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.     

The role of emotion knowledge in the links between shyness and children's socio‐emotional functioning at preschool

The present study investigated the potential protective role of components of emotion knowledge (i.e., emotion recognition, situation knowledge) in the links between young children's shyness and indices of socio‐emotional functioning. Participants were n = 163 children (82 boys and 81 girls) aged 23–77 months (M = 53.29, SD = 14.48), recruited from preschools in Italy. Parents provided ratings of child shyness and teachers rated children's socio‐emotional functioning at preschool (i.e., social competence, anxiety‐withdrawal, peer rejection). Children were also interviewed to assess their abilities to recognize facial emotional expressions and identify situations that affect emotions. Among the results, shyness was positively related to anxiety‐withdrawal and peer rejection. In addition, emotion recognition was found to significantly moderate the links between shyness and preschool socio‐emotional functioning, appearing to serve a buffering role. For example, at lower levels of emotion recognition, shyness was positively associated with both anxiety‐withdrawal and rejection by peers, but at higher levels of emotion recognition, these associations were attenuated. Results are discussed in terms of the protective role of emotion recognition in promoting shy children's positive socio‐emotional functioning within the classroom context.     

Positive youth development,thriving and social engagement: An analysis of gender differences in Spanish youth

The framework of Positive Youth Development (PYD) arose from a strength‐based conception of the transition to adulthood. Although previous literature has provided evidence for some PYD correlates, little is known about gender differences in PYD and its outcomes in thriving and social engagement, which could improve interventions” effectiveness. Thus, this study aimed to examine gender differences in PYD dimensions (i.e., competence, confidence, connection, caring, and character), individual thriving (i.e., psychological adjustment, academic adjustment, and healthy lifestyles) and social engagement, and to examine the associations between them. Data from the ‘PYD in a Cross‐National Perspective Project” in Spain were collected by administering a paper‐based self‐report to students from high school and university. Results showed greater scores in connection, caring, and character in women, as well as greater social engagement and academic adjustment. Men presented higher competence and confidence, more frequent physical activity and better psychological adjustment. In addition, more PYD was related to greater social engagement, better psychological and academic adjustment, and healthier lifestyles. Some practical implications for program design may be derived, which underscore the need to promote the five PYD dimensions equally in female and male youths in order to improve their individual thriving and social engagement.     

The other side of rumination: reflective pondering as a strategy for regulating emotions in social situations

Recent studies have questioned the idea of rumination as a unitary dysfunctional process and identified an adaptive subcomponent: reflective pondering. We tested whether reflective pondering could represent an adaptive strategy of regulating emotions, and contrasted it with reappraisal and acceptance, strategies linked to major psychotherapeutic approaches. Participants (103 students) received training in one of these and were exposed to a negative mood induction consisting of social scenarios, both in the presence and in the absence of the specific emotion regulation instruction. Acceptance was more useful than reflective pondering in impacting negative emotions and anxiety. Reappraisal was more efficient than pondering for anxiety. However, moderation analysis showed that social anxiety (SA) levels influenced the comparative efficiency of reappraisal and acceptance as contrasted to reflective pondering for negative emotions and anxiety. Participants low in SA made equal use of all strategies, while for those high in SA reappraisal and acceptance were more efficient than pondering. Our results provide preliminary evidence that reflective pondering can, in some circumstances, be an adaptive regulation strategy.     

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。     

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.     

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。     

Emotional,behavioral, and cognitive factors that differentiate obsessive-compulsive disorder and other anxiety disorders in youth

Abstract

The current study examined specific emotional, behavioral, and cognitive variables that may distinguish obsessive-compulsive disorder (OCD) from generalized anxiety disorder (GAD), social phobia (SoP), and separation anxiety disorder (SAD) in youth. Youth with OCD (n=26) and other anxiety disorders (ADs; n=31), aged 7–12 years (56.1% males), and their parents participated. The study compared the two anxious groups on levels of emotional, behavioral, and cognitive functioning, as well as impairment associated with the disorder. Results indicated that in comparison to youth with GAD, SoP, or SAD, youth with OCD were found to have poorer emotion regulation skills, as well as greater oppositionality, cognitive problems/inattention, and parent impairment associated with the disorder. The findings suggest that there are unique characteristics of OCD that may differentiate this disorder from other ADs in youth. Potential clinical implications and directions for future research are discussed.     

