The Effects of Experimentally Induced Rumination, Positive Reappraisal, Acceptance, and Distancing When Thinking About a Stressful Event on Affect States in Adolescents

The current study compares the effects of experimentally induced rumination, positive reappraisal, distancing, and acceptance on affect states in adolescents aged 13–18. Participants (N = 160) were instructed to think about a recent stressful event. Next, they received specific instructions on how to think about that event in each condition. Manipulation checks revealed that the manipulations were successful, except for acceptance. The two most reported events were “a fight” and “death of loved one”. Results showed that positive reappraisal (i.e., thinking about the benefits and personal growth) caused a significantly larger increase in positive affect and decrease in negative affect compared to rumination, distancing, and acceptance. Current findings implicate that positive reappraisal seems an adequate coping strategy in the short-term, and therefore could be applied in interventions for youth experiencing difficulties managing negative affect. Future research should focus on long-term effects of these cognitive strategies and on more intensive training of acceptance.     

Neural correlates of rumination in depression

Rumination, or recursive self-focused thinking, has important implications for understanding the development and maintenance of depressive episodes. Rumination is associated with the worsening of negative mood states, greater affective responding to negative material, and increased access to negative memories. The present study was designed to use fMRI to examine neural aspects of rumination in depressed and healthy control individuals. We used a rumination induction task to assess differences in patterns of neural activation during ruminative self-focus as compared with a concrete distraction condition and with a novel abstract distraction condition in 14 participants who were diagnosed with major depressive disorder and 14 healthy control participants. Depressed participants exhibited increased activation in the orbitofrontal cortex, subgenual anterior cingulate, and dorsolateral prefrontal cortex as compared with healthy controls during rumination versus concrete distraction. Neural activity during rumination versus abstract distraction was greater for depressed than for control participants in the amygdala, rostral anterior cingulate/medial prefrontal cortex, dorsolateral prefrontal cortex, posterior cingulate, and parahippocampus. These findings indicate that ruminative self-focus is associated with enhanced recruitment of limbic and medial and dorsolateral prefrontal regions in depression. Supplemental materials for this article may be downloaded from http://cabn.psychonomic-journals.org/content/supplemental.     

Overlapping neural substrates between intentional and incidental down-regulation of negative emotions

Emotion regulation can be achieved in various ways, but few studies have evaluated the extent to which the neurocognitive substrates of these distinct operations overlap. In the study reported here, functional magnetic resonance imaging (fMRI) was used to measure activity in the amygdala and prefrontal cortex of 10 participants who completed two independent tasks of emotion regulation-reappraisal, measuring intentional emotion regulation, and affect labeling, measuring incidental emotion regulation-with the objective of identifying potential overlap in the neural substrates underlying each task. Analyses focused on a priori regions of interest in the amygdala and inferior frontal gyrus (IFG). For both tasks, fMRI showed decreased amygdala activation during emotion regulation compared with emotion conditions. During reappraisal, this decrease in amygdala activation was accompanied by a proportional decrease in emotional intensity ratings; during affect labeling, the decrease in amygdala activation correlated with self-reported aggression. Importantly, across participants, the magnitude of decrease in amygdala activation during reappraisal correlated with the magnitude of decrease during affect labeling, even though the tasks were administered on separate days, and values indexing amygdala activation during each task were extracted independently of one another. In addition, IFG-amygdala connectivity, assessed via psychophysiological interaction analysis, overlapped between tasks in two regions within the right IFG. The results suggest that the two tasks recruit overlapping regions of prefrontal cortex, resulting in similar reductions in amygdala activation, regardless of the strategy employed. Intentional and incidental forms of emotion regulation, despite their phenomenological differences, may therefore converge on a common neurocognitive pathway.     

