Emotion Regulation Therapy: An Integrative Approach to Treatment-Resistant Anxiety Disorders

Cognitive-behavioral, psychodynamic, and experiential approaches have historically been characterized by differing definitions of emotions and beliefs concerning their role in psychopathological process and treatment. However, given recent advances in the basic psychological sciences of emotion and emotion regulation, theoretical orientations are converging on similar viewpoints as to the functional role of emotions in conceptualizing and treating of a variety of disorders. One such area where emotions and their regulation may play a significant role is in chronic, complex, and treatment-resistant forms of anxiety disorders such as generalized anxiety disorder (GAD). A review of the historical approaches to emotions in the major theoretical orientations is presented. Following this, a model of emotion disruption and dysregulation is presented as it relates to anxiety disorders and GAD, in particular. Finally, a new treatment for GAD, emotion regulation therapy, aimed at ameliorating dysfunctional affective processes, is described.     

Athletes’ ease of imaging predicts their imagery and observational learning use

Objectives

Following the development of the Sport Imagery Ability Questionnaire (SIAQ; Williams & Cumming, 2011), the aim of the present two studies was to more comprehensively examine the relationship between sport-related imagery ability and the functions of imagery and observational learning (OL) athletes report. A second aim was to establish the SIAQ’s predictive validity.

Design

Two samples of cross-sectional questionnaire data are presented in two studies.

Method

For both studies, athletes were recruited from a variety of team and individual sports, ranging in competitive level and years of experience. In Study 1, 117 participants (41 male and 76 female) with a mean age of 24.38 (SD = 9.46) completed the SIAQ and the Sport Imagery Questionnaire (SIQ; Hall, Mack, Paivio, & Hausenblas, 1998). In Study 2, 221 participants (83 male and 138 female) with a mean age of 22.34 (SD = 7.66) completed the SIAQ and the Functions of Observational Learning Questionnaire (FOLQ; Cumming, Clark, Ste-Marie, McCullagh, & Hall, 2005).

Results

Athletes’ imagery ability significantly predicted their imagery and OL use. Moreover, with the exception of performance OL, predictions were stronger when the type of imagery ability closely matched the function of imagery or OL being predicted.

Conclusions

As well as demonstrating the predictive validity of the SIAQ, results from both studies support the need to use imagery ability measures that most closely match the type of imagery or OL being used.     

Biological and psychological predictors of heart rate patterns during physical activity

ObjectiveLatent class modeling (LCM) offers a promising approach for examining correlates of heart rate (HR) patterns over multiple exercise sessions. This research examined biological and psychological variables associated with different patterns of HR response to physical activity (PA).MethodsIn a three-arm randomized controlled trial (exercise video games vs. standard exercise vs. non-exercise control), HR was recorded during PA sessions over a 12-week period. LCM identified three patterns of HR during PA across 189 participants in active arms: 1) high HR across sessions with low variability within sessions, 2) linear increase in HR across sessions with low variability within sessions, and 3) high variability in HR across all sessions. Associations with biological (resting heart rate, blood pressure, BMI, age, cholesterol, triglycerides, HbA1c) and psychological (depression, motivations for PA, PA-induced feelings) predictors of latent class membership were iteratively tested.ResultsPsychological variables played as important a role in the final model as biological variables for predicting latent class membership. Few differences were found between LC1 and LC2, but LC3 differed from the other two groups in that participants were likelier to report that they feel revitalized after PA (vs. LC1 and LC2), to be less motivated for PA (vs. LC1), reported greater depression (vs. LC1 and LC2), and were younger (vs. LC1).ConclusionsThese findings demonstrate the potential of LCM to identify biological and psychological factors associated with chronotropic responses to PA, and advance understanding of the role of psychological factors in chronotropic PA outcomes.     

Experience and appraisal of worry among high worriers with and without generalized anxiety disorder

Recent research has revealed that a large number of highly worried individuals do not qualify for a diagnosis of generalized anxiety disorder (GAD). This raises the intriguing question of why some high worriers are more impaired and distressed by their worrying than others, particularly when the severity of their worry is the same. The present investigation sought to address this question by examining whether GAD and non-GAD high worriers differ in their actual worry experiences, their subjective appraisals of worry experiences, or both experiences and appraisals of worry. GAD and non-GAD worriers, selected for matching levels of trait worry severity, completed an attention-focus task with thought sampling before and after a brief worry induction. They also completed questionnaires assessing their experiences during and after the worry induction, as well as their general beliefs about worry. GAD worriers experienced less control over negative intrusive thoughts immediately after worrying, reported greater somatic hyperarousal following worry, and endorsed several negative beliefs about worry more strongly than their worry-matched controls. Results suggest that GAD is associated with unique experiences and appraisals that distinguish it from other forms of severe worry.     