高社交焦虑者识别动态情绪面孔的神经机制

近年来, 大量的研究对高社交焦虑者的情绪面孔加工和社交焦虑的干预进行了考察, 取得了丰富成果, 但仍存在以下不足: (1) 在以往的中国动态情绪面孔库存中, 刺激材料的情绪类别、视频维度以及视频持续时间的种类偏少; (2) 高社交焦虑者识别动态情绪面孔的神经机制未被系统探讨; (3) 注意偏向训练的效果存在争议, 即一些研究者发现注意偏向训练对社交焦虑有明显的缓解作用, 而其他研究者却未发现注意偏向训练的效果。针对这些不足, 当前项目建设的中国人动态情绪面孔库拟增加刺激材料的情绪类别、视频维度以及视频持续时间的类型, 此外运用神经科学的技术系统探究高社交焦虑者对动态情绪面孔的识别机制, 最后采用工作记忆训练改善高社交焦虑者对动态生气面孔识别的注意偏向。本研究团队提出了高社交焦虑个体识别动态情绪面孔的神经机制模型, 该模型主要包括机制和干预两个部分。本项目的开展不仅为动态情绪面孔加工和社交焦虑研究提供了新视角, 还突破原有单一的研究方法, 拟从行为、电生理和脑成像三个层次进行研究。研究成果将促进社交焦虑干预工作的开展, 从而缓解社交焦虑个体的心理健康问题, 对于提高他们的幸福感和生命质量有重要价值。     

Exposure to community violence and social support as predictors of anxiety and social and emotional behavior among African American children

We examined the effects of exposure to violence and social support on self-reported state and trait anxiety and parental rated problem behaviors among school-aged African-American children in low and high violence areas. Ninety-seven (97) fourth through sixth graders and their parents were interviewed about exposure to community violence, social support, and state and trait anxiety. Results indicate that trait anxiety was correlated positively with exposure to violence and negatively with social support. State anxiety was correlated negatively with family social support. Problem behaviors were correlated negatively with family support and income. Hierarchial multiple regression analyses indicated that children's reports of their exposure to community violence continued to explain significant variability in trait anxiety, and problem behavior after controlling for both income and social support measures. Social support from peers, family and teachers played differential roles in predicting problem behaviors among children from high and lower violence areas. These findings suggest that in planning intervention programs for children exposed to violence, greater attention to empowering parents to support their children, to fostering peer group support, and to bolstering teacher support may be useful, but attention to the underlying socio-political causes of violence exposure is essential.     

Heightened sensitivity to emotional expressions in generalised anxiety disorder,compared to social anxiety disorder,and controls

Few studies have examined potential differences between social anxiety disorder (SAD) and generalised anxiety disorder (GAD) in the sensitivity to detect emotional expressions. The present study aims to compare the detection of emotional expressions in SAD and GAD. Participants with a primary diagnosis of GAD (n?=?46), SAD (n?=?70), and controls (n?=?118) completed a morph movies task. The task presented faces expressing increasing degrees of emotional intensity, slowly changing from a neutral to a full-intensity happy, sad, or angry expressions. Participants used a slide bar to view the movie frames from left to right, and to stop at the first frame where they perceived an emotion. The frame selected thus indicated the intensity of emotion required to identify the facial expression. Participants with GAD detected the onset of facial emotions at lower intensity of emotion than participants with SAD (p?=?0.002) and controls (p?=?0.039). In a multiple regression analysis controlling for age, race, and depressive symptom severity, lower frame at which the emotion was detected was independently associated and GAD diagnosis (B?=?–5.73, SE?=?1.74, p?相似文献   

How self-enhancers adapt well to loss: the mediational role of loneliness and social functioning

Objective: The tendency toward unrealistically optimistic self-serving biases, known as trait self-enhancement, has been associated with both adaptive benefits and negative social consequences. This study explored these potential benefits and costs in the context of conjugal bereavement. Method: The study included 94 individuals who had experienced the death of a spouse 1.5–3.0 years prior. The sample (62 female, 32 male) ranged in age from 37 to 60 (M = 51.45, SD = 6.08). To examine benefits, we used relatively objective measures of overall adjustment: structured clinical interviews and ratings from participants’ close friends and relatives. To examine social adjustment, we examined friends’/relatives’ ratings of the quality of social interactions and the possible mediating roles of perceived loneliness and friend/relative ratings. Results: Trait self-enhancement was uniformly associated with positive adjustment: relatively lower symptom totals, and friend/relative ratings of both overall better adjustment and better social adjustment. Self-enhancers’ low loneliness was found to mediate reduced symptoms. Also, friends’/relatives’ ratings of social functioning appeared to mediate self-enhancers’ reduced loneliness. Conclusions: These findings provide further empirical data to challenge the longstanding assumption that inaccurate self-perception is inherently maladaptive. Authentic benefits may result from mistaken perceptions of oneself by influencing the experience of loneliness and how one is seen by close friends/relatives. Self-enhancement may be an adaptation that provides clinically relevant advantages.     

