Effect of obesity on mood regulation and eating attitudes in mental disorders.

OBJECTIVE: The precise relationship between obesity and eating habits, attitudes, and emotion regulation is still ambiguous. The purpose of this study was to investigate possible correlations among body mass index, challenges related to managing emotions, and attitudes toward eating among adult participants with known psychiatric diagnoses. METHODS: The body mass indices of participants were calculated, and data on eating styles were collected using the Dutch Eating Behavior Questionnaire. The level of difficulty in managing emotions was evaluated using the Difficulties in Emotion Regulation Scale. RESULTS: The research findings indicated a meaningful positive association. An observation was made between body mass index and results from the Eating Attitude Test-40, as well as the restrained eating subdimension of the Dutch Eating Behavior Questionnaire. Conversely, a meaningful reverse relationship was identified between the scores of the "strategies" subdimension of the Difficulties in Emotion Regulation Scale. No meaningful differences in eating attitudes and emotion regulation were found between non-obese and obese patients. CONCLUSION: While a partial and meaningful correlation was observed among body mass index, eating attitudes, and emotion regulation difficulties, it is suggested that factors such as patients' age, disease duration, current body mass index, and the simultaneous presence of depression and anxiety should be considered.

Reciprocal effects between negative affect and emotion regulation in daily life.

The extended process model of emotion regulation provides a framework for understanding how emotional experiences and emotion regulation (ER) mutually influence each other over time. To investigate this reciprocal relationship, 202 adults completed a ten-day experience-sampling survey capturing levels of negative affect (NA) experience and use of ten ER strategies in daily life. Residual dynamic structural equation models (DSEMs) were used to examine within-person cross-lagged and autoregressive effects of NA and ER (strategy use and between-strategy variability). Results showed that NA predicted lower between-strategy variability, lower subsequent use of acceptance and problem-solving, but higher subsequent use of rumination and worry. Moreover, reappraisal and between-strategy variability predicted lower subsequent NA levels, while expressive suppression and worry predicted higher subsequent NA levels. Stable autoregressive effects were found for NA and for maladaptive ER strategies (e.g., rumination and worry). Exploratory correlation analyses revealed positive associations between NA inertia and maladaptive ER strategies. Together, these findings provide evidence of a dynamic interplay between NA and ER. This work deepens how we understand the challenges of applying ER strategies in daily life. Future clinical and translational research should consider these dynamic perspectives on ER and affect.

Cooperative school climates are positively linked with socio-emotional skills: A Cross-National Study.

BACKGROUND: Socio-emotional skills are critical to life outcomes such as achievement, well-being and job success. However, existing research has mostly focused on the consequences of socio-emotional skills, with less attention devoted to the role of school climate in the deployment of these skills. AIMS: This study investigated the role of school climate in socio-emotional skills. More specifically, we investigated whether cooperative or competitive school climates are associated with students' socio-emotional skills. SAMPLE: Our study utilized data from the OECD Survey on Social and Emotional Skills, collected from 10 cities across nine countries. Participants were 60,985 students, including 31,187 10-year-olds (49.70% females) and 29,798 15-year-olds (51.6% females). METHODS: We conducted multilevel structural equation modelling to test whether cooperative and competitive climates were associated with socio-emotional skills. These skills include five broad domain skills and 15 more specific skills: task performance (self-control, responsibility and persistence), emotion regulation (stress resistance, emotional control and optimism), collaboration (empathy, trust and cooperation), open-mindedness (tolerance, curiosity and creativity) and engaging with others (sociability, assertiveness and energy). RESULTS: Our findings indicated a positive relationship between a cooperative climate and socio-emotional skills. In contrast, the relationship between a competitive climate and socio-emotional skills was primarily negative. CONCLUSION: This study highlights the contrasting roles of cooperative and competitive climates in students' socio-emotional skills.

Whether and how to regulate: Emotion regulation in negative-feedback situations.

