avoidance motivation whereas depression has been uniquely characterised by reduced approach motivation (e.g., Dickson & MacLeod, 2004). These findings are concordant with theoretical models that propose a two-system view of motivation, such as Gray’s (1982) early model of motivation, comprising a behavioural activation system (BAS) or reward-driven system and a behavioural inhibition system (BIS) or punishment-driven system. However, examining goal orientation separately in relation to measures of emotional disturbance may oversimplify the functioning of personal goal systems. One reason why life is challenging is because it involves the simultaneous pursuit of multiple goals. Some of these goals may be mutually facilitatory (e.g., maintain a healthy lifestyle and avoid taking drugs), but some goals may conflict with one another (e.g., study for my exams and party every night), creating a sense of ambivalence and tension. Sheldon and Kasser (1995) contend that it is the integration of personally meaningful goals within a coherent self-system that is linked to psychological well-being and development, rather than goal achievement per se. Anxiety and depression may be associated with difficulties establishing a Personal goal systems in anxiety and depression 5 motivationally coherent self-system. For example, Emmons and King (1988) found that conflict between undergraduates’ personal strivings was associated with increased negative affect, and anxious and depressive symptoms. In this study, we attempted to replicate the finding that anxious and depressive symptoms are associated with reduced goal facilitation in an adolescent sample. Depressive symptoms are associated with reduced levels of approach motivation (Dickson & MacLeod, 2006) and negatively biased thinking (Beck, 1967), both of which may result in perceived difficulties managing and attaining multiple goals and therefore lower ratings of goal facilitation. Equally, because anxiety involves concern about future threat and uncertainty (Barlow, 2000), anxious individuals may be particularly concerned with future goal outcomes. This may lead them to focus on problematic aspects of future goals and therefore to perceive lower levels of mutual facilitation between goals. Prior research has however not examined whether depressive and anxious symptoms each predict distinct variance in goal facilitation, so we tested whether anxious and depressive symptoms are independently associated with reduced levels of goal facilitation when controlling for each other. As a secondary aim, we investigated the association between depressive symptoms, anxious symptoms and distress and repetitive thinking about conflicting goals. An experience-sampling study by Emmons and King (1988, Study 3) found that undergraduates spent more time thinking about their conflicting strivings than their non-conflicting strivings, and that this tendency was strongest for people reporting high levels of anxiety and depression. Negatively-valenced, repetitive thought has been associated with anxiety and depression through the overlapping cognitive phenomena of worry and rumination (Fresco, Frankel, Mennin, Turk, & Heimberg, 2002). We therefore predicted that symptoms of anxiety and depression Personal goal systems in anxiety and depression 6 would be associated with higher ratings of distress and repetitive thinking in relation to conflicting goals.. Method Participants One hundred and nineteen participants were recruited (74 female, 41 males, 4 gender unreported) from two Australian secondary schools. Students invited to participate were selected from classes available on testing days, as arranged by school coordinators. Participants’ ages ranged from 16-19 years (mode = 17). Measures Goal Task (Dickson & MacLeod, 2004). An adapted version of this measure was used to assess the number of personally meaningful, relevant and plausible goals generated by participants within a short time period (150 seconds). This task defines personal goals as experiences that individuals think they will typically be trying to attain or trying to avoid. Participants write down goals that they think would characterize them sometime in the future (e.g., next week, next month, next year), using short written statements. Several pilot tests with small groups of students found that virtually no additional response was given after 150 seconds, although this time limit was imposed to reduce variation due to task effort and motivation. Goal Matrix. The goal matrix, modeled partly on Emmons & King’s (1988) striving instrumentality matrix, was designed to measure the overall mean degree of goal facilitation. Instructions for this task state that some goals help to facilitate the pursuit of other goals, some goals inhibit or hinder the pursuit of other goals, and some goals are independent of one another (i.e., they neither help nor hinder the pursuit of other goals). An example of each goal pair combination is provided for illustrative purposes. For each of the goals generated in the Goal Task, participants Personal goal systems in anxiety and depression 7 rate the extent to which the pursuit