Emotional reactivity and cognitive regulation in anxious children

Recent models of anxiety disorders emphasize abnormalities in emotional reactivity and regulation. However, the empirical basis for this view is limited, particularly in children and adolescents. The present study examined whether anxious children suffer both negative emotional hyper-reactivity and deficits in cognitive emotion regulation. Participants were 49 children aged 10-17 with generalized anxiety disorder, social anxiety, or separation anxiety disorder as their primary diagnosis, as well as 42 age- and gender-matched non-anxious controls. After completing a diagnostic interview and self-report questionnaires, participants were presented with pictures of threatening scenes with the instructions either to simply view them or to use reappraisal, a cognitive emotion regulation strategy, to decrease their negative emotional response. Emotion ratings, content analysis of reappraisal responses, and reports of everyday use of reappraisal were used to assess negative emotional reactivity, reappraisal ability, efficacy and frequency. Relative to controls, children with anxiety disorders (1) experienced greater negative emotional responses to the images, (2) were less successful at applying reappraisals, but (3) showed intact ability to reduce their negative emotions following reappraisal. They also (4) reported less frequent use of reappraisal in everyday life. Implications for the assessment and treatment of childhood anxiety disorders are discussed.     

Assessing Emotion Regulation in Social Anxiety Disorder: The Emotion Regulation Interview

Social anxiety disorder (SAD) is thought to involve emotional hyper-reactivity and emotion dysregulation. However, the precise nature of the emotion dysregulation in SAD has not been well characterized. In the present study, the Emotion Regulation Interview (ERI) was developed to quantify the frequency and self-efficacy of five emotion regulation strategies specified by Gross’s (Review of General Psychology 2: 271–299, 1998) process model of emotion regulation. Forty-eight individuals with SAD and 33 healthy controls (HCs) were interviewed about responses during (a) a laboratory speech task and (b) two recent social anxiety-evoking situations. Individuals with SAD reported greater use of avoidance and expressive suppression than HCs, as well as lesser self-efficacy in implementing cognitive reappraisal and expressive suppression. These regulation deficits were not accounted for by differences in emotional reactivity. These findings highlight specific emotion regulation deficits in SAD, and support the idea that the Emotion Regulation Interview may be usefully applied to other clinical disorders.     

Emotion Regulation and the Specific Associations with Health Anxiety

This study investigated two primary research aims surrounding health anxiety: (a) to examine what differences exist in emotion regulation strategies of health anxious and non-health anxious populations and (b) to investigate what emotion regulation strategies predict health anxiety, before and after controlling for trait cognitive and somatic anxiety. A total of 95 participants of the general population completed a series of online questionnaires. A single factor between groups MANOVA revealed that a health anxious group scored significantly higher in several emotion regulation strategies: distraction, external attribution, emotion expression and acting out; anxiety-related variables: trait cognitive and somatic anxiety; and beliefs about the negative consequences of becoming ill. Hierarchical regressions showed that several emotion regulation strategies were significantly associated with higher levels of health anxiety, before: distraction, external attribution, capitalising, positive reappraisal and emotional expression; and after: external attribution and capitalising, the control of trait anxiety. Overall, the results demonstrated that (a) emotional intelligence and behavioural attempts to understand emotional experiences may be associated with specific health anxiety symptomology, while a lack of effective cognitive strategies and worry may be responsible for the associated trait anxiety dimensions.     

Emotion regulation in Asperger's syndrome and high-functioning autism

It is generally thought that individuals with Asperger's syndrome and high-functioning autism (AS/HFA) have deficits in theory of mind. These deficits have been previously linked to problems with social cognition. However, we reasoned that AS/HFA individuals' Theory of Mind deficits also might lead to problems with emotion regulation. To assess emotional functioning in AS/HFA, 27 AS/HFA adults (16 women) and 27 age-, gender-, and education-matched typically developing (TD) participants completed a battery of measures of emotion experience, labeling, and regulation. With respect to emotion experience, individuals with AS/HFA reported higher levels of negative emotions, but similar levels of positive emotions, compared with TD individuals. With respect to emotion labeling, individuals with AS/HFA had greater difficulties identifying and describing their emotions, with approximately two-thirds exceeding the cutoff for alexithymia. With respect to emotion regulation, individuals with AS/HFA used reappraisal less frequently than TD individuals and reported lower levels of reappraisal self-efficacy. Although AS/HFA individuals used suppression more frequently than TD individuals, no difference in suppression self-efficacy was found. It is important to note that these differences in emotion regulation were evident even when controlling for emotion experience and labeling. Implications of these deficits are discussed, and future research directions are proposed.     