Emotion-regulation goals are often studied in isolation, despite them typically occurring in the presence of alternative goals. Negative feedback situations offer an intriguing context to study the interplay of emotion-regulation goals (wanting to feel better) and performance goals (wanting to perform better). Across five preregistered online studies (N = 1,087), we investigated emotion-regulation choice (i.e., whether and how to regulate) in feedback situations. Challenging the assumption that the goal to perform better is the focal goal in negative-feedback situations, we show that negative feedback increases the salience of the goal to feel better via negative affect in Studies 1-2. Moving beyond the question of whether people regulate their emotions when they receive negative feedback, we examined how they regulate their emotions in Studies 3-5. Focusing on the relative importance of the goals to feel and to perform better, we found that the goal to perform better but not the goal to feel better influences negative-feedback recipients' emotion-regulation strategy choice. A salient goal to perform better was associated with a preference for reappraisal over distraction. These results have critical implications for the emotion-regulation literature and models of feedback processing from an emotion-regulation perspective. They demonstrate that affect-oriented processes such as emotion regulation operate when people receive negative feedback. They also highlight the importance of studying alternative goals given their relevance for how people regulate their emotions. From a practical standpoint, the findings may help us to better understand why people sometimes fail to perform better following negative feedback. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Momentary Emotion Regulation Strategies and Pain Experience Among Adults With Chronic Pain: An Ecological Momentary Assessment Study.

OBJECTIVES: The intention of this study was to characterize the real-time momentary relationship between emotion regulation strategies and the pain experience (ie intensity, interference, and negative affect) among adults with chronic pain. Chronic pain is a significant public health concern. Psychological treatments are effective for treating chronic pain, but long-term follow-up studies are limited, and treatment effect sizes are small. Identifying modifiable treatment targets, such as emotion regulation (ER), is critical to improve interventions. ER (ie, cognitive and attentional strategies to modulate or maintain emotional experience) has been linked to psychopathology and pain experience in adults. Yet, the existing work is limited and has largely focused on the relationship between emotional experience, not ER, and pain. MATERIALS AND METHODS: The current study utilized ecological momentary assessment 53 adults with chronic pain. Participants completed ecological momentary assessments of pain experience and ER strategies 5 times a day for 7 days. Associations by specific strategy type were also examined, highlighting the importance of worry, experiential avoidance, rumination, and expressive suppression in pain experience. RESULTS: Results of the current study provide evidence for the association between within-person maladaptive ER strategies and pain intensity ( b = 2.11, SE = 0.37, P < 0.001), pain interference ( b = 1.25, SE = 0.40, P = 0.002), and pain-related negative affect ( b = 2.20, SE = 0.41, P < 0.001). (77.4% females; M age = 27.10 y, SD = 5.16 y). DISCUSSION: Given that ER is readily targeted in psychological treatments for chronic pain, the results from the current study provide initial evidence to target these ER strategies in treatment.

To switch or not to switch? Individual differences in executive function and emotion regulation flexibility.

Emotion regulation (ER) constitutes strategies that modulate the experience and expression of emotions. While past work has predominantly assumed that ER strategies are consistently adaptive (or maladaptive) across situations, recent research has begun to examine individual-difference factors that are associated with the flexible use of ER strategies in line with contextual demands (i.e., ER flexibility). Theoretical accounts maintain that the choice to use ER strategies in a given context is contingent on individual differences in executive function (EF), which refers to a collection of general-purpose regulatory operations. Based on a comprehensive battery of EF tasks, we investigated how the various EF facets (i.e., common EF, working-memory-specific, and shifting-specific factors) are related to the frequency of maintaining and switching ER strategies in response to stimuli that elicit varying levels of emotional intensity. Results indicated that individuals with higher EF demonstrated a more flexible pattern of ER strategy use across high- and low-intensity conditions. Specifically, better working-memory-specific ability (i.e., manipulating information within a mental workspace) was associated with a greater frequency of reappraisal-to-distraction strategy switching in high-intensity contexts. Furthermore, more proficient common EF (i.e., sustaining relevant goals in the face of competing goals and responses) corresponded to a higher propensity to maintain the use of reappraisal in low-intensity situations. The outcomes of this study offer a first glimpse of the cognitive factors underlying ER flexibility. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Assessing the mediating role of emotion regulation and experiential avoidance within a posttraumatic stress disorder and racial trauma framework.