Performance and learning goals for emotion regulation

Goal orientation theory is concerned with performance and learning goals in academic, athletic, and other ability areas. Here we examine performance and learning goals for emotion regulation. We define performance goals for emotion regulation as seeking to prove one’s ability to manage emotions; learning goals for emotion regulation are defined as seeking to improve one’s ability to manage emotions. In two studies, we tested the hypothesis that performance goals for emotion regulation would be associated with greater use of defensive emotion regulation strategies and depressive symptoms. Results from both studies showed that individuals with greater performance goals for emotion regulation reported higher levels of rumination and thought suppression and greater depressive symptoms, while individuals with greater learning goals reported greater use of cognitive reappraisal. The findings suggest that goals for emotion regulation may help explain individual differences in use of defensive versus constructive emotion regulation strategies.     

Interference resolution moderates the impact of rumination and reappraisal on affective experiences in daily life

Research has shown that cognitive control processes play a central role in emotion regulation. While most research has examined whether individual differences in such processes are related to the use of these strategies, a crucial next step involves examining whether such differences influence their impact on people's feelings, especially in normal daily life. The present study examined whether impairments in cognitive control (measured using an affective interference resolution task) moderate the impact of using rumination and reappraisal on affective experiences in everyday life (assessed using experience sampling methods). Multilevel analyses revealed that difficulties removing previously relevant negative information from working memory were associated with a larger increase in negative affect following rumination, and smaller increase and decrease in positive and negative affect, respectively, following reappraisal. These findings show that impaired interference resolution for negative information aggravates the deleterious effects of rumination and curbs the benefits of reappraisal in daily life.     

Transforming or restraining rumination: The impact of compassionate reappraisal versus emotion suppression on empathy,forgiveness, and affective psychophysiology

We tested the effects of practicing compassionate reappraisal vs. emotional suppression as direct coping responses to victims’ ruminations about a past interpersonal offense. Participants (32 females, 32 males) were randomly assigned to learn one coping strategy which immediately followed three of six offense rumination trials (counterbalanced). For both strategy types, coping (vs. offense ruminating) reduced ratings of negative emotion, decreased the use of negative emotion language, and reduced tension at the brow muscle (corrugator EMG). Only compassionate reappraisal coping (vs. offense rumination) immediately prompted greater empathy and emotional forgiveness toward the offender. Empathy ratings for the first coping trial mediated the relationship between strategy type and empathy ratings for the final rumination trial. Compassionate reappraisal strategy participants increased their empathy toward the offender while ruminating at the end of the study. Compassionate reappraisal participants (vs. emotional suppression) described coping (vs. rumination) with more positive language, and also had calmer cardiac pre-ejection period responses.     

Understanding vulnerability for depression from a cognitive neuroscience perspective: A reappraisal of attentional factors and a new conceptual framework

We propose a framework to understand increases in vulnerability for depression after recurrent episodes that links attention processes and schema activation to negative mood states, by integrating cognitive and neurobiological findings. Depression is characterized by a mood-congruent attentional bias at later stages of information processing. The basic idea of our framework is that decreased activity in prefrontal areas, mediated by the serotonin metabolism which the HPA axis controls, is associated with an impaired attenuation of subcortical regions, resulting in prolonged activation of the amygdala in response to stressors in the environment. Reduced prefrontal control in interaction with depressogenic schemas leads to impaired ability to exert attentional inhibitory control over negative elaborative processes such as rumination, leading in turn to sustained negative affect. These elaborative processes are triggered by the activation of negative schemas after confrontation with stressors. In our framework, attentional impairments are postulated as a crucial process in explaining the increasing vulnerability after depressive episodes, linking cognitive and biological vulnerability factors. We review the empirical data on the biological factors associated with the attentional impairments and detail how they are associated with rumination and mood regulation. The aim of our framework is to stimulate translational research.     

