Time Orientation Flashcards

1
Q

1: Time Orientation and Health Intro

Learning objectives

A
  • What is time orientation?
  • What is time orientation important for health?
  • How is time orientation related to health?
  • Current methods and evidence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

1: Time Orientation and Health Intro

What is time orientation?

A

Definition: the tendency to be motivated by one temporal frame over others when making decisions

Time orientation develops + is reinforced over time - becomes cognitive temporal bias. This is what is meant by orientation, it develops from a series of choices depending on some sort of temporal trade-off (“now? or later?”) and to that extent that we find that choice rewarding, we continue to make that same temporal trade-off and begin to show bias to a particular temporal frame.

e.g. The last time I had chocolate cake it was amazing, I want the chocolate cake in order to feel good now now, but if I have it I’ll gain weight, if I have the apple instead, I will feel good later etc

Commonly viewed as being one of three temporal frames: past, present and future.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

1: Time Orientation and Health Intro

How does a bias for a particular time orientation develop?

A

We naturally (automatically?) and unconsciously assign temporal categories to structure, order and add meaning to the flow of our experiences.

If one temporal frame is favoured when decision making then that frame serves as a cognitive temporal bias that, with chronic use over time, becomes a trait-like tendency that motivated behaviour.

Time can be argued as an artificial mental construct, an abstract concept – we separate events in our heads.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

1: Time Orientation and Health Intro

The self over time (self-continuity)

A

William James – The Principles of Psychology (1890/1981)

  • William James said we are a different self every day. The self we are everyday changes according to our experiences, we are slightly different each day, the way we see things, think etc.
  • However, there remains a sort of thread of continuity that links these selves together each day. We have an ability to perceive an “unbrokenness in the stream of selves” despite the temporal partitioning of the self (p.335).

Integration of these temporally partitioned selves = self-continuity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

1: Time Orientation and Health Intro

Why is time orientation important for health?

A

Physical inactivity and unhealthy diet are major contributors to the obesity epidemic worldwide (WHO, 2015).

Obesity is a precursor to the development of lots of chronic diseases: CVD, Type 2 diabetes, cancer, arthritis, some types of cancer etc. In order to stave off these illnesses one must engage in health behaviours.

Health behaviours are the prototypical self-regulation task (Wagner & Heatherton, 2015) – must regulate thoughts, feelings, emotions etc.

Engaging in health behaviours involves making intertemporal choices and decisions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

1: Time Orientation and Health Intro

How is time orientation related to health?

A

Time orientation/perspective is primarily linked to health via its associations with health behaviours.

  1. Preventative health behaviours e.g. cancer/ diabetes screening, suncream use.
    - Time orientation most predictive of engaging in H.B here is future
  2. Health-promoting behaviours e.g. healthy eating, exercise, stress management
    - Time orientation most predictive of engaging in H.B here is future
  3. Health risky behaviours
    e. g. smoking, alcohol use, substance abuse
    - Time orientations most predictive of (not) engaging in H.B here are high present and low future
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

1: Time Orientation and Health Intro

Research methods for time orientation and health - brief overview

A

Print that shit out xx

Moving down the list, the research methods are, arguably, more rigorous

Randomised control trial is sort of the gold standard of research

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

1: Time Orientation and Health Intro

Future time perspective and obesity - Reading 1

(Hall, Fong & Sansone 2015)

A

Hall Fong & Sansone 2015

Sample of community adults (N = 135; Mean age 54.59) took part in a cross-sectional study
- Multiple measures of health behaviours and body composition.

BMI = Body Mass Index (Weight/height)
BMI > 25 = overweight
BMI > 30 = obese

TPQ = time perspective (high – more future oriented, low – more past oriented).

 Prevalence of obesity as a function of TPQ category

Findings:

  • Higher levels of TPQ (future oriented) corresponded the ppts being less likely to be obese (13% were obese) vs low time perspective (low levels of future orientation, more past oriented) corresponded with more instances of ppts being obese (23% were obese in this category).
  • This indicates a relationship between time perspective and BMI, suggesting a connection between time orientation and health behaviours.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

1: Time Orientation and Health Intro

(Hall, Fong & Sansone 2015)

They took this a step further…

A

They found an association between time perspective and BMI, but this assumed that the obesity was as result of poor health behaviour.

