认知情绪调节的概念、相关研究现状
认知情绪调节评估工具的开发、修订与跨文化验证
该组文献集中于认知情绪调节问卷(CERQ)、情绪调节问卷(ERQ)及其简版的编制与修订。研究涵盖了多种语言版本(如中文、西班牙语、波兰语、阿拉伯语等)的心理测量学特性验证,并针对青少年、老年人、癌症患者及高血压患者等特定人群进行了信效度分析和因子结构探讨。
- Cultural Adaptation and Validation of the Urdu Version of the Cognitive Emotion Regulation Questionnaire (CERQ) in Male Patients With Substance Use Disorders (SUDs) in Pakistan(Salman Shahzad, Nasreen Bano, N. Begum, H. Jones, 2022, Frontiers in Psychiatry)
- Validation of the spanish version of the Cognitive Emotion Regulation Questionnaire in Adolescents.(María T Chamizo-Nieto, Lourdes Rey, Nicolás Sánchez-Álvarez, 2020, Psicothema)
- Emotion Regulation in Adolescents: Evidence of the Validity and Factor Structure of the Cognitive Emotion Regulation Questionnaire (CERQ)(Elena Betegón, Jairo Rodríguez-Medina, M. del-Valle, M. J. Irurtia, 2022, International Journal of Environmental Research and Public Health)
- Validation of the short version of Cognitive Emotion Regulation Questionnaire for adolescents in Norway(S. S. Sætren, W. Hegelstad, Tore Tjora, G. Hafstad, Else-Marie Augusti, 2024, Scandinavian Journal of Public Health)
- Psychometric properties and measurement invariance of the Chinese version of the cognitive emotion regulation questionnaire‐short in patients with cancer(Xiaoting Zheng, Xia Tian, Xiaojun Zhou, Yongqi Huang, Wenli Xiao, 2024, Psycho‐Oncology)
- Spanish adaptation and psychometric properties of the child version of the Cognitive Emotion Regulation Questionnaire.(Mireia Orgilés, Alexandra Morales, Iván Fernández-Martínez, Juan Manuel Ortigosa-Quiles, José P Espada, 2018, PloS one)
- The emotion regulation questionnaire-30 (ERQ-30): A 30-item measure of 10 clinically relevant emotion regulation strategies.(David A. Preece, James J. Gross, 2025, Journal of affective disorders)
- The psychometric properties of the cognitive emotion regulation questionnaire (CERQ) in a clinical sample of adults with recurrent depression.(Anna Mckinnon, W. Kuyken, Rachel Hayes, A. Werner-Seidler, P. Watson, T. Dalgleish, S. Schweizer, 2020, Journal of affective disorders)
- Latent Structure and Profiles of Emotion Regulation: Reappraisal and Suppression Patterns with the Polish Version of the Emotion Regulation Questionnaire(P. Larionow, Karolina Mudło-Głagolska, David A. Preece, 2025, Journal of Clinical Medicine)
- The Process Model of Emotion Regulation Questionnaire: Assessing Individual Differences in Strategy Stage and Orientation(Sally Olderbak, A. Uusberg, C. MacCann, Katja M. Pollak, J. Gross, 2022, Assessment)
- Cognitive emotion regulation questionnaire: Psychometric properties of the Tunisian version.(R Ouerchefani, N Ouerchefani, M R Ben Rejeb, D Le Gall, 2021, L'Encephale)
- Cognitive Emotional Regulation Questionnaire: a Factorial Validation Study in Spanish for Children (CERQ-k).(Viviana Lemos, Melissa Valega, Mónica Serppe, 2021, International journal of psychological research)
- The Cognitive Emotion Regulation Questionnaire (CERQ): The evaluation of structural and convergent validity on a Serbian sample(Mihajlo Ilić, Nikolija Rakočević, Dragan Žuljević, 2025, Psiholoska istrazivanja)
- Cognitive Emotion Regulation Questionnaire—Short: Reliability, Validity, and Measurement Invariance of the Italian Version(S. Cerolini, A. Zagaria, M. Vacca, P. Spinhoven, C. Violani, C. Lombardo, 2022, Behavioral Sciences)
- Psychometric properties of the Brazilian version of the Cognitive Emotion Regulation Questionnaire.(Julia Luiza Schäfer, Bolivar Ramos Cibils Filho, Tayse Conter de Moura, Valquíria Coutinho Tavares, Adriane Xavier Arteche, Christian Haag Kristensen, 2018, Trends in psychiatry and psychotherapy)
- Psychometric properties of the Persian version of the cognitive emotion regulation questionnaire-short (CERQ-P-short): Reliability, validity, factor structure, treatment sensitivity, and measurement invariance.(Jafar Hasani, Seyed Javad Emadi Chashmi, Yasmin Zakiniaeiz, Marc N Potenza, 2024, Journal of psychiatric research)
- Factor Structure and Measurement Invariance for the Cognitive Emotion Regulation Questionnaire (CERQ) Among Women Newly Diagnosed With Breast Cancer(Lingyan Li, Shichen Li, Yu-ping Wang, Yanjie Yang, Xiongzhao Zhu, 2019, Frontiers in Psychology)
- The Polish version of the Emotion Regulation Questionnaire-Short Form (ERQ-S): Psychometric properties, Polish norms and relationships with psychopathology and well-being(Paweł Larionow, Karolina Mudło-Głagolska, D. Preece, 2024, Cambridge Prisms: Global Mental Health)
- Cognitive emotion regulation questionnaire in hypertensive patients.(Shu Duan, Yiqun Liu, Jing Xiao, Shuiping Zhao, Xiongzhao Zhu, 2011, Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences)
- Application of Cognitive Emotion Regulation Questionnaire in Chinese Community Elderly.(Zixia Ding, Qian Song, Jun Chu, Tao Zou, Kaili Zheng, Zhaoxia Liu, Wanrong Peng, Jinyao Yi, 2023, Psychology research and behavior management)
- The Emotion Regulation Questionnaire-Short Form (ERQ-S): A 6-item measure of cognitive reappraisal and expressive suppression.(D. Preece, K. Petrova, Ashish Mehta, J. Gross, 2023, Journal of affective disorders)
- Psychometric Properties of the Spanish Version of the Cognitive Emotional Regulation Difficulties Questionnaire (CERQ) in Higher Education Students in Times of Covid-19.(Clemente Rodríguez-Sabiote, Pilar Ibáñez-Cubillas, Slava López-Rodríguez, José Álvarez-Rodríguez, 2021, Frontiers in psychology)
- Psychometric properties of the Cognitive Emotion Regulation Questionnaire (CERQ) in Spanish older adults(Blanca P. Carvajal, M. Molina-Martínez, Virginia Fernández-Fernández, Teresa Paniagua-Granados, Amaia Lasa-Aristu, Octavio Luque-Reca, 2021, Aging & Mental Health)
- Psychometric Properties of the Cognitive Emotion Regulation Questionnaire (CERQ) in Patients with Fibromyalgia Syndrome(A. Feliu‐Soler, Elvira Reche-Camba, Xavier Borràs, Adrián Pérez-Aranda, Laura Andrés-Rodríguez, M. Peñarrubia-María, M. Navarro-Gil, J. García-Campayo, J. Bellón, Juan V. Luciano, 2017, Frontiers in Psychology)
- Adapting a Strategy-Based Measure of Behavioral Emotion Regulation: An Exploration of Links with Psychopathology from a Network Perspective(María Priego-Ojeda, A. Ursu, Angel Blanch, Gemma Filella-Guiu, 2025, Journal of Personality Assessment)
- Validation of the Georgian Version of Cognitive Emotion Regulation Questionnaire (CERQ) for Young Adults(Ana Zubashvili, Kakha Kopaliani, Elene Chomakhidze, 2025, COLLECTION OF SCIENTIFIC WORKS OF SOKHUMI UNIVERSITY)
认知重评等策略的神经生物学基础与脑机制
利用fMRI、EEG、TMS、fNIRS等神经科学技术,探讨认知重评、表达抑制等策略的脑部活动。重点关注前额叶皮层(dlPFC, VLPFC, dmPFC)对边缘系统(如杏仁核、纹状体)的下行调控,以及脑网络拓扑特征、Theta波同步性和功能连接在情绪调节中的作用。
- TMS-fMRI Supports Roles for VLPFC and Downstream Regions in Cognitive Reappraisal(M. Sridhar, Azeezat Azeez, Jennifer I. Lissemore, 2024, The Journal of Neuroscience)
- Multiple large-scale neural networks underlying emotion regulation.(Carmen Morawetz, Michael C Riedel, Taylor Salo, Stella Berboth, Simon B Eickhoff, Angela R Laird, Nils Kohn, 2020, Neuroscience and biobehavioral reviews)
- Regional Homogeneity Analysis of DLPFC-Based Real-time fMRI Neurofeedback Training for Negative Emotion Regulation(Hui Gao, Chi Zhang, Li Tong, Zhonglin Li, Tianyuan Liu, Bao Li, Panpan Chen, Haowei Wu, Bin Yan, 2025, Proceedings of the 4th International Conference on Biomedical and Intelligent Systems)
- Dorsolateral prefrontal cortex and amygdala function during cognitive reappraisal predicts weight restoration and emotion regulation impairment in anorexia nervosa(T. Steward, I. Martínez-Zalacaín, G. Mestre-Bach, I. Sánchez, N. Riesco, S. Jiménez-Murcia, J. Fernández-Formoso, M. Veciana de las Heras, N. Custal, J. Menchón, C. Soriano-Mas, F. Fernández-Aranda, 2020, Psychological Medicine)
- Cognitive reappraisal capacity mediates the relationship between prefrontal recruitment during reappraisal of anger-eliciting events and paranoia-proneness.(Corinna M Perchtold, Elisabeth M Weiss, Christian Rominger, Andreas Fink, Hannelore Weber, Ilona Papousek, 2019, Brain and cognition)
- Prefrontal mediation of emotion regulation in social anxiety disorder during laughter perception(B. Kreifelts, C. Brück, T. Ethofer, Jan Ritter, Lena Weigel, M. Erb, D. Wildgruber, 2017, Neuropsychologia)
- The neural bases of cognitive emotion regulation: The roles of strategy and intensity(C. Moodie, G. Suri, D. Goerlitz, M. Mateen, G. Sheppes, Kateri McRae, Shreya Lakhan-Pal, Ravi Thiruchselvam, J. Gross, 2020, Cognitive, Affective, & Behavioral Neuroscience)
- Emotion regulation of social pain: double dissociation of lateral prefrontal cortices supporting reappraisal and distraction(Licheng Mo, Sijin Li, Si Cheng, Yiwei Li, Feng Xu, Dandan Zhang, 2023, Social Cognitive and Affective Neuroscience)
- Causal enhancement of cognitive reappraisal through synchronized dorsolateral and ventrolateral prefrontal cortex activity.(Yuyao Tang, Licheng Mo, Zhilin Peng, Yiwei Li, Dandan Zhang, 2025, Emotion)
- Reduced frontocingulate theta connectivity during emotion regulation in major depressive disorder.(Saskia Steinmann, Kim Janine Tiedemann, Stephanie Kellner, Claudius M Wellen, Moritz Haaf, Christoph Mulert, Jonas Rauh, Gregor Leicht, 2024, Journal of psychiatric research)
- The role of ventrolateral prefrontal cortex on voluntary emotion regulation of social pain(Wenwen Yu, Yiwei Li, Xueying Cao, Licheng Mo, Yuming Chen, Dandan Zhang, 2023, Human Brain Mapping)
- Explanation of emotion regulation mechanism of mindfulness using a brain function model(Haruka Nakamura, Yoshimasa Tawatsuji, Siyuan Fang, T. Matsui, 2021, Neural networks : the official journal of the International Neural Network Society)
- Rethinking feelings: an FMRI study of the cognitive regulation of emotion.(Kevin N Ochsner, Silvia A Bunge, James J Gross, John D E Gabrieli, 2002, Journal of cognitive neuroscience)
- Prefrontal mediation of age differences in cognitive reappraisal.(Philipp C. Opitz, Lindsay C. Rauch, D. Terry, Heather L. Urry, 2012, Neurobiology of aging)
- Functional specificity of the left ventrolateral prefrontal cortex in positive reappraisal: A single-pulse transcranial magnetic stimulation study(Dan Cao, Yingjie Li, Yingying Tang, 2021, Cognitive, Affective, & Behavioral Neuroscience)
- Evidence of successful modulation of brain activation and subjective experience during reappraisal of negative emotion in unmedicated depression.(D. Dillon, D. Pizzagalli, 2013, Psychiatry research)
- Microstructural Integrity of a Pathway Connecting the Prefrontal Cortex and Amygdala Moderates the Association Between Cognitive Reappraisal and Negative Emotions(Tracy d’Arbeloff, M. Kim, A. Knodt, Spenser R. Radtke, B. Brigidi, A. Hariri, 2018, Emotion)
- Cognitive reappraisal and expressive suppression evoke distinct neural connections during interpersonal emotion regulation.(Zixin Liu, Kelong Lu, N. Hao, Yanmei Wang, 2023, The Journal of neuroscience : the official journal of the Society for Neuroscience)
- Cognitive reappraisal of facial expressions: electrophysiological evidence of social anxiety.(Lin Yuan, Renlai Zhou, Senqi Hu, 2014, Neuroscience letters)
- Localized or diffuse: the link between prefrontal cortex volume and cognitive reappraisal.(M. Moore, Alexandru D. Iordan, Yifan Hu, J. Kragel, S. Dolcos, F. Dolcos, 2016, Social cognitive and affective neuroscience)
- Prefrontal cortex activation during a cognitive reappraisal task is associated with real-life negative affect reactivity(J. Bastiaansen, E. Bennik, J. Marsman, J. Ormel, A. Aleman, A. Oldehinkel, 2018, PLoS ONE)
- Brain activation during cognitive reappraisal depending on regulation goals and stimulus valence(Andrzej Sokołowski, C. Morawetz, Monika Folkierska-Żukowska, W. Dragan, 2021, Social Cognitive and Affective Neuroscience)
- Source localization and functional network analysis in emotion cognitive reappraisal with EEG-fMRI integration(Wenjie Li, Wei Zhang, Zhongyi Jiang, Tiantong Zhou, Shoukun Xu, Ling Zou, 2022, Frontiers in Human Neuroscience)
- Negative Emotion Differentiation Promotes Cognitive Reappraisal: Evidence From Electroencephalogram Oscillations and Phase‐Amplitude Coupling(Yali Wang, Chenyu Shangguan, Sijin Li, Wenhai Zhang, 2024, Human Brain Mapping)
- TMS-EEG signatures of facilitated cognitive reappraisal in emotion regulation by left ventrolateral prefrontal cortex stimulation.(Wenjie Li, Yingjie Li, Dan Cao, Zhenying Qian, Yingying Tang, Jijun Wang, 2023, Neuropsychologia)
- Dynamic Reorganization of the Cortical Functional Brain Network in Affective Processing and Cognitive Reappraisal.(Feng Fang, Thomas Potter, Thinh Nguyen, Yingchun Zhang, 2020, International journal of neural systems)
- Asymmetric Activation of Frontal Brain Regions during Cognitive Reappraisal Generation - A Function of Implemented Reappraisal Strategy?(C. Perchtold‐Stefan, Andreas Fink, Ilona Papousek, 2023, Symmetry)
- Neural mechanisms of implicit cognitive reappraisal: Preceding descriptions alter emotional response to unpleasant images.(Hai-Yang Wang, Guo-Qing Xu, Ming-Fei Ni, Cui-Hong Zhang, Xiao-Pei Sun, Yi Chang, Bing-Wei Zhang, 2017, Neuroscience)
- Dynamic Neural Interactions Supporting the Cognitive Reappraisal of Emotion.(T. Steward, C. Davey, A. Jamieson, Katerina Stephanou, C. Soriano-Mas, K. Felmingham, B. Harrison, 2020, Cerebral cortex)
- Does emotion regulation engage the same neural circuit as working memory? A meta-analytical comparison between cognitive reappraisal of negative emotion and 2-back working memory task(Tien-Wen Lee, Shao-wei Xue, 2018, PLoS ONE)
- Regulating Negative Autobiographical Memories: An fMRI Investigation of Reappraisal and Distraction in Middle-aged and Older Adults.(John L. Graner, L. Faul, Joseph Diehl, David J. Madden, M. Smoski, Kevin S. LaBar, 2025, Journal of cognitive neuroscience)
- Prefrontal cortex activation by binge-eating status in individuals with obesity while attempting to reappraise responses to food using functional near infrared spectroscopy.(Megan N Parker, Helen Burton Murray, Amani D Piers, Alexandra Muratore, Michael R Lowe, Stephanie M Manasse, Hasan Ayaz, Adrienne S Juarascio, 2023, Eating and weight disorders : EWD)
- Sleep quality and neural circuit function supporting emotion regulation(Jared D Minkel, K. McNealy, P. Gianaros, E. Drabant, J. Gross, S. Manuck, A. Hariri, 2012, Biology of Mood & Anxiety Disorders)
- Bad and worse: neural systems underlying reappraisal of high- and low-intensity negative emotions.(J. Silvers, J. Weber, T. Wager, K. Ochsner, 2015, Social cognitive and affective neuroscience)
- The role of the ventral striatum in the relationship between impulsive decision-making and emotional self-regulation by cognitive reappraisal(Youngwoo Bryan Yoon, Wi Hoon Jung, 2025, Scientific Reports)
- The role of cognitive reappraisal in placebo analgesia: an fMRI study(Marian van der Meulen, S. Kamping, F. Anton, 2017, Social Cognitive and Affective Neuroscience)
- Cognitive reappraisal of food craving and emotions: a coordinate-based meta-analysis of fMRI studies(Marta Gerosa, N. Canessa, C. Morawetz, G. Mattavelli, 2023, Social Cognitive and Affective Neuroscience)
- Impact of emotion regulation on emotional experiences following social rejection: an ERP study(Dengfeng Xie, Jiamei Lu, Zhangming Xie, 2025, Frontiers in Psychology)
- Changes in Effective Connectivity Between Dorsal and Ventral Prefrontal Regions Moderate Emotion Regulation.(C. Morawetz, S. Bode, J. Baudewig, E. Kirilina, H. Heekeren, 2016, Cerebral cortex)
- Diminished negative emotion regulation through affect labeling and reappraisal: insights from functional near infrared spectroscopy on lateral prefrontal cortex activation(Yoshimura Shinpei, Shimomura Kouga, Onoda Keiichi, 2024, BMC Psychology)
- The VLPFC-Engaged Voluntary Emotion Regulation: Combined TMS-fMRI Evidence for the Neural Circuit of Cognitive Reappraisal(Zhenhong He, Sijin Li, Licheng Mo, Zixing Zheng, Yiwei Li, Hong Li, Dandan Zhang, 2023, The Journal of Neuroscience)
- Different Roles of the Left and Right Ventrolateral Prefrontal Cortex in Cognitive Reappraisal: An Online Transcranial Magnetic Stimulation Study(Si Cheng, Xiufu Qiu, Sijin Li, Licheng Mo, Feng Xu, Dandan Zhang, 2022, Frontiers in Human Neuroscience)
- 318. Prefrontal Cortex Engagement During Cognitive Reappraisal Impacts the Link Between Depression and Suicidal Ideation in High-Risk Adults(Shiane Toleson, Jagan Jimmy, Reid J. Smith, Kayla A. Kreutzer, C. Brian, S. Gorka, 2023, Biological Psychiatry)
- The control patterns of affective processing and cognitive reappraisal: insights from brain controllability analysis.(Feng Fang, A. Teixeira, Rihui Li, Ling Zou, Yingchun Zhang, 2024, Cerebral cortex)
- Resting-state functional connectivity insights: dorsolateral prefrontal cortex and superior parietal lobule in self-control and cognitive reappraisal.(Zixiao Xiong, Hengyue Zhao, Ting Xu, Jicheng Huang, Chenxu Yang, Tingyong Feng, Pan Feng, 2025, Brain and cognition)
- Neural circuits of emotion regulation: a comparison of mindfulness-based and cognitive reappraisal strategies.(Sarah Opialla, Jacqueline Lutz, Sigrid Scherpiet, Anna Hittmeyer, Lutz Jäncke, Michael Rufer, Martin Grosse Holtforth, Uwe Herwig, Annette B Brühl, 2015, European archives of psychiatry and clinical neuroscience)
- Neural characteristics of cognitive reappraisal success and failure: An ERP study.(Dan Cao, Yingjie Li, Margaret A Niznikiewicz, 2020, Brain and behavior)
- Craving Is an Affective State and Its Regulation Can Be Understood in Terms of the Extended Process Model of Emotion Regulation(N. Giuliani, E. Berkman, 2015, Psychological Inquiry)
精神疾病与心理病理学中的情绪调节障碍
探讨认知情绪调节策略(如反刍、灾难化、自我责备)在抑郁症、焦虑症、双相情感障碍、边缘性人格障碍、强迫症及进食障碍中的作用。研究揭示了情绪调节困难作为跨诊断风险因素的病理机制及其对症状严重程度的预测作用。
- The Role of Cognitive Reappraisal Emotion Regulation Strategies in Adolescent Depression(Yu Zhu, 2023, Frontiers in Medical Science Research)
- EMOTION REGULATION PROFILING IN INDIVIDUALS WITH BORDERLINE PERSONALITY DISORDER COMPARED TO NON-CLINICAL SAMPLE(Shameem Fatima, Kainat Fatima, Mamoona Mushtaq, 2025, Contemporary Journal of Social Science Review)
- An exploratory examination of reappraisal success in depressed adolescents: Preliminary evidence of functional differences in cognitive control brain regions.(Kaja Z LeWinn, Irina A Strigo, Colm G Connolly, Tiffany C Ho, Olga Tymofiyeva, Matthew D Sacchet, Helen Y Weng, Eva Henje Blom, Alan N Simmons, Tony T Yang, 2018, Journal of affective disorders)
- Investigating cognitive control and cognitive emotion regulation in Iranian depressed women with suicidal ideation or suicide attempts.(Hamed Abdollahpour Ranjbar, Hadi Parhoon, S. Mohammadkhani, Khadeeja Munawar, A. Moradi, Laura Jobson, 2021, Suicide & life-threatening behavior)
- Cognitive-emotional impairments in euthymic bipolar disorder-New insights into emotion regulation and cognitive control deficits.(Elena Seelig, Jutta Joormann, Larissa Wolkenstein, 2024, Emotion)
- Neural activity during cognitive reappraisal in chronic low back pain: a preliminary study.(Sin Ki Ng, Donna M Urquhart, Paul B Fitzgerald, Melissa Kirkovski, Flavia M Cicuttini, Jerome J Maller, Peter G Enticott, Susan L Rossell, Bernadette M Fitzgibbon, 2021, Scandinavian journal of pain)
- Emotion regulation in mood and anxiety disorders: A meta-analysis of fMRI cognitive reappraisal studies.(M. Picó-Pérez, J. Radua, T. Steward, J. Menchón, C. Soriano-Mas, 2017, Progress in neuro-psychopharmacology & biological psychiatry)
- Neural mechanism of non-adaptive cognitive emotion regulation in patients with non-suicidal self-injury.(Author Nan Lang, Yuan Zhong, Wenkun Lei, Yiwen Xiao, Yaming Hang, Ya Xie, Zhangwei Lv, Yumin Zhang, Xinyao Liu, Minlu Liang, Congjie Zhang, Pei Zhang, Hua Yang, Yun Wu, Qiuyu Wang, Kun Yang, Jing Long, Yuan Liu, Suhong Wang, Yibin Tang, Maochun Lei, Danyu Zhang, Lichen Ouyang, Liping Zhang, Chun Wang, 2024, Comprehensive psychiatry)