OBJECTIVE: Theoretical and empirical evidence has begun to delineate posttraumatic stress disorder (PTSD) and racial trauma, but the degree to which individual psychological processes differ in the development of these two outcomes remains limited. Despite key distinctions in etiology and phenotypic presentations, prominent PTSD risk factors such as difficulties in emotion regulation and experiential avoidance (EA) may also contribute to the development of racial trauma. The goal of the present cross-sectional study was to investigate how difficulties in emotion regulation and EA differ in their associations with PTSD and racial trauma. METHOD: For this study, racial and ethnic minority undergraduate students completed a battery of questionnaires including the Everyday Discrimination Scale, Brief Experiential Avoidance Questionnaire, Difficulties in Emotion Regulation Scale, Trauma Symptoms of Discrimination Scale, and the PTSD checklist for DSM-5. RESULTS: A path model suggested emotion regulation difficulties and EA significantly mediated the relationship between perceived discrimination and PTSD symptoms. However, only emotion regulation difficulties mediated the relationship between perceived discrimination and racial trauma symptoms. Compared to racial trauma, pairwise comparisons suggested that emotion regulation difficulties and EA indirect effects were significantly greater when predicting PTSD symptoms. Additionally, the effects of emotion regulation difficulties were greater than EA when predicting PTSD symptoms and racial trauma. CONCLUSION: Findings of the present study suggest individual psychological factors may play a lesser role in the development of racial trauma compared to PTSD symptoms. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Affect and mental health across the lifespan during a year of the COVID-19 pandemic: The role of emotion regulation strategies and mental flexibility.

During the COVID-19 pandemic, there has been a rise in common mental health problems compared to prepandemic levels, especially in young people. Understanding the factors that place young people at risk is critical to guide the response to increased mental health problems. Here we examine whether age-related differences in mental flexibility and frequency of use of emotion regulation strategies partially account for the poorer affect and increased mental health problems reported by younger people during the pandemic. Participants (N = 2,367; 11-100 years) from Australia, the UK, and US were surveyed thrice at 3-month intervals between May 2020 and April 2021. Participants completed measures of emotion regulation, mental flexibility, affect, and mental health. Younger age was associated with less positive (b = 0.008, p < .001) and more negative (b = -0.015, p < .001) affect across the first year of the pandemic. Maladaptive emotion regulation partially accounted for age-related variance in negative affect (ß = -0.013, p = .020), whereby younger age was associated with more frequent use of maladaptive emotion regulation strategies, which, in turn, was associated with more negative affect at our third assessment point. More frequent use of adaptive emotion regulation strategies, and in turn, changes in negative affect from our first to our third assessment, partially accounted for age-related variance in mental health problems (ß = 0.007, p = .023). Our findings add to the growing literature demonstrating the vulnerability of younger people during the COVID-19 pandemic and suggest that emotion regulation may be a promising target for intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Clarifying the relation between mother and adolescent borderline personality disorder symptoms: The roles of maternal and adolescent emotion regulation and maladaptive maternal emotion socialization.

Despite evidence for the intergenerational transmission of borderline personality disorder (BPD) pathology from mothers to offspring, the factors underlying the relation between mother and child BPD symptoms remain unclear and little is known about the pathways through which maternal BPD symptoms may relate to BPD symptoms in their offspring. One set of factors that warrants consideration in this regard is mother and child emotion regulation (ER) difficulties. In particular, theory and research suggest an indirect relation between mother and child BPD symptoms through maternal ER difficulties (and related maladaptive emotion socialization strategies) and, subsequently, child ER difficulties. Thus, this study used structural equation modeling to examine a model wherein maternal BPD symptoms relate to offspring BPD symptoms in adolescence through maternal ER difficulties (and maladaptive maternal emotion socialization strategies) and, subsequently, adolescent ER difficulties. A nationwide community sample of 200 mother-adolescent dyads completed an online study. Results provided support for the proposed model, revealing both a direct relation between maternal and adolescent BPD symptoms and two indirect relations through (a) maternal and adolescent ER difficulties and (b) maternal ER difficulties, maternal maladaptive emotion socialization strategies, and adolescent ER difficulties. Results highlight the relevance of both mother and adolescent ER difficulties in the relation between mother and offspring BPD pathology, as well as the potential clinical utility of targeting mother and child ER in interventions aimed at preventing the intergenerational transmission of BPD pathology. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Social support and adaptive emotion regulation: Links between social network measures, emotion regulation strategy use, and health.