of each goal facilitates or inhibits the pursuit of every other goal, with no time limit. Possible ratings for each goal pair range from +4 (very strongly facilitates) to –4 (very strongly inhibits). Zero ratings indicate that a goal neither facilitates nor inhibits the pursuit of another goal. An overall goal facilitation score is calculated as the mean of all goal pair ratings. The author and an independent rater later checked participants’ goal responses to confirm that participants understood the instructions accompanying the goal matrix. Goal Ratings. Participants rated distress and repetitive thinking for the two goals that “conflicted or inhibited each other most”. Distress was assessed by the question: “To what extent do you experience feeling bothered or concerned about pursuing these goals?” Participants responded on a 7-point scale from 1 (not at all) to 7 (extremely). Repetitive thinking was assessed by the question: “How much time do you spend thinking about these goals?” For this item, participants responded on a 7point scale from 1 (don’t think about these goals at all) to 7 (think about these goals all the time). The Beck Anxiety Inventory (BAI; Beck & Steer, 1993) and the Beck Depression Inventory (BDI; Beck & Steer, 1987) are both widely used 21-item selfreport measures of anxious and depressive symptomatology respectively. For each scale, each item is rated on 4-point scales with options of increasing severity. Despite high levels of comorbidity between anxiety and depression, the BAI was developed as an orthogonal measure to the BDI (Beck, Steer, Garbin, 1988). Both measures have shown good reliability and successfully differentiate anxious and depressed diagnostic groups from each other and from non-clinical groups (Beck, Epstein, Brown, & Steer, 1988; Fydrich, Dowdall, & Chambless, 1992) as well as high anxious and low anxious, and high dysphoric and low dysphoric adolescent school samples (e.g., Personal goal systems in anxiety and depression 8 Dickson & MacLeod, 2004). In this study, the alpha reliability was .91 for the BAI and .90 for the BDI. Procedure Testing took place in classroom settings (groups of 10–25 students) and lasted approximately 1 hr. Participants first completed the Goal Task, then the Goal Matrix, before selecting their most conflicting goal pair and rating it for distress and repetitive thinking. Finally, participants completed the BDI and then the BAI. Participants enclosed all materials in sealed envelopes before being thanked and debriefed. Results BAI and BDI scores were positively skewed and were successfully roottransformed to normalize their distributions. One participant failed to complete the goal matrix and ratings. The overall goal facilitation score of another participant was identified as a univariate outlier (score = –1.61, z = 3.73) and adjusted so that it was less extreme (adjusted score = –1.22, z = 3.28; cf. Tabachnik & Fidell, 2001). The number of goals listed by each participant (range = 3-12, M = 7.4, SD = 2.2) was not significantly correlated with any variable and is not included in further analyses. Participants listed very few avoidance goals (median = 0% per person). Correlations between variables are presented in Table 1. BAI score and BDI score were positively correlated and were each negatively correlated with overall goal facilitation. Further, BAI score and BDI score were positively correlated with the extent to which participants reported distress and repetitive thinking relating to their most conflicting goals. Overall goal facilitation was negatively correlated with distress, but not repetitive thinking, relating to the pursuit of participants’ most conflicting goals. BDI score remained significantly correlated with distress (r = .29, p = .003) and repetitive thinking (r = .36, p < .001) relating to conflicting goals when Personal goal systems in anxiety and depression 9 controlling for BAI score. However, BAI score was not significantly correlated with either distress (r = –.02, p = .84) or repetitive thinking (r = .12, p = .24) relating to conflicting goals when controlling for BDI score. Regression analysis To examine the relative contributions of anxious symptoms, depressive symptoms and gender in predicting overall goal facilitation, we used hierarchical multiple regression analysis. Both BAI score and BDI score were each centred on their respective means to reduce multicolinearity. BAI score, BDI score and gender were entered simultaneously in the first step. To assess whether the association between anxious and depressive symptoms and overall goal facilitation differed between males and females, the interaction between each scale and gender was entered in the second step. Results of each model are presented in Table 2. In the first step, BDI score was significantly negatively associated with overall goal facilitation, β = –.34, t(110) = 2.89, p = .005, but neither BAI score nor gender were significantly associated with overall goal facilitation. After the first step, the overall model was significant, F(3, 110) = 7.71, p < .001. However, inclusion of the two interactions between gender and