- Network Structure and Core Features of Cognitive Emotion Regulation Strategies in Chinese Adolescents with NSSI(Peiyu Zhang, Jingyu Shi, 2025, Psychology Research and Behavior Management)
- Depressive symptoms in youth with ADHD: the role of impairments in cognitive emotion regulation(Jutta S. Mayer, Geva A. Brandt, J. Medda, Ulrike Basten, O. Grimm, A. Reif, C. Freitag, 2022, European Archives of Psychiatry and Clinical Neuroscience)
- Autonomic regulation during cognitive reappraisal in major depressive disorder: a study of fMRI correlates(Ying Li, Micha Keller, Jana Zweerings, Chi Zhang, Fengyu Cong, Klaus Mathiak, 2025, BMC Psychiatry)
- Longitudinal Relations Between Emotion Regulation and Internalizing Symptoms in Emerging Adults During the Covid-19 Pandemic(Xinran Niu, Morgan M. Taylor, Jennifer J. Wicks, Alyssa N. Fassett-Carman, A. Moser, Chiara R. Neilson, Elena C. Peterson, R. Kaiser, Hannah R. Snyder, 2023, Cognitive Therapy and Research)
- Phobia-specific patterns of cognitive emotion regulation strategies(A. Zsidó, András Láng, B. Lábadi, A. Deak, 2023, Scientific Reports)
- The antidepressant effect of cognitive reappraisal training on individuals cognitively vulnerable to depression: Could cognitive bias be modified through the prefrontal–amygdala circuits?(Xiaoxia Wang, Ying He, Zhengzhi Feng, 2022, Frontiers in Human Neuroscience)
- Emotion regulation deficits in regular marijuana users.(Kaeli Zimmermann, Christina Walz, Raissa T Derckx, Keith M Kendrick, Bernd Weber, Bruce Dore, Kevin N Ochsner, René Hurlemann, Benjamin Becker, 2017, Human brain mapping)
- Electrophysiological evidence for detrimental impact of a reappraisal emotion regulation strategy on subsequent cognitive control in schizophrenia.(Sara K Sullivan, Gregory P Strauss, 2017, Journal of abnormal psychology)
- Examining emotion regulation in binge-eating disorder.(Anna Walenda, Barbara Kostecka, Philip S Santangelo, Katarzyna Kucharska, 2021, Borderline personality disorder and emotion dysregulation)
- Effectiveness of emotion regulation in daily life in individuals with psychosis and nonclinical controls-An experience-sampling study.(Lea Ludwig, Stephanie Mehl, K. Krkovic, T. Lincoln, 2020, Journal of abnormal psychology)
- The Emotion Regulation Mechanism in Neurotic Individuals: The Potential Role of Mindfulness and Cognitive Bias(Ling Chen, Xiqin Liu, Xiangrun Weng, Mingzhu Huang, Yuhan Weng, Haoran Zeng, Yifan Li, Danna Zheng, Caiqi Chen, 2023, International Journal of Environmental Research and Public Health)
- Altered frontoparietal connectivity in patients with obsessive-compulsive disorder during an fMRI cognitive reappraisal task.(M. Picó-Pérez, R. Barbosa, B. Couto, I. Castro, R. Magalhães, N. Sousa, S. Ferreira, P. Morgado, 2022, Psychiatry research)
- Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging.(M. Picó-Pérez, B. Couto, R. Magalhães, Celina Gomes, S. Ferreira, Nuno Sousa, Pedro Morgado, 2025, Journal of visualized experiments : JoVE)
- Cognitive emotion regulation strategies in relation to treatment outcome in a clinical sample of adolescents with personality disorders.(Albert Eduard Boon, Kirsten Hauber, 2022, Clinical psychology & psychotherapy)
- Emotion Regulation and Mentalization in Patients With Depression and Anxiety.(Anne Bryde Christensen, Stig Poulsen, Trine Munk Højberg, Stine Bech Jessen, Nina Reinholt, Morten Hvenegaard, Anita Eskildsen, Mikkel Arendt, Sidse Arnfred, 2024, Clinical psychology & psychotherapy)
- Emotion regulation profiles and symptoms of depression and anxiety.(Ariana G. Reichler, David A. Preece, James J. Gross, 2025, Journal of affective disorders)
- Social anxiety disorder and emotion regulation problems in adolescents.(Petra Sackl-Pammer, Rebecca Jahn, Zeliha Özlü-Erkilic, Eva Pollak, Susanne Ohmann, Julia Schwarzenberg, Paul Plener, Türkan Akkaya-Kalayci, 2019, Child and adolescent psychiatry and mental health)
- Neural basis of implicit cognitive reappraisal in panic disorder: an event-related fMRI study(Hai-Yang Wang, Guo-qing Xu, M. Ni, Cui-Hong Zhang, Xue-Lin Li, Yi Chang, Xiao-pei Sun, Bing-Wei Zhang, 2021, Journal of Translational Medicine)
- Neural Underpinnings of Cognitive Reappraisal and Emotion Suppression in Response to Disorder-Specific Stimuli in Women With Borderline Personality Disorder and Women With Restrictive Anorexia Nervosa: An fMRI Study.(E. Kot, Agnieszka Pluta, Jakub Wojciechowski, M. Wayda-Zalewska, Mateusz Wojtczak, Tomasz Wolak, Katarzyna Kucharska, 2025, European eating disorders review : the journal of the Eating Disorders Association)
- An fMRI study of cognitive reappraisal in major depressive disorder and borderline personality disorder(V. de la Peña-Arteaga, M. Berruga-Sánchez, T. Steward, I. Martínez-Zalacaín, Ximena Goldberg, A. Wainsztein, C. Abulafia, N. Cardoner, M. Castro, M. Villarreal, J. Menchón, S. Guinjoan, C. Soriano-Mas, 2021, European Psychiatry)
- Increased Amygdala Activity Associated With Cognitive Reappraisal Strategy in Functional Neurologic Disorder(T. Hassa, S. Spiteri, Roger Schmidt, C. Merkel, M. Schoenfeld, 2021, Frontiers in Psychiatry)
- Disorder-specific dysfunction in dorsal anterior cingulate cortex and parietal cortex during cognitive reappraisal in anxiety disorder [Letter](Hai-Yang Wang, Bing-Wei Zhang, Xue-Lin Li, 2019, Neuropsychiatric Disease and Treatment)
- Awareness and rumination moderate the affective pathway to paranoia in daily life.(Lea Ludwig, Stephanie Mehl, B. Schlier, K. Krkovic, T. Lincoln, 2019, Schizophrenia research)
- Thought Control Strategies and Rumination in Youth with Acute Stress Disorder and Posttraumatic Stress Disorder Following Single-Event Trauma(R. Meiser-Stedman, Alicia Shepperd, E. Glucksman, T. Dalgleish, W. Yule, Patrick Smith, 2014, Journal of Child and Adolescent Psychopharmacology)
- Abnormalities in emotion regulation are associated with negative, but not positive or disorganized schizotypy: An experience sampling study.(Xu Li, Yu-ting Zhang, Xu-hua Li, Yi Wang, Ming Peng, I. Myin‐Germeys, 2024, Schizophrenia research)
- Cognitive emotion regulation strategies as mediators of the relationship between mentalization ability and depressive symptoms in adolescents.(Wioletta Barbara Łubińska-Salej, W. Radziwiłłowicz, 2025, Psychiatria polska)
- Ruminative Inertia, Emotion Regulation, and Depression: A Daily-Diary Study.(Christian A L Bean, Luke F Heggeness, Jeffrey A Ciesla, 2021, Behavior therapy)
- How depression facilitates psychological difficulties in children? The mediating role of cognitive emotion regulation strategies.(Silvia Melero, M. Orgilés, J. Espada, A. Morales, 2020, Clinical psychology & psychotherapy)
- Maladaptive cognitions and emotion regulation in posttraumatic stress disorder.(Nawal Ouhmad, Wissam El-Hage, Nicolas Combalbert, 2023, Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater)
- Impulsivity in patients with obsessive-compulsive disorder: exploring the mediating effect of cognitive emotion regulation strategies and depressive symptoms(Gang Ye, Meiling Chen, Liangjun Lin, Jia Li, Qichun Liu, Yanting Zhang, Zhen Tang, Ruihua Hou, Xiangdong Du, 2025, Frontiers in Psychiatry)
- Functional connectivity of the amygdala and subgenual cingulate during cognitive reappraisal of emotions in children with MDD history is associated with rumination(E. Murphy, D. Barch, D. Pagliaccio, J. Luby, Andy C. Belden, 2015, Developmental Cognitive Neuroscience)
- Cognitive emotion regulation in euthymic bipolar disorder.(Larissa Wolkenstein, Julia C Zwick, Martin Hautzinger, Jutta Joormann, 2014, Journal of affective disorders)
- Conceptualizing gambling disorder with the process model of emotion regulation(G. Rogier, P. Velotti, 2018, Journal of Behavioral Addictions)
- Cognitive Emotion Regulation Strategies in Borderline Personality Disorder: Diagnostic Comparisons and Associations with Potentially Harmful Behaviors(A. Daros, Mylann A Guevara, Amanda A. Uliaszek, S. McMain, A. Ruocco, 2018, Psychopathology)
- Proper Emotion Recognition, Dysfunctional Emotion Regulation.(Tanja Legenbauer, Jan Hübner, Marlies Pinnow, Anna Ball, Benjamin Pniewski, Martin Holtmann, 2018, Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie)
- Electrophysiological evidence of impaired cognitive reappraisal in amnestic mild cognitive impairment: An event-related potential study.(Shasha Xiao, Yingjie Li, Meng Liu, Yunxia Li, 2022, Behavioural brain research)
- Understanding the Pathology of Major Depression in a Non-clinical Student Sample: The Role of Mental Pain, Cognitive Emotion Regulation, Self-Compassion, and Anxiety(M. Rajabi, Esmaeil Mousavi Asl, Hossein Etemadi Mehr, Sajad Motamed Monfared, Fatemeh Rohi, Mohammad Javad Bagian Kulehmarzi, 2024, Shiraz E-Medical Journal)
- Neural evidence for cognitive reappraisal as a strategy to alleviate the effects of math anxiety(R. Pizzie, Cassidy L. McDermott, Tyler G Salem, David J. M. Kraemer, 2019, Social Cognitive and Affective Neuroscience)
发展视角:童年创伤、家庭因素与全生命周期演变
从发展心理学角度研究童年期虐待、忽视、母亲教养方式及早期语言能力对认知情绪调节策略形成的长期影响。探讨这些策略在创伤经历与后期心理健康(如自杀风险、抑郁)之间的中介作用,以及调节能力随年龄增长的变化规律。
- The Causal Model of Cognitive Emotion Regulation: Maladaptive Early Schemas and Parenting Styles(Sepideh Razavi, Leila Khajehpour, G. Moltafet, 2024, Journal of Adolescent and Youth Psychological Studies)
- Influence of Neuroticism on Depressive Symptoms Among Chinese Adolescents: The Mediation Effects of Cognitive Emotion Regulation Strategies(Chengwei Liu, Liang Chen, Sanmei Chen, 2020, Frontiers in Psychiatry)
- The relationship between childhood trauma and depressive symptom among Zhuang adolescents: Mediating and moderating effects of cognitive emotion regulation strategies(Wenwen Yin, Yuli Pan, Lin Zhou, Qiaoyue Wei, Shengjie Zhang, Hong Hu, Qinghong Lin, Shuibo Pan, Chenyangzi Dai, Junduan Wu, 2022, Frontiers in Psychiatry)
- Childhood trauma and recent suicide risk in major depressive disorder: exploring the mediating effect of resilience and cognitive emotion regulation strategies(Qichun Liu, He Ma, Jia Li, Meiling Chen, Yanting Zhang, Zhen Tang, Xiangdong Du, Gang Ye, 2025, BMC Psychiatry)
- Childhood maltreatment impacts emotion regulation difficulties, but not strategy use, throughout adolescence and young adulthood.(Claudia Clinchard, Brooks Casas, Jungmeen Kim-Spoon, 2025, Emotion)
- Cognitive reappraisal and corresponding neural basis mediate the association between childhood maltreatment and depression(Yu Mao, Ling Li, Xin Hou, Yuan Li, Shukai Duan, 2023, bioRxiv)
- Relationship between early language competence and cognitive emotion regulation in adolescence(S. Griffiths, C. Suksasilp, Laura Lucas, C. Sebastian, C. Norbury, 2021, Royal Society Open Science)
- The association of childhood maltreatment with Internet addiction: the serial mediating effects of cognitive emotion regulation strategies and depression.(Yuanyuan Guo, Jingjing Gu, James Gaskin, Xue-Qin Yin, Yuhan Zhang, Jin-Liang Wang, 2023, Child abuse & neglect)
- Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticism(Qian-qian Chu, Xiang Wang, Rui Yao, Jie Fan, Ya Li, Fei Nie, Lifeng Wang, Qiuping Tang, 2021, BMC Psychiatry)
- Bullying Victimization and Adolescent Depression, Anxiety and Stress: The Mediation of Cognitive Emotion Regulation(M. Vacca, Silvia Cerolini, Anna Zegretti, A. Zagaria, Caterina Lombardo, 2023, Children)
- Childhood emotional maltreatment and adult psychopathology: Evidence for emotion regulation as a mediating mechanism.(Lena Peter, Emily Sitarski, S. Kobel, Janine Wendt, Jörg M. Fegert, F. Köhler-Dauner, 2026, Child abuse & neglect)
- Childhood maltreatment and emotion regulation in everyday life: an experience sampling study.(Andrei Ion, Mirela I Bîlc, Simina Pițur, Claudia Felicia Pop, Aurora Szentágotai-Tătar, Andrei C Miu, 2023, Scientific reports)
- The Relationship between Childhood Traumatic Experiences and Social Anxiety Disorder Mediated by Cognitive Emotion Regulation in University Students(Hanieh Zadfallah Farshami, A. Roshandel, 2024, The International Journal of Education and Cognitive Sciences)
- A latent profile analysis of cognitive emotion regulation strategies in relation to negative emotions and NSSI among Chinese junior high school students(Peiyu Zhang, Yuanqi Xiong, Jingyu Shi, 2024, Child and Adolescent Psychiatry and Mental Health)
- Risk of Depression in the Offspring of Parents with Depression: The Role of Emotion Regulation, Cognitive Style, Parenting and Life Events(Johanna Löchner, A. Sfärlea, Kornelija Starman, F. Oort, Laura Asperud Thomsen, G. Schulte-Körne, B. Platt, 2019, Child Psychiatry and Human Development)
- Unveiling Gender Differences in Adolescent Coping: Insights from High School Students in Jakarta(Charli Sitinjak, E. Rakhmawati, Ummu Hanny Almasitoh, Anna Febrianty, 2024, Indigenous: Jurnal Ilmiah Psikologi)
- Age and Cognitive Ability Predict Emotion Regulation Strategy Use.(Claire M Growney, Tammy English, 2023, The journals of gerontology. Series B, Psychological sciences and social sciences)
- The Structural Relationships between Family Functioning, Positive Development, Psychological Distress and Social Media Addiction with the Mediating of Cognitive Emotion Regulation Strategies in Adolescents(Vahab Asl Rahimi, Jalil Babapour Kheiroddin, Z. Khanjani, Touraj Hashemi Nosrat-Abad, B. Abbas, 2024, Depiction of Health)
- Self-Regulation and Cognitive Emotion Regulation among Adolescents(R. Khawar, S. Attia, A. Zulfqar, Samavia Hussain, 2023, Pakistan Journal of Humanities and Social Sciences)
- Socioeconomic status moderates neural markers of cognitive reappraisal across preschool.(Jennifer L Kling, Rebecca J Brooker, 2024, Biological psychology)
- Identity Functioning and Eating Disorder Symptomatology: The Role of Cognitive Emotion Regulation Strategies(M. Verschueren, L. Claes, Nina Palmeroni, Leni Raemen, Tinne Buelens, P. Moons, K. Luyckx, 2021, Frontiers in Psychology)
- Cognitive reappraisal and the association between depressive symptoms and perceived social support among older adults.(Natalie Sachs-Ericsson, Dawn Carr, Julia Sheffler, Thomas J Preston, Dimitris Kiosses, Greg Hajcak, 2021, Aging & mental health)
- Parenting Styles as Predictors of Cognitive Emotion Regulation Among High School Students(Sepideh Razavi, Leila Khajehpour, G. Moltafet, 2025, Journal of Assessment and Research in Applied Counseling)
- The long-term effects of childhood maltreatment: Examining the indirect and cross-lagged pathways of maladaptive cognitive emotion regulation strategies and internalizing problems.(Jianjun Huang, Xi Shen, Jin-Liang Wang, 2025, Development and psychopathology)
- Childhood trauma and adolescent anxiety: Uncovering emotion regulation pathways through integrated machine learning and traditional statistics.(Wei Chen, Shiyin Xiao, 2025, Psychiatry research)
- Difficulties with emotion regulation as a transdiagnostic mechanism linking child maltreatment with the emergence of psychopathology(David G. Weissman, Debbie Bitrán, A. Miller, J. Schaefer, M. Sheridan, K. McLaughlin, 2019, Development and Psychopathology)
- Age differences in peritraumatic and posttraumatic processing.(Trudy A Green, Carly J Johnco, Viviana M Wuthrich, 2023, Journal of experimental psychology. General)
- Associations between parental psychopathology and youth functional emotion regulation brain networks(Valerie Karl, D. Beck, E. Eilertsen, C. Morawetz, Thea Wiker, E. Aksnes, L. Norbom, Lia Ferschmann, Niamh MacSweeney, I. Voldsbekk, O. Andreassen, L. Westlye, D. G. Gee, Haakon Engen, C. K. Tamnes, 2024, Developmental Cognitive Neuroscience)
- Neurodevelopmental correlates of emotion regulation in adolescence: An accelerated longitudinal study(Galit Karpov, Sara A. Heyn, Justin Russel, Taylor Keding, Ryan Herringa, 2025, Developmental Cognitive Neuroscience)
- The effect of alexithymia on self-perceived aging among community-dwelling older adults with multiple chronic conditions: the mediating role of maladaptive cognitive emotion regulation strategies(Jianou Xu, B. Shang, Jun Zhang, Caifeng Luo, Zekun Bian, Fei Lv, Zhengxia Yang, 2024, Frontiers in Psychiatry)
- Effortful control and depression in school-age children: The chain mediating role of emotion regulation ability and cognitive reappraisal strategy.(Ni Zhang, Wen Liu, Han-Song Che, Xingnan Fan, 2023, Journal of affective disorders)
现代社会压力、特定行为领域与慢性病管理的应用
将CER理论应用于特定情境,包括COVID-19大流行、社交媒体与手机成瘾、网络欺凌、职业倦怠(教师、医护、法官)、慢性疼痛、癌症及体育竞技表现。研究关注认知调节如何中介压力源与身心健康结果之间的关系。
- "Why Always Me?" Rumination and Self-Blame Are Stronger After Human Than Algorithmic Rejection in Job Applications(Clarissa Sabrina Arlinghaus, Catharina J. Schedler, Günter W. Maier, 2025, Proceedings of the 13th International Conference on Human-Agent Interaction)
- A Predictive Model of High-Risk Sexual Behaviors in Female High School Students Based on Cognitive Emotion Regulation Styles with the Mediating Role of Hardiness(Mahbobeh Alizadeh Godarzi, Alireza Pirkhaefi, S. Haghighat, 2025, International Journal of Education and Cognitive Sciences)
- Bridging illness uncertainty and self-care: The role of cognitive emotion regulation in type 2 diabetes management.(Merve Murat Mehmed Ali̇, Selda Celi K, Seda Er, Gulden Anataca, 2025, Primary care diabetes)
- Cyberbullying victimization and somatic complaints: A prospective examination of cognitive emotion regulation strategies as mediators(Lourdes Rey, F. Neto, N. Extremera, 2020, International Journal of Clinical and Health Psychology : IJCHP)
- Cognitive Reappraisal Impairments in Positive Emotion Regulation Among Internet Addicts: Reduced Effective Connectivity From dlPFC to vmPFC.(Wenxin Guo, Wei Zhang, 2026, Scandinavian journal of psychology)
- Impact of campus living conditions on Chinese medical school students’ mental health during the COVID-19 campus lockdown: the chain mediating role of cognitive reappraisal and expression suppression(W. Zhang, Long Huang, Fengyun Xu, Hairong Liu, Guoping Wang, 2023, Frontiers in Psychiatry)
- Interplay between uncertainty intolerance, emotion regulation, cognitive flexibility, and psychopathology during the COVID-19 pandemic: a multi-wave study(Malvika Godara, Jonas Everaert, Á. Sánchez-López, J. Joormann, R. de Raedt, 2023, Scientific Reports)
- Emotion regulation during the COVID-19 pandemic: risk and resilience factors for parental burnout (IIPB)(Dana Vertsberger, I. Roskam, A. Talmon, H. V. van Bakel, R. Hall, M. Mikolajczak, J. Gross, 2021, Cognition and Emotion)
- Exploring Sex Differences in the Relationship Between Emotion Regulation and Eating Disorders Symptoms During Early Adolescence(M. Gámiz-Sanfeliu, M. Fernández-Capo, J. Rojas-Rincón, A. Ampatzoglou, Cristina Fernández-Cardellach, A. Garcia-Casanovas, M. Garolera, A. Carballo-Márquez, B. Porras-Garcia, 2026, Journal of Clinical Medicine)
- The Role of Cognitive Emotion Regulation Strategies in Problem Gaming Among Adolescents: A Nationally Representative Survey Study(G. Kökönyei, N. Kocsel, O. Király, M. Griffiths, A. Galambos, A. Magi, B. Paksi, Z. Demetrovics, 2019, Frontiers in Psychiatry)
- Young women's body image following upwards comparison to Instagram models: The role of physical appearance perfectionism and cognitive emotion regulation.(Sarah E. McComb, Jennifer S. Mills, 2021, Body image)
- A preliminary study on the association between social media at night and sleep quality: The relevance of FOMO, cognitive pre-sleep arousal, and maladaptive cognitive emotion regulation.(Filipa Almeida, D. R. Marques, A. Gomes, 2022, Scandinavian journal of psychology)
- The Role of Cognitive Emotion Regulation Strategies on Problematic Smartphone Use: Comparison between Problematic and Non-Problematic Adolescent Users(N. Extremera, Cirenia Quintana-Orts, Nicolás Sánchez-Álvarez, Lourdes Rey, 2019, International Journal of Environmental Research and Public Health)
- A second-order adaptive network model for emotion regulation in addictive social media behaviour(Elisabeth S. Fokker, X. Zong, J. Treur, 2021, Cogn. Syst. Res.)
