Illness representations and emotion in people with abnormal screening results

The present study examined the relationship of cognitive and emotional representations of illness specified by self-regulation theory on emotional responses of patients with abnormal screening results. Participants were 660 women who received an abnormal cervical smear and 701 men and women who received an abnormal colorectal cancer screening result. Participants completed postal questionnaires containing measures of illness representations and specific emotions. Factor analyses of cause components produced three factors for each sample, corresponding to psychological stress, biological, and behavioural causes. Regression analyses showed that, after controlling for demographic variables, perceived consequences, illness identity, and causal attributions to psychological stress explained significant variance in emotion. Emotional representations also accounted for unique variance in emotional responses. Results indicate congruence in the relationships between illness representations of an emotionally salient event and emotion in patients from the two cancer screening programmes and support the internal validity of self-regulation theory.     

Differences between multimedia and text-based assessments of emotion management: An exploration with the multimedia emotion management assessment (MEMA)

People process emotional information using visual, vocal, and verbal cues. However, emotion management is typically assessed with text based rather than multimedia stimuli. This study (N?=?427) presents the new multimedia emotion management assessment (MEMA) and compares it to the text-based assessment of emotion management used in the MSCEIT. The text-based and multimedia assessment showed similar levels of cognitive saturation and similar prediction of relevant criteria. Results demonstrate that the MEMA scores have equivalent evidence of validity to the text-based MSCEIT test scores, demonstrating that multimedia assessment of emotion management is viable. Furthermore, our results inform the debate as to whether cognitive saturation in emotional intelligence (EI) measures represents “noise” or “substance”. We find that cognitive ability associations with EI represent substantive variance rather than construct-irrelevant shared variance due to reading comprehension ability required for text-based items.     

Illness representations and distress in women undergoing screening for familial ovarian cancer

Women with a familial or genetic predisposition to ovarian cancer are at significantly increased risk of developing the disease, and this warrants effective risk management strategies. A clinical trial of ovarian cancer screening (OCS) is being conducted to establish the effectiveness of this risk management strategy. This article reports data from its psychological partner study which aims to evaluate the psychological effects of OCS. Leventhal's Self-Regulatory Model provided the theoretical framework for understanding emotional responses to OCS. The revised Illness Perceptions Questionnaire (IPQ-R) is based on this model and the IPQ-R, adapted to the risk of ovarian cancer, was completed by women (N?=?1999) prior to screening. The original IPQ-R factor structure was not replicated but IPQ-R variables explained 14.70% of the variance in women's ovarian cancer-specific distress after controlling for age, general anxiety and depression. Negative emotional representations of ovarian cancer risk and general anxiety were moderately associated with greater ovarian cancer-specific distress whereas cognitive illness representations were weakly related to ovarian cancer-specific distress. Further analyses of data from the ongoing psychological evaluation are needed to determine the predictive utility of IPQ-R variables in explaining distress during OCS.     

Illness representations and distress in women undergoing screening for familial ovarian cancer

Women with a familial or genetic predisposition to ovarian cancer are at significantly increased risk of developing the disease, and this warrants effective risk management strategies. A clinical trial of ovarian cancer screening (OCS) is being conducted to establish the effectiveness of this risk management strategy. This article reports data from its psychological partner study which aims to evaluate the psychological effects of OCS. Leventhal's Self-Regulatory Model provided the theoretical framework for understanding emotional responses to OCS. The revised Illness Perceptions Questionnaire (IPQ-R) is based on this model and the IPQ-R, adapted to the risk of ovarian cancer, was completed by women (N?=?1999) prior to screening. The original IPQ-R factor structure was not replicated but IPQ-R variables explained 14.70% of the variance in women's ovarian cancer-specific distress after controlling for age, general anxiety and depression. Negative emotional representations of ovarian cancer risk and general anxiety were moderately associated with greater ovarian cancer-specific distress whereas cognitive illness representations were weakly related to ovarian cancer-specific distress. Further analyses of data from the ongoing psychological evaluation are needed to determine the predictive utility of IPQ-R variables in explaining distress during OCS.     

