Effects of anger suppression on pain severity and pain behaviors among chronic pain patients: evaluation of an ironic process model

OBJECTIVE: Evidence for links between anger inhibition or suppression and chronic pain severity is based mostly on studies with correlation designs. Following from ironic process theory, we proposed that attempts to suppress angry thoughts during provocation would increase subsequent pain intensity among chronic low back pain (CLBP) patients, and do so through paradoxically enhanced accessibility of anger. DESIGN: CLBP patients (N = 58) were assigned to suppression and nonsuppression conditions while performing a computer maze task with a harassing confederate. A structured pain behavior task (SPBT) followed. MAIN OUTCOME MEASURES: Self-reported anger, anxiety, and sadness following maze task. Self-reported pain severity and number of observed pain behaviors during SPBT. RESULTS: Patients told to suppress during provocation: (a) reported greater anger following the maze task, reported greater pain intensity during the SPBT, and exhibited more pain behaviors than patients not suppressing; (b) postmaze anger levels significantly mediated group differences on pain behaviors. CONCLUSION: Attempts by CLBP patients to suppress anger may aggravate pain related to their clinical condition through ironically increased feelings of anger.     

Running away from unwanted feelings: Culture matters

Findings from past research have suggested a link between experiential avoidance and expressive suppression. However, there is emerging evidence showing that the suppression of emotional expression may have different meanings depending on the specific cultural context. Taking a cultural perspective, the present study aimed to examine whether the link between experiential avoidance and expressive suppression is comparable or divergent between two cultural groups [i.e., European Americans (EAs) and Chinese (CH)] with different cultural norms surrounding emotional expression. We hypothesised that the positive association between experiential avoidance and expressive suppression typically found among EAs would be attenuated among CH. Furthermore, the observed cultural group difference in the experiential avoidance–suppression link was hypothesised to be mediated by beliefs in emotional self-control. Data from 224 EA college students and 190 CH college students provided a clear pattern of support for our hypotheses. Implications for current theories on experiential avoidance are discussed.     

Emotion Control Values and Responding to an Anger Provocation inAsian-American and European-American Individuals

The present research examined whether Asian-American (AA) versus European-American (EA) women differed in experiential, expressive, or autonomic physiological responding to a laboratory anger provocation and assessed the mediating role of values about emotional control. Results indicate that AA participants reported and behaviorally displayed less anger than EA participants, while there were no group differences in physiological responses. Observed differences in emotional responses were partially mediated by emotion control values, suggesting a potential mechanism for effects of cultural background on anger responding.     

ANGER AND DEPRESSION IN GIRLS AND BOYS A Study of Gender Differences

A growing body of literature supports the link between anger suppression and depression and females'greater likelihood than males of demonstrating both. Anger suppression was hypothesized to be involved in the development of gendered identity for girls, specifically by rendering girls more likely to experience depression. Employing an ethnically diverse sample of public school children, differences between fifth through ninth grade girls and boys in anger suppression and depression were investigated using self-report data. Results supported the hypothesis that girls suppress anger at higher rates than boys but not the related hypothesis that this suppression results in higher levels of depression. Age was not related to either anger suppression or depression, and no significant relationship was found between suppressed anger and depression for either sex. The impact of girls'anger suppression on their emotional and gender development is discussed.     

Behavioral inhibition and amplification during emotional arousal: a comparison of two age groups

This study investigated age differences in the ability to suppress and amplify expressive behavior during emotional arousal. Young and old participants viewed 3 film clips about medical procedures while their behavioral, autonomic, and subjective responses were recorded. Half of the participants viewed all 3 films without additional instructions; the other half was asked to suppress and amplify their behavioral expression during the 2nd and 3rd films. Except for heart rate, suppression and amplification produced similar patterns of autonomic activation. Neither suppression nor amplification had effects on self-reported emotion. There were no age differences in the ability to suppress or amplify emotional expression or in their physiological or subjective consequences. Considering that older people's unregulated reactivity was lower than that of young adults, suppression may have been easier and amplification more difficult for older adults. Voluntary emotion regulation might be one domain of human performance that is spared from age-related losses.     

Face the noise: embodied responses to nonverbal vocalizations of discrete emotions

Extensive prior research has shown that the perception of an emotional facial expression automatically elicits a corresponding facial expression in the observer. Theories of embodied emotion, however, suggest that such reactions might also occur across expressive channels, because simulation is based on integrated motoric and affective representations of that emotion. In the present studies, we examined this idea by focusing on facial and experiential reactions to nonverbal emotion vocalizations. In Studies 1 and 2, we showed that both hearing and reproducing vocalizations of anger, disgust, happiness, and sadness resulted in specific facial behaviors, as well as congruent self-reported emotions (Study 2). In Studies 3 and 4, we showed that the inhibition of congruent facial actions impaired listeners' processing of emotion vocalizations (Study 3), as well as their experiences of a concordant subjective state (Study 4). Results support the idea that cross-channel simulations of others' states serve facilitative functions similar to more strict imitations of observed expressive behavior, suggesting flexibility in the motoric and affective systems involved in emotion processing and interpersonal emotion transfer. We discuss implications for embodiment research and the social consequences of expressing and matching emotions across nonverbal channels.     

