Understanding the relationship between emotional and behavioral dysregulation: emotional cascades

Recent research suggests that many dysregulated behaviors, such as binge-eating and non-suicidal self-injury, often occur during times of emotional distress. These behaviors also appear to decrease negative affect. Why is it, however, that individuals engage in these behaviors to reduce emotional distress rather than taking a shower or talking to a friend? This study proposes the role of emotional cascades, an emotional phenomenon that occurs when an individual intensely ruminates on negative affect, thus increasing the magnitude of that negative affect to the point that an individual engages in a dysregulated behavior in order to distract from that rumination. The purpose of these studies was to examine the relationship between rumination and dysregulated behaviors, and in doing so determine if there is some support for the emotional cascade model of behavioral dysregulation. Using two different studies we were able to demonstrate that rumination is associated with some dysregulated behaviors, both cross-sectionally using structural equation modeling, and temporally using a two time-point method.     

The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non‐clinical sample

This study focuses on the relationship between the use of specific cognitive emotion regulation strategies and emotional problems. Two samples were included: 99 adults from a clinical population and 99 matched non‐clinical adults. Data was obtained in both groups on the use of nine cognitive emotion regulation strategies: self‐blame, other‐blame, rumination, catastrophizing, putting into perspective, positive refocusing, positive reappraisal, acceptance, and refocus on planning. Logistic regression analyses show that self‐blame, catastrophizing, and positive reappraisal were, relative to the other strategies, the most important variables for distinguishing between the two samples. While the first two strategies were reported significantly more often by the clinical than by the non‐clinical sample, positive reappraisal was reported significantly more often by the non‐clinical sample. The results suggest that cognitive emotion regulation strategies may be a useful target for prevention and intervention. Copyright © 2002 John Wiley & Sons, Ltd.     

Decoupling between physiological,self-reported,and expressed emotional responses in alexithymia

Alexithymia is characterized by difficulties identifying, describing, and expressing emotions and is associated with mental health problems involving emotion dysregulation. To understand the relationship between alexithymia and health, researchers have predominately examined group differences in physiological arousal and self-reported experience. The present study extends this research by examining differences in physiological arousal, self-reported experience, and observed expression. In addition to this between-subjects approach the present study examined within-person difference scores to better understand individual differences in decoupling between all three emotional response domains. Participants (N = 106; M = 18.00 years), classified as alexithymic (males = 17, females = 34) or non-alexithymic (males = 23, females = 32), gave an impromptu 3-min speech while measures of heart rate and galvanic skin response were continuously recorded. Participants completed self-report measures of self-conscious affect and their behavior was later coded for self-conscious affect. Alexithymic participants: (1) had significantly higher heart rate during baseline however physiological responses were indistinguishable during arousal and recovery, (2) experienced greater self-consciousness collapsing across the tasks, and (3) expressed more self-consciousness as a result of the speech. In addition, findings support the decoupling hypothesis. Alexithymic males experienced and expressed greater self-consciousness compared to their physiological arousal. Results are discussed in terms of the underlying mechanisms of alexithymia.     

The relationship between self‐harm and alexithymia

This paper presents a systematic review of the literature concerning the relationship between alexithymia and self‐harm. Fifteen studies were selected following a systematic search of relevant databases. Results indicate significantly higher levels of alexithymia in women who self‐harm compared with women who do not self‐harm. Studies of men were less conclusive and require further investigation. A subsample of the studies found that childhood abuse and bullying were more likely to be associated with self‐harm if alexithymia was present as a mediator. Other studies found that depression mediated between alexithymia and self‐harm. The results indicate that the poor emotional cognition and expression associated with alexithymia may increase vulnerability to self‐harm, particularly in women.     

