{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:55:27Z","timestamp":1791266127649,"version":"4.1.0"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Anxiety and depressive symptoms are commonly evaluated as indicators of psychological distress, yet less is known about how broader patterns of behavioral trait expression relate to these symptoms at the individual level. This study examined associations between overall trait expression and anxiety and depression among adults participating in recovery-oriented behavioral health programming.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective observational analysis was conducted using routine assessment data collected between August 2023 and May 2026 across multiple U. S. behavioral healthcare settings. Records from the Trait and Hero Discovery Assessment, Generalized Anxiety Disorder scale (GAD-7), and Patient Health Questionnaire (PHQ-9) were matched to the same participant and assessment occasion. The primary analytic sample included 278 matched assessment occasions representing 252 participants. Associations were evaluated using Pearson correlations, with Spearman correlations, participant-clustered regression, mixed-effects models, and alternative assessment-matching windows used as sensitivity analyses. Internal consistency was also evaluated for the study measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Higher Trait Index scores were moderately associated with lower anxiety (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.471, 95% CI [\u22120.557, \u22120.372],\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and lower depressive symptom severity (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.508, 95% CI [\u22120.595, \u22120.408],\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Findings remained consistent across nonparametric, clustered, mixed-effects, and alternative matching-window analyses. The strength of the trait-depression association did not differ reliably from the trait-anxiety association. Internal consistency was strong for the overall Trait Index (Cronbach\u2019s alpha\u202f=\u202f0.901), GAD-7 (alpha\u202f=\u202f0.922), and PHQ-9 (alpha\u202f=\u202f0.925). Exploratory analyses of participants with repeated matched assessments did not establish temporal precedence between trait expression and psychological distress.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Greater expression of the assessed behavioral traits was consistently associated with lower anxiety and depressive symptoms at the individual level. These observational findings do not establish causality or directionality, but they support further longitudinal investigation into whether trait expression functions as an antecedent, consequence, or reciprocal correlate of psychological distress. The findings also suggest potential value in complementing symptom-focused assessment with attention to underlying behavioral strengths and capacities in applied behavioral health settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1871291","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:21:42Z","timestamp":1791264102000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations between behavioral trait expression, anxiety, and depression in a multi-site recovery sample"],"prefix":"10.3389","volume":"17","author":[{"given":"Jason","family":"Roop","sequence":"first","affiliation":[{"name":"Center for Trait-Based Transformation","place":["Louisville, KY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1002\/wps.20375","article-title":"A network theory of mental disorders","volume":"16","author":"Borsboom","year":"2017","journal-title":"World Psychiatry"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1177\/21677026231205270","article-title":"Neuroticism is prospectively associated with 30-month changes in broadband internalizing symptoms, but not narrowband positive affect or anxious arousal, in emerging adulthood","volume":"12","author":"Conway","year":"2024","journal-title":"Clin. Psychol. Sci."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/S2215-0366(21)00395-3","article-title":"Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study 2019","volume":"9","year":"2022","journal-title":"Lancet Psychiatry"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"101908","DOI":"10.1016\/j.cpr.2020.101908","article-title":"A process-based approach to psychological diagnosis and treatment: the conceptual and treatment utility of an extended evolutionary meta model","volume":"82","author":"Hayes","year":"2020","journal-title":"Clin. Psychol. Rev."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2883","DOI":"10.1017\/S0033291716001653","article-title":"Neuroticism's prospective association with mental disorders halves after adjustment for baseline symptoms and psychiatric history, but the adjusted association hardly decays with time: a meta-analysis on 59 longitudinal\/prospective studies with 443,313 participants","volume":"46","author":"Jeronimus","year":"2016","journal-title":"Psychol. Med."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"7091","DOI":"10.1038\/s41598-023-33996-1","article-title":"Personality traits and dimensions of mental health","volume":"13","author":"Kang","year":"2023","journal-title":"Sci. Rep."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"ref8","first-page":"159","volume-title":"Handbook of Personality: Theory and Research","author":"McCrae","year":"2008"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1080\/10615806.2020.1845431","article-title":"A longitudinal study of personality traits, anxiety, and depressive disorders in young adults","volume":"34","author":"Prince","year":"2021","journal-title":"Anxiety Stress Coping"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1037\/0033-2909.132.1.1","article-title":"Patterns of mean-level change in personality traits across the life course: a meta-analysis of longitudinal studies","volume":"132","author":"Roberts","year":"2006","journal-title":"Psychol. Bull."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e2017548118","DOI":"10.1073\/pnas.2017548118","article-title":"Changing personality traits with the help of a digital personality change intervention","volume":"118","author":"Stieger","year":"2021","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"734","DOI":"10.1177\/21677026211056596","article-title":"The prognostic utility of personality traits versus past psychiatric diagnoses: predicting future mental health and functioning","volume":"10","author":"Waszczuk","year":"2022","journal-title":"Clin. Psychol. Sci."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1871291\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:21:43Z","timestamp":1791264103000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1871291\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,6]]},"references-count":13,"alternative-id":["10.3389\/fpsyg.2026.1871291"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1871291","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,6]]},"article-number":"1871291"}}