They also had a measure of health behaviour index (HBI).

They tried to see if HBI (measure of health behaviour) explained the relationship between future orientation and lower BMI (negative relationship as higher the future orientation, lower the BMI).

The stars on the figure mean the results were significant, the mediation analysis showed that the third variable (HBI) explained the relation between orientation and BMI.

(DRAW OUT FIGURE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

1: Time Orientation and Health Intro

Future time perspective and smoking

Sansone et al 2012 (n.imp)

A

Wanted to look at how future time orientation related to being a smoker vs a non-smoker

Overall, across all (5) countries those with higher levels of future time orientation are less likely to smoke, but not by much.

In China, time orientation didn’t predict smoking behaviour.

The variation in these results across different countries indicated that time orientation is not the only factor influencing this particular health behaviour (perhaps all health behaviour), culture for example, influences this as well.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

1: Time Orientation and Health Intro

Temporal framing and the decision to take part in type 2 diabetes screening - Reading 2

(Orbell and Haggar, 2006)

A

Orbell and Haggar 2006

210 adults (mean age=53)

  • Experimental design -

CFC is a measure called “consideration of future consequences”, high scores – more future oriented, low scores – more past oriented

1) High-CFC individuals were expected to be more sensitive to distant consequences that are both positive and negative
2) Low-CFC individuals were expected to be more sensitive to immediate consequences that are both positive and negative.

The researchers here decided to not try to change time orientation, they instead changed the way that they framed the health behaviours presented to ppts, mapping onto time perspectives that the ppts were already biased towards.

So, if someone had a high present time orientation, they wouldn’t map the behaviour they wanted them to undergo as being beneficial to the future, because that wouldn’t make them more likely to engage, they framed it as being beneficial for the now (immediate benefits).

***Temporal message framing – this is how they worded it

ST (short term), LT (long term), + (positive consequences), - (negative consequences)

  1. Some people find that taking part in screening means that they have to undergo unpleasant and inconvenient procedures immediately. ST-
  2. Some people find that taking part in screening gives them peace of mind about their health for years into the future. LT+
  3. Some people find that taking part in screening gives them immediate peace of mind about their health. ST+
  4. Some people find that taking part in screening means find that they worry about their condition and have to take tablets and live a different lifestyle for the rest of their life. LT-
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

1: Time Orientation and Health Intro

Study cont.

TPB dimensions as a function of message framing & time

A

They mapped all of this onto the theory of planned behaviour (shown in the graph), which considers attitude, subjective norms, perceived behavioural control, emotions (affect) and also intentions.

The graph just shows positive consequences, dark bar – short term benefits, light bar – long term benefits.

Findings:

  • For those with high levels of future orientation presented with a message framing long term benefits, have higher intentions to engage in health behaviour (diabetes screening) than if the message had been framed for immediate benefits.
  • For those with low levels of future orientation presented with a message framing long term benefits, have lower intentions to engage in health behaviour (diabetes screening) than if the message had been framed for immediate benefits.

In essence, mapping the message to fit onto a person’s time orientation, gives them more of an intention to engage in a health intention.

Intentions are important because they are a reasonable predictor of health behaviour engagement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

1: Time Orientation and Health Intro

Summary

A
  • Time orientation is the tendency to be motivated by one temporal frame over others when making decisions.
  • There are past, present and future time-orientations, but research on health outcomes has focused primarily on future and present time perspective.
  • There is very little research looking at past time perspective and health, probably because when we have health related choices, most often the time frames being compared are present and future. But it is also possible to consider the past (i.e. last time I tried to exercise I didn’t like it, or considering a failed attempt to quit smoking) – this could also influence health behaviour engagement.
  • Time perspective is linked to health mainly through health behaviours.
  • Health behaviour intentions (TPB) are inherently future-oriented
  • When people “intend” to engage in a health behaviour, they are thinking ahead, to intend to do something is thinking in terms of the future
  • Future time perspective (FTP) is associated with better practice of health-promoting and preventive behaviours, whereas low FTP and present orientation are associated with health risky behaviours.
  • Tailoring health messages to time orientation can help maximize their benefits for health behaviour intentions.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Learning objectives:

A
  • What is procrastination?
  • What is the role of short-term mood regulation in procrastination?
  • How is time-orientation implicated in the health outcomes associated with procrastination?
  • What is the role of stress in time-orientation and health?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Starter questions

A
  1. How is procrastination associated with physical health?