- Mobile phone addiction is associated with impaired cognitive reappraisal and expressive suppression of negative emotion(Jin Liu, Zhaojun Xu, Lili Zhu, Renliying Xu, Zhaocai Jiang, 2022, Frontiers in Psychiatry)
- Intrusive rumination and academic burnout among adolescents in ethnic minority areas of China during the COVID-19 pandemic: PTSS as mediator and cognitive reappraisal as moderator(Linhui He, Xiaojiao Yuan, Qiuyan Chen, Xiaogang Wang, 2023, BMC Public Health)
- Unpacking cognitive emotion regulation in eating disorder psychopathology: The differential relationships between rumination, thought suppression, and eating disorder symptoms among men and women.(Kathryn E. Smith, Tyler B. Mason, N. L. Anderson, Jason M. Lavender, 2019, Eating behaviors)
- Cognitive Reappraisal Reduces the Influence of Threat on Food Craving.(Noam Weinbach, Gili Barzilay, Noga Cohen, 2022, Affective science)
- The Predictive Role of Cognitive Emotion Regulation of Adolescents with Chronic Disease and Their Parents in Adolescents' Quality of Life: A Pilot Study.(Melinda Cserép, Brigitta Szabó, Péter Tóth-Heyn, Attila J Szabo, Irena Szumska, 2022, International journal of environmental research and public health)
- Cognitive Emotion Regulation Strategies Predict Burnout in Geriatric Nursing Staff.(Patricia M Bamonti, Amanda Smith, Heather M Smith, 2022, Clinical gerontologist)
- Cognitive emotion regulation strategies: A study of Iraqi ISIS survivors(Marwa Abd-alzim, Mohammed Looti, 2025, Journal of Indonesian Psychological Science (JIPS))
- Exploring emotional support and engagement in adolescent EFL learning: The mediating role of emotion regulation strategies(Yuchi Zhang, Yibin Hu, Meng Yu, 2024, Language Teaching Research)
- The relationship between optimism, pessimism and sleep difficulties in university students: The role of cognitive emotion regulation and psychological distress(B. Afonso, M. J. Soares, A. Macedo, 2024, PSICOLOGIA)
- The investigation of EFL teachers' cognitive emotion regulation, pedagogical beliefs, pedagogical practices, and their engagement across the curriculum.(Jie Zhang, Youzhi Ge, Jiayu Du, Zijing Hu, 2024, Acta psychologica)
- Unpacking the Relationship among Task Engagement, Achievement Emotions and Emotion Regulation among EFL Learners: A Network Analysis(A. Jiang, Ke Sun, Junjian Liang, Yidan Jin, Sujun Zhang, 2025, Perceptual and Motor Skills)
- Cognitive emotion regulation strategies and psychological distress during lockdown due to COVID-19.(Jose A Rodas, Maria F Jara-Rizzo, Ciara M Greene, Rodrigo Moreta-Herrera, Daniel Oleas, 2022, International journal of psychology : Journal international de psychologie)
- Knowledge of COVID-19 and Its Influence on Mindfulness, Cognitive Emotion Regulation and Psychological Flexibility in the Indian Community(N. Dubey, Priyanka Podder, Dinkar Pandey, 2020, Frontiers in Psychology)
- Cognitive emotion regulation strategies as predictors of depressive symptoms in women newly diagnosed with breast cancer.(Yuping Wang, Jinyao Yi, Jincai He, Gannong Chen, Lingyan Li, Yuling Yang, Xiongzhao Zhu, 2014, Psycho-oncology)
- Emotion regulation and virtual nature: cognitive reappraisal as an individual-level moderator for impacts on subjective vitality(Annalisa Theodorou, G. Spano, Gregory N. Bratman, Kevin Monneron, G. Sanesi, G. Carrus, C. Imperatori, Angelo Panno, 2023, Scientific Reports)
- Alexithymia, Self-Compassion, Emotional Resilience, and Cognitive Emotion Regulation: Charting the Emotional Journey of Cancer Patients(Ipek Ozonder Unal, Ç. Ordu, 2023, Current Oncology)
- Psychological problems in general population during covid-19 pandemic in Pakistan: role of cognitive emotion regulation(M. Riaz, M. Abid, Zaqia Bano, 2020, Annals of Medicine)
- Mindfulness-Based Stress Reduction for Quality of Life, Psychological Distress, and Cognitive Emotion Regulation Strategies in Patients With Breast Cancer Under Early Chemotherapy—a Randomized Controlled Trial(Pingting Zhu, Xinyi Liu, Xingchen Shang, Yuanyuan Chen, Chen Chen, Q. Wu, 2023, Holistic Nursing Practice)
- Psychological flexibility, cognitive emotion regulation and mental health outcomes among patients with asthma in Pakistan.(Samavia Hussain, Rabia Khawar, Rizwana Amin, Asma Hamdani, Asma Majeed, 2023, PeerJ)
- The effect of cognitive emotion regulation on direct-acting antivirals adherence in patients with hepatitis C(A. Turcu-Știolică, I. Doica, B. Ungureanu, M. Subțirelu, D. Florescu, R. Turcu-Stiolica, Ion Rogoveanu, D. Gheonea, 2024, Frontiers in Pharmacology)
- Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation.(Kara E Hannibal, Mark D Bishop, 2014, Physical therapy)
- Creative Self-Efficacy, Cognitive Reappraisal, Positive Affect, and Career Satisfaction: A Serial Mediation Model(Sunyoung Oh, Jungmin Pyo, 2023, Behavioral Sciences)
- [Burnout in the light of cognitive emotion regulation among Hungarian physicians].(Emőke Fülöp, Zita Gábris, 2022, Orvosi hetilap)
- Anxiety, depression and cognitive emotion regulation strategies in Chinese nurses during the COVID‐19 outbreak(Qing-qing Wang, Yuan-Yuan Fang, Haolian Huang, Wen-Jun Lv, Xiao-Xiao Wang, Tian-Ting Yang, Jing-Mei Yuan, Ying Gao, Ruilian Qian, Yan-hong Zhang, 2021, Journal of Nursing Management)
- Predictors of cognitive emotion regulation strategies: Iranian nurses(Sakineh Moghaddam Zeabadi, F. Hasandoost, M. Momeni, A. Goudarzian, Seyedehzahra Hosseinigolafshani, 2021, Journal of Education and Health Promotion)
- A 1-year longitudinal study on experiencing workplace cyberbullying, affective well-being and work engagement of teachers: The mediating effect of cognitive reappraisal.(A. Leung, Henry C Y Ho, Wai Kai Hou, Kai‐Tak Poon, J. L. Y. Kwan, Ying Chuen Chan, 2024, Applied psychology. Health and well-being)
- Mental Healthcare through Cognitive Emotional Regulation Strategies among Prisoners.(Younyoung Choi, Mirim Kim, Jeongsoo Park, 2023, Healthcare (Basel, Switzerland))
- Judges’ emotion: an application of the emotion regulation process model(Katie M Snider, Paul G. Devereux, Monica K. Miller, 2021, Psychiatry, Psychology and Law)
- Research on Digital Business Model Innovation Based on Emotion Regulation Lens(Shan Lu, Haijing Yu, 2022, Frontiers in Psychology)
- Cognitive Emotion Regulation and Problematic Video Gaming During Adolescence(Naska Goagoses, Alissa Schüürmann, Viktoria Pöchmüller, Clemens Hillenbrand, 2025, Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie)
- Working students’ perceptions of the emotion regulation process. A qualitative study(T. Saulius, Romualdas Malinauskas, 2023, Current Psychology)
- Worry about COVID-19 contagion and general anxiety: Moderation and mediation effects of cognitive emotion regulation(Roger Muñoz-Navarro, E. Malonda, Anna Llorca-Mestre, A. Cano-Vindel, P. Fernández-Berrocal, 2021, Journal of Psychiatric Research)
- The impact of cognitive emotion regulation strategies on math and science anxieties with or without controlling general anxiety(Ahmed M. Megreya, Ahmed Al-Emadi, 2024, Scientific Reports)
- Postpartum Stress and Neural Regulation of Emotion among First-Time Mothers.(Leah A Grande, Aviva K Olsavsky, Andrew Erhart, Alexander J Dufford, Rebekah Tribble, K Luan Phan, Pilyoung Kim, 2021, Cognitive, affective & behavioral neuroscience)
- Cognitive Emotion Regulation Strategies as Mediators between Resilience and Stress during COVID-19 Pandemic(A. Ursu, C. Măirean, 2022, International Journal of Environmental Research and Public Health)
- An investigation into the mediating role of resilience in the relationship between cognitive emotion regulation and quality of life among young couples(M. Moslemi, M. Hatami, 2024, International Journal of Education and Cognitive Sciences)
- Relationships between frustration intolerance beliefs, cognitive emotion regulation strategies and burnout among geriatric nurses and care assistants.(C. Potard, Clémence Landais, 2021, Geriatric nursing)
- Relationship between resilience and insomnia among the middle-aged and elderly: mediating role of maladaptive emotion regulation strategies(Meng-Yin Cheng, Meng-jia Wang, Ming-yu Chang, Rui-xing Zhang, Chao-Fan Gu, Yu-hua Zhao, 2020, Psychology, Health & Medicine)
- Mindfulness, Cyberbullying and Cognitive Emotion Regulation in Adolescents(Sara Golchobi, Roghieh Nooripour, 2025, Journal of Research and Health)
- Expressive suppression is associated with state paranoia in psychosis: An experience sampling study on the association between adaptive and maladaptive emotion regulation strategies and paranoia(C. Nittel, T. Lincoln, Fabian Lamster, D. Leube, W. Rief, T. Kircher, Stephanie Mehl, 2018, British Journal of Clinical Psychology)
干预技术、训练实证与神经调控应用
评估提升情绪调节能力的各种手段,包括正念训练(MBTs)、认知行为疗法(CBT)、执行功能训练、rt-fMRI神经反馈、经颅电/磁刺激(tDCS/TMS)以及数字医疗干预。研究关注这些手段对改善适应性策略使用及改变脑功能的有效性。
- The effects of mindfulness-based techniques on self-rumination, cognitive reappraisal and expressive suppression among patients with major depression: a nursing perspective(M. H. Atta, A. El-Ashry, Marwa Abd El-Gawad Mousa, 2024, Journal of Research in Nursing)
- Learning emotion regulation: An integrative framework.(Rachael N Wright, R Alison Adcock, Kevin S LaBar, 2025, Psychological review)
- Regulating Anger under Stress via Cognitive Reappraisal and Sadness(Jun Zhan, Xiaofei Wu, Jin Fan, Jianyou Guo, Jianshe Zhou, Jun Ren, Chang Liu, Jing Luo, 2017, Frontiers in Psychology)
- Targeting maladaptive anger with brief therapist-supported internet-delivered emotion regulation treatments: A randomized controlled trial.(J. Bjureberg, Olivia Ojala, Anton Berg, Elin Edvardsson, Örn Kolbeinsson, O. Molander, Evelina Morin, Line Nordgren, Kristin Palme, Josefin Särnholm, Leif Wedin, C. Rück, J. Gross, H. Hesser, 2022, Journal of consulting and clinical psychology)
- Cognitive training improves emotion regulation in Chinese preschool children.(Jinlan Xie, Siman Liu, Ping Fang, 2021, Pediatrics international : official journal of the Japan Pediatric Society)
- Suggestion of cognitive enhancement improves emotion regulation.(Quanshan Long, Na Hu, Hanxiao Li, Yi Zhang, Jiajin Yuan, Antao Chen, 2020, Emotion (Washington, D.C.))
- Enhancing cognitive emotion regulation, and responsibility in male incarcerated adolescents through social cognition training based on cognitive behavioral methods(Hamidreza Bakhtiari, Nahid Fallahi, Majid Barzegar, 2025, Justice, Opportunities, and Rehabilitation)
- Cognitive-behavioral therapy increases prefrontal cortex gray matter in patients with chronic pain.(David A Seminowicz, Marina Shpaner, Michael L Keaser, G Michael Krauthamer, John Mantegna, Julie A Dumas, Paul A Newhouse, Christopher G Filippi, Francis J Keefe, Magdalena R Naylor, 2013, The journal of pain)
- The associations between interoceptive awareness, emotion regulation, acceptance, and well-being in patients receiving multicomponent treatment: a dynamic panel network model(Adam Klocek, T. Řiháček, 2023, Research in Psychotherapy : Psychopathology, Process, and Outcome)
- Studying Children's Intrapersonal Emotion Regulation Strategies from the Process Model of Emotion Regulation(Belén López-Pérez, M. Gummerum, Ellie Wilson, Giulia Dellaria, 2017, The Journal of Genetic Psychology)
- Training in cognitive reappraisal normalizes whole-brain indices of emotion regulation in borderline personality disorder.(Bryan T. Denny, Richard B. Lopez, E. Wu-Chung, Eva E Dicker, Pauline N Goodson, Jin Fan, K. Schulz, Kevin N. Ochsner, J. Trumbull, Maria Martin Lopez, S. Fels, Hayley Galitzer, M. Perez-Rodriguez, Marianne Goodman, Daniel R. Rosell, E. Hazlett, M. McClure, A. New, H. Koenigsberg, 2024, Biological psychiatry. Cognitive neuroscience and neuroimaging)
- Repeated transcranial direct current stimulation of dorsolateral-prefrontal cortex improves executive functions, cognitive reappraisal emotion regulation, and control over emotional processing in borderline personality disorder: A randomized, sham-controlled, parallel-group study.(Parviz Molavi, Samaneh Aziziaram, S. Basharpoor, A. Atadokht, M. Nitsche, M. A. Salehinejad, 2020, Journal of affective disorders)
- Neural Predictors of Improvement With Cognitive Behavioral Therapy for Adolescents With Depression: An Examination of Reward Responsiveness and Emotion Regulation(Lindsay Dickey, Samantha Pegg, Emilia F. Cárdenas, Haley Green, Anh Dao, James G. Waxmonsky, Koraly Pérez-Edgar, Autumn Kujawa, 2023, Research on Child and Adolescent Psychopathology)
- Efficacy of a smartphone-based Cognitive Bias Modification program for emotion regulation: A randomized-controlled crossover trial.(Fanny Alexandra Dietel, Raphael Rupprecht, Alexander Mohamed Seriyo, Malte Post, Bastian Sudhoff, Jacqueline Reichart, Matthias Berking, Ulrike Buhlmann, 2024, Internet interventions)
- Predicting rapid response to cognitive-behavioural treatment for panic disorder: the role of hippocampus, insula, and dorsolateral prefrontal cortex.(A. Reinecke, K. Thilo, N. Filippini, Alison Croft, C. Harmer, 2014, Behaviour research and therapy)
- The influence of an emotion regulation intervention on challenges in emotion regulation and cognitive strategies in patients with depression(M. H. Atta, M. El-Gueneidy, O. Lachine, 2024, BMC Psychology)
- Non-invasive vagal nerve stimulation enhances cognitive emotion regulation.(Stefanie De Smet, C. Baeken, Nina Seminck, Jozefien Tilleman, E. Carrette, K. Vonck, M. Vanderhasselt, 2021, Behaviour research and therapy)
- Self-compassion enhances the efficacy of explicit cognitive reappraisal as an emotion regulation strategy in individuals with major depressive disorder.(Alice Diedrich, S. Hofmann, P. Cuijpers, M. Berking, 2016, Behaviour research and therapy)
- Cognitive reappraisal and acceptance following acute stress.(Josef Hamza, Simona Vytykačová, Katarína Janšáková, Jakub Rajčáni, 2024, Stress and health : journal of the International Society for the Investigation of Stress)
- Investigation of the effectiveness of Gross model-based cognitive emotion regulation training in the improvement of Love Trauma Syndrome, Hoping and Positive Affect Negative Affect among female students with love trauma(Sayed Ali Sharifi Fard, Akbar Ata-Dokht, Sajjad Bashar Poor, Golnaz Ali Babaei, 2023, Journal of Injury and Violence Research)
- Impact of cognitive behavioral therapy for social anxiety disorder on the neural dynamics of cognitive reappraisal of negative self-beliefs: randomized clinical trial.(Philippe R Goldin, Michal Ziv, Hooria Jazaieri, Kevin Hahn, Richard Heimberg, James J Gross, 2013, JAMA psychiatry)
- Process model of emotion regulation-based digital intervention for emotional problems(D. Qu, Dongyu Liu, Chengxi Cai, Xuan Zhang, Jiaao Yu, Quan Zhang, Kunxu Liu, Ziqian Wei, Jiajia Tan, Zaixu Cui, Xiaoqian Zhang, Runsen Chen, 2023, Digital Health)
- The cognitive control mechanism of improving emotion regulation: A high-definition tDCS and ERP study.(Lele Chen, T. Oei, R. Zhou, 2023, Journal of affective disorders)
- fMRI feedback enhances emotion regulation as evidenced by a reduced amygdala response.(Pegah Sarkheil, Anna Zilverstand, Niclas Kilian-Hütten, Frank Schneider, Rainer Goebel, Klaus Mathiak, 2015, Behavioural brain research)
- fMRI Neurofeedback-Enhanced Cognitive Reappraisal Training in Depression: A Double-Blind Comparison of Left and Right vlPFC Regulation(Micha Keller, Jana Zweerings, M. Klasen, M. Zvyagintsev, J. Iglesias, R. Mendoza Quiñones, K. Mathiak, 2021, Frontiers in Psychiatry)
- Rt-fMRI neurofeedback-guided cognitive reappraisal training modulates amygdala responsivity in posttraumatic stress disorder(Jana Zweerings, P. Sarkheil, Micha Keller, M. Dyck, M. Klasen, B. Becker, A. Gaebler, Camellia N. Ibrahim, B. Turetsky, M. Zvyagintsev, G. Flatten, K. Mathiak, 2020, NeuroImage : Clinical)
- A role for the right dorsolateral prefrontal cortex in enhancing regulation of both craving and negative emotions in internet gaming disorder: A randomized trial.(Lu-lu Wu, M. Potenza, Nan Zhou, H. Kober, Xin-hui Shi, S. Yip, Jia-hua Xu, Lei Zhu, Rui Wang, Guan-qun Liu, Jin-tao Zhang, 2020, European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology)
- Enhancing Emotion Regulation Skills in High-Risk Adolescents Due to the Existence of Psychopathology in the Family: Feasibility and Uncontrolled Pilot Study of a Group Intervention in a Naturalistic School Setting(Christiana Theodorou, M. Karekla, Georgia Panayiotou, 2024, International Journal of Environmental Research and Public Health)
- The Impact of Acute Exercise on Implicit Cognitive Reappraisal in Association with Left Dorsolateral Prefronta Activation: A fNIRS Study.(Yifan Zhang, Wenxia Shi, Hao Wang, Mengrui Liu, Donghui Tang, 2021, Behavioural brain research)
- Oxazepam and cognitive reappraisal: A randomised experiment.(Gustav Nilsonne, Sandra Tamm, Armita Golkar, Andreas Olsson, Karolina Sörman, Katarina Howner, Marianne Kristiansson, Martin Ingvar, Predrag Petrovic, 2021, PloS one)
- The mediating role of emotion regulation in transdiagnostic cognitive behavioural therapy for emotional disorders in primary care: Secondary analyses of the PsicAP randomized controlled trial.(Roger Muñoz-Navarro, Leonardo Adrián Medrano, Joaquín T Limonero, César González-Blanch, Juan A Moriana, Paloma Ruiz-Rodríguez, Antonio Cano-Vindel, 2022, Journal of affective disorders)
- Cognitive reappraisal and acceptance: Effects on emotion, physiology, and perceived cognitive costs.(Allison S Troy, Amanda J Shallcross, Anna Brunner, Rachel Friedman, Markera C Jones, 2018, Emotion (Washington, D.C.))