The structural relationships among generalized anxiety, obsessions-compulsions, and depression at the syndrome and sub-syndrome level

This study explored anxiety's relationship to depression by assessing a group of 592 undergraduate psychology students at Washington State University. Multiple measures of generalized anxiety (GA), obsessions–compulsions (O–C), and depression were used to conduct several confirmatory factor analyses (CFAs). A three-factor model of GA, O–C, and depression was found superior in fit to a one-factor “negative-affect” model, a two-factor model of anxiety and depression, and a second-order three-factor model. Further CFAs divided GA, O–C, and depression into six independent symptom category factors utilizing instrument subscales (e.g., worry, somatic anxiety, obsessions, compulsions, cognitive depression, and somatic depression). The fit for this model was superior to three alternative measurement models. The correlations among the six symptom category constructs revealed differential patterns among the cognitive and somatic symptoms.     

Understanding the impact of heterogeneous rider preferences on a shared autonomous vehicle system

In a ride pooling system, riders may have varied behaviors in seeking pooled or non-pooled rides. It is important to understand the effect of these rider behaviors on the system performance in order to formulate policies to guide ride pooling implementation. Existing literature modeling ride pooling systems using agent-based models only considers the extreme cases in which riders either all participate or not participate in pooling. However, the pooling behaviors could be more complex. This study segments the rides in the system into five types (non-pooling only, non-pooling preferred, indifferent, pooling preferred, and pooling only). We use an agent-based model to simulate these preferences in a system of pooled autonomous vehicles. We use mixture experiments to vary the proportion of riders within these five types and build models to study the interactions among the rider types in terms of the system’s service quality and environmental performance. The results show that higher service level is achieved when all riders in the system are open to pooling, with 30% of pooling only riders and 70% of pooling preferred or indifferent riders providing the maximum value. The results can help formulate incentives and policies to promote ride pooling participation to improve ride pooling system performance.     

结构方程模式的发展与应用

结构方程模式(Structural Equation Modeling, SEM)在教育、心理研究中得到非常广泛的应用,但目前还有一些理论和技术上的问题有待于澄清。尤其在国内,许多研究者对这种统计方法不十分了解,因此导致了对该程序的误用以及对结果的错误解释。为此,文章首先对SEM的设计和估计方面的一些问题加以讨论;其次指出SEM在近期的一些发展以及在某些方面的最新应用;最后文章还对SEM的局限性进行了简要评述。     

The contributory role of worry in emotion generation and dysregulation in generalized anxiety disorder

The role of worry in generalized anxiety disorder (GAD) has been posited to serve as an avoidance of emotional experience, and emotion regulation deficits in GAD have been found in several previous studies. It remains unclear whether those with GAD experience more dysregulated emotions during periods of euthymia and positive affect or whether these deficits occur only during periods of worry. Individuals with GAD (with and without co-occurring dysphoria) and non-anxious controls were randomly assigned to receive a worry, neutral, or relaxation induction. Following the induction, all participants viewed a film clip documented to elicit sadness. Intensity of emotions and emotion regulation were examined following the induction period and film clip. The results revealed that, regardless of co-occurring dysphoria, individuals with GAD in the worry condition experienced more intense depressed affect than GAD participants in the other conditions and controls participants. In contrast, presence of worry appeared to have less impact on indices of emotion dysregulation, which were greater in participants with GAD compared to controls, but largely insensitive to contextual effects of worry or of relaxation. Following film viewing, both GAD participants with and without dysphoria displayed poorer understanding, acceptance, and management of emotions than did controls. However, acceptance and management deficits were most pronounced in individuals with both GAD and co-occurring dysphoria. Implications for the role of emotions in conceptualization and treatment of GAD are discussed.     

The impact of object weight,reach distance,discomfort and muscle activation on the location of preferred critical boundary during a seated reaching task

Successful performance of a goal-directed action requires the prospective actor to perceive the environment relative to their action capabilities and tailor their movements accordingly. The current study examined the roles of reach distance, object (power drill) weight, gender, discomfort, and muscle activation (anterior deltoid, upper trapezius, biceps, ventral and dorsal forearm) in determining the location of the transition between an arm-only and an arm-and-torso reach (preferred critical boundary) during a seated reach task in which participants had to direct a power drill toward a target. Generalized Estimating Equations (GEE) used extrinsic (independent of the participant) and intrinsic measures (relative to the biodynamic properties of the participant) of reach distance and drill weight, discomfort judgments, and EMG integral recordings for the five muscles to identify factors that best predicted the type of reach used. GEE revealed that intrinsic measures of reach distance and drill weight were superior predictors compared to extrinsic measures. Discomfort judgment and upper trapezius activity were also significant predictors of the location of the preferred critical boundary.