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1.
Adolesc Res Rev ; 9(1): 33-51, 2024.
Article in English | MEDLINE | ID: mdl-38410118

ABSTRACT

Emotion regulation is a powerful predictor of youth mental health and a crucial ingredient of interventions. A growing body of evidence indicates that the beliefs individuals hold about the extent to which emotions are controllable (emotion controllability beliefs) influence both the degree and the ways in which they regulate emotions. A systematic review was conducted that investigated the associations between emotion controllability beliefs and youth anxiety and depression symptoms. The search identified 21 peer-reviewed publications that met the inclusion criteria. Believing that emotions are relatively controllable was associated with fewer anxiety and depression symptoms, in part because these beliefs were associated with more frequent use of adaptive emotion regulation strategies. These findings support theoretical models linking emotion controllability beliefs with anxiety and depression symptoms via emotion regulation strategies that target emotional experience, like reappraisal. Taken together, the review findings demonstrate that emotion controllability beliefs matter for youth mental health. Understanding emotion controllability beliefs is of prime importance for basic science and practice, as it will advance understanding of mental health and provide additional targets for managing symptoms of anxiety and depression in young people.

3.
Psychol Aging ; 38(7): 644-655, 2023 Nov.
Article in English | MEDLINE | ID: mdl-37616073

ABSTRACT

Although the objective conditions of people's lives are fairly stable from day to day, daily life can feel like an emotional rollercoaster. For some people, life satisfaction hitches a ride on the emotional rollercoaster (i.e., momentary emotions spill over into broader evaluations of life). The extent to which positive and negative emotions spill over into life satisfaction is referred to as positive and negative emotion globalizing. Initial evidence suggests that emotion globalizing varies between individuals and is linked to a maladaptive psychological profile. Integrating a lifespan perspective, this is the first study to identify and describe age differences in emotion globalizing using data from two adult community samples (Study 1: N = 133 women, age range = 23-78; Study 2: N = 137, age range = 18-95). Further, we tested key boundary conditions of emotion globalizing by examining two types of emotions (i.e., current or after most stressful event of the day) and two types of satisfaction (i.e., overall life satisfaction [life satisfaction] or current day satisfaction [day satisfaction]). Specifically, we investigated how younger and older adults differed in the associations of current emotions with life satisfaction (i.e., emotion globalizing; Study 1), stressor-related emotions with life satisfaction (i.e., stressor-related emotion globalizing; Study 1), and stressor-related emotions with day satisfaction (Study 2). Results revealed that older (compared to younger) adults exhibited less negative (but not positive) emotion globalizing and stressor-related emotion globalizing. We found no age differences in the association between stressor-related emotions and day satisfaction. These findings extend insights into emotion globalizing and inform theories of emotional aging. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Subject(s)
Aging , Emotions , Humans , Female , Aged , Aged, 80 and over , Aging/psychology , Personal Satisfaction , Longevity
4.
Emotion ; 23(7): 1876-1890, 2023 Oct.
Article in English | MEDLINE | ID: mdl-36913276

ABSTRACT

People differ in their initial emotional responses to events, and we are beginning to understand these responses and their pervasive implications for psychological health. However, people also differ in how they think about and react to their initial emotions (i.e., emotion judgments). In turn, how people judge their emotions-as predominantly positive or negative-may have crucial implications for psychological health. Across five MTurk and undergraduate samples collected between 2017 and 2022 (total N = 1,647), we investigated the nature of habitual emotion judgments (Aim 1) and their associations with psychological health (Aim 2). In Aim 1, we found four distinct habitual emotion judgments that differ according to the valence of the judgment (positive or negative) and the valence of the emotion being judged (positive or negative). Individual differences in habitual emotion judgments were moderately stable across time and were associated with, but not redundant with, conceptually related constructs (e.g., affect valuation, emotion preferences, stress mindsets, meta-emotions) and broader traits (i.e., extraversion, neuroticism, trait emotions). In Aim 2, positive judgments of positive emotions were uniquely associated with better psychological health and negative judgments of negative emotions were uniquely associated with worse psychological health concurrently and prospectively, above and beyond the other types of emotion judgments, and above and beyond conceptually related constructs and broader traits. This research gives insight into how people judge their emotions, how these judgments relate to other emotion-related constructs, and their implications for psychological health. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Subject(s)
Emotions , Individuality , Humans , Emotions/physiology , Mental Health , Judgment , Neuroticism
5.
J Pers ; 91(2): 314-331, 2023 04.
Article in English | MEDLINE | ID: mdl-35451110