A chronic procrastinator is someone who puts immediate gratification and maintenance of positive current mood over long term goals and positive consequences. Procrastination has been found to be negatively associated with future time perspective and positively associated with present time perspective (they orient their thinking in terms of the “now” rather than the future). So, procrastination is associated with present time orientation, which is turn is associated negatively with health – for example procrastination is associated negatively with mindfulness (which positively corresponds with health). Mindfulness plays a vital role in self-regulation as it reduces stress and permits non-judgement awareness of the discrepancies between current-self and future-self.

  1. How is time-orientation implicated in the health outcomes associated with procrastination?

Procrastination is negatively associated with proactive health behaviours such as exercise, screening, healthy eating etc, as such behaviours would require future outcomes to be weighted as more important than immediate gratification (it’s not immediately gratifying to go for a run rather than sit on the sofa, but it has benefits for health in the long-term). Chronic procrastination of such behaviours can lead to poor health, with developing conditions such as diabetes, obesity, heart disease etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Definitions

A

Procrastinate - derived from the Latin root prō + crāstinus
= “of tomorrow”

  • A common self-regulatory problem involving the unnecessary and voluntary delay of important intended tasks despite the recognition that this delay may have negative consequences (Lay, 1986; Sirois & Pychyl, 2015)
  • A temporally bound (phenomena that occurs across different time frames) behaviour that has consequences not only for the present self, but also the future self (Sirois & Pychyl, 2013).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Reading - Sirois and Pychyl

Procrastination and the Priority of Short-Term Mood Regulation: Consequences for Future Self

A

Priority of short-term mood regulation is central to procrastination as a concept

Procrastination occurs for tasks that have a negative or aversive quality: boring, frustrating, lacking in meaning/ structure

More pleasurable: less aversive

  • Doesn’t have to be pleasurable in itself, just less unpleasant than the more important task/ the one they are procrastinating from completing.
  • This can be seen in procrastinators who clean/ organise instead – doesn’t mean they aren’t procrastinating.

Procrastination has an overall goal of minimising emotional distress, regulation of immediate mood is prioritised over acting to achieve long term goals – “Giving in to feel good”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Procrastination and the temporally extended self

A

Problem is that when we procrastinate in order to feel this immediate gratification/ regulate our emotional distress, we are not dealing with the more important task at hand, we are pushing it off for our future self to deal with (making poor intertemporal choices).

Past Self: makes intention to act –> does not

  • Puts onus on Future Self to do so
  • Past Future Self is now the Present Self
  • Present Self has to deal with the unfinished task

Present Self: believes Future Self can take care of
it, puts it off, and so on…….
- Poor intertemporal choices

The future self becomes the beast of burden to our present selves choices to put tasks off, thinking that in the future we will be better able to deal with those tasks – when in actual fact a lot of the time, that burden is too great and can induce feelings of stress and being overwhelmed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Further research has supported the findings of Fuscia and Tim’s work…

A

Procrastination must be associated with less focus on the future (non-future orientation

If you’re making decisions now that negatively affect your future self, you must not really be thinking about that future self when deciding whether to engage in health behaviours…

Meta-analysis - looking at lots of samples of published/ unpublished data, looking at the association between to variables to get a sense of the average association

Is procrastination associated with poor health behaviours? Yes, as a trait-like quality it is

Hypothesis: Is this because it’s related to low levels of future orientation/ high levels of present? Is this because they just forget about the future or is it because they are more focused on the present?

Across every study a moderately large negative correlation was found between procrastination and future time perspective, robust evidence. Less data on the present perspective, but average of -.45 looking at a general tendency to procrastinate (trait-like) and future time orientation. Weak positive correlation .15 between tendency to procrastinate and present orientation – so not just about being in the present moment, it’s actually about them not thinking about the future.

The tendency to think about the present vs not think about the future are different things.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Future Self Continuity

A

So, we have these temporally bound selves, our self is partitioned across time (future self, present self, past self).