each of the scales in the second step failed to improve the model fit significantly, F(2, 108) < 1, p = .44. These results indicate that depressive symptoms, but not anxious symptoms, are independently associated with (a) reduced goal facilitation and (b) increased distress and repetitive thinking about conflicting goals in non-clinical adolescents. Gender neither significantly predicted overall goal facilitation nor moderated the associations between anxious or depressive symptom levels and goal facilitation. Discussion Personal goal systems in anxiety and depression 10 Our results are consistent with Emmons and King’s (1988) finding that conflict between personal goals is associated with increased levels of negative affect, anxiety and depression. The present study extends these results to an adolescent sample, for whom the pursuit of authentic goals is likely to be important for the formation of a distinct adult identity (Erikson, 1968; Nurmi, 1993). The main contribution of our study is the finding that depressive symptoms, but not anxious symptoms, are independently associated with reduced levels of facilitation among personal goals. An identical pattern of results emerged for ratings of distress and repetitive thinking about conflicting goals. Notably, anxiety and depressive symptoms were not associated with the number of goals that participants generated, suggesting the absence of a general motivational deficit. Our findings agree with previous work suggesting that anxiety and depression may be differentiated in terms of particular aspects of adolescents’ personal goal systems (Dickson & MacLeod, 1994). Although past literature indicates that prevalence rates for girls double those of boys for depressive symptomatology during adolescence (e.g., Hankin et al., 1999), no gender differences were observed for depressive or anxious symptoms, or for any goal variable. This may be attributable to the non-clinical school sample. Past research informed by Gray’s (1982) motivational theory has characterized depression in terms of diminished approach goal pursuit. It is possible that both reduced approach goal pursuit and reduced goal facilitation are manifestations of reduced BAS activity. The relationship between depression and reduced goal facilitation is also concordant with cognitive theories that posit pessimism and hopelessness as prototypical features of depression (e.g., Beck, 1976). Reduced facilitation among goals may therefore reflect a general pessimistic bias that enhances perceptions of difficulty in dysphoric mood. Another reason why reduced goal Personal goal systems in anxiety and depression 11 facilitation may be independently associated with depressive symptoms derives from Isen’s (1999) research indicating that positive affect is associated with more inclusive and flexible thinking. Thus, low positive affect may reduce the extent to which individuals are able to use a broad, inclusive thinking style to perceive integrative ways in which to pursue multiple different goals. Although low positive affect is a feature of social anxiety as well as depression (Naragon-Gainey, Watson, & Markon, 2009), our more generalised measure of anxious symptoms (the BAI) probably taps (low) positive affect to a lesser degree than our measure of depressive symptoms (the BDI). Thus, low positive affect may partly explain our finding that depressive symptoms but not anxious symptoms were independently associated with goal facilitation. An immediate question relates to whether depressive symptoms are independently associated with a biased perception of the extent to which one’s goals facilitate one another or whether depressive symptoms are independently associated with the pursuit of goals that are inherently less coherent (e.g., the goals ‘Always put others before myself’ and ‘Be more assertive’). One possibility would be to ask independent judges to rate participants’ goals for coherence, although this may be problematic given the highly personal, circumstantial nature of idiographic goals. If goal pursuit is an inherently future-oriented activity and anxiety relates to concern about the future, why did we fail to find an independent association between anxious symptoms and goal facilitation? First, participants’ judgments about goal facilitation may have been made with reference to thoughts and memories about past and current problems in goal pursuit, rather than thoughts about future outcomes. Judgments about goal facilitation may thus be influenced by depressive biases to a greater extent than anxiety-specific cognitions. Second, anxiety is particularly Personal goal systems in anxiety and depression 12 associated with increased avoidance motivation (e.g., Dickson & MacLeod, 2004), but the vast majority of goals listed by participants, using a single goal measure, were approach goals. Difficulties pursuing approach goals (and even mutually facilitative approach goals) are likely to be more relevant to depressive than anxious symptoms. Eliciting approach and avoidance goals separately typically leads participants to report proportionately more avoidance goals than were observed