ABSTRACT

OBJECTIVE: People differ in how they regulate their emotions, and how they do so is guided by their beliefs about emotion. We propose that social power-one's perceived influence over others-relates to one's beliefs about emotion and to emotion regulation. More powerful people are characterized as authentic and uninhibited, which should translate to the belief that one should not have to control one's emotions and, in turn, less suppression and more acceptance. More powerful people are also characterized as self-efficacious and confident, which should translate to the belief that one can control one's emotions and, in turn, more reappraisal and acceptance. METHOD: Two preregistered studies using four samples (Ntotal  = 1286) tested these hypotheses using cross-sectional and longitudinal surveys as well as diaries. RESULTS: In Study 1, power related to beliefs about emotion and emotion regulation in hypothesized ways. Study 2 also largely supported the hypotheses: The belief that one should not have to control one's emotions accounted for the links between power and suppression and acceptance, whereas the belief that one can control one's emotions accounted for the link between power and reappraisal. CONCLUSION: Power and emotion regulation are interconnected, in part because of their links with beliefs about emotions.


Subject(s)
Emotional Regulation , Humans , Individuality , Cross-Sectional Studies , Emotions/physiology , Self Efficacy
6.
Annu Rev Psychol ; 74: 547-576, 2023 01 18.
Article in English | MEDLINE | ID: mdl-36103999

ABSTRACT

Exposure to adversity (e.g., poverty, bereavement) is a robust predictor of disruptions in psychological functioning. However, people vary greatly in their responses to adversity; some experience severe long-term disruptions, others experience minimal disruptions or even improvements. We refer to the latter outcomes-faring better than expected given adversity-as psychological resilience. Understanding what processes explain resilience has critical theoretical and practical implications. Yet, psychology's understanding of resilience is incomplete, for two reasons: (a) We lack conceptual clarity, and (b) two major approaches to resilience-the stress and coping approach and the emotion and emotion-regulation approach-have limitations and are relatively isolated from one another. To address these two obstacles,we first discuss conceptual questions about resilience. Next, we offer an integrative affect-regulation framework that capitalizes on complementary strengths of both approaches. This framework advances our understanding of resilience by integrating existing findings, highlighting gaps in knowledge, and guiding future research.


Subject(s)
Emotional Regulation , Resilience, Psychological , Humans , Adaptation, Psychological , Emotions , Poverty , Stress, Psychological
7.
Emotion ; 23(2): 595-599, 2023 Mar.
Article in English | MEDLINE | ID: mdl-35939603

ABSTRACT

Temporal distancing (TD) is a promising yet understudied emotion regulation strategy that involves reflecting on how one will feel much later in the future. Although limited, the available evidence suggests that TD is a beneficial way to appraise negative events. Experimental studies have demonstrated causality: Situational use of TD (e.g., when thinking about a negative event) confers short-term emotional benefits in the laboratory. In addition, correlational studies show that habitual use predicts better long-term well-being. However, several open questions remain. First, we do not fully understand associations between habitual TD and emotions in daily life. Second, we do not fully understand daily TD, either on average across days or fluctuating within person. We conducted an 8-day diary study to test associations between TD and emotional responses to daily stressful events for three distinct measures at two levels of analysis: habitual TD assessed with a survey, average daily TD across days, and within-person fluctuations in TD across days (N = 155 participants, 837 observations). TD was associated with lower negative emotion at the within-person level and with greater positive emotion at both levels. Overall, these findings suggest that TD-on average and fluctuating within person-is associated with a beneficial pattern of daily emotional experiences, which may support overall well-being. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Subject(s)
Emotional Regulation , Emotions , Humans , Emotions/physiology , Surveys and Questionnaires , Data Management
8.
Int J Psychophysiol ; 178: 60-70, 2022 08.
Article in English | MEDLINE | ID: mdl-35667442