- Cognitive reappraisal moderates the effect of combat or other exposures on negative behavioral health symptoms(Jeffrey M. Osgood, H. K. Yates, J. Holzinger, P. Quartana, 2023, Military Psychology)
- Linking Cognitive Reappraisal and Expressive Suppression to Mindfulness: A Three-Level Meta-Analysis.(Senlin Zhou, Yunpeng Wu, Xizheng Xu, 2023, International journal of environmental research and public health)
- Sex Differences in the Effects of Cognitive Reappraisal Training on Conditioned Fear Responses.(Suqun Liao, Wen Xiao, Yancai Wang, 2022, International journal of environmental research and public health)
- Cognitive emotion regulation withstands the stress test: an fMRI study on the effect of acute stress on distraction and reappraisal.(Magdalena Sandner, Peter Zeier, Giannis Lois, M. Wessa, 2021, Neuropsychologia)
- Coping with stressful life events: Cognitive emotion regulation profiles and depressive symptoms in adolescents(Marieke W. H. van den Heuvel, Y. Stikkelbroek, Denise H. M. Bodden, A. V. van Baar, 2019, Development and Psychopathology)
- Effectiveness of cognitive reappraisal and distraction for induced acute pain: A laboratory study.(J. C. Pacho-Hernández, J. L. González-Gutiérrez, Laura Yunta-Rua, Ricardo Pocinho, Almudena López-López, 2024, Health psychology : official journal of the Division of Health Psychology, American Psychological Association)
- Effects of cognitive control training on the dynamics of (mal)adaptive emotion regulation in daily life.(K. Hoorelbeke, E. Koster, I. Demeyer, T. Loeys, M. Vanderhasselt, 2016, Emotion)
- Cognitive reappraisal, emotional expression and mindfulness in adaptation to bereavement: a longitudinal study.(Maarten C Eisma, Antje Janshen, Lukas F T Huber, Maya J Schroevers, 2023, Anxiety, stress, and coping)
- Specificity of cognitive emotion regulation strategies: a transdiagnostic examination.(A. Aldao, Susan Nolen-Hoeksema, 2010, Behaviour research and therapy)
- Correlation of Cognitive Reappraisal and the Microstructural Properties of the Forceps Minor: A Deductive Exploratory Diffusion Tensor Imaging Study(M. Porcu, L. Cocco, R. Cau, Jasjit S. Suri, L. Mannelli, M. Manchia, Josep Puig, Yang Qi, L. Saba, 2023, Brain Topography)
- The Moderating Role of Emotion Regulation in the Recall of Negative Autobiographical Memories.(Desirée Colombo, Silvia Serino, Carlos Suso-Ribera, Javier Fernández-Álvarez, Pietro Cipresso, Azucena García-Palacios, Giuseppe Riva, Cristina Botella, 2021, International journal of environmental research and public health)
个体差异、认知特质与调节效果的复杂关联
研究影响CER选择与效果的个体差异因素,如性别、性激素、人格特质(神经质、马基雅维利主义)、认知特质(执行功能、工作记忆、认知灵活性、述情障碍)以及正念特质和自悯能力。
- Autonomous Sensory Meridian Response self-reporters showed higher scores for cognitive reappraisal as an emotion regulation strategy(Ricardo Morales, Daniela Ramírez-Benavides, Mario Villena-González, 2021, PeerJ)
- Association between working memory updating ability and cognitive reappraisal: An investigation into a modulatory role of the individual's sex.(Xin Zhao, Yaya Cai, Joseph H. R. Maes, 2023, PsyCh journal)
- Effect of Cognitive Reappraisal on Archery Performance of Elite Athletes: The Mediating Effects of Sport-Confidence and Attention(Dong-Ling Wang, Ti Hu, R. Luo, Qiqi Shen, Yuan Wang, Xiu-juan Li, Jiang Qiao, Lina Zhu, Lei Cui, Heng-chan Yin, 2022, Frontiers in Psychology)
- The Role of Motivation in Cognitive Reappraisal for Depressed Patients.(Xiaoxia Wang, Xiaoyan Zhou, Qin Dai, Bing Ji, Zhengzhi Feng, 2017, Frontiers in human neuroscience)
- Machiavellian emotion regulation in a cognitive reappraisal task: An fMRI study(A. Deak, Barbara Bodrogi, Brigi Biro, G. Perlaki, G. Orsi, T. Bereczkei, 2017, Cognitive, Affective, & Behavioral Neuroscience)
- Эмоциональная дифференцированность как предиктор эффективности регуляции эмоций: исследование с использованием метода многократных замеров(Мария Алексеевна Рассказова, Дмитрий Люсин, 2025, Психологические исследования)
- The Pain-Related Cognitive Processes Questionnaire: Development and Validation.(Melissa A Day, L Charles Ward, Beverly E Thorn, Cathryne P Lang, Toby R O Newton-John, Dawn M Ehde, Mark P Jensen, 2018, Pain medicine (Malden, Mass.))
- Process-Oriented Measurement of Emotion Regulation: General and Specific Associations With Psychosocial Adjustment and Well-Being in (Pre-)Adolescence(J. Rueth, A. Lohaus, 2022, Frontiers in Psychiatry)
- Attention control mediates the relationship between mental imagery vividness and emotion regulation.(McKenzie Andries, Aurora J A Robert, Andrew L Lyons, Thomas R D Rawliuk, Johnson Li, Steven G Greening, 2024, Consciousness and cognition)
- The paradoxical relationship between emotion regulation and gambling-related cognitive biases.(Cristian M Ruiz de Lara, Juan F Navas, José C Perales, 2019, PloS one)
- The Role of Distress Tolerance in the Use of Specific Emotion Regulation Strategies(E. Jeffries, A. McLeish, Kristen M Kraemer, Kimberly M. Avallone, John B Fleming, 2016, Behavior Modification)
- Mindfulness and Anxiety Among Foreign Language Teachers: The Role of Cognitive Reappraisal and Self-Efficacy(Nasser Fallah, Foad Abdolahzadeh, Mohammad Yaaghobi, 2023, Mindfulness)
- Observing nonreactively: a conditional process model linking mindfulness facets, cognitive emotion regulation strategies, and depression and anxiety symptoms.(Alethea Desrosiers, V. Vine, Joshua E. Curtiss, David H. Klemanski, 2014, Journal of affective disorders)
- Reductions in Anxiety are Associated with Decreased Expressive Suppression and Increased Cognitive Reappraisal After Cognitive-Behavioral Treatment: A Naturalistic Study in Youth.(Kelly A Knowles, D. Tolin, 2024, Child psychiatry and human development)
- Focusing on the self in context as an emotion regulatory strategy: an evaluation of the "self-as-context" component of ACT compared to cognitive reappraisal in managing stress.(Megan Godbee, Maria Kangas, 2022, Anxiety, stress, and coping)
- Mindfulness Broadens Awareness and Builds Eudaimonic Meaning: A Process Model of Mindful Positive Emotion Regulation(E. Garland, N. Farb, Philippe R. Goldin, B. Fredrickson, 2015, Psychological Inquiry)
- Mindfulness and cognitive emotion regulation in pediatric misophonia.(Samuel D. Spencer, Andrew G. Guzick, Matti Cervin, E. Storch, 2023, Journal of contextual behavioral science)
- The conditional process model of mindfulness and emotion regulation: An empirical test.(Joshua E. Curtiss, David H. Klemanski, Leigh A Andrews, Masaya Ito, S. Hofmann, 2017, Journal of affective disorders)
- Metacognition, rumination and suicidal ideation: An experience sampling test of the self-regulatory executive function model.(Robert Hallard, A. Wells, Vikki Aadahl, R. Emsley, D. Pratt, 2021, Psychiatry research)
- Life stressors and immune aging: Protective effects of cognitive reappraisal.(R. Reed, S. Presnell, A. Al-Attar, C. Lutz, S. Segerstrom, 2023, Brain, behavior, and immunity)
- Habitual exercise is associated with cognitive control and cognitive reappraisal success(Grace E Giles, Julie A Cantelon, Marianna D. Eddy, T. Brunyé, Heather L. Urry, Caroline R. Mahoney, R. Kanarek, 2017, Experimental Brain Research)
- Psychological effects of misophonia: an examination of sex differences in depression, anxiety, and cognitive emotion regulation(Elif Merve Kurt Tunagur, Mustafa Tolga Tunagur, Beyzanur Atasoy, Enes Sarıgedik, 2025, Current Psychology)
- Self-compassion and emotion regulation: testing a mediation model.(Marine Paucsik, Carla Nardelli, Catherine Bortolon, Rebecca Shankland, Christophe Leys, Céline Baeyens, 2023, Cognition & emotion)
- Monitoring processes in extended emotion regulation.(Jonathan W Murphy, Michael A Young, 2020, Cognition & emotion)
- Emotion regulation from an action-control perspective.(Bob Bramson, Ivan Toni, Karin Roelofs, 2023, Neuroscience and biobehavioral reviews)
- The mediating role of cognitive emotion regulation skills in the relationship between romantic relationship satisfaction and eating attitudes(Eda Yılmazer, Fulya Türk, Zeynep Hamamcı, 2025, BMC Psychology)
- Inhibition of negative content—a shared process in rumination and reappraisal(N. Cohen, Shimrit Daches, Nilly Mor, A. Henik, 2014, Frontiers in Psychology)
- Alexithymia and emotion regulation.(David A Preece, Ashish Mehta, Kate Petrova, Pilleriin Sikka, Johan Bjureberg, Rodrigo Becerra, James J Gross, 2023, Journal of affective disorders)
- Cognitive flexibility and emotion regulation: Dual layers of resilience against the emergence of paranoia.(Wisteria Deng, Kwaku Acquah, Jutta Joormann, Tyrone D Cannon, 2023, Behaviour research and therapy)
- Cognitive reappraisal moderates the relationship between perfectionism and cognitive flexibility.(Niki Hayatbini, Katherine Knauft, Vrinda Kalia, 2021, Journal of clinical psychology)
- Fluid and crystallized cognitive resources differentially linked to emotion regulation success in adulthood.(Claire M Growney, Tammy English, 2023, Emotion (Washington, D.C.))
- Links between cognitive distortions and cognitive emotion regulation strategies in non-clinical young adulthood.(Romain Deperrois, N Combalbert, 2022, Cognitive processing)
- Exploring the links between alexithymia and cognitive emotion regulation strategies in internet addiction: A network analysis model(Hongge Luo, Xun Gong, Xiaomei Chen, Jianing Hu, Xiaoyi Wang, Yekun Sun, Jiating Li, Shaobo Lv, Xiujun Zhang, 2022, Frontiers in Psychology)
- Functional connectivity between right-lateralized ventrolateral prefrontal cortex and insula mediates reappraisal's link to memory control.(Wenjing Yang, Hui Jia, Qiuyang Feng, Dongtao Wei, Jiang Qiu, Justin C Hulbert, 2021, Journal of affective disorders)
- Cognitive flexibility, cognitive emotion regulation, and depression in Chinese adolescents: a network analysis approach(Kangyin Shi, Yuedong Qiu, Hongmei Yu, 2025, Current Psychology)
理论模型、计算框架与人际调节机制
致力于深化对CER过程的理论理解,包括计算模型构建、认知控制框架、扩展过程模型,以及从个体调节向人际调节(如伴侣互动、社会支持、共情)的范式扩展。
- Emotion regulation, fast or slow: A computational model of strategy choice.(Jonas Petter, Ashish Mehta, K. Petrova, M. Kindt, G. Sheppes, Jonas M B Haslbeck, James J. Gross, 2025, Emotion)
- A new understanding of the cognitive reappraisal technique: an extension based on the schema theory(Ya-Xin Wang, Bin Yin, 2023, Frontiers in Behavioral Neuroscience)
- A cognitive control framework for understanding emotion regulation flexibility.(Luise Pruessner, Sven Barnow, Daniel V Holt, Jutta Joormann, Katrin Schulze, 2020, Emotion (Washington, D.C.))
- Emotional control, reappraised.(Saskia B J Koch, Rogier B Mars, Ivan Toni, Karin Roelofs, 2018, Neuroscience and biobehavioral reviews)
- The Moderating Role of Emotion Differentiation in the Relationship Between Affect Intensity and Cognitive Emotion Regulation Strategies(Jeemin Hwang, unho Choi, Yesle Jo, Yongjoon So, 2025, Korean Mental Health & Behavior Analysis Association)
- Common and distinct neural correlates of fear extinction and cognitive reappraisal: a meta-analysis of fMRI studies.(M. Picó-Pérez, M. Alemany-Navarro, J. E. Dunsmoor, J. Radua, A. Albajes-Eizagirre, B. Vervliet, N. Cardoner, O. Benet, B. J. Harrison, Carles Soriano-Mas, Carles Soriano-Mas, M. Fullana, 2019, Neuroscience and biobehavioral reviews)
- Does cognitive reappraisal facilitate extinction?(Kaneez Fatima Dar, Manish Kumar Asthana, 2025, Cognition & emotion)
- For Whom and What Does Cognitive Reappraisal Help? A Prospective Study(Amy Dawel, Paige Mewton, Amelia Gulliver, L. Farrer, A. Calear, Eryn J. Newman, N. Cherbuin, 2023, Cognitive Therapy and Research)
- Autonomic Regulation in Response to Stress: The Influence of Anticipatory Emotion Regulation Strategies and Trait Rumination(Selene Nasso, M. Vanderhasselt, I. Demeyer, R. de Raedt, 2019, Emotion)
- Emotion regulation via reappraisal - mechanisms and strategies.(Klaus R Scherer, 2023, Cognition & emotion)
- Reciprocal effects between negative affect and emotion regulation in daily life.(Xiaoqin Wang, Shiyu Shao, Zhouqu Cai, Chenyue Ma, Lei Jia, Scott D Blain, Yafei Tan, 2024, Behaviour research and therapy)
- Superior emotional regulating effects of creative cognitive reappraisal.(Xiaofei Wu, Tingting Guo, Tengteng Tan, Wencai Zhang, Shaozheng Qin, Jin Fan, Jing Luo, 2019, NeuroImage)
- Mnemonic emotion regulation: a three-process model(Simon Nørby, 2018, Cognition and Emotion)
- A General Model of Dissonance Reduction: Unifying Past Accounts via an Emotion Regulation Perspective(Sebastian Cancino-Montecinos, F. Björklund, T. Lindholm, 2020, Frontiers in Psychology)
- Reappraisal as a means to self-transcendence: Aquinas’s model of emotion regulation informs the extended process model(Catherine A. Marple, A. Jeffrey, Sarah A. Schnitker, 2024, Philosophical Psychology)
- An Algorithm Model for Gross Cognitive Reappraisal Strategy(Xiaolan Peng, Lun Xie, Xin Liu, Zhiliang Wang, 2012, No journal)
- When are adaptive strategies most predictive of psychopathology?(A. Aldao, Susan Nolen-Hoeksema, 2012, Journal of abnormal psychology)
- Neural Correlates of Novelty and Appropriateness Processing In Cognitive Reappraisal.(Xiaofei Wu, Xiaojing Gu, Q. Guo, Xin Hao, Jinglu Luo, 2022, Biological psychology)
- The influence of context on the implementation of adaptive emotion regulation strategies.(A. Aldao, Susan Nolen-Hoeksema, 2012, Behaviour research and therapy)
- Gender differences in cognitive and affective interpersonal emotion regulation in couples: an fNIRS hyperscanning.(Wenhai Zhang, Lanting Qiu, Fanggui Tang, Hong-Jin Sun, 2023, Social cognitive and affective neuroscience)
- Social reappraisal of emotions is linked with the social presence effect in the default mode network.(Xiyao Xie, Teresa Bertram, Saša Zorjan, Marina Horvat, Christian Sorg, Satja Mulej Bratec, 2023, Frontiers in psychiatry)
- The link between cognitive and affective empathy and interpersonal emotion regulation direction and strategies.(Gabriel Chavira Trujillo, María Gallego Tomás, Belén López-Pérez, 2022, Scandinavian journal of psychology)
- Sex and Hormonal Effects on Drug Cue Reactivity and Its Regulation in Human Addiction.(Yuefeng Huang, Eduardo R Butelman, Ahmet O Ceceli, Greg Kronberg, Sarah G King, Natalie E McClain, Yui Ying Wong, Maggie Boros, K Rachel Drury, Rajita Sinha, Nelly Alia-Klein, Rita Z Goldstein, 2026, Biological psychiatry)
- Neural indices of cognitive reappraisal impact the association between childhood trauma and suicide risk in adulthood.(Kathryn C. Jenkins, Lauren R. Khazem, Shiane Toleson, Kayla A. Kreutzer, Craig J. Bryan, Jagan Jimmy, Stephanie M. Gorka, 2025, Psychiatry research. Neuroimaging)
- The role of cognitive emotion regulation strategies on posttraumatic stress symptoms and alcohol use problems among individuals experiencing intimate partner violence.(Shannon R. Forkus, Margaret M. Baer, Sarah T. Giff, E. Hall, Shannon R Miles, Julianne C. Flanagan, 2025, Psychological trauma : theory, research, practice and policy)
- The underlying dynamics of a suicidal ideation latent network model: The role of hopelessness, psychopathology, emotion regulation, and behavioral coping skills in adolescents from the general population.(C. Villacura-Herrera, Marcelo Ávalos-Tejeda, J. Gaete, Jo Robinson, Daniel Núñez, 2025, Journal of affective disorders)
- The Effect of Cognitive Reappraisal on Reactive Aggression: An fMRI Study(Qi Jiang, L. Hou, Huanzhen Wang, Changran Li, 2018, Frontiers in Psychology)
- The Effect of Rejection Sensitivity on Relationship Addiction: Focusing on the Mediating Effects of Self-Compassion and Maladaptive Cognitive Emotion Regulation Strategy(H. Lim, K. Kwon, 2024, Korean Association For Learner-Centered Curriculum And Instruction)
- Neural and self-report indices of cognitive reappraisal moderate the association between sensitivity to uncertain threat and problem alcohol use.(Liem G Phan, Charles A Manzler, Stephanie M Gorka, 2022, International journal of psychophysiology : official journal of the International Organization of Psychophysiology)
- Interpersonal emotion regulation and physiological synchrony: cognitive reappraisal versus expressive suppression(Yanmei Wang, Yinzhi Shi, 2024, Cognition and Emotion)
- Affective or cognitive interpersonal emotion regulation in couples: an fNIRS hyperscanning study.(Wenhai Zhang, Lanting Qiu, Fanggui Tang, Hong Li, 2023, Cerebral cortex (New York, N.Y. : 1991))
- Cognitive emotion regulation and positive dyadic outcomes in married couples(P. Rusu, G. Bodenmann, K. Kayser, 2019, Journal of Social and Personal Relationships)
- Coping with Past Social Stress: Comparing Brief Self-Compassion, Cognitive Reappraisal and Control Writing Exercises(Cortney M. Burnham, Nancy L. Kocovski, 2023, Mindfulness)
本报告综合了认知情绪调节(CER)领域的全方位研究现状。研究体系已从最初的量表开发与跨文化验证,深入发展到利用多模态神经成像技术揭示前额叶-边缘系统的调控机制。在临床应用方面,CER被确认为多种精神障碍的核心病理特征,并广泛应用于青少年发育、创伤修复及现代社会压力管理。当前的科研趋势呈现出三大特点:一是干预手段的精准化,结合了神经反馈与数字医疗;二是对个体差异(如认知特质、性别)的深度挖掘;三是理论模型的动态化与社会化,从单一的个体策略研究转向复杂的人际调节与计算模型构建。
总计342篇相关文献
No abstract available
OBJECTIVES Childhood maltreatment, cognitive emotion regulation strategies (CERSs), and depression can be important in adolescents' Internet addiction. The current study aims to investigate the direct effect of childhood maltreatment on Internet addiction and its indirect effects via CERSs and depression. PARTICIPANTS AND SETTING 4091 adolescents (age M = 13.64, SD = 1.59; 48.9 % males) were recruited from a public school in China. METHODS In a cross-sectional design, participants completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Cognitive Emotion Regulation Questionnaire-Short version (CERQ-Short), the Self-Rating Depression Scale (SDS), and the Internet Addiction Test (IAT). A latent structural equation model was used to test the hypotheses. RESULTS After controlling for age, childhood maltreatment was directly associated with adolescents' Internet addiction (β = 0.12, p < 0.001). Meanwhile, the serial mediating effect via maladaptive CERSs and depression was 0.02 (95 % CI [0.01, 0.04]), and via adaptive CERSs and depression was 0.001 (95 % CI [0.0004, 0.002]), demonstrating significant serial mediating role of CERSs and depression in this relationship. No gender difference was observed. CONCLUSIONS The findings suggest that maladaptive CERSs and depression can be potential mechanisms relating childhood maltreatment to adolescents' Internet addiction, while adaptive CERSs can be a less influential factor for reducing Internet addiction.