Emotion suppression in multiple social contexts and its effects on psychosocial functioning: An investigation with Chinese samples

The present study examines the psychosocial consequences of emotion suppression and the moderating effect of social context in the link between emotion suppression and psychosocial functioning with two samples of Chinese undergraduate students. Suppression of happiness and sadness in five social contexts (with family members, close friends, classmates, teachers and strangers) and psychosocial functioning were investigated. The results indicate that the general level of happiness suppression negatively predicted individuals' psychosocial functioning, while sadness suppression was positively associated with psychosocial functioning. The moderating effect of social context was significant in the association between happiness suppression and psychosocial functioning, while its moderating effect was not significant for sadness. Moreover, the context differentiation (CD) of happiness suppression positively predicted psychosocial functioning, while the effect of CD of sadness suppression was not significant. The results of the present study extend the existing literature by suggesting the importance of taking social context and the specific type of emotion into account when examining the psychosocial adaptation of emotion suppression. New findings were also added to understand the effects of emotion suppression on psychosocial functioning for Chinese people. In the Chinese cultural context, which emphasizes regulating one's behaviours based on situational requirements, low levels of happiness suppression and high levels of sadness suppression appeared to be a psychosocially adaptive emotional display pattern.     

Emotion Regulation and Middle School Adjustment in Japanese Girls: Mediation by Perceived Social Support

Prior research has stated that successful emotion regulation (ER) contributes to psychological health and favorable interpersonal relationships. However, few studies have explored adaptive ER strategies in a school setting. The present study targeted Japanese female adolescents and examined the relationship between two specific ER strategies (reappraisal and suppression) and school adjustment, with social support as a mediating variable. Two hundred and seventy Japanese middle school girls completed measures of ER, perceived social support, and subjective school adjustment. The results showed that school adjustment was highest among reappraisers, followed by a balanced group who used both strategies with equal frequency, then suppressors. In addition, reappraisal showed both direct and indirect effects on school adjustment, while suppression showed only a negative indirect effect on school adjustment. Our findings suggest that reappraisal is an effective strategy that promotes receiving social support and consequently enhances school adjustment. Suppression, on the other hand, has neither favorable nor harmful impacts on school adjustment, but may, in the long run, result in poorer adjustment by impairing social relationships among adolescent girls.     

The effects of emotion priming on visual search in socially anxious adults

This study examined the effects of emotion priming on visual search in participants characterised for different levels of social anxiety. Participants were primed with five facial emotions (angry, fear, happy, neutral, and surprised) and one scrambled face immediately prior to visual search trials involving finding a slanted coloured line amongst distractors, as reaction times and accuracy to target detection were recorded. Results suggest that for individuals low in social anxiety, being primed with an angry, surprised, or fearful face facilitated visual search compared to being primed with scrambled, neutral or happy faces. However, these same emotions degraded visual search in participants with high levels of social anxiety. This study expands on previous research on the impact of emotion on attention, finding that amongst socially anxious individuals, the effects of priming with threat extend beyond initial attention capture or disengagement, degrading later visual search.     

Information processing bias against emotional facial expressions in social anxiety

The present study examined whether information processing bias against emotional facial expressions is present among individuals with social anxiety. College students with high (high social anxiety group; n  = 26) and low social anxiety (low social anxiety group; n  = 26) performed three different types of working memory tasks: (a) ordering positive and negative facial expressions according to the intensity of emotion; (b) ordering pictures of faces according to age; and (c) ordering geometric shapes according to size. The high social anxiety group performed significantly more poorly than the low social anxiety group on the facial expression task, but not on the other two tasks with the nonemotional stimuli. These results suggest that high social anxiety interferes with processing of emotionally charged facial expressions.