Preschool Children's Emotional Expressions with Peers: The Roles of Gender and Emotion Socialization

This study examined whether mothers and fathers reported using different emotion socialization strategies and whether these differences were related to preschoolers' gender and emotional expressiveness during peer play. Ninety percent of the children were Caucasian, 6% were Asian-American, and 4% were Mexican-American. The positive expressive behavior of 82 preschoolers participating in two conflict eliciting situations with two same gender peers were coded. The scores for the two sessions were averaged. All of the mothers and 63 of the fathers were administered three emotion socialization questionnaires. Results revealed that girls expressed more positive emotion than boys. In addition, mothers and fathers also reported using different emotion socialization practices and, in some cases, this was dependent upon their child's gender. The findings also showed that mothers' and fathers' reports of emotion socialization practices were differentially related to children's emotionally expressive behavior during peer play. In addition, fathers' emotion socialization practices accounted for unique variance in children's emotionally expressive behavior over and above that explained by the maternal emotion socialization variables. These findings highlight the importance of mothers' and fathers' emotion socialization practices for preschoolers' emotional competence in emotionally challenging situations with peers.     

Ability Emotional Intelligence Predicts Quality of Life beyond Personality,Affectivity, and Cognitive Intelligence

The current study explored the incremental validity of the ability emotional intelligence test to predict suicidal ideation (a subjective indicator of Quality of Life) beyond the ‘Big Five’ personality dimensions, affectivity, and general cognitive ability in a sample of 184 university students (mean age 29.50 years). Hierarchical regression analyses revealed that after controlling for demographic variables, the Big Five personality traits, affectivity, and the cognitive intelligence, the block of ability emotional intelligence scores explained a statistically significant increment of variance in suicidal ideation. It is noteworthy that the predictive power of the ability emotional intelligence appeared to be mostly due to the contribution of its two branch scores–regulation of emotion and understanding of emotion. Findings are discussed with reference to emotional intelligence theory and suicidal behaviors.     

Genetic and environmental etiology of emotional and social behaviors in 5-month-old infant twins: influence of the social context

The study investigated the genetic and environmental contributions to individual differences in measures of socioemotional reactivity and emotion regulation with a sample of 115 monozygotic (MZ) and 156 dizygotic (DZ) 5-month-old twin pairs. Twins' zygosity was determined by a combination of DNA typing and physical similarity. Twins' behaviors (motor activity level, social gaze, gaze aversion, positive expression, negative expression, and self-comfort) were videotaped in a laboratory while infants were presented televised sequences of neutral and happy emotional expressions posed by their mother (familiar condition) and a female stranger (unfamiliar condition). Regardless of the social context, the findings based on model-fitting analyses indicated that nonshared environmental influences explained most of the variance of behavioral data. However, there was evidence that motor activity level (an index of emotional arousal) and the latency and frequency of gaze aversion (an index of emotional regulation) were best represented by a model incorporating both additive genetic and nonshared environmental (i.e., AE) influences when infants were exposed to the unfamiliar adult (heritability estimates ranging from 19% to 31%). The results suggest the importance of nonshared environmental influences during early infancy and stress the role of social context for revealing moderate genetic contributions to individual differences in emotional arousal and emotion regulation.     

Emotion Socialization in the Context of Family Risks: Links to Child Emotion Regulation

The current study expands upon the extant literature by examining the influence of contextual risk factors (e.g., parental psychological distress, household income, educational attainment) on parental responses to children’s emotional experiences. Participants included 97 ethnically and demographically diverse mother–child dyads with children ranging in age from 7 to 12. Mothers reported indicators of supportive and unsupportive emotion socialization practices, and measures of child emotion regulation and emotion dysregulation. Higher scores on the familial risk index were positively related to increased emotion dysregulation and negatively related to decreased emotion regulation through mediated effects of mothers’ unsupportive reactions to children’s negative emotional expressions. These findings suggest the importance of considering contextual influences on the emotion socialization process and offer potential avenues to foster adaptive emotional development in the context of high risk.     