ABSTRACT

Suppression (i.e., inhibiting one's emotional expression) has typically been associated with social and physiological costs. However, recent theorizing calls into question the inevitability of these costs. The present study takes a more nuanced approach and examines the social and physiological correlates of spontaneous (i.e., uninstructed) suppression when considering two potentially critical factors: the valence of the suppressed emotions (i.e., negative vs. positive) and the valence of the emotional context in which emotions are suppressed (i.e., negative conversation vs. positive conversation). Specifically, dating couples (N = 196 couples) completed both a negatively-valenced and a positively-valenced conversation in the laboratory while their autonomic-physiological responses were recorded. After each conversation, participants rated 1) the extent to which they had suppressed their negative and positive emotions, 2) the quality of the conversation, and 3) how connected they felt with their partner. We used Actor-Partner Interdependence Models to estimate actor effects (e.g., association of one's own suppression and one's own connectedness) and partner effects (e.g., association of one's partner's suppression and one's own connectedness). Suppression was associated with lower conversation quality and connectedness for the actors but largely not for the partners, regardless of the valence of the suppressed emotions and of the context, even when adjusting for felt emotion. Additionally, suppression was consistently not associated with physiological responses of actors or partners. Together, these findings suggest that, during emotional conversations with one's romantic partner, spontaneous (unlike instructed) suppression is associated with social but not physiological costs for the self but not one's partner.


Subject(s)
Interpersonal Relations , Sexual Partners , Communication , Emotions , Humans , Sexual Partners/psychology
9.
Article in English | MEDLINE | ID: mdl-35201795

ABSTRACT

OBJECTIVE: Perceived racial discrimination has been associated with elevated anxiety symptoms. Less is known about the mental health implications of another race-related stressor, model minority stereotyping, which is a salient experience for Chinese-heritage youth. In addition, despite theoretical considerations and indirect empirical evidence suggesting that greater autonomic nervous system (ANS) reactivity may index sensitivity to race-related stressors, ANS reactivity has not been examined as a moderator of links between race-related stressors and mental health. The present study investigated cross-sectional associations between self-reports of two salient race-related stressors (perceived discrimination and model minority stereotyping) and anxiety symptoms in Chinese-heritage youth, as well as whether ANS reactivity moderates these relationships. METHOD: Chinese-heritage U.S. college students (N = 198, 55.6% female, 18-25 years, Mage = 20.0 years) self-reported experiences with race-related stressors. ANS reactivity (respiratory sinus arrhythmia [RSA] and pre-ejection period [PEP]) to a video depicting discrimination was collected on a subsample of participants (N = 103). RESULTS: Although both race-related stressors were positively correlated with anxiety symptoms, only perceived discrimination was uniquely associated with anxiety symptoms. Further, RSA (but not PEP) reactivity moderated the relationship between perceived discrimination and anxiety symptoms, such that associations were stronger for participants with greater RSA withdrawal. CONCLUSIONS: Our results replicate findings on the discrimination-anxiety link in Chinese-heritage college students, and show that model minority stereotyping is correlated with greater anxiety symptoms. Findings suggest that individuals with heightened RSA reactivity may be especially vulnerable to the adverse effect of discrimination. These findings have implications for mental health services for Chinese-heritage U.S. college students. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