Unpacking cognitive reappraisal: goals, tactics, and outcomes

Studies of emotion regulation typically contrast two or more strategies (e.g., reappraisal vs. suppression) and ignore variation within each strategy. To address such variation, we focused on cognitive reappraisal and considered the effects of goals (i.e., what people are trying to achieve) and tactics (i.e., what people actually do) on outcomes (i.e., how affective responses change). To examine goals, we randomly assigned participants to either increase positive emotion or decrease negative emotion to a negative stimulus. To examine tactics, we categorized participants' reports of how they reappraised. To examine reappraisal outcomes, we measured experience and electrodermal responding. Findings indicated that (a) the goal of increasing positive emotion led to greater increases in positive affect and smaller decreases in skin conductance than the goal of decreasing negative emotion, and (b) use of the reality challenge tactic was associated with smaller increases in positive affect during reappraisal. These findings suggest that reappraisal can be implemented in the service of different emotion goals, using different tactics. Such differences are associated with different outcomes, and they should be considered in future research and applied attempts to maximize reappraisal success.     

反刍思维与注意脱离损坏的关系及其神经机制

反刍思维是一种重复性的消极思维, 会让个体将注意集中在消极痛苦的事情上。研究表明, 反刍思维和注意脱离损坏虽然是相互独立的概念, 但是二者却存在着密切的联系, 具体表现在注意脱离损坏会预测个体的反刍思维以及反刍思维有关的注意脱损坏可能是受到意识控制的。同时, 反刍思维的类型和自我相关性在反刍思维和注意脱离损坏关系中的作用依然需要进一步探究。另外, 注意脱离有关的训练明显地改善了个体的反刍思维。并且, 杏仁核的过度激活, 前扣带回(anterior cingulate cortex, ACC)对自我相关消极信息的调节异常, 右背外侧前额叶(dorsal lateral prefrontal cortex, DLPFC)的活动异常以及与注意有关的脑神经网络的结构和功能的异常可能是反刍思维和注意脱离损坏相互影响的原因。     

Public self-Attention and personal standards: The impact of group composition

Increases in self-attention as a function of decreases in the relative size of one’s subgroup in a heterogeneous group context have been shown to result in increased regulation of behavior toward social (normative) standards for behavior. The present study demonstrated increased regulation of behavior toward a personal standard for behavior as a function of variations in group composition. One hundred twenty-five subjects individually completed the Creativity subscale of Scott’s Personal Value Scale assessing attitudes toward originality. They then completed a word-association task in groups ranging in size from 2 to 8. Originality of word-associations was determined by reference to previously established word-association norms and norms based on frequency of responses given in the present study. Results indicate that originality in responses increase as the relative size of one’s own subgroup decreases (indexing increases in self-attention) for subjects who value originality. Discussion centers on the distinction between experimentally manipulated public and private self-attention and standards that are adopted for behavioral self-regulation. Portions of this study were presented at the annual meeting of the Eastern Psychological Association, New York, April 1991.     

Concurrent and lasting effects of emotion regulation on amygdala response in adolescence and young adulthood

This study used functional MRI (fMRI) to examine a novel aspect of emotion regulation in adolescent development: whether age predicts differences in both the concurrent and lasting effects of emotion regulation on amygdala response. In the first, active regulation, phase of the testing session, fMRI data were collected while 56 healthy individuals (age range: 10.50–22.92 years) reappraised aversive stimuli so as to diminish negative responses to them. After a short delay, the second, re‐presentation, phase involved passively viewing the aversive images from the reappraisal task. During active regulation, older individuals showed greater drops in negative affect and inverse rostrolateral prefrontal‐amygdala connectivity. During re‐presentation, older individuals continued to show lasting reductions in the amygdala response to aversive stimuli they had previously reappraised, an effect mediated by rostrolateral PFC. These data suggest that one source of heightened emotionality in adolescence is a diminished ability to cognitively down‐regulate aversive reactions.     