Emotion Regulation Mediates Effects of Alexithymia and Emotion Differentiation on Impulsive Aggressive Behavior

Alexithymia and low emotion differentiation restrict access to emotional information and increase propensity toward dysregulated and deviant behaviors, such as impulsive aggression. However, mechanisms underlying such effects are largely unknown. This study examined the mediating role of emotion regulation in the relationship between restricted access to emotional information and impulsive aggression. Alexithymic features and emotion differentiation explained 43% of the variance in impulsive aggression; these relationships were fully mediated by emotion-regulation difficulty. Contrary to previously held assumptions, alexithymic features and emotion differentiation were uncorrelated with one another, each limiting the translation of unique emotion information necessary for adaptive emotion and behavior regulation.     

Associations among alexithymia, positive and negative emotions, and self-defeating personality

This study examined the associations among 210 college students' alexithymia scores and three emotional orientation scores. Students completed the following three self-report instruments: 20-item Toronto Alexithymia Scale, 20-item Positive and Negative Affect Scale, and 24-item Self-defeating Personality Scale. As predicted, a linear regression model indicated that alexithymia was associated with negative emotional activation, self-defeating personality, and inversely associated with positive emotional activation. These three affect orientations accounted for 27% of the variance associated with subjects' cognitive-affective communication difficulties expressing their emotions. A second linear regression model indicated that negative emotion activation was significantly associated with self-defeating personality, and positive emotion activation was significantly inversely associated with self-defeating personality.     

Patterns of Emotional Reactivity and Regulation in Children with Anxiety Disorders

Emotion dysregulation is believed to be a key factor in anxiety disorders. However, the empirical basis for this view is limited, particularly in children and adolescents. This study aimed to examine whether anxious children display negative emotional hyper-reactivity and deficits in emotion regulation, using a new task that presents ambiguous situations with potentially threatening meanings. Forty-nine children diagnosed with either generalized anxiety disorder, social anxiety, or separation anxiety disorder, were compared with 42 non-anxious controls. Relative to controls, anxious children demonstrated (a) greater intensity and frequency of negative emotional responses, (b) deficits in using reappraisal in negative emotional situations and corresponding deficits in reappraisal self-efficacy, and (c) greater reliance on emotion regulation strategies that increase the risk of functional impairment, intense negative emotion, and low emotion regulation self-efficacy. Implications for the assessment and treatment of childhood anxiety are discussed.     

Emotion in psychotherapy

The therapeutic process involves many different types of affective phenomena. No single therapeutic perspective has been able to encompass within its own theoretical framework all the ways in which emotion plays a role in therapeutic change. A comprehensive, constructive theory of emotion helps transcend the differences in the therapeutic schools by viewing emotion as a complex synthesis of expressive motor, schematic, and conceptual information that provides organisms with information about their responses to situations that helps them orient adaptively in the environment. In addition to improved theory, increased precision in the assessment of affective functioning in therapy, as well as greater specification of different emotional change processes and means of facilitating these, will allow the role of emotion in change to be studied more effectively. A number of different change processes involving emotion are discussed, as well as principles of emotionally focused intervention that help access emotion and promote emotional restructuring.     

Cognitive and emotional empathy in typically developing children: The influence of age,gender, and intelligence

In the current study, the influence of age, gender and IQ on cognitive and emotional empathy in school-aged children and adolescents was examined adopting two behavioural paradigms: participants were shown film clips with different scenes of social interaction to which they were asked to respond. Thus, 134 children aged seven to 17 years (mean age = 138.4 months, sd = 31.66 months) were tested for emotion recognition, perspective taking and emotional empathy. Age strongly influenced components of cognitive empathy and explained 33.5% to 39.1% of the variance. Gender and IQ also were significant predictors, yet only explained 3% to 5%, respectively 8% to 9% of the variance. In contrast, neither age, gender nor IQ were related to emotional empathy. Results suggest developmental maturation of cognitive, but not emotional empathy throughout childhood and adolescence. To explain variability in emotional empathy, additional biological and psychosocial factors need to be studied.     