10.
Emotion ; 22(1): 129-141, 2022 Feb.
Article in English | MEDLINE | ID: mdl-35007117

ABSTRACT

Reappraisal (reconstruing emotional experiences to alter their impact) and suppression (inhibiting emotionally expressive behavior) are emotion-regulation strategies with important implications for depression. While reappraisal generally predicts lower depressive symptoms, suppression generally predicts higher depressive symptoms. Because cultural factors can influence the processes involved in these links and because adolescence-especially for ethnic minority youth-brings particular emotional challenges, it's critical to investigate these links among Mexican-origin adolescents. However, research examining emotion regulation among Mexican-origin individuals is scarce and generally limited to cross-sectional designs. Thus, we examined prospective associations between reappraisal and suppression (assessed at age 17) and 2 facets of depressive symptoms (anhedonia and general distress) over 3 years (assessed at ages 16, 18, and 19) among 228 Mexican-origin adolescents. Latent growth curve models indicated that reappraisal was associated with lower anhedonia at baseline (age 16) and lower anhedonia over time, whereas suppression predicted greater anhedonia at baseline but not change over time. Consistent with the Mexican cultural value of simpatía, which emphasizes expressing positive emotions and inhibiting negative emotions, suppression of positive emotions was associated with greater anhedonia over time whereas suppression of negative emotions was associated with lower anhedonia over time. However, neither associated with anhedonia at baseline. Reappraisal and suppression were not associated with distress symptoms, and no effects were moderated by familism, household income, gender, or child nativity. The anhedonia results suggest that the benefits of reappraisal extend to Mexican-origin adolescents, but the effects of suppression may depend upon emotional valence in this group. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Depression , Emotional Regulation , Adolescent , Cross-Sectional Studies , Emotions , Ethnicity , Humans , Minority Groups
11.
Int J Behav Med ; 29(4): 494-505, 2022 Aug.
Article in English | MEDLINE | ID: mdl-34661859

ABSTRACT

BACKGROUND: The current study (1) examined links between daily stressors and inflammation and (2) tested whether negative emotion dynamics (emotional variability) is one pathway through which stressors are linked to inflammation. METHOD: A cross-sectional sample of 986 adults (aged 35-86 years, 57% female) from MIDUS reported daily stressor frequency and severity and negative emotions on 8 consecutive nights. Negative emotion variability (intraindividual standard deviation), controlling for overall mean level (intraindividual mean), was the focus of the current study. Interleukin-6 (IL-6) and C-reactive protein (CRP) were assayed from blood drawn at a clinic visit. Regression models adjusted for demographics, health factors, and the time between assessments. RESULTS: More severe daily stressors were associated with higher CRP, but this effect was accounted for by covariates. More frequent daily stressors were associated with lower IL-6 and CRP. In follow-up analyses, significant interactions between stressor severity and frequency suggested that participants with lower stressor severity and higher stressor frequency had the lowest levels of IL-6 and CRP, whereas those with higher stressor severity had the highest levels of IL-6 and CRP, regardless of frequency. Daily stressor frequency and severity were positively associated with negative emotion variability, but variability was not linearly associated with inflammation and did not operate as a mediator. CONCLUSION: Among midlife and older adults, daily stressor frequency and severity may interact and synergistically associate with inflammatory markers, potentially due to these adults being advantaged in other ways related to lower inflammation, or in a pattern aligning with hormetic stress, where frequent but manageable stressors may yield physiological benefits, or both. Negative emotion variability does not operate as a mediator. Additional work is needed to reliably measure and test other emotion dynamic metrics that may contribute to inflammation.


Subject(s)
Emotions , Inflammation , Stress, Psychological , C-Reactive Protein/metabolism , Cross-Sectional Studies , Female , Humans , Inflammation/metabolism , Interleukin-6 , Male , Stress, Psychological/psychology
12.
Biol Psychol ; 161: 108079, 2021 04.
Article in English | MEDLINE | ID: mdl-33727107

ABSTRACT

How do people come to know others' feelings? One idea is that affective processes (e.g., physiological responses) play an important role, leading to the prediction that linkage between one's physiological responses and others' emotions relates to one's ability to know how others feel (i.e., empathic accuracy). Participants (N = 96, 48 female friend pairs) completed a stressful speech task and then provided continuous ratings of their own (as "targets") and their friend's (as "perceivers") emotional experience for the video-taped speeches. We measured physiology-physiology linkage (linkage between perceivers' and targets' physiology), physiology-experience linkage (linkage between perceivers' physiology and targets' experience), and empathic accuracy (linkage between perceivers' ratings of targets' experience and targets' ratings of their experience). Physiology-experience (but not physiology-physiology) linkage was associated with greater empathic accuracy even when controlling for key potential confounds (random linkage, targets' and perceivers' emotional reactivity, and relationship closeness). Results suggest that physiological responses play a role in empathic accuracy.