Affect and Affect Regulation Strategies Reciprocally Influence Each Other in Daily Life: The Case of Positive Reappraisal,Problem-Focused Coping,Appreciation and Rumination

Feelings of positive or negative affect are not restricted to temporary states. They can also determine future affective experiences, by influencing the building of an individual’s personal resources. The present study was designed to understand the daily fluctuations in positive and negative affect more fully. To this end, we examined the involvement of a variety of affect regulation strategies in these fluctuations. The affect regulation strategies we explored included positive reappraisal, problem-focused coping, appreciation and rumination. We adopted an experience sampling method, consisting of five daily assessments over a 2-week period. As expected, within a few hours of experiencing more positive affect, participants engaged in greater positive reappraisal, problem-focused coping and appreciation. In turn, greater use of each of these three strategies was followed by more intense experiences of positive affect. We observed analogous reciprocal influences between rumination and the experience of negative affect, within the same time interval. Changes in affective experience over several hours were also directly influenced by concurrent use of these strategies. More specifically, greater positive reappraisal, problem-focused coping and appreciation accelerated the rise in positive affect that follows low feelings of positive affect, and slowed the decline in positive affect that follows high feelings. Rumination had an analogous influence on change in negative affect. The clinical implications of these findings are discussed.     

原因调节与反应调节的情绪变化过程

采用生理心理实验法研究忽视、抑制、重视、宣泄等方式调节负情绪的情绪变化过程,发现忽视有效减弱了主观感受和表情行为,并引起R-R问期更大的增加;抑制不能减弱主观感受,并引起手指脉搏血容振幅更大的增幅;重视增强了主观感受;宣泄增强了主观感受,并相对地减弱了生理激活水平。研究表明原因调节可以更有效地调整负情绪主观感受,反应调节使负情绪成分变化出现“水压模型”式循环动力特点;情绪调节过程实现着情绪在心理适应中的促进(或阻碍)作用。     

The effects of emotion regulation strategies on positive and negative affect in early adolescents

Recent research suggests that impaired emotion regulation (ER) may play an important role in the development of youth psychopathology. However, little research has explored the effects of ER strategies on affect in early adolescents. In Study 1 (n?=?76), we examined if early adolescents are able to use distraction and whether the effects of this strategy are similar to talking to one’s mother. In Study 2 (n?=?184), we compared the effects of distraction, cognitive reappraisal, acceptance, and rumination. In both studies, participants received instructions on how to regulate their emotions after a standardised negative mood induction. In general, the results indicated that distraction, but also cognitive reappraisal and acceptance, had promising short-term effects on positive and negative affect in early adolescents. These findings suggest that targeting adaptive ER skills, such as distraction, acceptance, and cognitive reappraisal, may be an important strategy to prevent or treat psychological problems in early adolescents.     

Functional connectivity of reflective and brooding rumination in depressed and healthy women

Ruminative thinking is related to an increased risk for major depressive disorder (MDD) and perpetuates negative mood states. Rumination, uncontrollable negative thoughts about the self, may comprise both reflective and brooding components. However, only brooding rumination is consistently associated with increased negativity bias and negative coping styles, while reflective rumination has a less clear relationship with negative outcomes in healthy and depressed participants. The current study examined seed-to-voxel (S2.V) resting-state functional connectivity (FC) in a sample of healthy (HC) and depressed (MDD) adult women (HC: n=50, MDD: n=33). The S2V FC of six key brain regions, including the left and right amygdala, anterior and posterior cingulate cortex (ACC, PCC), and medial and dorsolateral prefrontal cortices (mPFC, dlPFC), was correlated with self-reported reflective and brooding rumination. Results indicate that HC and MDD participants had increased brooding rumination associated with decreased FC between the left amygdala and the right temporal pole. Moreover, reflective rumination was associated with distinct FC of the mPFC, PCC, and ACC with parietal, occipital, and cingulate regions. Depressed participants, compared with HC, exhibited decreased FC between the PCC and a region in the right middle frontal gyrus. The results of the current study add to the understanding of the neural underpinnings of different forms of self-related cognition—brooding and reflective rumination—in healthy and depressed women.     