Social support, as perceived and experienced within one's social network, has been associated with greater well-being and favorable health outcomes. The transition to college marks a critical time in which social support not only strengthens interpersonal bonds, but also may help an individual discover and utilize various coping strategies to lower risks associated with negative emotions, which may result in better health and well-being. In the present study, we collected data from a large sample of undergraduate students (N = 376) and conducted preregistered analyses to examine links between students' perceived social support in residential college communities, patterns of emotion regulation strategy use, and multiple indicators of health and well-being. Overall, we found partial support for our hypotheses, with some associations between social support and patterns of emotion regulation strategy use, as well as associations between strategy use and health indicators. All results held when adjusting for participants' age and gender. Taken together, the present findings revealed reliable links between social network indicators, emotion regulation strategy use, and health. Future research can extend these findings by observing how these relationships unfold over time, to better understand how people manage their emotions by drawing on their personal networks. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Adult age-related differences in susceptibility to social conformity pressures in self-control over daily desires.

Developmental literature suggests that susceptibility to social conformity pressure peaks in adolescence and disappears with maturity into early adulthood. Predictions about these behaviors are less clear for middle-aged and older adults. On the one hand, while age-related increases in prioritization of socioemotional goals might predict greater susceptibility to social conformity pressures, aging is also associated with enhanced emotion regulation that could support resistance to conformity pressures. In this exploratory research study, we used mobile experience sampling surveys to naturalistically track how 157 healthy adults between the ages of 18 and 80 practice self-control over spontaneous desires in daily life. Many of these desires were experienced in the presence of others enacting that desire. Results showed that middle-aged and older adults were better at controlling their desires than younger adults when desires were experienced in the presence of others enacting that desire. Consistent with the literature on improved emotion regulation with age, these results provide evidence that the ability to resist social conformity pressure is enhanced across the adult life span. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Emotion regulation as central to psychopathology across childhood and adolescence: a commentary on Nobakht et al. (2023).

An important goal of clinical/developmental research is to identify factors contributing to the onset and maintenance of psychopathology - particularly factors that could be modified through intervention. Large-scale, multi-informant, longitudinal studies provide valuable opportunities for testing such etiological hypotheses, as illustrated by Nobakht et al.'s recent six-wave cohort study spanning ages 4-14. At a within-person level, emotion regulation (ER) deficits consistently predicted oppositional defiant disorder (ODD) symptoms (including both irritability and defiance), whereas victimization did not. These results comport with growing evidence highlighting ER's centrality to ODD and psychopathology more broadly. While the ER findings carry promising implications, caution is warranted in interpreting the results for victimization given that its association with psychopathology is well-documented. More research is needed to test precise questions about within- and between-person processes involving ER, victimization, and psychopathology across development. Pressing research questions include whether, how, and when youths' ER can be modified, and with what effects on clinical outcomes.

Social anxiety and emotion regulation flexibility: a daily diary approach.

Previous research suggests that social anxiety symptoms are maintained and intensified by inflexible emotion regulation (ER). Therefore, we examined whether trait-level social anxiety moderates ER flexibility operationalised at both between-person (covariation between variability in emotional intensity and variability in strategy use across occasions) and within-person (associations between emotional intensity and strategy use on a given day) levels. In a sample of healthy college-aged adults (N = 185, Mage = 21.89), we examined overall and emotion-specific intensities (shame, guilt, anxiety, anger, sadness) and regulatory strategies (i.e. experiential avoidance, expressive suppression, and rumination) in response to each day's most emotionally intense event over 6 days. During the study period, we found a positive association between variability in emotional intensity and variability of experiential avoidance in individuals with lower, rather than higher, levels of trait social anxiety after controlling for key covariates (i.e. gender, personality traits, and stress exposure). However, we did not find evidence for the moderating role of trait social anxiety in ER flexibility assessed at within-person levels. Our findings highlight the need to delineate dynamic ER flexibility across everyday events.