Subject(s)
Empathy , Friends , Emotions , Female , Humans
13.
Emotion ; 20(1): 75-79, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31961182

ABSTRACT

Clinical science has benefited tremendously from taking seriously the proposition that putatively maladaptive behaviors serve psychological functions, prominently among these affect regulation (AR). These functionalist accounts have not only advanced basic clinical science, but also formed the bedrock for the development of effective treatments. Drawing heavily on reinforcement learning theory, we aim to elucidate functional relationships between maladaptive behavior and AR. Specifically, we take the view that maladaptive behaviors are frequently motivated and reinforced by hedonic AR functions (i.e., decreasing negative affect and increasing positive affect) but are also susceptible to becoming stimulus-bound habits. We review empirical evidence related to one such behavior, nonsuicidal self-injury. We close with a brief reflection on future directions. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Reinforcement, Psychology , Affect , Emotional Regulation , Humans
14.
Biol Psychol ; 151: 107845, 2020 03.
Article in English | MEDLINE | ID: mdl-31958549

ABSTRACT

Emotions involve response synchronization across experiential, physiological, and behavioral systems, referred to as concordance or coherence. Women are thought to be more emotionally aware and expressive than men and may therefore display stronger response concordance; however, research on this topic is scant. Using a random-order film-average design, we assessed concordance among experiential (arousal, valence), autonomic (electrodermal activity, heart rate, preejection period, respiratory sinus arrhythmia), respiratory (respiratory rate), and behavioral (corrugator and zygomatic electromyography) responses to 15 two-minute films varying in valence and arousal. We then calculated for each participant and pair of measures a within-subject correlation index using averages from the 15 films. Pronounced individual concordance of up to 0.9 was observed. Arousal-physiology and valence-behavior concordances were particularly pronounced. Women displayed higher concordance than men for almost all pairs of measures. Findings indicate stronger psychophysiological response coupling in women than men and provide novel insights into affective differences between the sexes.


Subject(s)
Adaptation, Psychological/physiology , Arousal/physiology , Emotions/physiology , Sex Factors , Adult , Autonomic Nervous System/physiology , Electromyography , Female , Heart Rate/physiology , Humans , Male , Motion Pictures , Photic Stimulation , Psychophysiology , Respiratory Sinus Arrhythmia
15.
Emotion ; 20(5): 818-829, 2020 Aug.
Article in English | MEDLINE | ID: mdl-30869944

ABSTRACT

Emotion theorists have characterized emotions as involving coherent responding across various emotion response systems (e.g., covariation of subjective experience and physiology). Greater response system coherence has been theorized to promote well-being, yet very little research has tested this assumption. The current study examined whether individuals with greater coherence between physiology and subjective experience of emotion report greater well-being. We also examined factors that may predict the magnitude of coherence, such as emotion intensity, cognitive reappraisal, and expressive suppression. Participants (N = 63) completed self-report measures of well-being, expressive suppression, and cognitive reappraisal. They then watched a series of emotionally evocative film clips designed to elicit positive and negative emotion. During the films, participants continuously rated their emotional experience using a rating dial, and their autonomic physiological responses were recorded. Time-lagged cross-correlations were used to calculate within-participant coherence between intensity of emotional experience (ranging from neutral to very negative or very positive) and physiology (composite of cardiac interbeat interval, skin conductance, ear pulse transit time, finger pulse transit time and amplitude, systolic and diastolic blood pressure). Results indicated that individuals with greater coherence reported greater well-being. Coherence was highest during the most emotionally intense film and among individuals who reported lower expressive suppression. However, coherence was not associated with reappraisal. These findings provide support for the idea that greater emotion coherence promotes well-being and also shed light on factors that are associated with the magnitude of coherence. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Emotions/physiology , Adolescent , Adult , Female , Humans , Male , Self Report , Young Adult
16.
J Pers ; 88(2): 174-184, 2020 04.
Article in English | MEDLINE | ID: mdl-30927441