Background: Existing research has revealed a robust association between bullying victimization and psychological distress, but less is known about the underlying mechanism of this link. cognitive emotion regulation (CER) strategies could be a potential mediator. The current study examined the role of functional and dysfunctional CER strategies as potential mediators of the association between bullying victimization and depression, anxiety, and stress symptoms among 638 high school students (53.9% boys; Mean age = 15.65, SD = 1.32). Method: Participants completed a series of questionnaires assessing bullying victimization (Olweus Bully/Victim Questionnaire), CER strategies (CERQ-18), and symptoms of depression, anxiety, and stress (DASS-21). The indirect relationships between bullying victimization and psychopathological symptoms via functional and dysfunctional CER strategies were tested through structural equation modeling. Results: Dysfunctional CER strategies mediated the impact of bullying victimization on depression, anxiety, and stress. In contrast, bullying victimization did not significantly influence functional CER strategies. Conclusions: The findings provide additional support for the detrimental role of bullying victimization on mental distress, also suggesting that this effect is not only direct, but indirect is well. These results are particularly relevant in light of the absence of mediation by protective factors such as the use of positive emotion regulation strategies.
Mindfulness-based interventions (MBIs) have been receiving growing attention in cancer care. This study evaluated the impact of the mindfulness-based stress reduction (MBSR) on quality of life, psychological distress (anxiety and depression), and cognitive emotion regulation strategies in patients with breast cancer under early chemotherapy. A total of 101 patients with breast cancer under early chemotherapy were randomly assigned to either an 8-week MBSR group (n = 50) or a control group (n = 51). The primary outcome was quality of life, measured on Functional Assessment of Cancer Therapy-Breast Cancer. The secondary outcomes were anxiety (Self-rating Anxiety Scale), depression (Self-rating Depression Scale), and cognitive emotion regulation strategies (The Chinese version of Cognitive Emotion Regulation Questionnaire). The participants were assessed at baseline (T0) and week 8 (T1). The data were statistically analyzed by SPSS 21.0. The participants in the MBSR group experienced significantly better outcomes in their quality of life, psychological distress, and cognitive emotion regulation strategies than the control group. The MBSR intervention was demonstrated to improve the positive cognitive emotion regulation strategies and quality of life in patients with breast cancer under early chemotherapy and significantly reduce the patient's anxiety, depression, and negative cognitive emotion regulation strategies, and help the patients to adjust their mental state and promote positive psychology to improve their quality of life.
While difficulties with emotion regulation (ER) are consistently linked to poor mental health in adulthood, findings in adolescence have been more mixed. Cognitive ER strategies, which involve the ability to manage emotions through mental processes, may be particularly important during different stages of development due to age-specific adjustments. We conducted two exploratory and cross-sectional studies to examine the relationships between cognitive ER strategies and mental health (i.e., depressive, anxiety, and insomnia symptoms) in two samples: 431 young adults (Mage = 20.66 ± 2.21; 70% women and 30% men) and 271 adolescents (Mage = 14.80 ± 0.0.59; 44.6% girls and 55.4% boys). The participants completed a group of questionnaires, including the Cognitive Emotion Regulation Questionnaire, the Insomnia Severity Index, the Beck Depression Inventory-II, the State–Trait Anxiety Inventory, and the Youth Self Report. We employed hierarchical multiple regressions to assess the unique contribution of cognitive ER strategies to mental health outcomes. Maladaptive strategies (such as rumination and catastrophizing) were consistently associated with impaired mental health in both samples, while adaptive strategies (such as positive refocusing and positive reappraisal) were only associated with better mental health in young adults. These findings support the importance of cognitive ER strategies as potential risk factors for psychopathology and suggest that interventions aimed at improving emotion regulation may be beneficial. The age-specific differences in the relationship between cognitive ER strategies and mental health may reflect the refinement of emotion regulation abilities across the lifespan.
Cancer’s profound impact on emotional well-being necessitates an exploration into the underlying psychological mechanisms influencing depression and anxiety in patients. In this study, we explored the potential role of self-compassion, alexithymia, and cognitive emotion regulation mechanisms in influencing depressive and anxiety symptoms among cancer patients. A total of 151 stage 4 cancer patients participated. Instruments applied included the Beck Depression Scale (BDS), Beck Anxiety Inventory (BAI), Self-Compassion Scale (SCS), Cognitive Emotion Regulation Scale (CERQ), Toronto Alexithymia Scale (TAS), Visual Analogue Scale (VAS), and Brief Psychological Resilience Scale (BRS). The multivariate analysis utilizing the independent variables—SCS, adaptive and maladaptive CERQ, TAS subscales, BRS, and VAS scores—accounted for 39% of the variance seen in BDI (F (8142) = 11.539, p < 0.001). Notably, SCS, adaptive CERQ, and BRS had a negative predictive impact on BDI. Our findings substantiate a statistically significant partial mediatory role of resilience and cognitive emotion regulation in the association between self-compassion and depression. This research accentuates the central role self-compassion, emotional resilience, and cognitive regulation play in the emotional well-being of individuals diagnosed with cancer. Targeted therapeutic interventions focusing on these dimensions may enhance the psychological health of patients, ultimately improving overall treatment outcomes in the oncological setting.
Although fear plays a vital role in survival, an overly active threat detection system could be maladaptive due to its negative health consequences. Putatively maladaptive emotion regulation (ER) strategies are a core problem in phobias. In contrast, adaptive ER strategies could help downregulate the emotion elicited by a threatening stimulus and decrease anxiety. Yet, the number of studies directly examining the pattern of ER strategies linked to various phobias is still scarce. Thus, this study sought to map the patterns of adaptive and maladaptive ER strategies linked to the three most common phobias (social, animal, and blood-injection-injury [BII]). A total of 856 healthy participants filled out our survey including self-reported measures of social anxiety, snake-, spider-, BII phobia, and cognitive ER strategies. Structural equation modeling was used to test the effects between the variables. The results show that social anxiety and animal phobia were linked to both adaptive and maladaptive ER strategies, while BII was only associated with maladaptive ones. Further analyses showed that the most prominent ER strategies differed by subtype. This is in line with previous neuroimaging studies claiming that the neurocognitive mechanisms underlying phobias are also different. Theoretical as well as practical implications are discussed.
Patients with depression struggle with significant emotion regulation difficulties, which adversely affect their psychological well-being and hinder recovery. Traditional therapeutic approaches often fail to adequately address these challenges, leading to a persistent gap in effective mental health care. This research seeks to address this gap by investigating the impact of emotion regulation skills training on patients with depression. To assess the difficulties in emotion regulation among patients with depression and evaluate the impact of an emotion regulation skills training intervention on those with higher levels of emotion regulation difficulties, specifically focusing on increasing the use of adaptive emotion regulation strategies and reducing the use of maladaptive emotion regulation strategies. A quasi-experimental research design was utilized, using three tools: a socio-demographic and Clinical Data structured interview schedule, Difficulties in Emotional Regulation Scale, and Cognitive Emotion Regulation Questionnaire. Eighty patients with depression were recruited to assess those with higher levels of emotion regulation difficulties; out of those with greater difficulties, 30 patients were chosen to participate in the emotion regulation skills training intervention. The 80 studied subjects' emotion regulation difficulties scores ranged from 158 to 169 (164.5 ± 3.21), and they indicated less use of adaptive cognitive emotion regulation strategies and more use of maladaptive cognitive emotion regulation strategies (56.07 ± 2.67). Regarding the intervention group, the overall mean score of the 30 patients’ emotion regulation difficulties decreased from 167.35 ± 2.21 pre-intervention to 105.85 ± 3.33 post-intervention (p < 0.0001). Cognitive emotion regulation total scores improved markedly from 54.07 ± 1.66 to 35.2 ± 3.46 (p < 0.01). Healthcare providers should routinely assess emotion regulation difficulties in patients with depression and integrate personalized treatment plans that target individual emotion regulation difficulties. The findings suggest that the emotion regulation intervention has the potential to improve emotion regulation difficulties and cognitive emotion regulation strategies among patients with depression.
The present correlational study aimed to examine the relationship between self-regulation and cognitive emotion regulation strategies in adolescents. A sample of 718 adolescents, comprising both boys and girls, from public and private educational institutes in Faisalabad, was conveniently selected for analysis. The participants completed the Adolescents Self-Regulation Inventory (ASRI) and Cognitive Emotion Regulation Questionnaire (CERQ). A significant but negative relationship with one maladaptive cognitive emotion regulation strategy was identified. Additionally, it was found that long-term self-regulation exhibited a significant relationship with several adaptive cognitive emotion regulation strategies, including refocus on planning, positive refocusing, positive reappraisal, and putting into perspective. The Multiple Regression Analysis further revealed that only long-term self-regulation emerged as a significant predictor of other blame (a maladaptive cognitive emotion regulation strategy) and the aforementioned adaptive cognitive emotion regulation techniques. Notably, short-term self-regulation was identified as a significant negative predictor of positive reappraisal. Gender differences in self-regulation and cognitive emotion regulation strategies were observed through independent sample t-tests. This study contributes valuable insights to the existing literature and holds relevance for school psychologists. Importantly, the findings suggest that mindfulness-based interventions have the potential to enhance cognitive emotion regulation and self-regulation in adolescents, offering a promising avenue for helping them develop essential skills to regulate their emotions and behaviors.
Abstract Aims To explore the association between cognitive emotion regulation strategies and anxiety and depression among nurses during the COVID‐19 outbreak. Background Nurses play a vital role in responding to the COVID‐19 outbreak, but many of them suffer from psychological problems due to the excessive workload and stress. Understanding the correlation between cognitive emotion regulation strategies and anxiety and depression will promote targeted psychosocial interventions for these affected nurses. Methods This cross‐sectional study of 586 nurses was conducted in Eastern China. Participants completed online questionnaires that investigated anxiety, depression and cognitive emotion regulation strategies. Results The prevalence of nurses' anxiety and depression was 27.6% and 32.8%, respectively. Lower self‐blame, rumination and catastrophizing, as well as greater acceptance and positive refocusing, were related to fewer symptoms of anxiety or depression. Conclusion The cognitive emotion regulation strategies of acceptance and positive refocusing contribute to reducing anxiety or depression. These strategies should be considered when implementing psychotherapeutic interventions to improve nurses' adverse emotional symptoms. Implications for Nursing Management This study highlights the need to assess cognitive emotion regulation strategies use in screening for anxiety and depression. Nurse managers should develop psychosocial interventions including appropriate strategies to help nurses with adverse emotions during a pandemic.
(1) Background: Although there is accumulating evidence for the associations between resilience, emotion regulation and stress, little is known about the mechanisms of these relations. To extend the existing research, the present study examined cognitive emotion regulation strategies as one potential mechanism between trait resilience and perceived stress during the COVID-19 pandemic. (2) Methods: Young adults (N = 266; M = 20.05; SD = 3.93) were invited to fill out questionnaires that assessed trait resilience, cognitive emotion regulation strategies and perceived stress. (3) Results: The results showed that resilience was negatively associated with perceived stress and with self-blame, catastrophizing and rumination, and positively associated with positive reappraisal, focus on planning, positive refocus and putting into perspective. Stress was positively associated with self-blame, catastrophizing, rumination, other-blame and acceptance, and negatively associated with positive reappraisal and positive refocus. Moreover, positive refocus, rumination, catastrophizing and self-blame partially explained the associations between trait resilience and perceived stress during the COVID-19 pandemic. (4) Conclusions: These findings highlight the potential utility of targeting cognitive emotion regulation strategies in the development and implementation of preventive interventions for reducing stress during highly challenging situations.
No abstract available
Objective: The Cognitive Emotion Regulation Questionnaire (CERQ) is a widely used instrument to assess cognitive emotion regulation strategies. The study aimed to test the psychometric properties of the Italian short version of the CERQ (CERQ-IS). Methods: Two separate samples of 442 young adults (Mage = 21.12; SD = 3.69) and 256 adolescents (Mage = 14.81; SD = 0.59) completed the CERQ, the Emotional Regulation Questionnaire (ERQ) and the Multidimensional Perfectionism Scale (MPS). A confirmatory factor analysis (CFA) was performed to evaluate the dimensionality of the CERQ-IS. Internal consistency was analysed by calculating model-based composite reliability coefficients. Criterion and discriminant validity were gathered through the correlations with the ERQ and the MPS, respectively. Factorial invariances tests across gender and age were computed by means of multiple-group CFA. Results: CFA confirmed the nine-factor structure showing an excellent fit to the data. Except for rumination which was minimally acceptable, all subscales had an acceptable to good reliability. Criterion validity was supported by significant correlations between CERQ-IS and ERQ subscales. Discriminant validity was confirmed by meaningless correlations with the MPS facets. Configural, metric and scalar invariance were established across both grouping variables. Conclusions: The brevity of this tool and its good psychometric properties suggest that CERQ-IS could be a useful screening tool in both clinical and research practice in adolescence and young adulthood.
The Cognitive Emotion Regulation Questionnaire (CERQ) is an assessment tool to evaluate cognitive emotion regulation strategies. The main objective of this study is to provide new empirical evidence about the validity and reliability of the CERQ via a sample of 271 Spanish adolescents (136 female, 135 male) aged from 15 to 18 years (M = 15.7, SD = 0.76). The analytical process was carried out in two phases. A confirmatory factor analysis was performed on the polychoric correlation matrix between items. Four possible alternative models were contrasted: two models with nine factors and two models with two second-order factors and nine first-order factors, with 36 and 27 items, respectively. The model with nine correlated factors and 27 items obtained the best indices of overall fit. Subsequently, the reliability of the measurements was estimated on this model. The results reaffirm the validity of the 27-item version of the CERQ over the original 36-item structure. The findings also confirm that the CERQ is a reliable instrument for the evaluation of emotion regulation strategies in adolescents.
Background Not all adolescents who have endured childhood trauma will develop depressive symptom, nor will they all experience the same level of depressive symptom. According to previous research, cognitive emotion regulation strategies may explain a portion of the variance. Observe the connection between childhood trauma and depressive symptom and investigate whether cognitive emotion regulation strategies mediate or moderate this association. Methods In October 2019, a cross-sectional study measuring childhood trauma, cognitive emotion regulation strategies, and depressive symptom among Zhuang adolescents was done in one senior high school and two junior highs in Chongzuo, Guangxi, China, using a self-report questionnaire. To examine the hypothesis of mediating and moderating effects, SPSS PROCESS was utilized. Results In this study, there was a positive relationship between childhood trauma and depressive symptom, whereas there were positive correlations between expressive suppression and childhood trauma and depressive symptom (r = 0.380, 0.246, and 0.089, respectively, p < 0.01). The 5,000-sample bootstrap procedure revealed that the indirect relationship between the independent variable (childhood trauma or emotional abuse) and the dependent variable (depressive symptom) was statistically significant (β = 0.0154 95% CI: 0.0019, 0.0165, β = 0.0442 95% CI: 0.0008, 0.0117). The statistical significance of the interaction effect enhanced the R-square value of the moderating effect when the independent variable was the total childhood trauma score (ΔR2 = 0.0044, 0.0089). Conclusions Our findings corroborated the conclusion of prior research that cognitive emotion regulation strategies mediate and moderate the development of depressive symptom. Although we demonstrate that cognitive emotion regulation strategies play a mediating and moderating role in the relationships between childhood trauma and depressive symptom, the mediating effects on the relationships between the other types of childhood traumas, including physical abuse and neglect, sexual abuse, emotional neglect, and depressive symptom, did not emerge.
Youth with attention-deficit/hyperactivity disorder (ADHD) are at increased risk to develop co-morbid depression. Identifying factors that contribute to depression risk may allow early intervention and prevention. Poor emotion regulation, which is common in adolescents, is a candidate risk factor. Impaired cognitive emotion regulation is a fundamental characteristic of depression and depression risk in the general population. However, little is known about cognitive emotion regulation in youth with ADHD and its link to depression and depression risk. Using explicit and implicit measures, this study assessed cognitive emotion regulation in youth with ADHD (N = 40) compared to demographically matched healthy controls (N = 40) and determined the association with depressive symptomatology. As explicit measure, we assessed the use of cognitive emotion regulation strategies via self-report. As implicit measure, performance in an ambiguous cue-conditioning task was assessed as indicator of affective bias in the processing of information. Compared to controls, patients reported more frequent use of maladaptive (i.e., self-blame, catastrophizing, and rumination) and less frequent use of adaptive (i.e., positive reappraisal) emotion regulation strategies. This pattern was associated with the severity of current depressive symptoms in patients. In the implicit measure of cognitive bias, there was no significant difference in response of patients and controls and no association with depression. Our findings point to depression-related alterations in the use of cognitive emotion regulation strategies in youth with ADHD. The study suggests those alterations as a candidate risk factor for ADHD-depression comorbidity that may be used for risk assessment and prevention strategies.
The global pandemic caused by coronavirus disease 2019 (COVID-19) occasioned that most of the population in Spain was confined to home to reduce the risk of contagion. This affected mental health, increasing anxiety and worry about COVID-19 contagion. The aim of this study was assessing the moderation and mediation effect of cognitive emotion regulation strategies (CERS) on general anxiety and whether the mediation effect was moderated by gender and/or age. A total of 1753 Spanish adults (78,6% female; M = 40.4 years, SD = 12.9) participated in an online survey that was available from March 26 to April 25 (2020) during the time period in which the population in Spain was confined. Participants completed measures of worry about COVID-19 contagion, the Cognitive Emotion Regulation Questionnaire-Short (CERQ-Short) and the Generalized Anxiety Disorder-7 (GAD-7). Several models were tested through structural equation modelling. Moderation analyses reported that maladaptive strategies moderated positively anxiety, whereas adaptive strategies moderated negatively anxiety. Also, the best fitted mediation model found that worry about COVID-19 contagion and general anxiety was mediated by CERS in different directions. Maladaptive CERS increased anxiety, whereas adaptive CERS reduced anxiety. Age (not gender) also moderated this mediation, were younger adults presented an indirect effect only through maladaptive CERS, but older adults through both adaptive and maladaptive. Limitations are related to the study design which was a convenience sample. CERS moderated and mediated between worry about COVID-19 contagion and general anxiety. Prevention programs for mental health problems during the pandemic must be provided, especially for younger adults.
Alexithymia and emotion regulation are closely related to internet addiction. However, no research has examined how the different components of alexithymia are associated with cognitive emotion regulation in the context of multi-strategy use in internet addiction. The current study aimed to investigate the relation between alexithymia and cognitive emotion regulation in individuals with internet addiction via network analysis. Participants included 560 students with Young’s Internet Addiction Test scores greater than 50 points; they were also asked to complete the Toronto Alexithymia Scale (TAS-20) and the Cognitive Emotion Regulation Questionnaire (CERQ). The results revealed two bridge nodes emerging within the combined alexithymia and cognitive emotion regulation network model: “catastrophizing” and “externally oriented thoughts.” These findings indicate a more specific relation between alexithymia and cognitive emotion regulation and provide empirical evidence for targeted prevention and targeted interventions for internet addiction.
The present study examined whether trait physical appearance perfectionism moderates young women's body image following upwards appearance comparison to idealized body images on social media, and whether cognitive coping mediates the relationship between physical appearance perfectionism and resulting body image from social comparison processes. Female undergraduate students (N = 142) were randomly assigned to either 1) compare the size of their body parts to the body parts of attractive Instagram models, or 2) an appearance-neutral control condition. All participants completed measures of trait physical appearance perfectionism, pre and post measures of state body image, and state cognitive coping processes. Appearance comparison to the models resulted in lowered confidence and increased appearance and weight dissatisfaction. High trait physical appearance perfectionism predicted lower confidence and higher weight dissatisfaction and appearance dissatisfaction, and these relationships were mediated by engagement in rumination and catastrophizing. Clinical implications of the findings are discussed.
BACKGROUND Emotion regulation plays a crucial role in affective functioning. One of the most commonly used measures of emotion regulation is the Emotion Regulation Questionnaire (ERQ), a 10-item self-report measure assessing frequency of use of two common emotion regulation strategies: cognitive reappraisal and expressive suppression. In this study, we aimed to optimize the utility of the ERQ for time-pressured settings by introducing and validating a 6-item short form called the Emotion Regulation Questionnaire-Short Form (ERQ-S). METHOD General community (N = 508) and college student (N = 245) samples from the United States completed online surveys containing a range of psychometric self-report measures. For each sample, we examined the factor structure, internal consistency, and concurrent validity of the ERQ-S. RESULTS Our confirmatory factor analyses supported the intended 2-factor structure of the ERQ-S (cognitive reappraisal and expressive suppression factors), with all items loading well on their intended factor in both samples. As expected, the ERQ-S correlated highly with the ERQ. A profile of low cognitive reappraisal use and high expressive suppression use on the ERQ-S was significantly associated with higher levels of emotion regulation difficulties, alexithymia, and affective symptoms. LIMITATIONS We did not examine psychometric performance in a clinical sample, or other cultural groups outside the US. All concurrent validity markers were self-report questionnaires. CONCLUSIONS Our data suggest that the ERQ-S successfully retains the psychometric strengths of the ERQ. The shorter format of the ERQ-S should therefore help to optimize the measurement of emotion regulation in time-pressured settings.
BACKGROUND Cognitive reappraisal as a commonly used emotion regulation strategy includes reinterpretation and detachment and is associated with the activity of the dorsolateral prefrontal cortex (DLPFC). However, the neuroenhancement mechanisms of transcranial direct current stimulation (tDCS) over DLPFC that modulate cognitive reappraisal are not yet fully understood. This work aims to verify the causal role of DLPFC in different tactics of cognitive reappraisal and further explore the cognitive control mechanisms of emotion regulation. METHODS A single-blind, within-subjects, sham-controlled design was adopted. Twenty-nine healthy subjects underwent two sessions of offline high-definition tDCS (HD-tDCS) that were targeted at the right DLPFC. Participants completed the cognitive control (Flanker) and cognitive reappraisal task in each session. We quantified the efficacy of cognitive control using N2 and P3 of the evoked brain responses and cognitive reappraisal using the late positivity potential (LPP). RESULTS Anodal HD-tDCS resulted in the decrease of LPP for reinterpretation and detachment. The cognitive control increased after stimulation, indicated by the increase of P3 and decrease of N2 amplitude. The increased cognitive control mediated the effect of HD-tDCS on modulating reinterpretation, but not for detachment. LIMITATIONS The single-blind design, absence of the lasting-effects measure, and the intrinsically limited focality of tDCS are limitations of this study. CONCLUSIONS Increasing the activity of DLPFC would facilitate emotion regulation and increase cognitive control. Cognitive control may be a significant potential mechanism for reinterpretation. Both tDCS and cognitive control interventions may be possible approaches to enhance emotion regulation.