Does interpersonal emotion regulation effort pay off?

Interpersonal emotion regulation shapes people's emotional and relational experiences. Yet, researchers know little about the regulation processes that influence these outcomes. Recent works in the intrapersonal emotion regulation space suggest that motivational strength, or effort, people invest in regulation might be the answer. We applied this motivated approach for the first time in the interpersonal space-looking at both intrinsic and extrinsic forms of interpersonal emotion regulation-in order to identify the potential emotional and relational outcomes of putting effort into regulating one's own emotions through others, and regulating others' emotions. In daily diary (N = 171) and experience sampling (N = 239) studies, we examined participants' interpersonal emotion regulation behaviors and socioemotional experiences in everyday social interactions over the course of 1 week. These methods allowed us to examine effort at both momentary and person levels. We found that people who habitually put in more intrinsic effort to feel better through others felt worse overall. People also felt worse on occasions when they put in more effort to extrinsically help others feel better, although at the person level extrinsic effort was associated with higher interaction quality. Together, our findings suggest that interpersonal emotion regulation success is not simply a matter of trying hard. This observation opens new research avenues to investigate the interplay of different factors that determine when, and for whom, investing effort in interpersonal emotion regulation pays off. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Changes in affective control covary with changes in mental health difficulties following affective control training (AffeCT) in adolescents.

BACKGROUND: Everyday affective fluctuations are more extreme and more frequent in adolescence compared to any other time in development. Successful regulation of these affective experiences is important for good mental health and has been proposed to depend on affective control. The present study examined whether improving affective control through a computerised affective control training app (AffeCT) would benefit adolescent mental health. METHODS: One-hundred and ninety-nine participants (11-19 years) were assigned to complete 2 weeks of AffeCT or placebo training on an app. Affective control (i.e. affective inhibition, affective updating and affective shifting), mental health and emotion regulation were assessed at pre- and post-training. Mental health and emotion regulation were assessed again one month and one year later. RESULTS: Compared with the placebo group, the AffeCT group showed significantly greater improvements in affective control on the trained measure. AffeCT did not, relative to placebo, lead to better performance on untrained measures of affective control. Pre- to post-training change in affective control covaried with pre- to post-training change in mental health problems in the AffeCT but not the placebo group. These mental health benefits of AffeCT were only observed immediately following training and did not extend to 1 month or year post-training. CONCLUSION: In conclusion, the study provides preliminary evidence that AffeCT may confer short-term preventative benefits for adolescent mental health.

Three facets of emotion regulation in old and very old age: Strategy use, effectiveness, and variability.

The ability to regulate emotions in stressful situations is an important building block for high well-being across the lifespan. Yet, very little is known about how old and very old adults regulate their emotions. In this study, 123 young old adults (Mage = 67.18, SD = 0.94) and 47 very old adults (Mage = 86.70, SD = 1.46) were prompted 6 times a day for 7 consecutive days to report both their stressors and 10 emotion regulation strategies. Overall, there was little indication of age differences in the use of emotion regulation strategies during exposure to stressors, but very old, as compared with young old, individuals used three of the 10 strategies considered here more intensively. The 10 emotion regulation strategies were similarly effective across age groups based on their association with perceived overall emotion regulation success. We also did not find age group differences in within-strategy variability, defined as the variation in using a given strategy across stressor situations. By contrast, between-strategy variability, defined as the selective use of fewer rather than many strategies across stressor situations, was lower for very old participants. Only between-strategy, and not within-strategy, variability contributed to overall emotion regulation success. There was no age group difference in this regard. Taken together, the evidence suggests small age differences in emotion regulation if at all. This is noteworthy given the advanced age of the very old subsample in this study and the deficits in multiple domains of functioning reported in the literature for this advanced age. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Hidden feelings: Expressive suppression in middle childhood and links with physiology and negative emotion.