in this study (e.g., Dickson & MacLeod, 2004). Separate measures could yield stronger associations between anxiety and goal facilitation than our single measure because anxiety may relate to conflict between avoidance goals specifically. Our results concerning distress and repetitive thought about conflicting goals paralleled the goal facilitation findings. As expected, anxious and depressive symptoms were both associated with distress and repetitive thought about conflicting goals, but it was only for depressive symptoms that this association was independent. While distress and repetitive thought are common concomitants of anxiety and depression (Fresco et al., 2002), the independent association between the former variables and depressive symptoms may reflect the finding that depressive symptoms are particularly associated with perceptions that goals are more conflicting. Some methodological limitations deserve comment. First, the cross-sectional design means that it is not possible to establish whether adolescent depressive symptoms and reduced goal coherence are causally related. Depressive symptoms may decrease the extent to which goals are perceived to facilitate each other, but it is also possible that decreased goal facilitation exacerbates depressive symptoms. Second, because we used a non-clinical sample, it is not possible to generalize these findings to adolescents with a clinical diagnosis of depression or anxiety. Third, although the BAI is a well-validated measure of anxiety in both clinical and non- Personal goal systems in anxiety and depression 13 clinical samples, many of its items assess panic-type symptoms. Future research would benefit from the use of other measures of anxious psychopathology to assess whether similar results are observed (e.g., addressing relationships between social anxiety and low positive affect). Fourth, past research has shown that independent measures of goal facilitation and goal inhibition are differentially linked to psychological well-being (Riediger & Freund, 2004). The use of independent goal appraisal measures would provide an opportunity to assess whether combinations of both high and/or low goal facilitation and inhibition are differentially associated with adolescent psychopathology. Finally, single items were used to assess distress and repetitive thinking, although they have high face validity. Our results indicate that depressive symptoms, but not anxious symptoms, are independently related to perceptions of reduced facilitation between adolescents’ personal goals, suggesting that deficits in approach motivation and/or depressive cognitive biases may be specifically associated with reduced goal coherence. The results point to depression being associated with impaired goal pursuit, thus potentially limiting opportunities for reward and serving to maintain a cycle of hopelessness. Future research could examine the association between anxious and depressive symptoms and the extent to which lower-order goals enable individuals to achieve higher-order goals. It will also be important to investigate goal facilitation in adolescents with clinical diagnoses of anxiety, depression and mixed anxietydepression, to test whether these results may generalize to a clinical population. Personal goal systems in anxiety and depression 14 References Austin, J. T., & Vancouver, J. B. (1996). Goal constructs in psychology: Structure, process and content. Psychological Bulletin, 120, 338-375. Barlow, D. H. (2000). The nature of anxiety: Anxiety, depression, and emotional disorders. In R. M. Rapee and D. H. Barlow (Eds.), Chronic anxiety (pp.1-28). London: Guilford Press. Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: International Universities Press. Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). 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Journal of Personality, 70, 5-31. Wittchen, H. U., Nelson, C. B., & Lachner, G. (1998). Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychological Medicine, 28, 109-126. Personal goal systems in anxiety and depression 17 Table 1 Correlations and descriptive statistics Variable 1 2 1. Gender (0 = female, 1 = male) — –.10 2. BAI 3. BDI 4. Overall goal facilitation 5. Distress about conflicting goals 6. Repetitive thinking about conflicting goals — 3 –.14 4 5 .02 –.01 6 .04 M SD — — .68*** –.33*** .29** .28** 10.7 9.3 — –.40*** .44*** .29** 10.0 7.9 .00 1.2 0.8 .35*** 4.1 1.7 — 4.8 1.7 — –.23* — Note. BAI = Beck Anxiety Inventory; BDI = Beck Depression Inventory. BAI and BDI are root-transformed scores, but descriptive statistics refer to untransformed scores. Ns vary 99-119 due to missing data and 19 participants who did not list any conflicting goals. * p < .05. ** p < .01. *** p <.001. Personal goal systems in anxiety and depression Table 2 Multiple regression results for overall goal facilitation B SE B β Gender –.06 .14 –.04 BAI –.05 .06 –.10 BDI –.20 .07 –.34*** Gender –.07 .14 –.05 BAI –.06 .07 –.13 BDI –.13 .10 –.22 Gender x BAI .02 .13 .02 Gender x BDI –.15 .14 –.17 Model Predictor 1 2 Note. R² = .17 for Step 1 (p < .001); ΔR² = .01 for Step 2 (p = .44). *** p < .001 18