OBJECTIVE This study compared cognitive control (working memory, interference control, perseveration) and cognitive emotion regulation among Iranian women with depression who had attempted suicide, had only suicidal ideation, and healthy controls. METHOD Participants (N = 75) completed a clinical interview, cognitive control tasks, and the Cognitive Emotion Regulation Questionnaire. RESULTS Those with suicidal ideation or previous attempts had poorer cognitive control and cognitive emotion regulation than controls. Furthermore, those who had attempted suicide had poorer cognitive control and reported greater use of self-blame, rumination, and catastrophizing, and less use of acceptance, than those with suicidal ideation only. There was an indirect effect of cognitive control deficits on suicidality through cognitive emotion regulation (self-blame, acceptance, rumination, catastrophizing). CONCLUSIONS Exploring these cognitive deficits and difficulties can assist in further understanding the risk factors for suicidality and improve targeted interventions. This is of particular relevance in Iran where the need for policies and interventions targeting the prevention of suicide has been identified.
Abstract The Cognitive Emotion Regulation Questionnaire (CERQ) assesses nine cognitive strategies used to cope with negative events. The aim of this study was to generate validity evidences of this instrument in an older Spanish population. The Spanish version of the CERQ (CERQ-S) and self-report scales, measuring psychological well-being, depression and resilience, were administered to 305 older adults aged 65–90 (70.0 ± 4.7) residents in the Autonomous Community of Madrid, Spain. 150 participants completed the 6-month follow-up in April 2020 (during the COVID-19 pandemic). Confirmatory factor analyses supported 9-strategy structure, with an improved fit 27-item version (CERQ-S-27). Generally adequate composite reliability (CR between 0.63 and 0.84) and temporal stability (ICC between 0.38 and 0.71; p < 0.001) were found. Subscales correlated coherently with measures of depression, well-being and resilience, and T-tests indicated different use between older adults who did or did not have depressive symptoms. Multiple linear regression analysis indicated that subscales predicted depressive symptoms (R2 = 0.17; p < 0.001) and psychological well-being after six months (R2 = 0.21; p < 0.001). Results provided evidences of concurrent, predictive and criterion validity, suggesting that the CERQ-S-27 could be useful for studying use of cognitive emotion regulation strategies among older adults and understanding their influence in ageing and mental health.
Neuroticism is a personality trait that impacts daily life and raises the risk of mental problems and physical illnesses. To understand the emotion regulation mechanism of neurotic individuals, we developed two complementary studies to examine the effects of mindfulness and negative cognitive bias. In Study 1, four scales (EPQ-RSC, FFMQ, CERQ, NCPBQ) were used for assessment. Correlation analysis and structural comparison showed that: (1) the level of neuroticism was positively correlated with negative emotion regulation; (2) negative cognitive bias mediated the relationship between neuroticism and emotion regulation; (3) mindfulness and negative cognitive bias mediated the relationship in a chain. Study 1 showed that cognitive bias may play a key role in the emotion regulation mechanism. Study 2 further explored the cognitive bias of neurotic individuals using three behavioral experiments. A mixed-design ANOVA indicated that individuals with high neuroticism levels exhibited negative attention, memory, and interpretation biases. Our findings extend previous research on emotion regulation problems of neurotic individuals and broaden the field to personality-based emotion disorders. In particular, a theoretical rationale is provided for the application of cognitive behavioral therapy, such as mindfulness-based cognitive therapy (MBCT), to the emotion regulation of neurotic individuals.
Interpersonal emotion regulation is the dynamic process where the regulator aims to change the target's emotional state, which is presumed to engage three neural systems: cognitive control (i.e., dorsal and ventral lateral prefrontal cortex, etc.), empathy/social cognition (i.e., dorsal premotor regions, temporal-parietal junction, etc.), and affective responding (i.e., insula, amygdala, etc.). This study aimed to identify the underlying neural correlate (especially the interpersonal one), of interpersonal emotion regulation based upon two typical strategies (cognitive appraisal, expressive suppression). Thirty-four female dyads (friends) were randomly assigned into two strategy groups, with one assigned as the target, and the other as the regulator to down-regulate the target's negative emotions using two strategies. A functional near-infrared spectroscopy system was used to simultaneously measure participants' neural activity. Results showed that these two strategies could successfully down-regulate the targets' negative emotions. Both strategies evoked intrapersonal and interpersonal neural couplings between the cognitive control, social cognition and mirror neuron systems (e.g., prefrontal cortex, temporal-parietal junction, premotor cortex, etc.), whereas cognitive reappraisal (versus expressive suppression) evoked a broader pattern. Further, cognitive reappraisal involved increased interpersonal brain synchronization between the prefrontal and temporal areas at the sharing stage, whereas expressive suppression engaged increased interpersonal brain synchronization associated with the prefrontal cortex at the regulation stage. These findings indicate that intrapersonal and interpersonal neural couplings associated with regions within the abovementioned systems, possibly involving mental processes such as cognitive control, mentalizing, and observing, underlie interpersonal emotion regulation based on cognitive reappraisal or expressive suppression.Significance StatementAs significant as intrapersonal emotion regulation, interpersonal emotion regulation subserves parent-child, couple, and leader-follower relationships. Despite enormous growth in research on intrapersonal emotion regulation, the field lacks insight into the neural correlates underpinning interpersonal emotion regulation. This study aimed to probe the underlying neural correlates of interpersonal emotion regulation using a multi-brain neuroimaging (i.e., hyperscanning) based on functional near-infrared spectroscopy. Results showed that both cognitive reappraisal and expressive suppression strategies successfully down-regulated negative emotions. More importantly, they evoked intrapersonal and interpersonal neural couplings associated with regions within the cognitive control, social cognition, and mirror neuron systems, possibly involving mental processes such as cognitive control, mentalizing, and observing. These findings deepen our understanding of the neural correlates underpinning interpersonal emotion regulation.
No abstract available
Cognitive emotion regulation is a key mechanism for the maintenance of mental health, but may fail, when individuals are exposed to acute stress. To date, it is not well understood whether and to what extent acute stress effects contribute to impairments in emotion regulation capacities as the sparse existing studies have yielded heterogeneous results, indicating that stress timing might be a crucial factor. In the present study, 81 healthy participants underwent either an acute stress task (ScanSTRESS-C; n=40) or a control condition (n=41) while lying in the MRI scanner. In the subsequent Cognitive Emotion Regulation Task (CERT), participants were confronted with neutral or negative pictures and instructed to either view them, or regulate their upcoming emotions using either distraction or reappraisal. Subjective ratings of affective state as well as functional brain imaging data served to indicate emotion regulation. The results showed a successful stress manipulation as indicated by group differences in subjective wellbeing, saliva cortisol concentrations, heart rate, and functional brain activity in regions implicated in stress processing. With respect to emotion regulation, CERT data revealed a significant regulation effect at the neural and behavioral level (less negative emotional ratings after reappraisal and distraction trials compared to view trials) in both groups. However, no significant group differences were observed, neither in BOLD responses to the CERT, nor in behavioral ratings. Contrary to previous studies, our study did not reveal further evidence of stress-related effects on emotion regulation, potentially being related to differences between studies in experimental setting, timing, and procedures. This study therefore underlines the need of future studies that disentangle the complex interplay of stress and emotion regulation and identify different factors influencing their bidirectional relationship.
Introduction: Adolescence is the most critical life period for the development of eating disorder (ED) symptomatology. Although problems in identity functioning and emotion dysregulation have been proven important risk and maintaining factors of ED symptomatology, they have never been integrated in a longitudinal study. Methods: The present study is part of the Longitudinal Identity research in Adolescence (LIA)-study and aimed to uncover the temporal interplay between identity functioning, cognitive emotion regulation, and ED symptomatology in adolescence. A total of 2,162 community adolescents (Time 1: 54% female; Mage = 14.58, SD = 1.88, range = 10–21 years) participated at three measurement points with 1-year intervals. They reported on identity functioning (identity synthesis and identity confusion), cognitive emotion regulation (rumination, catastrophizing, and positive reappraisal), and ED symptomatology (drive for thinness and bulimia symptoms). Results: Cross-lagged paths could be fixed for boys and girls and showed bidirectional associations between both dimensions of identity functioning and both rumination and catastrophizing over time. Similarly, these maladaptive cognitive emotion regulation strategies were bidirectionally related to ED symptomatology over time. Finally, indirect pathways pointed to bidirectional associations between both dimensions of identity functioning and bulimia symptoms through rumination and catastrophizing. Only unidirectional associations emerged for drive for thinness and almost no cross-lagged associations were found with positive reappraisal. Conclusion: The present study demonstrates that identity confusion may contribute to the development of ED symptomatology in adolescence through cognitive emotion dysregulation. It also reveals that these ED symptoms hamper identity development through emotion dysregulation. These results stress the importance of targeting both identity functioning and cognitive emotion regulation in the prevention and intervention of ED symptoms.
The purpose of this study was to address cognitive emotional factors (frustration intolerance beliefs, cognitive emotion regulation strategies) related to burnout among professionals caring for older persons. A sample of 202 nurses and care assistants for older people completed online questionnaires about their cognitive emotion regulation strategies, frustration intolerance beliefs, and burnout. Use of maladaptive strategies, especially self-blame and catastrophizing, predicted greater emotional exhaustion and depersonalization. Adaptive strategy use, such as refocusing on planning and positive reappraisal, was found to be linked to both lower emotional exhaustion and higher personal accomplishment. Frustration intolerance beliefs appeared to be closely associated with the emotional exhaustion and depersonalization dimensions of burnout, with higher frustration intolerance beliefs indicating a high risk of depersonalization. The present findings have several practical implications for reducing nurses' burnout based on cognitive behavioral therapy approaches, such as rational emotive behavior or mindfulness therapies.
Cognitive emotion regulation improves throughout adolescence and promotes good mental health. Here, we test whether language skills at school entry predict success in emotion regulation in an experimental task at age 10–11, using longitudinal data from the Surrey Communication and Language in Education Study. We additionally compared the performance of children with and without language disorder (LD). Across the whole sample (N = 344), language skills at school entry predicted emotion regulation success in Year 6 (β = 0.23), over and above the concurrent association between language and regulation success. There was no evidence that children with LD that could engage in the task were less successful regulators compared to peers with typical language. However, a quarter of children with LD were unable to complete the task. These children had more severe language difficulties, lower non-verbal IQ and more comorbid conditions. This has implications for clinicians addressing mental health needs for children with neurodevelopmental conditions that affect language, as conversations about emotions and emotion regulation are an integral part of therapy. The longitudinal relationship between language skills and the capacity to use temporal distancing for emotion regulation in early adolescence suggests that language may drive improvements in emotion regulation.
Abstract Objectives To explore psychological problems (Anxiety, Depression and Stress) in general population during Covid-19 pandemic. To find predictive effects of cognitive emotion regulation on psychological problems. Methodology Convenient sampling technique was used to obtain the sample of 500 participants (Male = 239, Female = 261). Research instrument consists of four parts. First part comprised of consent form, second part was about demographic profile, third part was Depression, Anxiety and Stress scale (DASS-21) while Cognitive Emotion Regulation Questionnaire was the last part of the instrument. Results SPSS 23.0 (Statistical Package for Social Sciences) version was used for study analysis. Descriptive statistics used to summarize the raw data. The inferential statistics such as regression, correlation and t-test were used to calculate the findings according to research objectives. Results indicated that 33%, 40% and 27% individuals were experiencing Depression, Anxiety and Stress respectively during Covid-19 pandemic. Among these participants, 48% (N = 242) were experiencing normal level of all these targeted psychological problems while remaining 52% (N = 258) respondents have mild to very severe level of all these disorders. Furthermore, findings of linear regression analysis illustrated that cognitive emotion regulation significantly predicts psychological problems [R2=.216; F = 51.223, p < .01] and 21% variation in psychological problems is due to cognitive emotion regulation. Conclusion This study recommended that policy makers must develop and implement some necessary programmes to prevent and cure people from devastating psychological and mental health consequences of covid-19 on priority basis.
The current global pandemic caused by COVID-19 has brought about an immense effect on the mental health of the general public. Considering the escalation in number of cases, mankind is facing a myriad of psychological problems, ranging from those related to taking precautions and maintaining safety to the ones caused by separation and bereavement. The current study aims to explore whether there is a significant difference between individuals with excellent, good, fair and vague knowledge of COVID-19 with respect to depression, anxiety, stress, level of mindfulness, specific cognitive emotion regulation strategies and psychological flexibility; to find out whether there is any significant relationship among these variables; and to determine whether knowledge of COVID-19, level of mindfulness, specific cognitive emotion regulation strategies and psychological flexibility are significant predictors of depression, anxiety and stress in the sample of the current study. The sample consisted of 402 individuals selected from the community following the research criteria. Data was collected using digital consent form, information schedule and questionnaires, from 3rd May to 13th May, 2020. The questionnaires consisted of a semi-structured interview schedule to assess knowledge of COVID-19, Depression, Anxiety and Stress Scale – 21, Five Facet Mindfulness Questionnaire-Short Form, Cognitive Emotion Regulation Questionnaire-Short version and Acceptance and Action Questionnaire-II. The data was statistically analyzed using analysis of variance test, correlational analysis and linear regression. The findings show that significant differences were present among individuals having varying degrees of knowledge of COVID-19 with respect to anxiety, level of mindfulness and psychological flexibility. Significant relationships were found to be present among the variables of the present study, having differing trends brought forward by the COVID-19 crisis. Certain socio-demographic characteristics and study variables were found to significantly predict the existing levels of depression, anxiety and stress in the current sample. The study suggests the necessity to formulate and implement appropriate mindfulness-based therapeutic interventions to address the mental health concerns arising as a result of the pandemic.
No abstract available
No abstract available
BACKGROUND: Nurses have a challenging job and encounter more stressful situations. In response to these situations, they demonstrate adaptive or maladaptive cognitive emotion regulation strategies (CERS). As there is a lack of literature regarding the factors predicting the selection of CERS, the present study aimed to investigate the role of age, sex, marital status, working experience, type of ward, and education level in predicting these strategies in Iranian nurses. MATERIALS AND METHODS: A descriptive correlational study was conducted to examine predictive factors’ emotion regulation strategies used by 193 nurses who worked at six hospitals under the supervision of Qazvin University of Medical Sciences in 2018. The study population were selected by stratified random sampling method. Data were collected by two questionnaires, one demographic questionnaire and the other was Cognitive Emotion Regulation Questionnaire conducted by Garnefski (α = 0.8). Data analysis was performed using correlation and multiple linear regression. RESULTS: The results showed that there is a significant relationship between the “type of ward” and “age” with adaptive and maladaptive strategies. In the multiple linear regression model, two variables of age (P = 0.03) and type of ward (P = 0.04) were able to predict 23% of variance CERS. CONCLUSIONS: Based on the results of this study, health-care providers and hospital managers should pay attention to factors related to adaptive and maladaptive CERS.
Background/Objective: The main purpose of this study was to examine the relationships among cybervictimization, maladaptive cognitive emotion regulation strategies and somatic complaints in a 4-month follow-up study. Method: A total of 1,024 high school students (456 male and 568 female, M (SD) = 13.69 years (1.3 years), range 12–18 years, voluntarily participated in this study. Measures of cybervictimization and cognitive strategies were obtained at Time 1. Four months later (Time 2), measures of somatic complaints were obtained. Results: Multiple mediation analyses were conducted to determine the mediating roles of maladaptive strategies in the link between cybervictimization and somatic complaints. As expected, path-analytic results showed that cybervictimization predicted somatic symptoms. Furthermore, some maladaptive regulation strategies, namely self-blame and rumination, partially mediated the link between cybervictimization and somatic symptoms evaluated 4-months later. Conclusions: The findings are discussed in terms of the role that maladaptive cognitive emotion regulation strategies might play with regards to physical health in cyberbullying episodes. In general, these findings have important implications for developing an understanding about the affective determinants of somatic health problem initiation and maintenance after a victimization and for developing intervention programs specifically for cybervictimized adolescents.
Prior work has suggested that individuals with deficits in emotion regulation skills are prone to compulsive behaviour and to following maladaptive coping strategies, such as smartphone overuse, to manage negative moods. Adolescence is a vulnerable developmental stage for deficits in emotion regulation, and these are linked to excessive smartphone use. The present study is the first to examine the links between the use of specific cognitive emotion regulation (CER) strategies and problematic smartphone use in a sample of adolescents. A total of 845 Spanish adolescents (455 females) completed the Spanish versions of the Cognitive Emotion Regulation Questionnaire and the Smartphone Addiction Scale, along with a socio-demographic survey. The adolescents were divided into two groups: Non-problematic smartphone users (n = 491, 58.1%) and problematic smartphone users (n = 354, 41.9%). Significant group differences were found, with the problematic users reporting significantly higher scores for all maladaptive CER strategies, including higher self-blame, rumination, blaming of others and catastrophising. The results from logistic regression analyses show that rumination, catastrophising and blaming of others were the most important variables for distinguishing between the two groups, along with gender and parental control outside the home. In summary, these findings suggest the importance of specific maladaptive CER strategies in problematic smartphone use and provide insight for relevant targets for intervention designs.
No abstract available
Prefrontal cortex activity facilitates emotion regulation by cognitive reappraisal. Yet, neuroimaging studies have yielded disparate findings as to whether relatively greater left or right prefrontal activity is more beneficial for reappraisal success. We argue that differences in hemispheric activation during reappraisal efforts may depend on the specific and diverse cognitive strategies utilized to reappraise negative stimuli. In this EEG study, n = 94 participants were randomly assigned to three groups and instructed to either generate problem-oriented reappraisals, positive reinterpretations, or distancing reappraisals for anger-eliciting situations while EEG alpha asymmetry changes in the prefrontal cortex were recorded (F3–F4, F7–F8, and Fp1–Fp2). Engaging in problem orientation yielded a right-lateralized frontal activation pattern and was linked to the highest reappraisal success (percentage of strategy-conforming reappraisals), along with the highest believability ratings. Conversely, engaging in distancing reappraisal yielded a left-lateralized frontal EEG pattern, along with the highest ideational fluency and lowest anger ratings post-reappraisal. No distinct asymmetry pattern emerged for positive reinterpretation; however, this reappraisal condition yielded the lowest reappraisal success and lowest believability ratings. For all groups, higher reappraisal capacity correlated with right-lateralized frontal activity. Frontal EEG alpha asymmetry observed during reappraisal may be a specific function of implemented reappraisal strategy rather than general ideational fluency.
Cognitive reappraisal is an emotion regulation strategy to reduce the impact of affective stimuli. This regulation could be incomplete in patients with functional neurologic disorder (FND) resulting in an overflowing emotional stimulation perpetuating symptoms in FND patients. Here we employed functional MRI to study cognitive reappraisal in FND. A total of 24 FND patients and 24 healthy controls employed cognitive reappraisal while seeing emotional visual stimuli in the scanner. The Symptom Checklist-90-R (SCL-90-R) was used to evaluate concomitant psychopathologies of the patients. During cognitive reappraisal of negative IAPS images FND patients show an increased activation of the right amygdala compared to normal controls. We found no evidence of downregulation in the amygdala during reappraisal neither in the patients nor in the control group. The valence and arousal ratings of the IAPS images were similar across groups. However, a subgroup of patients showed a significant higher account of extreme low ratings for arousal for negative images. These low ratings correlated inversely with the item “anxiety” of the SCL-90-R. The increased activation of the amygdala during cognitive reappraisal suggests altered processing of emotional stimuli in this region in FND patients.
Delay discounting (DD), the preference for smaller, immediate rewards over larger, delayed ones, is a key measure of temporal impulsivity. While its link to behavioral self-regulation is well-studied, the relationship with emotional self-regulation is less understood. This study explored this relationship and its neuroanatomical mediators in the brain’s reward system. We administered the Emotion Regulation Questionnaire (ERQ) and a DD task to 155 young adult college students and collected structural MRI data. Our data revealed that greater use of cognitive reappraisal as an emotion regulation strategy was significantly associated with lower DD rates (i.e., reduced temporal impulsivity). No such relationship was found for expressive suppression. Furthermore, mediation analysis showed that higher cognitive reappraisal scores were associated with lower gray matter volume in the left ventral striatum, which in turn predicted lower DD. While the pattern of results is statistically consistent with full mediation, the cross-sectional nature of our data precludes causal inference. In conclusion, these results identify a novel neuroanatomical mechanism for temporal impulsivity. They suggest that cognitive reappraisal helps control impulsive choice and the process is mediated by the ventral striatum. This may provide a useful biomarker for developing interventions to improve self-control.
Abstract Math anxiety (MA) describes feelings of tension, apprehension and fear that interfere with math performance. High MA (HMA) is correlated with negative consequences, including lower math grades, and ultimately an avoidance of quantitative careers. Given these adverse consequences, it is essential to explore effective intervention strategies to reduce MA. In the present functional magnetic resonance imaging (fMRI) study, we investigated the efficacy of cognitive reappraisal as a strategy to alleviate the effects of MA. Cognitive reappraisal, an emotion regulation strategy, has been shown to decrease negative affect and amygdala responsivity to stimuli that elicit negative emotion. We compared a reappraisal strategy to participants’ natural strategy for solving math problems and analogies. We found that HMA individuals showed an increase in accuracy and a decrease in negative affect during the reappraisal condition as compared to the control condition. During math reappraise trials, increased activity in a network of regions associated with arithmetic correlated with improved performance for HMA individuals. These results suggest that increased engagement of arithmetic regions underlies the performance increases we identify in HMA students when they use reappraisal to augment their math performance. Overall, cognitive reappraisal is a promising strategy for enhancing math performance and reducing anxiety in math anxious individuals.