A commonly used strategy for regulating emotions, expressive suppression (ES), involves attempts to conceal emotion-expressive behavior. The present study investigated the effects of two types of ES (trait and state) in middle childhood on two domains of functioning-subjective negative emotion (measured by self-report of sadness) and stress physiology (measured by skin conductance level [SCL], an indication of physiological arousal)-in a racially diverse sample. Children ages 9-10 (n = 117; 46% female) self-reported trait ES before coming into the lab, then were randomly assigned to receive instructions to suppress or receive no emotion regulation instructions (control condition) while watching a sad movie scene. SCL and self-reported emotions were measured before and during the movie scene, and children subsequently self-reported how much they had suppressed during the movie scene. Parents and children provided a wide range of additional measures as covariates. Data were collected from 2017 to 2018. Results from multiple regression analyses indicated that higher trait ES predicted greater SCL, but not subjective sadness, during the movie scene. The instructions to suppress did not affect children's subjective sadness or SCL during the movie scene, but self-reported (noninstructed) ES during the movie scene was related to feeling more sadness. Although additional research is needed to generalize findings to other developmental periods, results converge with considerable research on adults and also with a growing number of studies pointing to the potential physiological and emotional correlates of frequent ES during childhood. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Psychometric properties of the Interpersonal Emotion Regulation Questionnaire in a community sample of the Portuguese population.

BACKGROUND: Intrapersonal aspects of emotion regulation have been at the forefront of research, while interpersonal aspects have received less attention. The Interpersonal Emotion Regulation Questionnaire (IERQ) was developed to address this issue. However, this scale was neither adapted nor validated for European Portuguese. AIMS: The present study aims to adapt the IERQ to European Portuguese and explore the preliminary psychometric properties of the IERQ in a community sample, through confirmatory factor analysis (CFA). Construct validity was further supported by examining convergent validity with ERQ subscales. METHOD: Using a cross-sectional design, individuals were recruited online. Self-report questionnaires were used, namely the IERQ and the Emotion Regulation Questionnaire (ERQ). RESULTS: The four-factor structure was confirmed through CFA. IERQ subscales correlated positively with the dimensions of the ERQ of cognitive reappraisal and correlated negatively with experiential suppression. CONCLUSIONS: This preliminary study showed that the IERQ has adequate psychometric properties in a Portuguese sample and supports that this instrument can be used to assess interpersonal emotion regulation strategies in non-clinical samples.

How can I help?: Specific strategies used in interpersonal emotion regulation in a relationship context.

Most emotion regulation research investigates how individuals manage their own emotions but in everyday life, emotion regulation often takes place in an interpersonal context-that is, through the intervention of others, especially close relationship partners. In this manuscript, we describe a 2-week daily diary study of 197 couples, in which we examined the nature and effectiveness of partners' attempts at interpersonal emotion regulation. Organized around the extended process model of emotion regulation (Gross, 2015), we examined the frequency and perceived effectiveness of six strategies for regulating negative emotions and two strategies for regulating positive emotions, as well as the impact of emotional regulation effectiveness on relationship satisfaction. Results indicated that situation modification was the most common approach to regulating negative emotions, whereas savoring was most common for positive emotions. Most strategies were perceived to be effective by both regulators and their targets, with the exception of suppression for negative emotion, for which evidence was mixed, and dampening for positive emotion, which was not viewed as effective. The influence of emotion regulation on relationship satisfaction depended on one's perspective: Regulators felt that their effective efforts benefitted their relationships, but even when targets experienced emotion regulation as effective, they indicated no improvements in relationship satisfaction, perhaps because the emotion-eliciting events were still salient to them. Broadly speaking, this research highlights the value of examining emotion regulation in an interpersonal context, and in the context of partners' ordinary, everyday social interaction. (PsycInfo Database Record (c) 2024 APA, all rights reserved).