Future self-continuity: the extent to which people feel close/ connected to their future self, this links to how much they think of their future self – how their actions impact on their future self.

Sometimes our future selves can feel very close to us, like a good friend, or very distant as if they were a stranger.

21
Q

2: Time Orientation: Procrastination, Future-Self, and Health

A Measure of Future Self Continuity

A

(Overlapping circles diagram)

  • On the scale below indicate how close you feel to your future self.
  • Circles that overlap represent greater closeness to the future self.
  • Record the number that corresponds to your future self.

This simple measure has been shown to predict a number of things including people saving for retirement and making other financial choices. People who score higher on this measure (are more continuous with their future self) seem to have different areas of the brain activated than those who feel more disconnected from their future self – interesting as it demonstrates that continuity is a holistic concept, not just a thought in the moment.

22
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Future time orientation vs future self-continuity

A

Both future time frame constructs, but future self-continuity is more personal, whereas future time orientation is more general

(Do you think a lot about the future when you make your decisions? Vs Do you think about your future self when you make your decisions?).

23
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Procrastination & Future Self Perceptions – Study 1

Sirois, F. M., Shucard, H., & Hirsch, J. K. (2014). Procrastination and perceptions of the future self: Implications for health and well-being. Paper presented at the 2nd International Conference on Time Perspective, Warsaw, Poland.

A

Wanted to investigate whether procrastinators feel close to their future self

Are they not thinking about the future-self? Do they not feel connected to their future-self? Are they putting their future-self up on a pedestal?

Sample of community adults (N = 593)

  • M age = 36.76, SD = 11.7 (18-73)
  • 53.2 % male
  • All from the US
  • Recruited online via MTurk system (amaon company)
  • Paid $2.50 USD (~ £1.60) for completing the survey

General Procrastination Scale (GPS; Lay, 1986)
Future self continuity: r = -.24**

Found:

  • Negative correlation between procrastination*self-continuity, -.24**
  • Not as strong as procrastination*time orientation

So it looks like procrastinators, again, don’t feel very close to their future selves.

24
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Procrastination & Future Self Perceptions – Study 2

A

Does feeling distant from a future-self predict health behaviours?

Investigated how the connection to the future self might explain poor health behaviours

So, for these people who put off things in general, what is going on with health behaviour engagement?

Sample of community adults (N = 657)

  • M age = 27.9, SD = 11.7
  • 77.3 % female
  • 63.5% U.S., 19.9 % Canada, 7.1% U.K, 5.3.% Australia
  • Recruited online
  • Online survey with draw incentive
  • Lay’s (1986) General Procrastination Scale – 20 items
  • Wellness Behaviours Inventory (WBI; Sirois, 2003) – measure of general health behaviour practice

Asked how emotionally close ppts felt to their future self???

Found:

  • Weak explanatory pathway across the mediation model, yet the predictor variable of emotional closeness to future self was a significant predictor variable of the association between procrastination and health promoting behaviours.
  • The R2= .11, so emotional closeness accounted for 11% of the variance. Procrastinators didn’t feel emotionally close to their future self (-.31),
  • Procrastinators also didn’t tend to engage in health promoting behaviours (-.22)

Feeling a lack of closeness emotionally to the future self may partially explain why procrastinators may struggle to engage in health promoting behaviours

25
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Further evidence: Embracing the Future Self

A

Participants engaged in making health behaviour changes were assigned to a future-self success, future-self failure or a control group.

  • Rated their future self-continuity (FSC) as a manipulation check.
  • Rated motivations to change their health behaviours pre- and post intervention.

Both conditions in which they vividly imagined and described a future-self increased FSC and motivations to change health behaviours.

–> Control group – Thought about a time in which you failed to make a health behaviour change? Asked to write about it

–> Future-self failure group – Ok you’re struggling with this health behaviour change, think about the future, and the fact that you might actually not meet this goal, what would that be like?

–> Future-self success – Ok you’re struggling with this health behaviour change, think about the future, and the fact that you might actually not meet this goal, what would that be like?