Background Autonomous Sensory Meridian Response (ASMR) describes the experience of a pleasant tingling sensation along the back of the head, accompanied with a feeling of well-being and relaxation, in response to specific audio-visual stimuli, such as whispers, soft sounds, and personal attention. Previous works have assessed individual variations in personality traits associated with ASMR, but no research to date has explored differences in emotion regulation associated with ASMR. This omission occurred even when ASMR, a sensory-emotional experience, has been proposed to be located in a sound sensitivity spectrum as the opposite end of misophonia, a phenomenon associated with difficulties regulating emotions. The present work aimed to assess group differences between ASMR self-reporters and non-ASMR controls associated with emotion regulation strategies. Methods We used the validated Spanish version of the Emotion Regulation Questionnaire to assess individual differences in the use of cognitive reappraisal and expressive suppression. Results Our results showed that participants who experience ASMR had higher scores in the cognitive reappraisal subscale of the emotion regulation questionnaire than the non-ASMR group. Conclusions Individuals who experience ASMR reported higher use of cognitive reevaluation of emotionally arousing situations, suggesting more effectiveness in regulating emotions. Our finding further elucidates individual differences related to this experience, supporting that ASMR is a real psychophysiological phenomenon associated with other psychological constructs and has remarkable consequences in affective/emotional dimensions and general well-being.
No abstract available
OBJECTIVE Cognitive reappraisal and distraction modulate pain; however, little is known about their effectiveness at different levels of pain intensity. Thus, the aim of this study has been to analyze the differential efficacy of both strategies to reduce perceived pain intensity and pain unpleasantness in low and moderate pain levels. METHOD 3 (emotion regulation strategy: cognitive reappraisal, distraction, and control) × 2 (intensity of the painful stimuli: low and moderate intensity) × 2 (time: pretest and posttest) mixed factorial design. Ninety healthy adults were randomly assigned to one of six experimental conditions. Pain-heat stimuli were administered with an advanced thermal stimulator. All participants completed the experimental pretest and posttest phases; in each phase, 12 pain stimuli were administered. Participants received brief training on how to apply cognitive reappraisal, distraction, and the control condition for the posttest phase. Data were collected from May 2022 to November 2022. RESULTS Analyses of repeated-measure analysis of variance showed that at posttest cognitive reappraisal and distraction were equally effective in reducing perceived pain intensity in low pain levels, while distraction was more effective than cognitive reappraisal in decreasing perceived pain intensity in moderate pain levels. Both distraction and cognitive reappraisal were effective in decreasing pain unpleasantness regardless of the intensity of the painful stimuli. CONCLUSION These findings highlighted the beneficial use of both strategies in the short term for pain relief, distraction being more effective in moderate pain levels. Applying both strategies to everyday situations that may cause short-term acute pain could be of great clinical relevance. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
Research on experiencing workplace cyberbullying (WCB) and its underlying mechanisms that impact the well-being of teachers is scarce. We propose that cognitive reappraisal, which is a useful and adaptive emotion-regulation strategy for reinterpreting emotion-eliciting situations, is a mediator explaining the inverse relationships between experiencing WCB and well-being. A three-wave longitudinal survey (baseline, T1; 3 months, T2; and 1 year, T3) was conducted with a sample of 444 primary and secondary schoolteachers in Hong Kong, China. Exposure to WCB, cognitive reappraisal, affective well-being and work engagement of participants was assessed. In line with the hypotheses, results showed that cognitive reappraisal mediated the associations between WCB and well-being. WCB at T1 was negatively associated with cognitive reappraisal at T2, which in turn was positively associated with positive affect and work engagement and negatively associated with negative affect at T3. Findings suggest that the intrusive nature of WCB renders its victims emotionally exhausted and helpless, thus negatively impacting the process to reinterpret the situation in a positive light, resulting in undesirable consequences. This study has illuminated WCB's inhibitory mechanism and its long-term detrimental impact. Practical implications are discussed.
ABSTRACT The present study aimed to explore the effectiveness of two typical intrapersonal strategies (cognitive reappraisal, CR; expressive suppression, ES) on interpersonal emotion regulation (IER), and uncover the physiological synchrony pattern underlying this. A sample of 90 friend dyads (N = 180) was randomly assigned to the CR, the ES, or the control group. In each dyad, the target underwent a negative emotional task (induce sadness by recalling a negative event), and the regulator was assigned to implement the CR strategy, the ES strategy, or no action to down-regulate the targets’ negative emotions. Self-reported results showed that compared to the control group, both CR and ES strategies decreased the targets’ negative emotions, and increased the targets’ positive emotions, indicating a successful IER effect. And the ECG results revealed that relative to the control condition, both CR and ES strategies evoked stronger physiological synchrony (heart rate synchrony and heart rate variation synchrony) during the emotion regulation stage of IER. Overall, these findings demonstrated the similar efficacy of reappraisal and suppression strategies implemented by the regulators to improve the targets’ negative emotions, and suggested that the physiological synchrony might have an important relational meaning during the IER process.
Cognitive reappraisal, an effective emotion regulation strategy, is influenced by various individual factors. Although previous studies have established a link between negative emotion differentiation (NED) and cognitive reappraisal, the underlying neural mechanisms remain largely unknown. Using electroencephalography, this study investigates the influence and neural basis of NED in cognitive reappraisal by integrating aspects of event‐related potentials, neural oscillation rhythms, and cross‐frequency coupling. The findings revealed that individuals with high NED demonstrated a significant decrease in parietal late positive potential amplitudes during cognitive reappraisal, suggesting enhanced cognitive reappraisal abilities. Moreover, high NED individuals displayed increased γ synchronization, parietal α–γ coupling, and frontal θ–γ coupling when reappraising negative emotions than those with low emotion differentiation ability. Machine learning analysis of these neural indicators highlighted the superior classification and predictive accuracy of multimodal indicators for NED as opposed to unimodal indicators. Overall, this multimodal evidence provides a comprehensive interpretation of the neurophysiological mechanisms through which NED influences cognitive reappraisal and provides preliminary empirical support for personalized cognitive reappraisal interventions to alleviate emotional problems.
No abstract available
BACKGROUND Borderline personality disorder is the prototypical disorder of emotion dysregulation. We have previously shown that borderline personality disorder patients are impaired in their capacity to engage cognitive reappraisal, a frequently-employed adaptive emotion regulation strategy. METHODS Here we report on the efficacy of longitudinal training in cognitive reappraisal to enhance emotion regulation in borderline patients. Specifically, the training targeted psychological distancing, a reappraisal tactic whereby negative stimuli are viewed dispassionately as though experienced by an objective, impartial observer. At each of 5 sessions over 2 weeks, 22 borderline (14 Female) and 22 healthy control (13 Female) participants received training in psychological distancing and then completed a widely-used picture-based reappraisal task. Self-reported negative affect ratings and functional magnetic resonance imaging (fMRI) data were acquired at the first and fifth sessions. In addition to behavioral analyses, we performed whole-brain pattern expression analyses using independently-defined patterns for negative affect and cognitive reappraisal implementation for each session. RESULTS Borderline patients showed a decrease in negative affect pattern expression following reappraisal training, reflecting a normalization in neural activity. They did not, however, show significant change in behavioral self-reports. CONCLUSIONS To our knowledge, this study represents the first longitudinal fMRI examination of task-based cognitive reappraisal training. Using a brief, proof-of-concept design, the results suggest a potential role for reappraisal training in the treatment of borderline patients.
Cognitive reappraisal is a widely utilized emotion regulation strategy that involves altering the personal meaning of an emotional event to enhance attention to emotional responses. Despite its common use, individual differences in cognitive reappraisal techniques and the spontaneous recovery, renewal, and reinstatement of negative responses across varying contexts may limit its effectiveness. Furthermore, detached reappraisal could cause distress for clients. According to Gross’s theory, cognitive reappraisal is an effortless process that can occur spontaneously. When guided language triggers cognitive reappraisal as an emotion regulation strategy in laboratory or counseling settings, clients experience improved emotional states, but this induced strategy may not necessarily guide them in regulating emotions in similar future situations. Therefore, effectively applying cognitive reappraisal techniques in clinical practice to help clients alleviate emotional distress in daily life remains a significant concern. Exploring the mechanism of cognitive reappraisal reveals that reconstructing stimulus meaning is akin to extinction learning, which entails fostering cognitive contingency that the original stimulus provoking negative emotions will no longer result in negative outcomes in the current context. However, extinction learning is a new learning process rather than an elimination process. The activation of new learning relies on the presentation of critical cues, with contextual cues often playing a vital role, such as a safe laboratory or consulting room environment. We propose a new understanding of cognitive reappraisal based on the schema theory and the dual-system theory, emphasizing the significance of environmental interaction and feedback in constructing new experiences and updating schemata. This approach ultimately enriches the schema during training and integrates the new schema into long-term memory. Bottom-up behavioral experiences as schema enrichment training provide the foundation for top-down regulation to function. This method can assist clients in activating more suitable schemata probabilistically when encountering stimuli in real life, forming stable emotions, and achieving transfer and application across diverse contexts.
People who make habitual use of an emotion regulation strategy such as cognitive reappraisal may be more sensitive to the emotion cues coming from a surrounding natural environment and, thus, get more benefits from virtual nature exposure such as enhanced subjective vitality. However, no previous study investigated the moderating role of cognitive reappraisal in the relationship between exposure to different types of natural environments (a national park, a lacustrine environment, and an arctic environment vs. an urban environment) and subjective vitality. We designed a between-subject design (four conditions, one per type of environment) with a sample of 187 university students (M_age = 21.17, SD = 2.55). Participants were exposed to four 360° panoramic photos of the environment for one minute each with a virtual reality head-mounted display. The results of a multicategorical moderation analysis attested that there were two significant interactions, respectively between lacustrine and arctic environments and cognitive reappraisal. More specifically, for participants with low levels of habitual use of cognitive reappraisal, the effects of virtual nature (vs. urban) exposure on subjective vitality were not significant, while for participants with high levels, the effects were significant and positive. Findings show how the potential of virtual nature may be boosted with training aimed at increasing the general use of cognitive reappraisal, supports enhancing the applications of virtual nature, and demonstrates the need to take individual differences into account when determining the benefits of these applications.
Recent literature highlights that no emotion regulation strategy is universally helpful or harmful. The present study aimed to build understanding of for whom and what cognitive reappraisal is helpful, by testing the influential hypothesis that reappraisal is most helpful when there is good individual or situational capacity to apply this strategy effectively. The present study tested how eight variables theorised to be associated with the effectiveness of reappraisal moderated the link between reappraisal use and changes in depression, anxiety, loneliness, functional impairment, and wellbeing in a nationally representative sample, over three (n = 752) and twelve month (n = 512) periods. Contrary to our hypothesis, we found reappraisal was most beneficial for individuals or in situations characterised by additional vulnerabilities (e.g., average or high levels of stress, neuroticism, difficulty identifying feelings, or poor self-efficacy). Results also support prior evidence that reappraisal can be more helpful for improving wellbeing than reducing mental health symptoms. Altogether, our findings provide new insight into the complex nature of relationships between reappraisal and psychological outcomes. A key clinical implication is that reappraisal may be particularly helpful for people with stable vulnerabilities (e.g., neuroticism).
No abstract available
With a substantial body of research supporting the critical role of positive affect in improving work outcomes and enhancing career success, investigating the factors that facilitate emotion regulation strategies for fostering positive affect becomes an important research question. In this context, our study explores the association between strong creative self-efficacy and high cognitive reappraisal—an established and potent emotion regulation strategy known to increase positive affect. We propose a model wherein high levels of creative self-efficacy lead to a tendency for cognitive reappraisal, resulting in high levels of positive affect that ultimately contribute to greater career satisfaction. Our investigation, conducted with a sample of 550 adults in South Korea, examines the indirect relationship between creative self-efficacy and career satisfaction through cognitive reappraisal and, in turn, positive affect. Our findings reveal a positive association between creative self-efficacy and cognitive reappraisal. Moreover, a significant relationship is observed between creative self-efficacy and positive affect through the mediation of cognitive reappraisal. Importantly, the indirect effect of creative self-efficacy on career satisfaction is mediated through cognitive reappraisal and then positive affect. These findings not only expand our insight into the factors contributing to positive affect and career satisfaction but also underscore the valuable role of creative self-efficacy in career satisfaction.
No abstract available
Background The COVID-19 pandemic has had a significant negative impact on public health, prompting scholarly research in related fields. In this context, the present study reveals the psychological characteristics of adolescents in ethnic minority areas of China approximately five months after the 2020 outbreak of the COVID-19 pandemic, explores the relationship between intrusive rumination and academic burnout, and examines the role of post-traumatic stress symptoms (PTSS) and cognitive reappraisal in the relationship to provide an empirical foundation for developing effective psychological interventions for adolescents in the wake of the pandemic. Methods Based on cluster sampling, 941 middle school students (65.36% female, 74.71% senior high, M_age=15.95) in ethnic minority areas of China were surveyed using the Event Related Rumination Scale, Adolescent Academic Burnout Scale, Post-traumatic Stress Checklist Scale, Emotion Regulation Strategy Scale, and a self-designed demographic questionnaire. Results During the COVID-19 pandemic, 7.44% of Chinese ethnic minority adolescents in our study sample were classified as PTSD positive, and 10.95% exhibited partial PTSD. Intrusive rumination significantly predicted academic burnout, and PTSS played a key mediating role between the two, accounting for 58.51% of the total effect. After controlling for PTSS, cognitive reappraisal moderated the effects of intrusive rumination on academic burnout. Specifically, the effect of intrusive rumination on academic burnout decreased with improvement in cognitive reappraisal. Conclusions Intrusive rumination indirectly affected academic burnout in adolescents through PTSS as a crucial mediator, and the remnant direct effect was alleviated by cognitive reappraisal. This finding emphasises the importance of adopting a comprehensive approach that encompasses cognitive, emotional, and physiological symptoms to understand and address academic burnout among adolescents during the COVID-19 pandemic.
Cognitive reappraisal has been shown to be an effective emotion regulation strategy that contributes to mental health. Previous studies focused on sex differences in the frequency of use and ability to use this strategy, and the association of fequency of use and ability with executive functioning. However, there is a lack of behavioral studies examining whether the involvement of executive functions in cognitive reappraisal use and ability differs for men and women. Such a sex difference may inform the design of cognitive interventions directed at enhancing cognitive reappraisal use and ability. The present study used a sample of 125 Chinese university students and focused on one key component of executive functioning: working memory updating. Frequency of cognitive reappraisal use was assessed by self-report. Ability to use cognitive reappraisal and working memory updating capacity were each assessed with a laboratory task. The results revealed no sex difference in cognitive reappraisal use or ability. However, of primary interest, the ability to apply cognitive reappraisal was associated with working memory updating performance, but only for women. If confirmed in further studies, these findings suggest that cognitive interventions in general, and working memory updating trainings more specifically, are more likely to enhance the ability to use cognitive reappraisal as a means to regulate emotions in women than in men.
No abstract available
Abstract Objective This study aimed to explore the efficiency of different emotion regulation strategies, specifically reappraisal and suppression, in relation to adaptive and maladaptive personality profiles. Background Personality conditions emotions and influences emotion regulation. Of the available regulation strategies, reappraisal (reinterpreting the situation) is described as an efficient strategy, whereas suppression (not displaying the experienced emotion) carries higher physiological and cognitive costs. Little is known, however, about the influence of personality on these efficiencies. Method We tested the personality structure of 102 participants (Meanage = 20.75, SD age = 2.15), based on the Five‐Factor Model and the Maladaptive Personality Trait Model. Experience, expressivity, and physiological arousal were recorded during the viewing of emotionally charged positive and negative images while participants reappraised, suppressed, or viewed the images without regulating their emotions. Results We identified two clusters for adaptive personality (“Adaptive Resilient” and “Anti‐resilient”) and two for maladaptive personality (“Maladaptive Resilient” and “Under‐controlled”). The major finding was for emotional experience in maladaptive personalities, where reappraisal was efficient in the Maladaptive Resilient profile, while none of the strategies brought relief in the Under‐controlled profile. Conclusion This study, which systematically contrasts personality and efficiency of emotion regulation strategies, is one of the first attempts to refine the understanding of how personality influences the emotional regulation process.
Stressful life events may accelerate aspects of immune aging, but habitual use of an adaptive emotion regulation strategy, cognitive reappraisal, may attenuate these effects. This study examined whether cognitive reappraisal moderates the associations between life stressor frequency and stressor desirability on aspects of immune aging, including late-differentiated CD8+ T and natural killer (NK) cells and inflammatory markers (IL-6, TNF-α, and CRP), both between and within people in a longitudinal sample of 149 older adults (mean age =77.8, range: 64-92 years). Participants reported stressful life events, use of cognitive reappraisal, and provided blood semiannually for up to 5 years to assess aspects of immune aging. Multilevel models, adjusted for demographic and health covariates, tested the between-person (stable, trait-life differences) and within-person associations (dynamic fluctuations) among life stressors and reappraisal on immune aging. Experiencing more frequent life stressors than usual was associated with higher levels of late-differentiated NK cells within person, but this effect was accounted for by experiencing health-related stressors. Unexpectedly, experiencing more frequent and less desirable stressors were associated with lower average levels of TNF-α. As expected, reappraisal moderated the associations between life stressors and late-differentiated NK cells between people and IL-6 within people. Specifically, older adults who experienced less desirable stressors but also used more reappraisal had significantly lower proportions of late-differentiated NK cells on average and lower levels of IL-6 within-person. These results suggest cognitive reappraisal may play a protective role in attenuating the effects of stressful life events on aspects of innate immune aging in older adults.
Objective To investigate the effect of changes in campus living conditions related to the Corona Virus Disease 2019 (COVID-19) pandemic on medical school students’ mental health status, to explore the mediating role of emotion regulation strategies, and to provide effective suggestions for promoting medical school students’ mental health. Methods A self-report questionnaire, an emotion regulation questionnaire (ERQ), and psychological questionnaires for emergent events of public health (PQEEPH) were used to interview 998 medical school students who experienced campus lockdowns during the COVID-19 pandemic. Results The mean total PQEEPH score was 3.66 ± 3.06. The degrees of inconvenience in daily life and change in routine and expression suppression as an emotion regulation strategy were significantly positively correlated with all PQEEPH dimensions. Cognitive reappraisal was significantly negatively associated with depression, neurosis, obsessive–compulsive anxiety, and hypochondriasis (ps < 0.05). Cognitive reappraisal and expression suppression demonstrated a chain mediating role between the degree of inconvenience in life and mental health and between the degree of change in routine and mental health (F = 32.883, 41.051, ps < 0.05). Conclusion Campus lockdown management significantly impacts medical school students’ mental health. Extensive use of cognitive reappraisal and expression suppression can reduce students’ adverse psychological reactions during campus lockdowns to an extent.
ABSTRACT Understanding the individual differences that can buffer the impact of combat and other adverse exposures on deleterious behavioral health outcomes could lead to more targeted prevention and intervention efforts. Cognitive reappraisal, an antecedent-focused emotion regulation strategy, is linked to positive health outcomes such as lower levels of post-traumatic stress disorder, anxiety, and depression. This study examined the moderating effect of individual differences in cognitive reappraisal use on the association between combat exposure and behavioral health outcomes in active-duty U.S. Soldiers (N = 2,290). This study utilized survey data collected approximately 18 months following a combat deployment to Afghanistan in 2014. Results showed that individual differences in cognitive reappraisal use significantly moderated the effect of combat exposure on anxiety and post-traumatic stress symptoms but not depressive symptoms. Specifically, increasing combat exposures predicted a steeper increase in negative behavioral health symptoms for Soldiers reporting lesser (versus greater) cognitive reappraisal use. These findings highlight a role for cognitive reappraisal as a targetable factor that can mitigate the behavioral health consequences of exposure to combat stressors.
No abstract available
The ventrolateral prefrontal cortex (VLPFC) plays a pivotal role in cognitive reappraisal. Previous studies suggested a functional asymmetry of the bilateral VLPFC, but the evidence is still insufficient during cognitive reappraisal. In this study, we conducted an online single-pulse transcranial magnetic stimulation (spTMS) to investigate the causal and distinct roles of the left and right VLPFC in reappraisal. Participants were instructed to reappraise (down-regulate) or attend to pictures depicting social exclusion scenarios while the spTMS was applied over the left or right VLPFC of the participants’ brains. The results showed that spTMS of either the left or the right VLPFC would increase reappraisal difficulty. Meanwhile, the outcome of reappraisal (measured by self-reported negative feelings) significantly deteriorated when the right (but not the left) VLPFC was temporally interrupted by spTMS, while the verbal fluency during oral reporting of the reappraisal strategy was significantly reduced when the left VLPFC was interrupted by spTMS. Taken together, these findings provide causal evidence for the involvement of left and right VLPFC with distinct roles: while the left VLPFC is responsible for the linguistic especially semantic process of generating and selecting appraisals according to the goal of emotion regulation, the right VLPFC plays a critical role in inhibiting inappropriate negative emotions and thoughts generated by the effective scenarios. These findings deepen our understanding of the neurocognitive mechanism of emotion regulation.