Preschoolers' social information processing and early school success: The challenging situations task

As part of a larger longitudinal project on the assessment of preschoolers' social‐emotional development, children's social information processing (SIP) responses to unambiguous hypothetical situations of peer provocation were assessed for 298 four‐year‐olds from Head Start and private childcare settings. Measurement focused on emotions children would feel during these situations, and their behaviour response decisions. Participants most often chose sad and angry emotions, and socially competent and passive behaviours. Relations were found between sad emotion and socially competent behaviour choices, as well as between angry emotion and aggressive behaviour choices. Sad emotion and socially competent behaviour responses contributed to variance in contemporaneous and later school adjustment and kindergarten academic readiness. There was evidence that the contributions of sad emotion responses were mediated by those of socially competent behaviour choices. Results bolstered calls to include emotion in SIP measures, supported predictive validity for this SIP measure in a large representative sample of preschoolers, and pointed to fruitful pathways for future research.     

Emotional adjustment in victims and perpetrators of cyberbullying and traditional bullying

Given the rise in cyberbullying among secondary education students and the importance of certain psychological adjustment variables for the comprehension of this type of violent behavior, both in bullies and in victims, the purpose of the present study was to analyse the emotional adjustment of those involved in cyber- and traditional bullying. The adjustment variables studied were self-concept, perceived stress, loneliness, depressive symptomatology, social anxiety, life satisfaction, and emotional intelligence. Using a sample of 1318 adolescents (47% boys), aged between 11 and 17 years, four groups were established to compare victims and cybervictims (uninvolved students, traditional victims, cybervictims, and traditional–cybervictims). The analysis of variance showed that students who performed the same role (bully or victim) in both contexts (at school and online). In particular, those who suffered traditional or cyberbullying or both conjointly presented lower scores in physical and social self-concept, life satisfaction, emotional clarity, and emotion regulation, as well as higher scores in perceived stress, loneliness, depression, and social anxiety. In bullies—traditional, cyberbullying or both simultaneously—higher scores were observed in perceived stress, loneliness, depressive symptomatology, fear of negative assessment, avoidance, and general social anxiety, and lower scores in the dimensions of academic and family self-concept, life satisfaction, emotional clarity, and emotion regulation. In general, the findings indicate that students who were involved in bullying situations, both victims and bullies, presented more damaged emotional profiles than those who are uninvolved, especially students who performed the same role (bully or victim) in both contexts (at school and online).

     

Are emotional intelligent workers also more empathic?

This paper analyzes whether emotional intelligence and self‐monitoring are related to empathy among a sample of workers in both the public and private employment sectors. Two hundred and forty‐two employees (42.5% men and 57.5% women) with a mean age of 35.21 years (SD = 10.07, range 18–61) completed a questionnaire that measured the variables of interest. The results showed that emotion regulation, a dimension of emotional intelligence, accounts for most of the variance of empathy, followed by the ability to understand emotions and the management of others' emotions. Furthermore, gender did not yield any moderator effect on the relations among emotional intelligence, self‐monitoring and empathy. We conclude that the intrapersonal aspects of emotional intelligence, in particular, emotion regulation, help explain the empathy of workers. The implications of these findings are discussed herein.     