自动化情绪调节策略对特质焦虑大学生应激反应的影响

研究采用句子整理任务诱发自动化情绪调节策略,特里尔社会应激测试模拟应激过程,以探讨认知重评和表达抑制对不同特质焦虑倾向大学生在应激状态下的影响。结果发现,自动化认知重评和表达抑制能获得适应性生理反应。自动化情绪调节策略适用于不同特质焦虑倾向的个体。特质焦虑对个体应激反应的影响主要体现在情绪体验上,高焦虑特质个体更易体验到焦虑情绪。但个体在压力性任务中的生理反应和行为表现不受特质焦虑因素的影响。     

Interactions between emotion regulation strategies and affective style: Implications for trait anxiety versus depressed mood

Affective style reflecting approach and inhibition is thought to be associated in distinct ways with anxious versus depressed mood; relatively few studies, however, consider how the interaction between affective style and the strategies individuals use to regulate mood and emotion might influence these associations. Sixty-seven non-disordered adults self-reported on their use of two emotion regulation strategies (cognitive reappraisal and expressive suppression), behavioral approach (BAS) and behavioral inhibition sensitivity (BIS) dimensions of affective style, and anxious and depressed mood (trait anxiety and symptoms of depression). Trait anxiety versus depressed mood was associated with unique interactive patterns of emotion regulation and affective style: enhanced use of reappraisal was linked to less depressed mood in those reporting low BAS, whereas high suppression was linked to greater trait anxiety in those reporting low BIS. The implications of findings for typical emotional processes and for clinical disorders and interventions are discussed.     

激活右腹外侧前额叶提高抑郁症患者对社会疼痛的情绪调节能力：一项TMS研究

负性人际交往经历和负性社会事件是抑郁症的重要诱导因素, 而社会功能受损是抑郁症患者的重要特征之一, 患者通常表现出对社会疼痛的情绪失调。为了提高抑郁症患者在负性社交情境中或面对负性社会事件时的情绪调节能力, 本研究采用经颅磁刺激技术(transcranial magnetic stimulation, TMS), 考察抑郁症患者在腹外侧前额叶(the ventrolateral prefrontal cortex, VLPFC)被激活后其情绪调节能力的改变。结果表明, 当右侧VLPFC被TMS激活且患者采用认知重评策略调节情绪时, 实验组患者(n = 64)比对照组患者(n = 63)在社会排斥情境下报告了更弱的负性情绪体验, 这说明激活右侧VLPFC可以有效提高患者对社会疼痛的外显性情绪调节能力。本研究是采用TMS提高抑郁症患者情绪调节能力的首次尝试, 实验发现不但支持了VLPFC与认知重评策略的因果关系, 还为临床改善抑郁症等社会功能障碍患者的情绪调节能力提供了明确的神经治疗靶点。后续研究还需探讨多疗程TMS刺激方案、改变社会疼痛的诱发方式、对比左右侧VLPFC的治疗效果、尝试使用其他的情绪调节策略, 进一步验证本研究的结论, 优化TMS治疗方案。     

8~12岁儿童抑郁与认知重评的关系：悲伤面孔注意偏向的中介作用

探讨8~12岁学龄儿童抑郁与认知重评情绪调节策略的关系及其作用机制。研究1采用问卷法和行为实验法分别考察儿童抑郁对认知重评策略使用倾向和使用能力的作用; 研究2结合眼动技术考察对情绪信息注意偏向在儿童抑郁和认知重评关系间的中介作用。结果发现：(1) 抑郁与儿童认知重评使用倾向间存在显著负相关; (2) 抑郁对儿童负性情绪向下调节的重评效果有显著影响; (3) 悲伤面孔注意解除困难在抑郁与认知重评使用倾向之间起中介作用。     