IV - Whether ppts thought about a future self that failed or a future self that succeeded, compared to a control condition that thought about
DV – Ratings of future-self continuity and motivations to change health behaviours

Found:
- Those who thought about either a successful OR unsuccessful future-self had higher future-self continuity and intentions to engage in health behaviours than control groups

So thinking of both successful and unsuccessful future selves in relation to health behaviour changes gives higher levels of closeness to the future-self and higher intentions to engage in healthy behaviours

Note: You would think that pondering failure would demotivate ppts in terms of closeness with future self + intentions to engage in health behaviours, perhaps this would not be the case had the study been looking at chronic procrastinators?

26
Q

2: Time Orientation: Procrastination, Future-Self, and Health

RECAP: How is time orientation related to health?

A

Time orientation/perspective is primarily linked to health via its associations with health behaviours.

  1. Preventive health behaviours
    EX: cancer and diabetes screening, sunscreen use
  2. Health-promoting behaviours
    Healthy eating, exercise, stress management
  3. Health risky behaviours
    Smoking, alcohol use, substance abuse
27
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Stress and Health Behaviour

A

As people get more stressed, their tendency to engage in health behaviours reduces.

**Stress Orientation Hypothesis - Stress-initiated cognitive shifts orient focus away from distant and towards more immediate concerns (Sirois, 2014).

–> When you are stressed (procrastinators are perpetually stressed) the amygdala is activated and we are in threat mode, when we are in threat mode we tend to have a narrower window of focus (more locally oriented, so focussed on the present rather than the future). We cannot think in broad or abstract terms when stressed.

In more detail:
> Activation of brain areas involved in threat detection (classic fight or flight response, or Goleman’s amygdala hijack)
- amygdala that it is a fight, flight or freeze situation, then the amygdala triggers the HPA (hypothalmic-pituitary-adrenal) axis and hijacks the rational brain. This emotional brain activity processes information milliseconds earlier than the rational brain, so in case of a match, the amygdala acts before any possible direction from the neocortex can be received.
> Narrows temporal focus (funnel vision) to threat and/or foreshortens the temporal horizon with respect to the outcomes of current behaviour and choices.

28
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Procrastination and Health

A

Procrastination is linked to:

> Delay in making medical appointments
Practicing fewer health promoting and protective behaviours
Higher stress
Greater number of health problems

29
Q

2: Time Orientation: Procrastination, Future-Self, and Health

Procrastination Health Model

READING
“I’ll look after my health later”: an investigation of procrastination and health

(Sirois, Melia-Gordon an Pychyl)

A

This was the first model to test the link between procrastination and health through these stress and health behaviour pathways

Not the first to look at procrastination and health, but other studies didn’t look at whether the higher levels of stress explained poor health or whether health behaviours explained their poor health overall

  • Correlational Study -

Looked at wellness behaviours, stress, procrastination, illness and treatment delay

Findings:
- Procrastination & wellness behaviours + wellness behaviours & illness are negatively correlated

Wellness behaviours fell out of the model, didn’t predict or explain the link between tendency to procrastinate and having higher levels of illness

Breakdown:
Procrastination and stress and stress and illness are positively correlated

Procrastination and treatment delay and treatment delay and illness are positively correlated

LOOK AT FIGURES

30
Q

2: Time Orientation: Procrastination, Future-Self, and Health

SUMMARY

A
  • Procrastination is a temporally bound behaviour/tendency that has consequences for the present and future self.
  • Procrastination is associated with making poor intertemporal decisions related to health because of a disconnect with the future self (usually think of future self when engaging in health behaviours)
  • Feeling less connected to our future self is associated with less practice of health promoting behaviours.
  • The stress associated with procrastination has implications for the practice of health behaviours and physical health.
31
Q

3: Time Orientation: In the Context of Chronic Illness

Learning Objectives

A
  1. How does chronic illness affect perceptions of the past self?
  2. What factors influence expectations for future health in those living with chronic illness?
  3. How and why is future time orientation linked to disease management behaviours?
  4. What is the role of procrastination in adjustment to chronic illness?
32
Q

3: Time Orientation: In the Context of Chronic Illness

Recap Questions on Lecture 2

A

How is procrastination liked to health?

Procrastination is linked to health via a direct pathway (higher stress) that can lead to an indirect pathway (treatment delay).

How is time-orientation implicated in the health outcomes associated with procrastination?