What if I am the one? Measuring individual differences in emotional sensitivity to probability and emotional reactivity to possibility

Current theories of risk perception point to the powerful role of emotion and the neglect of probabilistic information in the face of risk, but these tendencies differ across individuals. We propose a method for measuring individuals' emotional sensitivity to probability to assess how feelings about probabilities, rather than the probabilities themselves, influence decisions. Participants gave affective ratings (worry or excitement) to 14 risky events, each with a specified probability ranging from 1 in 10 to 1 in 10,000,000. For each participant, we regressed these emotional responses against item probabilities, estimating a slope (the degree to which emotional responses change with probability) and an intercept (the emotional reaction to an event with a fixed probability). These two parameters were treated as individual difference scores and included in models predicting reactions to several health risk scenarios. Both emotional sensitivity to probability (slope) and emotional reactivity to possibility (intercept) significantly predicted responses to these scenarios, above and beyond the predictive power of other well‐established individual difference measures.     

Expression and processing of emotions: Relationships with cd4+ levels in 42 hiv-positive asymptomatic individuals

Abstract

Background: The study investigated the relationship between CD4+ levels and two emotion-related measures, one of expressed emotion (Hostility directed Inwards, Hdl) and one of capacity for emotional processing (Referential Activity, RA).

Method42 HIV-1 positive asymptomatic subjects, under AZT treatment, underwent CD4+ assessment immediately after a brief interview. Interviews were recorded, transcribed and analyzed using the Gottschalk-Gleser and Referential Activity scales. Of the Gottschalk-Gleser scales, only Hdl was considered.

ResultsAs hypothesized, the regression of emotion-related scores on CD4 + levels showed a curvilinearrelationship with Hdl scores, and a linearrelationship with RA scores. Subjects with the best immune status therefore showed intermediate levels of expressed emotion and a high capacity for emotional processing.

ConclusionThe findings support the usefulness of working through, rather than releasing emotion. Previous negative findings in the field might be explained by the unjustified assumption of linear relationships between expressed emotion and health.     

Emotion Regulation and the Anxiety Disorders: An Integrative Review

The construct of emotion regulation has been increasingly investigated in the last decade, and this work has important implications for advancing anxiety disorder theory. This paper reviews research demonstrating that: 1) emotion (i.e., fear and anxiety) and emotion regulation are distinct, non-redundant, constructs that can be differentiated at the conceptual, behavioral, and neural levels of analysis; 2) emotion regulation can augment or diminish fear, depending on the emotion regulation strategy employed; and 3) measures of emotion regulation explain incremental variance in anxiety disorder symptoms above and beyond the variance explained by measures of emotional reactivity. The authors propose a model by which emotion regulation may function in the etiology of anxiety disorders. The paper concludes with suggestions for future research.     

The relationship between emotion dysregulation and deliberate self-harm among female undergraduate students at an urban commuter university

Despite the theoretical emphasis on the role of emotion dysregulation in deliberate self-harm (DSH), few studies have examined this relationship. The present study sought to examine the role of emotion dysregulation in DSH by extending the findings of Gratz (2006) regarding the environmental (i.e. childhood maltreatment) and individual (i.e. emotional inexpressivity and affect intensity/reactivity) factors associated with DSH among 249 female undergraduates. Specifically, the present study examined whether emotion dysregulation (a) is associated with DSH above and beyond these other risk factors and (b) mediates the relationship between these risk factors and DSH. Findings indicate that overall emotion dysregulation distinguished women with frequent DSH from those without a history of DSH, adding reliably to the prediction of DSH status above and beyond maltreatment, inexpressivity, and affect intensity/reactivity. Moreover, among self-harming women, emotion dysregulation accounted for a significant amount of additional variance in DSH frequency and mediated the relationship between emotional inexpressivity and DSH frequency. Results also suggest the particular relevance of two specific dimensions of emotion dysregulation to DSH: limited access to effective emotion regulation strategies and a lack of emotional clarity, each of which reliably improved the prediction of DSH status and accounted for unique variance in DSH frequency among self-harming women above and beyond the other risk factors in the models. Results suggest the potential utility of teaching self-harming women more adaptive ways of responding to their emotions, including nonavoidant strategies for modulating emotional arousal and the ability to identify, label, and differentiate among emotional states.