Emotion regulation in social anxiety: a systematic investigation and meta-analysis using self-report,subjective, and event-related potentials measures

Recent models of social anxiety disorder emphasise the role of emotion dysregulation; however, the nature of the proposed impairment needs clarification. In a replication and extension framework, four studies (N?=?193) examined whether individuals with social anxiety (HSAs) are impaired in using cognitive reappraisal and expressive suppression. Self-reports and lab-based tasks of suppression and reappraisal were utilised among individuals with high and low levels of social anxiety. A meta-analysis of these studies indicated that, compared to controls, HSAs reported less frequent and effective use of reappraisal and more frequent and effective use of suppression. Counter to most models and our hypotheses, HSAs were more successful than controls in lab-based reappraisal of shame-arousing pictures as measured by subjective ratings, but not by event-related potentials. HSAs were less successful than controls in lab-based suppression of shame-arousing pictures as measured by subjective ratings, but not by event-related potentials. The results held even when participants were under social stress (impromptu speech anticipation). Overall, subjective reports of HSAs reveal strong deficits in emotion regulation whereas lab-based measures provided less conclusive evidence of such deficits. These results suggest that individuals with social anxiety experience difficulties implementing their reappraisal abilities in daily life.     

Threat interpretation bias as a vulnerability factor in childhood anxiety disorders

The present study examined threat interpretation biases in children 7-12 years of age with separation, social and generalised anxiety disorders (N=15), non-anxious offspring at risk due to parental anxiety (N=16) and non-anxious controls of non-anxious parents (N=14). Children provided interpretations of ambiguous situations to assess cognitive, emotional and behavioural responses. In comparison with non-anxious control children and at-risk children who did not differ from each other, anxious children reported stronger negative emotion and less ability to influence ambiguous situations. These results suggest that threat interpretation bias may be a cognitive factor associated with ongoing childhood anxiety but not a vulnerability factor associated with parental anxiety.     

社交焦虑大学生情绪调节灵活性：情绪内容对策略选择和使用的影响

尽管社交焦虑个体被认为存在情绪调节灵活性的不足,但至今尚不清楚这种不足究竟在于难以灵活选择策略,还是难以灵活使用策略,抑或二者兼有？对此,本研究采用情绪调节策略选择任务考察了37名高社交焦虑大学生和29名低社交焦虑大学生在面对社交-非社交情绪图片时对认知重评-回避策略的选择模式和使用效果。结果发现：在面对社交情绪图片时,高社交焦虑被试比低社交焦虑被试更少选择认知重评,而更多选择回避;在面对非社交情绪图片时,两组被试对两种策略的选择模式无显著差异。同时,无论面对社交还是非社交情绪图片,两组被试对两种策略的使用效果也无显著差异。以上结果表明,相比低社交焦虑个体,高社交焦虑个体只有在面对社交情绪刺激时才存在情绪调节灵活性的不足,且这种不足主要在于难以灵活选择策略,而非难以灵活使用策略。     

Social anxiety and emotion regulation flexibility: considering emotion intensity and type as contextual factors

Background and objectives: Individuals with social anxiety disorder have often been considered inflexible in their emotion regulation. The aim of this study was to investigate emotion regulation flexibility in socially anxious individuals in response to two contextual factors, namely different levels of emotion intensity and emotion type.

Methods: A daily diary approach was employed, investigating emotion regulation (i.e., experiential avoidance, expressive suppression and cognitive reappraisal) in college students scoring high (N?=?62; HSA) and low (N?=?52; LSA) on social anxiety.

Results: Results revealed that HSAs were found to use more experiential avoidance than LSAs, especially at higher levels of negative intensity. The use of this emotion regulation strategy appeared to be driven by guilt, nervousness, and sadness. There were no between-group differences concerning the other strategies in response to varying levels of emotional intensity.

Conclusions: Together, the results provide evidence for inflexible emotion regulation in HSAs, reflected in an unwillingness to experience negative emotions.     

