Cultural background and norms can shape beliefs and behavior. As such, the propensity toward seeking help from others is likely also dependent on cultural background. Those who identify strongly with their native culture may have different attitudes toward help-seeking compared to individuals who are more acculturated to U.S. culture. This investigation surveyed a sample of 551 participants from four ethnic backgrounds via Prolific and the School of Social and Behavioral Sciences Research Participation System (SONA) to examine whether greater overall help-seeking was evident among 1) individuals from the majority U.S. culture (European American) compared with ethnic minority individuals in the U.S. identifying as Black/African American, Asian American, or Hispanic/Latino; 2) individuals who endorsed more individualistic cultural values; 3) individuals reporting higher levels of acculturation (i.e., greater comfort with mainstream American culture); and 4) individuals who reported greater emotion granularity (EG), which is the ability to understand one’s own emotions in a more detailed way; and 5) the interactions of ethnic group and each of these constructs (i.e., individualism, acculturation, and emotion granularity). Results based on analysis of variance revealed that, contrary to the first study hypothesis (H1), White/European American participants reported being less likely to seek help for personal or emotional problems than Black/African American participants. In exploratory analyses, Black/African Americans also reported greater help-seeking tendencies than Asian Americans. Also contrary to what was hypothesized (H2), participants high in individualism reported less help-seeking tendencies than participants low in individualism. The third hypothesis (H3) was not supported: Ethnicity did not interact with individualism in predicting help-seeking behavior. As hypothesized (H4), greater acculturation (i.e., comfort with mainstream culture), was associated with greater help seeking; however, (H5) acculturation and ethnic group membership did not interact to predict help-seeking. Finally (H6), there were not differences in help-seeking based on comparisons of individuals higher versus lower in EG, nor did EG interact with ethnic group membership (H7); however, exploratory correlational results indicated greater EG (when measured as a continuous variable) was associated with greater help-seeking. Understanding cultural influences on help-seeking can be invaluable in helping professionals navigate how to effectively provide diverse populations with culturally accessible resources.

Prior studies have demonstrated the positive impact of touch on both individualand relational well-being. In contrast, a history of trauma is associated with reductions in well-being. Post-traumatic stress disorder caused by prior interpersonal trauma (IPT) may cause individuals to avoid interpersonal touch, which may lead to many negative outcomes. Additionally, prior studies found that experiencing more post-traumatic stress symptoms (PTSS) is linked with worse romantic relationship quality. Accordingly, higher PTSS may be a pathway through which more IPT leads to fewer touch behaviors, more touch aversion, and worse relationship quality. Participants were 543 English-speaking females (64.8% White; mean age 30.3 years) recruited through online survey systems Sona and Prolific. The following measures were used: Cumulative Stress and Trauma Scale (IPT); Brennan Touch Scale (touch aversion); the PTSD Checklist for DSM-5 (PTSS); CSE Scale for Trauma (CSET); Emotion Regulation Questionnaire (expressive suppression); and Perceived Relationship Quality Component Index (relationship quality). Mediation and moderated mediation models were analyzed using the PROCESS macro v.3.4 in SPSS v. 27. The major hypotheses were that 1) more IPT would lead to fewer touch behaviors, greater touch aversion, and worse relationship quality through its links to greater PTSS; and 2) the pathways between PTSS and the outcome variables would be moderated by expressive suppression (strengthening the association) and trauma coping self-efficacy (weakening the association). The results showed that the overall associations between IPT and touch behaviors and between IPT and relationship quality were not significant, but the indirect links via PTSS were significant. The association between IPT and touch aversion was significant, but the addition of PTSS as a mediator made that association nonsignificant. When moderators were added, there were mixed outcomes. The moderation term for CSET on the PTSS to touch behaviors pathway was significant. Because touch is important for healthy relationships, therapies should focus on reducing touch aversion for people with a history of IPT and high PTSS. Furthermore, therapy focusing on improving CSET and reducing expressive suppression may help increase touch behaviors, reduce touch aversion, and improve relationship quality in individuals with IPT.

Individuals with psychogenic non-epileptic seizures (PNES) show signs of emotion-related dysfunction and disrupted interpersonal relationships. Affectionate touch is an important form of non-verbal communication in relationships that may foster emotion regulation and emotional awareness. The present online survey study included 62 individuals with PNES and 80 seizure-free trauma-exposed controls high (n=40) or low (n=40) in overall symptoms of psychopathology. As hypothesized, PNES individuals reported experiencing less frequent affectionate touch and less interoceptive awareness than either control group. They also reported more somatic symptoms, more emotion regulation difficulties, and less positive emotion than the low psychopathology group. Unexpectedly, there were no group differences in emotional awareness difficulties, nor in initiation of affectionate touch. Across participants, lower interoceptive awareness was associated with lower affectionate touch frequency, indicating that if one has difficulty understanding and being aware of their own body, affectionate touch sensations may not necessarily be understood as pleasant and may be minimized or avoided. Emotional awareness difficulties surprisingly were associated with greater affectionate touch frequency among PNES (versus the expected pattern of awareness difficulties associated with less affectionate touch, as found among controls), suggesting affectionate touch may be used as an attempt to try and understand one’s own feelings, or to compensate for, or even mask a lack of understanding. Findings indicate a distinct difference in physical affection frequency and interoceptive awareness among PNES individuals even when matched to a group similar in psychiatric distress/psychopathology. These findings offer insight into the relationships between interoceptive awareness, affectionate touch, and emotion regulation more broadly.

Emotion-related processes are a pivotal piece in establishing a holistic evaluation of interpersonal and intrapersonal outcomes due to stress. These processes are especially relevant for law enforcement officers (LEOs) who are required to regulate their emotions in the context of their personal lives and their job. The emotion suppression tendencies fostered by LEO culture may be exhibited in marital interactions, especially if LEOs perceive that their spouse does not understand their job (described here as spousal job misunderstanding [SJM]). The associations between LEOs believing their spouse misunderstands their job and their reported marital satisfaction and burnout levels may be explained through emotion suppression tendencies when with their spouse. This study examined whether the extent LEOs felt their spouse misunderstood their job was associated with marital satisfaction and burnout; whether those associations were mediated by the extent LEOs hid their feelings from their spouse; and, for burnout, whether effects were conditionally mediated at different levels of social support. Study analyses were conducted in separate groups according to gender, using survey data from 76 male and 26 female LEOs. In line with hypotheses, significant relationships between SJM and LEOs hiding their feelings were found. Mediation analyses revealed significant associations between SJM and marital satisfaction in both males and females, and this association was mediated by the extent LEOs hid their feelings from their spouse in male LEOs only. In a conditional mediation model, SJM was not associated with LEO burnout, but conditional indirect effects were found for male LEOs. Unexpectedly, indirect effects of LEOs hiding their feelings from their spouse were significant at mean and high levels of social support, but not at low levels. These results indicate the relevance of emotion regulation in the context of burnout, marital satisfaction, and social support, and how the opportunity for solving issues in policing and LEO-specific emotional difficulties may be found in novel interventions focused on these constructs.