ABSTRACT

OBJECTIVE: The present research aimed to better understand deficits in emotion differentiation that accompany depressive symptoms. Depressive symptoms have been associated with more undifferentiated negative emotion experiences-experiencing multiple negative emotions simultaneously. We extend previous research by asking: (a) Are depressive symptoms and negative and positive emotion differentiation related above and beyond emotion intensity? (b) Are deficits in negative emotion differentiation specific to distinct categories of negative emotions (sadness, guilt, anger, and anxiety)? and (c) Do age or gender predict emotion differentiation or its associations with depressive symptoms? METHOD: In 220 community participants (59% female; 21-60 years), we assessed depressive symptoms using surveys and emotion differentiation using daily diary emotion ratings in response to daily stressful events. RESULTS: Greater depressive symptoms were associated with lower negative, but not positive, emotion differentiation, above and beyond emotion intensity. Depressive symptoms were specifically related to lower differentiation among sadness-related emotions, and this sadness-specific deficit accounted for the deficit in negative emotion differentiation. Age and gender did not predict or moderate associations with emotion differentiation. CONCLUSION: Depressive symptoms are associated with undifferentiated negative emotions above and beyond emotion intensity, and this association appears to be driven by undifferentiated sadness-related emotions, across gender and age.


Subject(s)
Depression/physiopathology , Emotions/physiology , Stress, Psychological/physiopathology , Adult , Age Factors , Female , Humans , Male , Middle Aged , Sex Factors , Young Adult
17.
J Pers Soc Psychol ; 119(1): 229-248, 2020 Jul.
Article in English | MEDLINE | ID: mdl-31478706

ABSTRACT

Daily life is full of emotional ups and downs. In contrast, the objective conditions of our lives usually remain relatively stable from day to day. The degree to which emotional ups and downs influence life satisfaction-which prima facie should be relatively stable-remains a puzzle. In the present article, we propose the Individual Differences in Evaluating Life Satisfaction (IDELS) model to address this puzzle. The IDELS model posits that people differ in the processes by which they evaluate their life satisfaction: Some people's life satisfaction is more strongly associated with their current emotions (i.e., "emotion globalizing") whereas other people maintain a filter between their life satisfaction and current emotions. These individual differences should have important implications for the degree of short-term variability in life satisfaction and, in turn, for psychological health. In 3 diverse samples of women (total N = 536), we assessed life satisfaction and emotions daily or multiple times per day for 2 weeks. We tested 4 hypotheses derived from the IDELS model. First, participants differed substantially in the degree of short-term variability in life satisfaction, and these individual differences were moderately stable. Second, participants differed substantially in emotion globalizing, and these individual differences were moderately stable. Third, higher emotion globalizing predicted greater short-term variability in life satisfaction. Fourth, greater short-term variability in life satisfaction was associated with a maladaptive profile of greater neuroticism and worse psychological health. We discuss implications for life satisfaction theory and measurement. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Emotions , Individuality , Neuroticism , Personal Satisfaction , Adult , Female , Humans , Models, Psychological
18.
J Pers Soc Psychol ; 117(5): 998-1015, 2019 Nov.
Article in English | MEDLINE | ID: mdl-29952576

ABSTRACT

Political action (volunteering, protesting) is central to functioning democracies, and action is often motivated by negative emotion. However, theories of emotion regulation suggest that people often strive to decrease such negative emotions. Thus, effective emotion regulation (e.g., reappraisal)-while helping people feel better-could have the unintended consequence of hindering political action. We tested this hypothesis in Clinton voters after the 2016 U.S. election (Ntotal = 1552). Studies 1a (conducted November 2016) and 1b (conducted November 2016, with a follow-up in January 2017) assessed individuals' recent use of reappraisal in managing emotions evoked by the election. Studies 2a and 2b (conducted March 2017) exposed individuals to Trump-focused news footage and assessed individuals' reappraisal during the clip and subsequent emotional responses. Studies 3a and 3b (conducted June 2017) experimentally manipulated reappraisal and measured subsequent emotional responses to Trump-focused news footage. Each study assessed recent or intended political action. In Studies 1a and 1b, we found that reappraisal predicted lower political action; in Studies 2a and 2b we observed an indirect effect such that reappraisal predicted lower negative emotion which in turn accounted for lower intentions to engage in political action; and Studies 3a and 3b provided experimental evidence for this indirect effect. These results suggest that effective emotion regulation like reappraisal may be beneficial in the short-run by helping restore emotional well-being after upsetting political events but may also be costly in the long-run by reducing the potential for productive political action. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Subject(s)
Emotional Regulation , Emotions , Politics , Adult , Emotions/physiology , Female , Humans , Male , Motivation , United States
19.
Behav Ther ; 49(5): 836-849, 2018 09.
Article in English | MEDLINE | ID: mdl-30146148