Emotion-focused cognitive-behavioral therapy for anxious youth: A multiple-baseline evaluation

Examined the efficacy of an Emotion-focused Cognitive-Behavioral Therapy (ECBT) for six anxious youths ages 7–13 years. All participants had a principal anxiety disorder (generalized anxiety disorder, separation anxiety disorder, or social phobia) based on the Anxiety Disorder Interview Schedule for Children—Child and Parent versions. Children and parents reported on anxious symptomatology using the Multidimensional Anxiety Scale for Children (MASC). To assess emotion-related competencies, children were administered the Kusche Affective Interview—Revised and children and parents completed the Emotion Expression Scale for Children (EESC) and Emotion Regulation Checklist (ERC), respectively. Cases began treatment after baselines of 0, 2, or 3 weeks. At posttreatment, the majority of children demonstrated improvements in anxious symptomatology, emotion understanding and regulation skills, and overall functioning. Such improvements in emotion-related skills, in addition to anxiety, are significant given that emotional competence is a crucial component in children's adaptive social functioning and psychological adjustment. These findings provide initial support for ECBT.     

Internalizing Symptoms in Female Adolescents: Associations with Emotional Awareness and Emotion Regulation

The transition into adolescence involves a number of changes that for many adolescents result in increased negative affect and internalizing symptoms, especially for females. In the current study we examined the direct and indirect effects of emotional awareness on internalizing symptoms by exploring the extent to which certain emotion regulation strategies influence this relationship. Participants were 123 female adolescents aged 13–16 years (M = 14.51 years) who completed measures of emotional awareness, emotion regulation (emotional reappraisal and expressive suppression), and symptoms of depression and social anxiety. Two multiple indirect effect models were conducted including both reappraisal and suppression (one for each of the dependent variables, depression and social anxiety) via the bootstrapping method. Results found that reappraisal accounted for the effect of emotional awareness on depressive symptoms but suppression accounted for the effect of emotional awareness on social anxiety symptoms. Results suggest that emotion regulation strategies play an important role in determining depressive and social anxiety symptoms and are associated with an adolescent’s level of emotional awareness.     

Calibrating Use of Emotion Regulation Strategies to the Relationship Context: An Attachment Perspective

This research tested whether adult attachment orientations predict use of emotion regulation strategies in theoretically consistent ways, and whether associations among attachment orientations and emotion regulatory strategies are moderated by critical features of the relationship context. Ninety‐six couples (192 individuals) reported on their attachment orientations, habitual use of emotion regulation strategies (cognitive reappraisal, expressive suppression, negative emotion expressivity), and perceptions of relationship closeness and negative partner behaviors. Highly secure individuals reported greater use of cognitive reappraisal, especially when they felt closer to their partners, and engaged in less suppression when their partners behaved more negatively toward them. Highly avoidant individuals reported greater use of suppression, especially when they perceived more negative partner behaviors, and when their partners were more avoidant. Highly anxious individuals also used more suppression when their partners were more avoidant, but they expressed more negative emotions when they were paired with less avoidant partners. Fearful‐avoidant individuals' emotion regulation patterns resembled those of both highly secure and dismissive‐avoidant individuals. This study illustrates how attending to moderating effects within specific relationships and testing joint effects of both partners' personality characteristics can help identify contextual boundaries of emotion regulation strategies and clarify emotional response patterns in couples.     

不同依恋风格者情绪调节策略的认知神经特点

情绪调节是依恋研究的重要方面。本文依托Gross的情绪调节理论和相关认知神经证据,阐述了三种依恋风格者的情绪调节特点。焦虑型依恋调节负性情绪时存在注意分配的优势和表达抑制的不足;调节正性情绪时还采用了情景选择和情景修正策略。回避型依恋调节两种效价情绪均使用了表达抑制,调节正性情绪时还使用了认知重评。安全型依恋使用认知重评、注意分配和情景修正策略,效价差异不突出。探讨依恋与情绪调节的关系,有利于改善非安全型依恋的情绪调节能力。     

