Author ORCID Identifier:

https://orcid.org/0000-0003-0844-9147

Date of Graduation

5-2026

Document Type

Dissertation

Degree Name

Doctor of Philosophy in Psychology (PhD)

Degree Level

Graduate

Department

Psychological Science

Advisor/Mentor

Makhanova, Anastasia

Committee Member

Shields, Grant

Second Committee Member

Veilleux, Jennifer

Keywords

Depression; Ecological Momentary Assessment; Hormonal Contraceptives; Positive Affect; Social Support

Abstract

Hormonal contraceptive (HC) use has been linked to alterations in women’s social processes and mental health, but their role in shaping moment-to-moment affective responses to daily social experiences remains poorly understood. The present study used ecological momentary assessment (EMA) data collected from two samples of women (n = 196) to examine whether within-person associations between social support, social criticism, and affect differed between HC users and naturally cycling women. Participants completed moment-to-moment assessments of perceived social support, social criticism, positive affect, and negative affect, along with nightly depression symptoms via the LifeData app. Multilevel models tested these associations, while moderated mediation models examined whether social-affective pathways predicted nightly depression symptoms, and if there were differences in these associations among HC users. Overall, within-person increases in social support were associated with greater positive affect. However, this association was blunted among HC users compared to naturally cycling women, with the strongest differences among oral contraceptive-using women. Within-person increases in social criticism were associated with lower positive affect, but this pattern did not differ significantly between groups. Decreases in social support and increases in social criticism were associated with higher negative affect, but these associations did not differ between groups. Time-lagged analyses were not significant. Finally, HC use did not moderate social-affective pathways in predicting nightly depression symptoms. These findings suggest that HC use, particularly oral contraceptive use, may be associated with blunted positive affective responses to social support. This pattern of associations could have meaningful implications for women’s social and emotional health.

Available for download on Monday, June 19, 2028

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