The Welch Emotional Connection Screen: Adapting observational methods to pediatric primary care via resident training

The Welch Emotional Connection Screen (WECS) is a novel instrument that is a brief, practicable, evidenced-based observational screening tool for assessing relationship health between parent and child. The WECS requires observing 2−3 min of face-to-face interactions between parent and child, without toys, prompts, paradigms or technology. Here, we describe a translational project from the coding lab to the primary care provider via a residency training program conducted with 50 residents during a 30-day developmental and behavioral pediatrics medical resident education rotation. The aims of this study were to evaluate the efficacy of WECS pediatric resident training: 1) to improve residents' accuracy in recognizing the dyadic behaviors of emotional connection (EC) via WECS training; and 2) to improve residents' attitudes, self-efficacy, and perceived professional norms (ASPPN) pertaining to Early Relational Health in Pediatrics. Results indicate that using a rapid prototyping approach to training, residents improved in their identification of dyads showing low to midrange levels of emotional connection. As well, resident attitudes about the importance of relationship health in pediatrics and their self-efficacy in identifying emotional connection improved significantly after this brief resident training.     

Brief Report The coherence of emotion systems: Comparing “on‐line” measures of appraisal and facial expressions,and self‐report

Recently, investigators have challenged long‐standing assumptions that facial expressions of emotion follow specific emotion‐eliciting events and relate to other emotion‐specific responses. We address these challenges by comparing spontaneous facial expressions of anger, sadness, laughter, and smiling with concurrent, “on‐line” appraisal themes from narrative data, and by examining whether coherence between facial and appraisal components were associated with increased experience of emotion. Consistent with claims that emotion systems are loosely coupled, facial expressions of anger and sadness co‐occurred to a moderate degree with the expected appraisal themes, and when this happened, the experience of emotion was stronger. The results for the positive emotions were more complex, but lend credence to the hypothesis that laughter and smiling are distinct. Smiling co‐occurred with appraisals of pride, but never occurred with appraisals of anger. In contrast, laughter occurred more often with appraisals of anger, a finding consistent with recent evidence linking laughter to the dissociation or undoing of negative emotion.     

Distraction and reappraisal efficiency on immediate negative emotional responses: role of trait anxiety

Background and Objectives: Emotion regulation involves attempts to influence emotion unfolding and may target experiential, expressive and physiological responses. Several strategies can be used, such as reappraisal (re-evaluating the emotional situation to reduce its emotional meaning) or distraction (turning the attention toward non-emotional aspects of the situation). Previous research on these regulation strategies produced contrasting results regarding their efficiency and we hypothesize that this could be due to individual differences such as trait anxiety.

Design and Methods: Participants (N?=?77) were confronted with negative pictures and we examined the differential emotional reactivity according to trait anxiety, followed by a comparison of the efficiency of reappraisal and distraction in reducing emotional responses.

Results: Results show that trait anxiety has no impact on reactivity at the experiential and expressive levels, but has an impact at the physiological level, where high anxiety individuals show increased cardiac orienting effect, as well as higher skin conductance and respiratory rate. Regarding regulation, reappraisal and distraction successfully reduce emotional experience and expressivity, but not physiological arousal.

Conclusions: Such contrasting results involve that high trait anxiety individuals might benefit from the use of other kinds of strategies than reappraisal and distraction, some that may successfully target physiological responses.