Procrastination is associated with prioritising short-term mood regulation over long-term consequences of behaviour. Procrastinators are more susceptible to giving into unhealthy temptations that interfere with health promoting behaviours, which have consequences for the health of the future self. The stress created by this more present view of self can also have negative health consequences.

33
Q

3: Time Orientation: In the Context of Chronic Illness

Chronic Illness - Definition

A

Definition: A disease that is persistent or otherwise long-lasting in its effects or a disease that comes with time. The term chronic is often applied when the course of the disease lasts for more than three months.

34
Q

3: Time Orientation: In the Context of Chronic Illness

What increases the risk of chronic illness?

A

The risk for chronic illness is increased by:
genetic + environmental factors/ social + behavioural factors.

Physical inactivity + poor diet contribute to obesity – precursor to chronic diseases e.g. CVD, type 2 diabetes, cancer, arthritis etc.

Chronic illness can impact perceptions of self, behaviour and well-being (for better or worse)

35
Q

3: Time Orientation: In the Context of Chronic Illness

Temporal Self-Appraisal Theory

A

Definition: Tendency to derogate distant past-selves and praise recent past selves

Wilson and Ross (2001)

  • students prompted to see their start of term past-self as farther in the past rated that past-self more negatively than those who were prompted to view their beginning of term past self as closer.
  • Remember: the distance is objectively the same, it’s the perception of that distance that affects the way the students saw the past-self.

Temporal distance as proxy/ representation for growth and positive change
- Psychological distance = perceived difference

36
Q

3: Time Orientation: In the Context of Chronic Illness

Temporal Landmarks and Self-Appraisal

A

Temporal landmarks can alter the perception of the temporal landscape (Peetz & Wilson, 2012)

  • Temporally extended selves are perceived as more distant and dissimilar from current self when an intervening landmark event has been made salient.
  • Intervening landmarks lead people to categorize pre- and post- landmark selves into separate categories.
    E.g., past you before and after a major birthday

Can induce greater feelings of psychological separation –> more negative self-perceptions

37
Q

3: Time Orientation: In the Context of Chronic Illness

Temporal Landmarks and Self-Appraisal: Rewording

A

Rewording:

Much as physical landmarks help structure our representation of space, temporal landmarks such as birthdays and significant dates structure our perception of time - such that people may organize or categorize their lives into “chunks” separated by these markers – can induce psychological separation from undesirable temporal selves.

When a time frame is punctuated with landmarks, we feel a greater distance from that past-self because the landmarks suggest greater opportunities for change.

38
Q

3: Time Orientation: In the Context of Chronic Illness

How does temporal distance interact with chronic illness?

A

Chronic illness provides a context of continuity and challenge to the self-system (continuous perceptions of self)

Can evoke perceptions of positive or negative change over time

How is perceived temporal distance to a past self-related to adjustment to chronic illness?Does distance = perceived change?

39
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015) CORE READING
“Who looks forward to better health? Personality Factors and Future Self-Rated Health in the Context of Chronic Illness”

Diseases it looked at

A

Looked at 2 diseases:

  1. Arthritis
    - Autoimmune disease characterized by painful inflammation of the joints
    - One of the top ten causes of disability worldwide (WHO, 2015)
    - Chronic stressor impacting daily functioning - living with arthritis is akin to living with a chronic stressor
    - Most common forms include rheumatoid arthritis & osteoarthritis
    - Despite common belief that arthritis is mainly a disease of older adults, arthritis affects more people under rather than over the age of 65.

It is not only how the individual copes with this stress but also how they perceive and appraise the challenges associated with arthritis that contributes to adjustment.