The relationship between self-harm and alexithymia: A systematic review and meta-analysis

Self-harm, defined for the purpose of this review as any act of self-injury without explicit suicidal intent, is an increasing public health concern, with potential long-term implications for those who engage in it. Previous research has identified a correlational relationship between self-harm and alexithymia, an emotion processing deficit characterized by difficulties identifying and describing feelings, and an externally orientated thinking style. Through a systematic search of the literature, the current review examines the association between alexithymia and self-harm. A meta-analysis based on 23 studies found a significant, positive relationship between self-harm and alexithymia, with a medium effect size (g = 0.57, 95% CI 0.46–0.69). All 23 studies used the Toronto Alexithymia Scale (TAS20) to measure alexithymia. The alexithymia subcomponents difficulty identifying feelings and difficulty describing feelings were significantly associated with self-harm, but there was no significant association between self-harm and externally orientated thinking. The effect size of the relationship was significantly larger in adolescent samples compared with adult samples and in female compared with male samples. The definition of self-harm did not affect the effect size of the relationship between alexithymia and self-harm and the results are consistent with previous meta-analyses focused more narrowly on non-suicidal self-injury and, separately, suicidal behaviors. Heterogeneity between the included studies was high. The results support an affect regulation model of self-harm, in which self-harm is used to regulate an emotional experience that is poorly understood.     

Finding words for feelings: The relationship between personality disorders and alexithymia

This study examined whether personality disorders (PDs) are associated with alexithymic features at varying levels of comorbid psychopathology distress. 167 psychiatric outpatients completed the Toronto Alexithymia Scale (TAS) and the General Severity Index (GSI) of the SCL90-revised. Bootstrapping analyses were performed to test whether the PD/alexithymia relationship was moderated by psychopathology distress (GSI). The overall number of PD criteria was associated with cognitive aspects of alexithymia (i.e., Externally Oriented Thinking, EOT) only at low/moderate levels of distress. Borderline criteria predicted EOT only when distress was low, while avoidant and dependent criteria were independently related with EOT. No association was found between other PDs and alexithymia facets. Thus, within clinical samples the alexithymia/PD association is mainly explained by comorbid psychopathology; however, individuals with avoidant, dependent and borderline features might have a specific difficulty with focusing on internal reality, even when their current symptom distress is low.     

A multimodal investigation of emotional responding in alexithymia

The personality construct of alexithymia is thought to reflect a deficit in the cognitive processing and regulation of emotional states. To explore the relations between alexithymia and emotional responding, 50 older adults (28 men, 22 women) were studied across different contexts: (1) initial exposure to an emotion‐evoking movie; (2) second exposure to that stimulus; (3) reports of rumination and social sharing; and (4) describing their emotional response (verbal re‐evocation). Facets of the alexithymia construct were associated at the initial exposure with lower emotional responses at the cognitive‐experiential level, but with higher emotional responses at the physiological level as measured by heart rate. At the second exposure, the results were replicated for physiological responses. Certain facets of alexithymia were associated also with lower reports of rumination and social sharing involving emotional aspects, and with a lower proportion of emotional words related to the emotional stimulus during the verbal re‐evocation.     

An investigation of the relationship between trait emotional intelligence and emotional task performance

This study examined the relationships between trait emotional intelligence (EI) and tasks involving the recognition of facial expressions of emotion. Two facial expression recognition tasks using the inspection time (IT) paradigm assessed speed of emotional information processing. An unspeeded emotion recognition task was also included, and a symbol IT task was used to assess speed of processing of non-emotional information. It was found that scores on all three emotion-related tasks were strongly intercorrelated, as were scores on the three IT tasks. The two emotional IT scores remained significantly correlated when symbol IT performance was partialled out. This finding, together with the associations between the speeded (IT) and unspeeded face tasks suggests that the association between the emotional IT tasks is not entirely accounted for by general processing speed, and that a general emotion-processing ability also contributes to performance on these tasks. An EI subscale assessing Appraisal of Emotions was significantly correlated with performance on the emotional IT tasks, suggesting that self-reports of emotional perception ability do relate to performance measures.     

On the relationship between detection and recognition

Predictions derived from a “unitary-process” theory on the relationship between detection and recognition were examined in two experiments on visual detection and recognition. As predicted on the basis of this theory, recognition accuracy was superior to detection accuracy. An analysis of the conditional probabilities from a joint detection-recognition task revealed the pattern of relationships predicted by the theory. Increasing the number of alternative stimuli while maintaining only two response categories was found not to significantly affect detection or recognition performance, contrary to expectations based on the idea of multiple independent detectors.     