不同抑郁症状青少年调节不同强度情绪时策略选择的差异

最新研究发现,情绪强度会影响健康个体的情绪调节策略选择。然而,至今尚未有研究考察情绪强度对不同抑郁症状青少年策略选择的影响。对此,本研究通过流调中心用抑郁量表划分出无抑郁、阈下抑郁和抑郁症青少年,进而考察其在面对高-低强度积极-消极日常情绪事件时选择认知重评和认知沉浸的差异。结果发现：当面对高强度积极情绪、低强度积极情绪和低强度消极情绪时,三组被试的策略选择均无显著差异;当面对高强度消极情绪时,无抑郁青少年比阈下抑郁和抑郁症青少年更多选择认知重评而更少选择认知沉浸,但阈下抑郁和抑郁症青少年之间无显著差异。结果表明：不同抑郁症状青少年在面对不同强度和效价情绪时的情绪调节策略选择存在差异,表现为高强度消极情绪下抑郁症状越多的青少年越少选择认知重评而越多选择认知沉浸。这一发现有助于识别和干预青少年的抑郁症状。     

How do you choose and how well does it work?: the selection and effectiveness of emotion regulation strategies and their relationship with borderline personality disorder feature severity

There is little research examining whether the selection of emotion regulation strategies is compromised among individuals characterised by emotion dysregulation. In a sample of 149 undergraduates, we examined the selection and effectiveness of 2 emotion regulation strategies (reappraisal or distraction) in response to emotionally evocative stimuli, and their relationship with emotion dysregulation, measured by borderline personality disorder (BPD) feature severity. Stimulus intensity and self-reported negative emotional intensity were also compared as predictors of strategy selection. Results indicated that self-reported negative emotional intensity was a stronger predictor of strategy selection than stimulus intensity, and participants generally selected reappraisal over distraction. However, increases in self-reported negative emotional intensity was associated with an increased likelihood of choosing distraction, particularly among individuals higher in BPD features. In general, distraction exhibited less effectiveness than reappraisal, and higher BPD features did not differentially impact such effectiveness. Our findings indicate that individuals higher in emotion dysregulation prefer to use distraction as self-reported negative emotional intensity increases, a strategy which, overall, may not be as effective as reappraisal. Selection, rather than effectiveness of emotion regulation strategy might be a key feature of individuals characterised by emotion dysregulation.     

不同民族文化对负性情绪调节的影响:来自ERPs的证据

采用认知重评和表达抑制策略考察不同民族文化对负性情绪调节主观体验和事件相关电位活动的影响。结果发现,汉族和少数民族文化个体在两种策略下均呈现负性情绪感受显著降低,并且汉族表达抑制的情绪体验得分低于少数民族。此外,负性情绪图片相比中性图片诱发了更大的P2成分,表达抑制相比认知重评在额-中区诱发了更大的P3成分。更重要的是,900~1200ms时间窗内,汉族个体认知重评和表达抑制后LPP波幅均降低,但少数民族文化个体仅在认知重评条件表现出LPP波幅的显著下降。以上结果表明不同民族文化背景下负性情绪调节的效果不同。     

When trying is not enough: Emotion regulation and the effort-success gap in bipolar disorder

Bipolar disorder (BD) is presumed to involve difficulties in emotion regulation. Little is known, however, about the specific emotion regulation profile associated with this disorder. The present study examined the use of specific emotion regulation strategies among individuals with BD (n = 37) and healthy controls (n = 38). Participants' spontaneous use of reappraisal and suppression, as well as their associated effort and success at regulating their emotions, was measured in the context of three emotionally evocative films (neutral, happy, sad). Results indicated that the BD participants made greater use of spontaneous suppression and reappraisal across all films compared to the control group. BD participants also reported greater effort, but less success, when spontaneously regulating emotions. These findings suggest that bipolar disorder is associated with less success when regulating emotions despite a widespread engagement of regulatory efforts. Discussion focuses on the disjunction between troubled emotion functioning in bipolar disorder and sustained efforts to modify intense emotions. (PsycINFO Database Record (c) 2012 APA, all rights reserved).