The influence of rumination and defensiveness on negative affect in response to experimental stress

Previous experiments investigating the influence of rumination on negative affect have often manipulated the timing and content of rumination, which may be problematic as rumination is phenomenologically experienced as uncontrollable. In the present experiment, rumination was not manipulated, but measured as an individual tendency before the experiment. Furthermore, it was tested whether defensiveness would reduce the higher degree of negative affect often associated with rumination. Fifty-six participants completed questionnaires measuring rumination and defensiveness and participated in a phrase completion task, rating negative affect before and after the task. Correlational analyses showed that rumination was positively associated (p < 0.05) with affect responses (r range = 0.35-0.61), whereas defensiveness was negatively associated with affect responses (r range =-0.27-0.32). Four groups of high and low rumination and defensiveness scorers were created using median splits. An ANOVA showed that scoring high on defensiveness did not reduce the negative affect experienced by high ruminating participants.     

All in the mind's eye? Anger rumination and reappraisal

Research on rumination has demonstrated that compared with distraction, rumination intensifies and prolongs negative emotion. However, rumination and distraction differ both in what one thinks about and how one thinks about it. Do the negative outcomes of rumination result from how people think about negative events or simply that they think about them at all? To address this question, participants in 2 studies recalled a recent anger-provoking event and then thought about it in 1 of 2 ways: by ruminating or by reappraising. The authors examined the impact of these strategies on subsequent ratings of anger experience (Study 1) as well as on perseverative thinking and physiological responding over time (Study 2). Relative to reappraisal, rumination led to greater anger experience, more cognitive perseveration, and greater sympathetic nervous system activation. These findings provide compelling new evidence that how one thinks about an emotional event can shape the emotional response one has.     

The effects of worry and rumination on affect states and cognitive activity

The effects of worry and rumination on affective states and mentation type were examined in an unselected undergraduate sample in Study 1 and in a sample of individuals with high trait worry and rumination, high rumination, and low worry/rumination in Study 2. Participants engaged in worry and rumination inductions, counterbalanced in order across participants to assess main and interactive effects of these types of negative thinking. During mentation periods, the thought vs. imaginal nature and the temporal orientation of mentations were assessed 5 times. Following mentation periods, negative and positive affect, relaxation, anxiety, and depression were assessed. Both worry and rumination produced increases in negative affect and decreases in positive affect. Worry tended to generate greater anxiety, and rumination tended to generate greater depression. Interactive effects were also found indicating that worry may lessen the anxiety experienced during subsequent rumination. Moreover, worry lessened the depressing effects of rumination. Worry was associated with significantly greater thought than imagery, compared to rumination. Rumination involved a progression from mentation about the past to mentation about the future over time. Implications for understanding the generation of negative affect and comorbid anxiety and depression are discussed.     

国外反刍思维研究综述

反刍思维是一种反复关注自身消极情绪及相应事件的思维方式。解释反刍思维的理论有反应风格理论、目标驱动反刍理论、自我调节的执行功能模型。反刍思维与心理健康有密切关系,它的干预方法主要是心智觉知认知疗法、表达性笔记和认知再评价等。厘清反刍思维概念、完善研究方法、拓展研究范围、探讨文化差异是未来研究趋向。     

Disconnection, Depression, and Spirituality: A Study of the Role of Spirituality and Meaning in the Lives of Individuals with Severe Depression

This qualitative study explores the role of spirituality and meaning among 15 participants suffering from severe depression. During the time of this study, all the participants were in treatment at Loma Linda University Behavioral Medicine Center. The emerging themes are: (1) depression creates a sense of spiritual disconnection. Participants indicated feeling disconnected from God, the community, and oneself; (2) spirituality plays an important role in coping with the pain of depression; (3) there exists a deep yearning for a sense of meaning and a struggle to make sense of one’s pain; and (4) coming to terms with one’s circumstances and one’s depression at some level assists in the healing process.