Neural systems for recognition of emotional prosody: a 3-D lesion study

Which brain regions are associated with recognition of emotional prosody? Are these distinct from those for recognition of facial expression? These issues were investigated by mapping the overlaps of co-registered lesions from 66 brain-damaged participants as a function of their performance in rating basic emotions. It was found that recognizing emotions from prosody draws on the right frontoparietal operculum, the bilateral frontal pole, and the left frontal operculum. Recognizing emotions from prosody and facial expressions draws on the right frontoparietal cortex, which may be important in reconstructing aspects of the emotion signaled by the stimulus. Furthermore, there were regions in the left and right temporal lobes that contributed disproportionately to recognition of emotion from faces or prosody, respectively.     

Gender differences in the role of alexithymia and emotional expressivity in disordered eating

Disordered eating habits such as binge-eating, purging, and extreme diet restriction have been linked to a variety of deficits in emotion regulation. Two such aspects of emotion regulation are alexithymia and emotional expressivity, although much of the research is limited to females. This study examines associations between these aspects of emotion regulation and symptoms of bulimia nervosa (BN) in men and women. Participants were 201 female and male undergraduates who completed self-report measures of emotion regulation and BN symptoms. Consistent with prior research, results indicate that alexithymia predicted BN symptoms in females, but not in the presence of emotional expressivity, which proved to be the only unique predictor of BN symptoms. In the male sample, alexithymia predicted BN symptoms over and above emotional expressivity. These findings suggest that BN symptoms in males may partly be explained by one facet of emotion regulation, but they also highlight important gender differences in disordered eating. Future research should further examine the role of emotion regulation in eating pathology in males.     

Sequential testing effects and the relationship between recognition and recognition failure

Tulving and Wiseman (1975) reported that there was a systematic relationship between the proportion of words recognized and the proportion of recallable words recognized. This relationship indicates a moderate positive covariation between recognition and recall across subject items, when each subject is given both types of test, recognition followed by recall. In this paper it is shown that the theoretical enterprise of trying to account for this relationship is fruitless unless the data are corrected for sequential testing effects. Evidence on the existence of these effects is reviewed, and then it is shown how they introduce a measure of dependency between recognition and recall. When the data are corrected, the theories proposed by Begg (1979) and Flexser and Tulving (1978) are shown to be poorly supported. The utility of the general enterprise of determining the relationship between recognition and recall by these means is also questioned.     

The link between emotional competence and well-being: a longitudinal study

What aspects of emotional competence help protect people from stress, anxiety, and depression, and help to promote positive affect? A total of 163 university students completed a two wave study that involved measuring emotional competence and emotional well-being at 1-year intervals. As expected, Time 1 measures of emotional competence predicted Time 2 measures of well-being, after controlling for Time 1 measures of well-being. Specifically, ineffective problem orientation predicted increases in anxiety and stress, and decreases in positive affect. Difficulty identifying and describing emotions predicted increases in anxiety and decreases in positive affect. Finally, an aspect of difficulty managing emotions (i.e. rumination) predicted decreases in positive affect. Each emotional competence variable predicted unique variance after controlling for other significant variables. We discuss the implications of these findings for counselling practice.     

Stability in alexithymia levels: A longitudinal analysis on various emotional answers

Alexithymia refers to a specific disturbance in emotional processing that is manifested through difficulties in identifying and verbalizing feelings, and a tendency to focus and amplify the somatic sensations accompanying emotional arousal. The main purpose of the present study was to investigate the stability levels of alexithymia related to changes in emotional distress levels caused by university exams at two different times: after and during the exams. We carried out a 17-week follow-up on 36 university students, alexithymic features and self-reported emotional distress (anxiety, depression and somatic illness) were measured. Whereas emotional distress measures changed significantly during the follow-up period, the degree of alexithymia remained unchanged. We conclude therefore that alexithymia presents a constant trait in non-clinical samples, in contrast to anxiety and depression, which are state phenomena, influenced by stress levels.     