  1. Inflammatory Bowel Disease (IBD)
    - Inflammatory bowel disease (IBD) is a chronic, incurable illness of unknown etiology (causes)
    - Symptoms include; stomach pain, diarrhea, weight loss and fatigue
    - 2 most common forms of IBD are:
    Crohn’s Disease (CD)
    Ulcerative Colitis (UC)
    - Although both diseases involve the digestive system, Crohn’s can affect anywhere in the intestinal tract whereas UC is generally situated in the inner layer of the colon and large intestine. Crohn’s is more prevalent in females, UC shows no gender difference.
40
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015) CORE READING
“Who looks forward to better health? Personality Factors and Future Self-Rated Health in the Context of Chronic Illness”

Methods

A

Methods:

Prospective online survey with 6-month follow-up – so 2 surveys

2 Chronic Illness groups:

Sample 1:

  • 420 people diagnosed with inflammatory bowel disease (IBD)
  • 152 (36.2%) completed the follow-up survey
  • M age = 37.9 (SD = 12.5), 76.7 % female

Sample 2:

  • 423 people diagnosed with any form of arthritis
  • 168 (39.7%) completed the follow-up survey
  • M age = 46.7, SD = 11.7, 91.6 % female
41
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015) CORE READING
“Who looks forward to better health? Personality Factors and Future Self-Rated Health in the Context of Chronic Illness”

Inducing temporal distance

A

Manipulated ppts to think of their past-self from 6 months ago as far away or not that far away by altering the wording of the question presented to them…

Recent Condition
“Now take a moment to think of a point in time in the recent past, to six months ago when you completed the first survey for this study. What were you like then?”

Distant Condition
“Now take a moment to think back to another point in time. Think all the way back to six months ago when you completed the first survey for this study. What were you like way back then?”

42
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015) CORE READING
“Who looks forward to better health? Personality Factors and Future Self-Rated Health in the Context of Chronic Illness”

Temporal distance and landmarks

A

Manipulation check – seeing if that perception manipulation in the previous question worked…

“Sometimes points in the past feel very far away, while other times they feel very close, almost like yesterday. How far away does the time when you completed the first part of this survey FEEL to you?” - 1–>10

Also asked about temporal landmarks in the last 6 months…

“Are there any other changes in yourself, your life or your relationships that have occurred for better or worse over the past six months that you would like to tell us about?”
YES NO

43
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015) CORE READING
“Who looks forward to better health? Personality Factors and Future Self-Rated Health in the Context of Chronic Illness”

Results - Inducing temporal distance

A

Results - Inducing Temporal Distance

The induction didn’t work in either chronic illness group, ppts with chronic illness were not sensitive to being manipulated into perceiving the past/ their past-self as being far away or not that far away didn’t work

44
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015) CORE READING
“Who looks forward to better health? Personality Factors and Future Self-Rated Health in the Context of Chronic Illness”

Results – Temporal Distance and Landmarks

A

Results – Temporal Distance and Landmarks

Maybe those who experienced temporal landmarks felt further away from the past/ their past-self?

Slight but significant difference between those who had a temporal landmark and those without a temporal landmark.

About half the participants in each group had a temporal landmark in the 6-month intervening period between the surveys

–> Those who had temporal landmarks perceived a greater temporal distance between present and 6-month past self, compared to those without temporal landmarks

The general temporal self-appraisal theory didn’t work but the landmark theory did…

45
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015) CORE READING
“Who looks forward to better health? Personality Factors and Future Self-Rated Health in the Context of Chronic Illness”

Measures used in the study

A

**Current Self-Rated Health

Contextual Factors Model Diagram

Used this model for the paper – self rated health is a single rating item “How do you rate your overall health?” From poor – excellent. It’s been able to predict several health outcomes – co-morbidity with health conditions, cortisol responses to stress, mortality overall. Even though the item is highly subjective it has a really interesting predicting value.

**Future Self-Rated Health

Whittled down model diagram

Fuchsia whittled the previous model to something more testable (in terms of self-rated health but also predictions of the health of the future-self).

**Self-rated Health Items

This is what the items looked like. Didn’t ask for predictions of future health too far into the future.

SEE NOTES

  • Self-rated health is an important predictor of objective health and health-related outcomes such as health behaviours, cortisol responses to stress, morbidity, and mortality
  • Little research on future self-rated health (FSRH) or the personality factors associated with expectations for future health.
  • Examined how the five factors of personality were linked to FSRH
  • Controlled for fatigue, which is a common feature of many chronic illnesses.