An Attributional (Causal Dimensional) Analysis of Perceptions of Sexual Harassment1

Female and male subjects read one of three scenarios depicting a social-sexual interaction between a man and a woman. The scenarios varied in severity of the stimulus male's behavior according to whether sexual harassment had occurred. Subjects then rated the offensiveness of his behavior and whether it constituted sexual harassment. Subjects also rated the stimulus male's behavior on Weiner's (1986) three basic dimensions of causality: locus of causality, or the perceived cause of the behavior as internal or external; stability, or the likelihood of its recurrence; and controllability, or the amount of volitional influence he exercised during the interaction. Additionally, subjects reported their anger at the target male and sympathy for the target female. Findings generally indicated that for both women and men, as the scenarios increased in severity, these ratings were elevated. Gender comparisons also showed elevations in these ratings for female but not for male subjects, and only in the scenarios of lesser severity. Regression analyses revealed attribution variables—control, stability, and anger—as reliable predictors of perceived offensiveness and harassment in the most severe scenario, whereas affects were the most reliable predictors in scenarios of lesser severity. The implications of these findings for perception of sexual harassment are discussed.     

The effect of emotion regulation strategies on anger

This study examined the effects of different emotion regulation strategies on the experience and expression of anger. Participants consisted of undergraduate students who endorsed at least a moderate level of state anger. As part of a laboratory experiment, they were instructed to reappraise (n = 24), suppress (n = 24), or accept (n = 25) their anger during a frustrating task. Reappraisal was more effective at reducing anger than attempts to suppress or accept it. Furthermore, participants in the reappraisal condition persisted significantly longer with the frustrating task than those who were instructed to suppress or accept their negative feelings. These findings suggest that reappraisal techniques are more effective than acceptance and suppression techniques for modulating the experience and expression of anger.     

Effects of depression on sensory/motor vs. central processing in visual mental imagery

Actual anger response styles during anger encounters may well diverge from self-reported habitual anger response styles, such as anger - in, anger - out, or anger control. Also, the relationship of actual anger response styles to broad personality traits is not well known. We obtained anger self - reports, physiological reactivity (diastolic blood pressure, skin temperature at the forehead, and EMG extensor digitorum), and ratings of facial anger expression, and defined actual anger response style dimensions of “intensity”, “suppression”, “repression”, and “denial” as particular patterns of discrepancies among these responses. A total of 80 female subjects were randomly assigned to a treatment (Tr) and a control (Co) group. Anger was induced through real - life provocations. Compared to Co, Tr subjects showed larger physiological responses and reported more anger. Habitual anger response styles did not predict actual styles, whereas extraversion and neuroticism did. Control subjects scoring low on extraversion or high on neuroticism reacted with high denial, that is, with stronger physiological and behavioural than experiential anger, whereas the opposite pattern of low denial was found for treatment subjects low on extraversion or high on neuroticism. These results suggest that both the particular situation and broad but not narrow personality traits exert an influence on actual anger response styles.     

Prediction of toddlers’ expressive language from maternal sensitivity and toddlers’ anger expressions: A developmental perspective

Despite evidence for the importance of individual differences in expressive language during toddlerhood in predicting later literacy skills, few researchers have examined individual and contextual factors related to language abilities across the toddler years. Furthermore, a gap remains in the literature about the extent to which the relations of negative emotions and parenting to language skills may differ for girls and boys. The purpose of this longitudinal study was to investigate the associations among maternal sensitivity, children's observed anger reactivity, and expressive language when children were 18 (T1; n = 247) and 30 (T2; n = 216) months. At each age, mothers reported on their toddlers’ expressive language, and mothers’ sensitive parenting behavior was observed during an unstructured free-play task. Toddlers’ anger expressions were observed during an emotion-eliciting task. Using path modeling, results showed few relations at T1. At T2, maternal sensitivity was negatively related to anger, and in turn, anger was associated with lower language skills. However, moderation analyses showed that these findings were significant for boys but not for girls. In addition, T1 maternal sensitivity and anger positively predicted expressive language longitudinally for both sexes. Findings suggest that the relations between maternal sensitivity, anger reactivity and expressive language may vary depending on the child's developmental stage and sex.     