Avoiding affect in intergroup relations: The roles of dispositional and intergroup empathy in the relationship between alexithymia and prejudice

Alexithymia, that is, difficulties in recognizing, communicating, and processing one's own emotions, is associated with poorer interpersonal relations. Emotional processes are key drivers and mechanisms of prejudice and its reduction, and alexithymia is thought to influence individuals' empathic responses. This research examined the relationship between alexithymia and prejudice, and the role of empathy in this relationship. Three studies were conducted in three intergroup contexts to test whether alexithymia is also associated with poorer intergroup relations with lesbian, gay, bisexual, and transgender+ individuals (Study 1, N = 126 heterosexual late adolescents) and Asian British people (Study 3, N = 300 White adults) in the United Kingdom, and immigrants in Italy (Study 2, N = 381 Italian adults). Participants completed the Toronto Alexithymia Scale (TAS-20), measures on dispositional and intergroup empathic concern (EC) and perspective taking (PT) as well as measures of prejudice (anti-outgroup hostility, anti-outgroup attitudes, and anti-outgroup behavioral intentions). Lower dispositional EC (Studies 1, marginal effect in Study 2) and intergroup EC and PT (Study 3) mediated the relationship between the Externally Oriented Thinking subscale of the TAS-20 (i.e., avoiding emotions and affective thinking) and greater prejudice. The findings are important for understanding the challenges of late adolescents and adults with alexithymia in intergroup relations, highlighting the role of dispositional and intergroup empathy for individual differences such as alexithymia in endorsing prejudice.     

The relationship between induced emotional arousal and amnesia

An experiment was conducted to test a hypothesis emanating from a similarity in data pattern between studies on amnesia and studies on the effects of arousal on memory. The hypothesis was that arousal and amnesia might be related, or more precisely, that amnesia induced in the laboratory might be mediated by high levels of arousal. Subjects in this experiment were presented with a thematic, short story in pictorial form. One version of the story consisted of a traumatic, arousal-inducing event placed between neutral events. A second version of the story contained the same neutral events in the beginning and the end, but also a neutral event in the middle. Palmar skin conductance, heart rate, and subjective self-ratings were used to determine that the manipulation made had caused different degrees of emotional arousal for the two groups of subjects presented with the different versions of the story. The methods used to determine memory performance were recall and recognition. The data obtained indicate that amnesia induced in the laboratory is mediated by emotional arousal in terms of concepts of attention and reconstruction.     

Metacognition in argument generation: the misperceived relationship between emotional investment and argument quality

Overestimation of one’s ability to argue their position on socio-political issues may partially underlie the current climate of political extremism in the U.S. Yet very little is known about what factors influence overestimation in argumentation of socio-political issues. Across three experiments, emotional investment substantially increased participants’ overestimation. Potential confounding factors like topic complexity and familiarity were ruled out as alternative explanations (Experiments 1–3). Belief-based cues were established as a mechanism underlying the relationship between emotional investment and overestimation in a measurement-of-mediation (Experiment 2) and manipulation-of-mediator (Experiment 3) design. Representing a new bias blind spot, participants believed emotional investment helps them argue better than it helps others (Experiments 2 and 3); where in reality emotional investment harmed or had no effect on argument quality. These studies highlight misguided beliefs about emotional investment as a factor underlying metacognitive miscalibration in the context of socio-political issues.     

False recognition of emotional stimuli is lateralised in the brain: An fMRI study

We have investigated whether the left (LH) and right (RH) hemisphere play a different role in eliciting false recognition (FR) and whether their involvement in this memory illusion depends on the emotional content of stimuli. Negative and neutral pictures (taken from IAPS) were presented in the divided-visual field paradigm. Subjects task was to indicate whether the pictures had already been presented or not during the preceding study phase. FR rate was much higher for the RH than the LH presentations. In line, FR resulted in activations mainly in the right prefrontal cortex (PFC) for either RH or LH presentations. Emotional content of stimuli facilitated the formation of false memories and strengthened the involvement of the right PFC in FR induction.