**Self-rated Health and Personality

Two chronic illness samples

  • Arthritis, N = 365
  • Inflammatory bowel disease, IBD; N = 290

Findings:
Analyses controlled for age, education, and current health, and fatigue
- Fatigue explained 11% and 17% of FSRH
- Agreeableness and Neuroticism explained additional variance in FSRH (4%)
- Optimism levels explained why A & N were linked to FSRH

46
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY : Hall et al. (2012) CORE READING 2
Time Perspective & Management of Type II diabetes

A

Study:

  • Examined the influence of time perspective on two weight-management behaviours (physical activity and dietary choice) in a sample of individuals newly diagnosed with Type II diabetes.
  • Examined the role of behavioural intentions in explaining these links

Sample:

  • 204 participants. Mean age 57 years (range 29–79)
  • newly diagnosed with Type II diabetes

Methods:

  • 2 measures of behaviour specific time perspective: TPQ-E (e for exercise), TQQ-D (d for diet)
  • longitudinal study

SEE INTERACTION DIAGRAMS

Control variables:
- baseline physical activity, demographics (age, gender, socioeconomic status, relationship status), body mass index and disease variables (time since diagnosis, history of gestational diabetes and/or impaired glucose tolerance).

Findings:

  • Individuals with newly diagnosed type 2 diabetes possessing a future-oriented time perspective reported making less frequent fatty food choices and greater increases in physical activity over the 6-month follow-up interval.
  • These effects were selectively mediated by intention strength – the facilitating effect of future-orientated thinking appear to occur via enhanced strength of intentions to perform weight management behaviours.
47
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015)
Is procrastination a vulnerability factor for hypertension and cardiovascular disease?

Primary study

A

Both stress and poor health behaviors are implicated in the development and exacerbation of a number of major chronic diseases including hypertension and cardiovascular disease.

Procrastination associated with low Conscientiousness and Agreeableness, which are both linked to poor cardiovascular health.

Poor coping may increase vulnerability in individuals with HT/CVD

Study:
Sample –> 980 community adults, 182 with self-reported HT/CVD
- The remaining 798 screened for other health conditions  564 healthy controls

Prediction:
- those who showed poor heart health might show higher procrastination scores – t-test showed exactly that

Remember that this is correlational, and all chronic illnesses are multi-factorial – must control for other factors

Findings:
After controlling for many other possible factors (5 five, fatigue, age, gender etc) that could predict risk for CVD, what was found was that…
- for every 1 point increase on the trait-procrastination scale, the risk of being in the poor heart health group (CVD/ hypertension) increased by 63%.

48
Q

3: Time Orientation: In the Context of Chronic Illness

STUDY: Sirois, F. M. (2015)
Is procrastination a vulnerability factor for hypertension and cardiovascular disease?

Testing an Extension of the Procrastination-Health Model

A

Testing an Extension of the Procrastination-Health Model:

DIAGRAM

Also looked at coping, found that both healthy adults and those with CVD that were chronic procrastinators tended to use maladaptive coping styles and that these negatively impacted their stress and health behaviours

Rewording:
The moderation hypothesis within this model posits that procrastination promotes a tendency to cope with stress by disengaging behaviorally and becoming consumed with self-blame rather taking constructive action, and that this tendency will be more pronounced in the context of HT/CVD (see Figure 1).
Thus, it was expected that the associations of procrastination with two maladaptive coping strategies - behavioral disengagement coping and self-blame coping - will be stronger in individuals with HT/CVD compared to the healthy controls.

Findings:

  • Trait procrastination scores (GPS) predicted being in the CVD/HT group
  • For every 1 pt. ↑ in GPS, chances of having CVD/HT increased by 60% (OR = 1.63, p < .01), controlling for C, N, age, sex.

Moderated mediation analyses:

  • Stronger association with maladaptive coping behaviours in participants with HT/CVD than the healthy controls
  • Indirect effects on stress through maladaptive coping were sig. larger for the HT/CVD sample; ns for health behaviors
49
Q

3: Time Orientation: In the Context of Chronic Illness

SUMMARY

A
  • Temporal self-appraisals in the context of chronic illness are sensitive to temporal landmarks.
  • Expectations of future health are influenced mainly by fatigue, and to a lesser extent by personality factors.
  • Future time orientation predicts better weight management behaviours in the context of type 2 diabetes through stronger behavioural intentions.
  • Trait procrastination (low future time orientation) is a vulnerability factor for poor coping in the context of chronic illness.