不同情绪状态下自动表达抑制对情绪及表情知觉敏感性的影响

以103名大学生为对象,在正性、负性两种情绪状态下,用句子整理任务引发被试抑制情绪或表达情绪两种情绪调节方式,采用信号检测论测得正、负性表情的表情知觉敏感性。结果表明：（1）表情知觉敏感性存在情绪一致性效应,在负性情绪状态下,人们对负性表情更敏感,差异显著（p=0.002）;在正性情绪状态下,人们对正性表情更敏感,虽然只是边缘显著（p=0.700）。（2）自动抑制情绪会降低人们的情绪体验,并且会影响表情知觉敏感性的情绪一致性效应。在自动抑制启动的状态下,人们对正、负性表情都不太敏感。     

对恐怖情绪的调节：认知重评优于表达抑制 ——一样ERP研究

摘要 本研究采用事件相关电位（ERP）技术,通过测量由视觉诱发的脑电成分晚正波（LPP）来比较情绪调节策略在生理电特征上的差异,进一步探讨认知重评和表达抑制的优劣。实验结果表明：（1）从波幅的角度来比较：在400-600ms时间窗口内,认知重评条件下恐怖图片诱发的LPP波幅显著小于在自由观看条件下的波幅,而表达抑制和自由观看组所诱发的LPP波幅差异较小。（2）从时间进程的角度来比较：认知重评与自由观看组的差异发生在400ms并持续到600ms,甚至以后;而表达抑制和自由观看之间的差异发生在450ms但是只持续到550ms。这表明认知重评相较于表达抑制,对负性情绪起调节作用开始较早,并且持续时间较长。这为认知重评优于表达抑制策略提供了神经生理学上的证据。     

Cognitive reappraisal increases heart rate variability in response to an anger provocation

Adaptive self-regulatory responses to negative events are associated with good mental health, social functioning, and physical health. Two forms of emotion regulation that have received attention within the context of anger are cognitive reappraisal and expressive suppression. Research suggests that greater heart rate variability (HRV) is a physiological indicator of adaptive emotion regulation and decreased mental load. In the present experiment, we recorded HRV while 131 undergraduate women viewed an anger-inducing video of a fellow student arguing for a position counter to that of the participant on an important political issue. Immediately prior to viewing, participants were instructed to reappraise, suppress their emotions, or simply watch the video as normal. Participants in the reappraisal condition showed increased HRV whereas those in the suppression and control condition showed no such increase. These results provide support for increased HRV as a biological correlate of adaptive emotion regulation. One implication is that cognitive reappraisal might afford greater autonomic flexibility when an individual is confronted with anger-inducing events.     

The mediating role of state maladaptive emotion regulation in the relation between social anxiety symptoms and self-evaluation bias

Although social anxiety symptoms are robustly linked to biased self-evaluations across time, the mechanisms of this relation remain unclear. The present study tested three maladaptive emotion regulation strategies – state post-event processing, state experiential avoidance, and state expressive suppression – as potential mediators of this relation. Undergraduate participants (N?=?88; 61.4% Female) rated their social skill in an impromptu conversation task and then returned to the laboratory approximately two days later to evaluate their social skill in the conversation again. Consistent with expectations, state post-event processing and state experiential avoidance mediated the relation between social anxiety symptoms and worsening self-evaluations of social skill (controlling for research assistant evaluations), particularly for positive qualities (e.g. appeared confident, demonstrated social skill). State expressive suppression did not mediate the relation between social anxiety symptoms and changes in self-evaluation bias across time. These findings highlight the role that spontaneous, state experiential avoidance and state post-event processing may play in the relation between social anxiety symptoms and worsening self-evaluation biases of social skill across time.     

Individual Difference Correlates of the Experience of Sexual Harassment Among Female University Students1

Individuals often report experiences that conform to objective definitions of sexual harassment, but rarely report the subjective perception that they have been sexually harassed. The present research proposed that individual difference factors may mediate this commonly observed discrepancy. It was hypothesized that erotophobia, sexual inexperience, youth, sex role traditionality, repressing defensive style, and need for social approval have a weak inhibitory effect on reports of objectively defined experiences of sexual harassment, but a strong inhibitory effect on subjective perceptions that one has been sexually harassed. Results showed that individual difference factors including erotophobia, repressing defenses, and need for social approval were associated with fewer reported objective experiences of sexual harassment, while the base rate of subjective perception that one had been sexually harassed was very low, and this subjective perception was generally unassociated with individual difference factors. Discussion focuses on individual difference characteristics and motivation to ignore or to fail to report objective experiences of sexual harassment, and on suggestions for further research into the very high base rate of objectively defined experiences of sexual harassment and the very low base rate of perceived sexual harassment.     