ABSTRACT

We conducted a 26-month follow-up of a previously reported 12-month study that compared mindfulness-based cognitive therapy (MBCT) to a rigorous active control condition (ACC) for depressive relapse/recurrence prevention and improvements in depressive symptoms and life satisfaction. Participants in remission from major depression were randomized to an 8-week MBCT group (n = 46) or the ACC (n = 46). Outcomes were assessed at baseline; postintervention; and 6, 12, and 26 months. Intention-to-treat analyses indicated no differences between groups for any outcome over the 26-month follow-up. Time to relapse results (MBCT vs. ACC) indicated a hazard ratio = .82, 95% CI [.34, 1.99]. Relapse rates were 47.8% for MBCT and 50.0% for ACC. Piecewise analyses indicated that steeper declines in depressive symptoms in the MBCT vs. the ACC group from postintervention to 12 months were not maintained after 12 months. Both groups experienced a marginally significant rebound of depressive symptoms after 12 months but were still improved at 26 months compared to baseline (b = -4.12, p <= .008). Results for life satisfaction were similar. In sum, over a 26-month follow-up, MBCT was no more effective for preventing depression relapse/recurrence, reducing depressive symptoms, or improving life satisfaction than a rigorous ACC. Based on epidemiological data and evidence from prior depression prevention trials, we discuss the possibility that both MBCT and ACC confer equal therapeutic benefit. Future studies that include treatment as usual (TAU) control conditions are needed to confirm this possibility and to rule out the potential role of time-related effects. Overall findings underscore the importance of comparing MBCT to TAU as well as to ACCs.


Subject(s)
Cognitive Behavioral Therapy/methods , Depressive Disorder, Major/psychology , Depressive Disorder, Major/therapy , Mindfulness/methods , Secondary Prevention/methods , Adult , Chronic Disease , Cognitive Behavioral Therapy/trends , Depressive Disorder, Major/diagnosis , Female , Follow-Up Studies , Humans , Male , Middle Aged , Mindfulness/trends , Psychotherapy, Group , Recurrence , Secondary Prevention/trends , Time Factors , Treatment Outcome , Young Adult
20.
J Exp Psychol Gen ; 147(8): 1170-1190, 2018 08.
Article in English | MEDLINE | ID: mdl-29620380

ABSTRACT

As humans, we have a unique capacity to reflect on our experiences, including emotions. Over time, we develop beliefs about the nature of emotions, and these beliefs are consequential, guiding how we respond to emotions and how we feel as a consequence. One fundamental belief concerns the controllability of emotions: Believing emotions are uncontrollable (entity beliefs) should reduce the likelihood of trying to control emotional experiences using effective regulation strategies like reappraisal; this, in turn, could negatively affect core indices of psychological health, including depressive symptoms. This model holds particular relevance during youth, when emotion-related beliefs first develop and stabilize and when maladaptive beliefs could contribute to emerging risk for depression. In the present investigation, a pilot diary study (N = 223, aged 21-60) demonstrated that entity beliefs were associated with using reappraisal less in everyday life, even when controlling for possible confounds (i.e., self-efficacy, pessimism, stress exposure, stress reactivity). Then, two studies examined whether entity beliefs and associated impairments in reappraisal may set youths on a maladaptive trajectory: In a cross-sectional study (N = 136, aged 14-18), youths with stronger entity beliefs experienced greater depressive symptoms, and this link was mediated by lower reappraisal. This pattern was replicated and extended in a longitudinal study (N = 227, aged 10-18), wherein youth- and parent-reported depressive symptoms were assessed 18 months after assessing beliefs. These results suggest that entity beliefs about emotion constitute a risk factor for depression that acts via reappraisal, adding to the growing literature on emotion beliefs and their consequences for self-regulation and health. (PsycINFO Database Record


Subject(s)
Depression/psychology , Emotions/physiology , Self Efficacy , Adolescent , Child , Cross-Sectional Studies , Female , Humans , Longitudinal Studies , Male , Mental Health
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