The role of attentional strategies in moderating links between acute pain induction and subsequent psychological stress: evidence for symptom-specific reactivity among patients with chronic pain versus healthy nonpatients

Vulnerability to stressors after pain may depend on the degree to which the strategy used to process information about pain perpetuates thoughts of suffering and distress. Patients with chronic low back pain (CLBP) may show susceptibility to stress after pain through symptom-specific (lower paraspinal [LP]) muscle reactivity. Patients with CLBP (n = 100) and healthy nonpatients (n = 105) underwent a cold pressor, under sensory focus, distraction, suppression, or control conditions, and then performed mental arithmetic. Only patients under the suppression condition revealed increased LP tension during pain that was sustained during mental arithmetic and sustained systolic blood pressure after mental arithmetic. Patients with CLBP who suppress pain may detrimentally affect responses to the next noxious event, particularly through prolonged LP muscle tension, that may contribute to a cycle of pain-stress-pain.     

She Looks Sad,But He Looks Mad: The Effects of Age,Gender, and Ambiguity on Emotion Perception

This study investigated how target sex, target age, and expressive ambiguity influence emotion perception. Undergraduate participants (N = 192) watched morphed video clips of eight child and eight adult facial expressions shifting from neutral to either sadness or anger. Participants were asked to stop the video clip when they first saw an emotion appear (perceptual sensitivity) and were asked to identify the emotion that they saw (accuracy). Results indicate that female participants identified sad expressions sooner in female targets than in male targets. Participants were also more accurate identifying angry facial expressions by male children than by female children. Findings are discussed in terms of the effects of ambiguity, gender, and age on the perception of emotional expressions.     

表达抑制调节负性情绪的男性优势——来自事件相关电位的证据

生活经验和文献证明,男性相比女性有更少的情绪表达行为。据此,本研究假设表达抑制进行负性情绪调节具有男性优势,而采用认知重评调节时可能没有该性别差异。在不同的实验阶段,被试分别采用自由观看、表达抑制和认知重评策略观看负性情绪图片,同时记录事件相关电位(ERP),以及使用各种策略之后的主观情绪体验。结果表明,采用表达抑制和认知重评调节情绪后,被试报告的负性情绪体验没有出现男女差异。然而,对ERP晚期正电位(Late Positive Potential,LPP)的统计分析发现,LPP的中期(2000~3000 ms)与晚期(3000~4000 ms)波幅均出现了调控策略与性别的交互作用。对男性而言,负性图片诱发的LPP波幅(2000~4000 ms)在表达抑制条件下相比自由观看条件出现显著降低,但女性没有出现上述效应。此外,在LPP各个时间窗口,采用认知重评策略进行情绪调节时均无显著性别差异。上述结果表明采用表达抑制策略进行负面情绪调节时,男性具有相比女性更好的调控效果。这提示男性比女性更适合采用抑制情绪表达的方式进行日常情绪管理。这种性别优势可能来源于社会对男女性性别角色的不同期望。     

Analyzing anger: how to make people mad

Does simple displeasure cause anger without appraisals or agency attributions? The authors offer 8 observations: (a) Appraisal theory also predicts that displeasure promotes anger, (b) An emotion of frustration can be usefully distinguished from anger, (c) Aggressive reactions to norm violations among animals suggest that they too distinguish bad behavior from bad outcomes, (d) Attributions to agency are perceptual and automatic in social situations, (e) It is tenuous to argue that agency attributions are enacted in angry aggression, but absent in anger elicitation. (f) The contextualized meanings of expressive movements, rather than movements themselves, elicit emotion, (g) Expressions may be better seen as constituents than as causes of emotions, (h) Cognitive components of emotion generally come before, not after, eliciting events.     

Emotional scenes elicit more pronounced self-reported emotional experience and greater EPN and LPP modulation when compared to emotional faces

Emotional faces and scenes carry a wealth of overlapping and distinct perceptual information. Despite widespread use in the investigation of emotional perception, expressive face and evocative scene stimuli are rarely assessed in the same experiment. Here, we evaluated self-reports of arousal and pleasantness, as well as early and late event-related potentials (e.g., N170, early posterior negativity [EPN], late positive potential [LPP]) as subjects viewed neutral and emotional faces and scenes, including contents representing anger, fear, and joy. Results demonstrate that emotional scenes were rated as more evocative than emotional faces, as only scenes produced elevated self-reports of arousal. In addition, viewing scenes resulted in more extreme ratings of pleasantness (and unpleasantness) than did faces. EEG results indicate that both expressive faces and emotional scenes evoke enhanced negativity in the N170 component, while the EPN and LPP components show significantly enhanced modulation only by scene, relative to face stimuli. These data suggest that viewing emotional scenes results in a more pronounced emotional experience that is associated with reliable modulation of visual event-related potentials that are implicated in emotional circuits in the brain.