Background The neural activity and functional networks of emotion-based cognitive reappraisal have been widely investigated using electroencephalography (EEG) and functional magnetic resonance imaging (fMRI). However, single-mode neuroimaging techniques are limited in exploring the regulation process with high temporal and spatial resolution. Objectives We proposed a source localization method with multimodal integration of EEG and fMRI and tested it in the source-level functional network analysis of emotion cognitive reappraisal. Methods EEG and fMRI data were simultaneously recorded when 15 subjects were performing the emotional cognitive reappraisal task. Fused priori weighted minimum norm estimation (FWMNE) with sliding windows was proposed to trace the dynamics of EEG source activities, and the phase lag index (PLI) was used to construct the functional brain network associated with the process of downregulating negative affect using the reappraisal strategy. Results The functional networks were constructed with the measure of PLI, in which the important regions were indicated. In the gamma band source-level network analysis, the cuneus, the lateral orbitofrontal cortex, the superior parietal cortex, the postcentral gyrus, and the pars opercularis were identified as important regions in reappraisal with high betweenness centrality. Conclusion The proposed multimodal integration method for source localization identified the key cortices involved in emotion regulation, and the network analysis demonstrated the important brain regions involved in the cognitive control of reappraisal. It shows promise in the utility in the clinical setting for affective disorders.
Through empirical studies or laboratory tests, previous studies have shown that sport-confidence, attention, and emotion regulation are key factors in archery performance. The present study aims to further identify the effects and pathways of sport-confidence, attention, and cognitive reappraisal (a specific emotion regulation strategy) on real-world archery performance by constructing a hypothesized model to provide a basis for scientific training of athletes to improve sport performance. A survey design was utilized on a sample of 61 athletes (12 international-level athletes, 30 national-level athletes, and 19 first-class athletes) from the Chinese National Archery Team to test the model. The measurement and hypothesized models were tested using partial least squares structural equation modeling (PLS-SEM). The results indicate that the model fit well and explained 33.6% of the variance in archery performance. Sport-confidence (total effects = 0.574, p < 0.001) and attention (total effects = 0.344, p = 0.009) were important predictive indicators of archery performance, while the relationship between cognitive reappraisal and archery performance showed considerable complexity (direct effects = −0.268, p = 0.020; total effects = −0.007, p = 0.964). We conclude that the development of sport-confidence and attention of archery athletes should be strengthened, but athletes who use cognitive reappraisal in archery competition should be mindful of its potential appropriation of cognitive resources and should be directed to improve sport-confidence or develop a positive orientation to arouse excitement.
Cognitive reappraisal (CR) is one of the core treatment components of cognitive behavioral therapy (CBT) and is the gold standard treatment for major depressive disorders. Accumulating evidence indicates that cognitive reappraisal could function as a protective factor of cognitive vulnerability to depression. However, the neural mechanism by which CR training reduces cognitive vulnerability to depression is unclear. There is ample evidence that the prefrontal–amygdala circuit is involved in CR. This study proposes a novel cognitive bias model of CR training which hypothesizes that CR training may improve the generation ability of CR with altered prefrontal–amygdala functional activation/connectivity, thus reducing negative cognitive bias (negative attention bias, negative memory bias, negative interpretation bias, and/or negative rumination bias) and alleviating depressive symptoms. This study aims to (1) explore whether there is abnormal CR strategy generation ability in individuals who are cognitively vulnerable to depression; (2) test the hypothesis that CR training alleviates depressive symptoms through the mediators of cognitive bias (interpretation bias and/or rumination bias); (3) explore the neural mechanism by which CR training may enhance the ability of CR strategy generation; and (4) examine the short- and long-term effects of CR training on the reduction in depressive symptoms in individuals who are cognitively vulnerable to depression following intervention and 6 months later. The study is promising, providing theoretical and practical evidence for the early intervention of depression-vulnerable individuals.
Previous studies have demonstrated people characterized by mobile phone addiction (MPA) are more prone to emotion regulation difficulties. However, no study has tested the effectiveness of their emotion regulation strategies in experimental conditions. In the present study, by instructing the MPA and control groups to regulate negative emotion through cognitive reappraisal (CR) or expressive suppression (ES), we compared their emotional states in the emotional visual search task after watching a negative emotion evoked video. A multi-factor mixed design of 2(group: MPA/control)×2(emotion regulation strategy: CR/ES)×3(image type: positive expression/negative expression/neutral expression) was conducted. We found the MPA group recognized the negative expression faster than control group after both emotion regulation strategies, indicating ES and CR were both impaired for MPA. The implications of these results were further discussed.
Cognitive reappraisal highlights the essential role of creative thinking in regulating emotional responses in everyday life. However, previous research has shown that cognitive reappraisal is not always successful, as a novel reappraisal strategy may not be effective in suppressing negative emotions, and it is less known what brain regions are responsible for novelty and appropriateness processing during cognitive reappraisal. In the current study, we investigated the neural correlates of novelty and appropriateness processing of cognitive reappraisals while experiencing negative emotions. 25 participants were exposed to negative pictures accompanied by one of four reappraisal sentences that systematically varied on novelty and appropriateness, and they were asked to indicate their emotional valence after understanding the sentences. The functional imaging results revealed the involvement of the default mode network (DMN) regions and a stronger mPFC-IPL pathway connectivity responsible for the novelty processing; the involvement of the executive control network (ECN), salience network (SN), and stronger connectivity of both frontotemporal pathway and AI-thalamus-IFG pathway responsible for the appropriateness processing. These findings indicate that the three-network system (DMN, ECN and SN), which is commonly involved in creative cognition, also underlies the neural basis in cognitive reappraisal. The current findings extend our understanding of the neural correlates of creative thinking in emotional contexts and provide insights into developing effective reappraisal strategies for emotional regulation.
ABSTRACT Recent work in positive psychology demonstrates the importance of self-transcendence: understanding oneself to be part of something greater than the self, such as a family, community, or tradition of sacred practice. Self-transcendence is positively associated with wellbeing and a sense of meaning and purpose. Philosophers have argued that self-transcendent motivation has a central role in good character, or virtue. Positive psychologists are just now beginning to integrate the aim of developing such motivation in character interventions. In this paper we draw attention to an important but overlooked condition on effectively developing self-transcendent motivation constitutive of virtue: such a process must engage the subject’s will in the right way. If a process does not meet this condition it will fail to produce motivation constitutive of virtue according to leading philosophical accounts of virtue. We identify a suite of strategies for cultivating motivations that do meet this condition but have not been explored in relation to character interventions, namely, reappraisal strategies from the extended process model of emotion regulation (EPM-ER).
The study of individual differences in emotion regulation has typically focused exclusively either on the stage of the emotion generation process at which regulation occurs or on the engagement versus disengagement orientation of the regulation efforts. We introduce a new measure that samples equally across each stage of the process model of emotion regulation and from both engagement and disengagement orientations. Through five studies (ntotal = 2,543), we present the development and convergent, discriminant, and predictive validity evidence for the Process Model of Emotion Regulation Questionnaire (PMERQ). We show the final 10-scale 45-item questionnaire has acceptable internal consistency, is invariant between genders and across the age range, and has sufficient convergent and discriminant validity. The PMERQ also predicts affective and relationship functioning with strategies occurring earlier in the process model generally showing the strongest effects. We propose the PMERQ is a valuable measure to assess individual differences in the use of emotion regulation strategies.
Background To address the lack of mental health practitioners in developing countries, the current study explored the feasibility of a newly developed self-guided digital intervention program TEA (training for emotional adaptation) in alleviating depressive and anxiety symptoms, as one of a few studies which adapted from theoretical models with effective intervention techniques. Methods The first part of this study involved 11 professional mental health practitioners giving feedback on the feasibility of the TEA; while the second part involved a mixed-method single-arm study with 32 participants recruited online, who went through the seven intervention sessions within 14 days. The questionnaires were collected before, after, 14 days after, and 30 days after intervention. Additionally, 10 participants were invited to semi-structured interviews regarding their suggestions. Results Practitioners thought that the TEA showed high professionalism (8.91/10) and is suitable for treating emotional symptoms (8.09/10). The generalized estimating equation model showed that the TEA significantly reduced participants' depressive and anxiety symptoms, while the effects of the intervention remained 30 days post intervention (Cohen's d > 1). Thematic analysis revealed three main themes about future improvement, including content improvement, interaction improvement, and bug-fixing. Conclusions To address the current needs for digital mental health intervention programs to account for the insufficient availability of mental health services in China, the current study provides preliminary evidence of the effectiveness of TEA, with the potential to address the urgent need for remote mental health services. Trial registration The study was registered at the Chinese Clinical Trial Register (ChiCTR), with number [ChiCTR2200065944].
Courtrooms are often emotionally charged atmospheres where parties have a vested interest in the proceedings and their outcomes. Judges are exposed to a wide range of emotions and stressors in the course of their work. Though the ideal of a dispassionate judge persists, more empirical work is needed to identify how judges regulate their own emotional experience in court. Using Maroney and Gross typology of emotion regulation strategies, this study explored the self-reported use and preference of these strategies among a sample of U.S. judges. Using both quantitative and qualitative approaches, we found that judges reported using a variety of intrinsic (self-directed) and extrinsic (directed toward others) emotion regulation strategies, though judges reported using some strategies such as suppression more frequently than others. We also found that many of the strategies judges described matched a subset of the strategies described by Maroney and Gross supporting their typology.
No abstract available
Introduction Nowadays, gambling disorder (GD) is a worldwide health issue and there is a growing need to both improve our understanding of this disorder and to tailor specific interventions for its treatment. Moreover, theoretical models and preliminary empirical results suggest that difficulty in regulating emotional states might be involved in GD. However, literature describing clinical and theoretical aspects of emotional dysregulation among pathological gamblers (PGs) shows a lack of systematic description. Objectives We aimed to provide, within an exhaustive theoretical framework of emotion regulation (ER) processing, empirical evidence supporting a conceptual model of GD as an ER affliction. Methods We commented on empirical evidence on the relationship between ER and GD in the light of two main conceptual models of emotion (dys)regulation. Results The results suggest there are actual deficits of ER processing among PGs, manifesting themselves through different ways and in different steps of the ER timeline. In addition, dysregulation of positive emotions may play a central role in GD. From a clinical point of view, we pointed out that deficits in ER might be multiple in nature and an assessment for GD should be accurate to identify the specific components accounting for the development and maintenance of the disorder. It should also orientate the clinician in selecting therapeutic objectives. Conclusions The nature of emotional states that are difficult to regulate might account for the GD severity and indicate the subtype of PGs the patient belongs to. Treatment programs should be tailored on the specificity of PGs.
Different emotion regulation strategies have very different consequences. This observation has inspired a growing body of work seeking to identify the factors that predict emotion regulation strategy choice. To explain these findings, several explanatory theories have been proposed. As with most theories in the field of affective science, they are formulated in natural language. Translating these theories into the language of mathematics may bring more clarity to the field and help generate new, testable hypotheses. The present article aimed to formulate more precise theoretical predictions by translating verbal theories about the emotion regulation selection process into formal mathematical language. Specifically, we focused on formally defining a theory that might help to explain the robust finding that people prefer distraction over reappraisal at high emotional intensities but prefer reappraisal over distraction at low emotional intensities. Through the process of theory formalization, we identified hidden assumptions and unanswered research questions, which resulted in a computational model that predicts results that match empirical work. This work demonstrates how theory formalization can accelerate theoretical and empirical progress in affective science. Better explanatory theories can then inform interventions designed to enhance the selection of adaptive regulation strategies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
No abstract available
No abstract available
ABSTRACT Emotion regulation comprises attempts to influence when and how emotions are experienced and expressed. It has mostly been conceived of as proactive (e.g. situation selection) or reactive (e.g. attentional distraction), but it may also be retroactive and involve memory. I term such past-oriented activity mnemonic emotion regulation and propose that it involves increasing or decreasing access to or altering the characteristics of a memory. People may increase access to a memory and make it more likely that it will be retrieved in the future, for example by rehearsing a pleasant memory. They may decrease access to a memory and make it less likely that intrusions will be experienced in the future, for example by repeatedly trying to stop an unpleasant memory from being retrieved. Finally, people may alter the characteristics of a memory and change its content or context, for example by replacing a negative impression with a productive interpretation. I discuss how mnemonic emotion regulation may be instigated (e.g. via elaborate rehearsal) as well as the different motives (e.g. hedonic motives) people may have for engaging in regulation. Also, I discuss possible benefits of, variations in, and improvements of mnemonic emotion regulation.
No abstract available
No abstract available
Mechanisms of change represent the cornerstone of the therapeutic process. This study aimed to investigate how network models could be used to test mechanisms of change at a group level. A secondary aim was to investigate which of the several hypothesized mechanisms (emotion regulation, interoceptive awareness, and acceptance) are related to changes in psychological well-being. The sample comprised adult patients suffering from psychological disorders (N=444; 70% women) from 7 clinical sites in the Czech Republic who were undergoing groupbased multicomponent treatment composed mainly of psychodynamic psychotherapy (lasting from 4 to 12 weeks depending on the clinical site). Data were collected weekly using the multidimensional assessment of interoceptive awareness, emotion regulation skills questionnaire, chronic pain acceptance questionnaire-symptoms and outcome rating scale. A lag-1 longitudinal network model was employed for exploratory analysis of the panel data. The pruned final model demonstrated a satisfactory fit. Three networks were computed, i.e., temporal, contemporaneous, and between-person networks. The most central node was the modification of negative emotions. Mechanisms that were positively associated with well-being included modification, readiness to confront negative emotions, activity engagement, and trust in bodily signals. Acceptance of negative emotions showed a negative association with well-being. Moreover, noticing bodily sensations, not worrying, and self-regulation contributed indirectly to changes in well-being. In conclusion, the use of network methodology to model panel data helped generate novel hypotheses for future research and practice; for instance, well-being could be actively contributing to other mechanisms, not just a passive outcome.
No abstract available
The development of emotion regulation (ER) is associated with children’s and adolescents’ psychosocial adjustment and well-being. In this regard, previous studies have examined the role of different ER strategies, which can be characterized as being functional (e.g., reappraisal, problem solving) or dysfunctional (e.g., suppression, rumination). Based on the process model of emotion regulation, the strategies can also be classified according to their temporal position within the emotion generative process, with five families of ER strategies being proposed: situation selection, situation modification, attentional deployment, cognitive change, and response modulation. This study aimed to examine the role of ER for adolescents’ psychosocial adjustment (internalizing and externalizing problems, prosocial behavior) and well-being. First, associations were investigated on a more general level by distinguishing between functional and dysfunctional ER. Second, relations were examined on a more specific level by additionally distinguishing between the five families of ER strategies as suggested in the process model of ER. Questionnaire self-reports of N = 1,727 German children and adolescents (55% girls) aged 9–18 years (M = 13.03, SD = 1.75) collected in schools were analyzed. Path analyses showed that more functional and less dysfunctional ER in general is associated with fewer internalizing and externalizing symptoms, and higher well-being. Prosocial behavior was only positively related to functional but not dysfunctional ER. Analyses of associations on the level of specific categories of ER strategies generally showed a similar pattern, but in part indicated differential associations with the dependent variables: Internalizing problems were particularly associated with functional situation selection, dysfunctional cognitive change, and dysfunctional response modulation. Externalizing problems were associated with functional situation selection and response modulation, as well as numerous dysfunctional strategies, none of which were particularly salient. Similarly, numerous rather than single specific associations emerged between prosocial behavior and the five categories of functional ER strategies. Well-being was particularly associated with functional situation selection and dysfunctional cognitive change. Overall, a more precise assessment of ER, as implemented in this study, could not only advance research in this field, but can also be helpful in planning and evaluating prevention and intervention programs.
Symptoms of depression and anxiety are pervasive and highly comorbid, prompting efforts to identify underlying transdiagnostic processes. Emotion regulation (ER) may be one such process; however, most research to date has focused on a limited set of ER strategies. Our aim in this study was to comprehensively examine the ER profiles characterizing a range of depression and anxiety symptoms. Our sample (N = 444) completed a battery of psychometric questionnaires. We assessed ER strategy use across all five stages of the process model of emotion regulation, along with symptoms of depression, stress, panic-related anxiety, generalized anxiety/worry, social anxiety, and health anxiety. Regression analyses showed that ER patterns explained significant variance (8.9 % to 33.1 %) in each symptom category. Among the strongest unique predictors were avoiding unpleasant situations and expressive suppression, both associated with greater symptoms, and cognitive reappraisal (considering benefits), which predicted lesser symptoms. A latent profile analysis identified seven profiles based on symptom patterns and ER use. Three profiles exhibited elevated symptoms but varied widely in ER use. The most symptomatic profile predominantly relied on disengagement-oriented strategies, while other elevated profiles displayed either uniformly high or low ER strategy use. Our findings highlight the transdiagnostic relevance of a wide range of ER strategies, revealing distinct ER patterns even among individuals with similar symptom presentations. They aid conceptual understanding of the link between ER and depression and anxiety symptoms and offer promising assessment and treatment targets.
Digital technologies, such as artificial intelligence, brain-computer interfaces technology and big data, enable many firms to innovate their business model. It is clearly an emotional process due to its complex and uncertain nature, and involves individuals’ emotion regulation, yet the current research lacks an effective conversion path from emotion to digital business model innovation (BMI). Drawing on theories and research on emotion regulation and business model innovation, we investigate how emotion regulation of entrepreneurs (i.e., cognitive reappraisal and expressive suppression) influence digital BMI. Data from 126 new ventures show that entrepreneurs’ reappraisal positively affects digital BMI, while entrepreneurs’ suppression exerts opposite effects on digital BMI. Moreover, we find that environmental dynamism moderates this relationship. The findings explain the emotional complexity in digital technology empowerment, which has implications for the development and design of brain computer interface applications and the literature on emotions and business model innovation.
Background Childhood trauma (CT) is considered as a highly risk factor for depression. Although the pathway of CT to depression, especially the mediating or moderating effects of cognitive emotion regulation strategies (CERS) or neuroticism, have investigated by several studies, the results were inconsistent and there is a paucity of full models among these interactive factors. This study aims to examine the relationships among CT, adaptive / maladaptive CERS, neuroticism, and current depression symptoms in university students. Methods We recruited 3009 freshman of 2019, aged averagely 18.00 (SD = 0.772) years, from universities in Hunan province in 2019. A moderated mediation model was built to examine the relationships among CT, CERS, neuroticism, and current depression using the SPSS PROCESS 3.5 macro. We conducted bootstrapping of regression estimates with 5000 samples and 95% confidence interval. Results Results revealed that the significant mediating effects of adaptive CERS ( β = 0.012; 95% CI: 0.006 to 0.018) and maladaptive CERS ( β = 0.028; 95% CI: 0.016 to 0.040) between CT and depression were observed, accounting for 5.69% and 13.52% of the total effect respectively. Then, moderated mediation analyses results showed that neuroticism simultaneously moderated the direct effect of CT on current depression ( β = 0.035; 95% CI: 0.001 to 0.009), and the indirect effects of CT on current depression through adaptive CERS (adaptive CERS – current depression: β = − 0.034; 95% CI: − 0.007 to − 0.001) and maladaptive CERS (maladaptive CERS – current depression: β = 0.157; 95% CI: 0.017 to 0.025). However, the moderating effects of neuroticism in the indirect paths from CT to adaptive CERS ( β = 0.037; 95% CI: 0.000 to 0.014) and maladaptive CERS ( β = − 0.001; 95% CI: − 0.006 to 0.005) were not significant. Conclusions This study provides powerful evidences through a large university students sample for the mediating role of adaptive / maladaptive CERS and the moderating role of neuroticism between CT and current depression. This manifests that cognitive emotion regulation may be a vital factor for people who suffered from CT and current depression. Furthermore, the influence of neuroticism in this process cannot be ignored.
The emotion regulation mechanism of mindfulness plays an important role in the stress reduction effect. Many researchers in the fields of cognitive psychology and cognitive neuroscience have attempted to elucidate this mechanism by documenting the cognitive processes that occur and the neural activities that characterize each process. However, previous findings have not revealed the mechanism of information propagation in the brain that achieves emotion regulation during mindfulness. In this study, we constructed a functional brain model based on its anatomical network structure and a computational model representing the propagation of information between brain regions. We then examined the effects of mindfulness meditation on information propagation in the brain using simulations of changes in the activity of each region. These simulations of changes represent the degree of processing resource allocation to the neural activity via changes in the weights of each region's output. As a result of the simulations, we reveal how the neural activity characteristic of emotion regulation in mindfulness, which has been reported in previous studies, is realized in the brain. Mindfulness meditation increases the weight of the output from each region of the thalamus and sensory cortex, which processes sensory stimuli from the external world. This sensory information activates the insula and anterior cingulate cortex (ACC). The orbitofrontal cortex and dorsolateral prefrontal cortex inhibit amygdala activity (i.e., top-down emotion regulation). However, when mindfulness meditation dominates bottom-up processing via sensory stimuli from the external world, amygdala activity increases through the insula and ACC activation.
In this study, drawing on an integrated understanding of the process model of emotion regulation (Gross, 2015) and the control-value theory (Pekrun, 2006), and informed by principles from the complex dynamic systems theory, we used a network analysis to examine the relationships between task engagement, achievement emotions (i.e., enjoyment, boredom and anxiety), and emotion regulation of 348 Chinese college students in English-as-a-foreign language (EFL) classes. We found a relatively strong connection between these constructs, with cognitive appraisal, enjoyment, and emotional engagement being the most central nodes within connections to task engagement, achievement emotions, and emotion regulation, respectively. Notably, strong peripheral relationships emerged between enjoyment and all facets of task engagement, all of which were positively associated with cognitive reappraisal but negatively with boredom. Expressive suppression was positively linked only with boredom and anxiety, whereas cognitive reappraisal was positively associated with social engagement. We found no direct association between task engagement and anxiety or emotion suppression. Collectively, these findings provide novel insights into the emotional underpinnings of students’ task engagement in EFL contexts.
People use different strategies to regulate their emotions, and these emotion regulation patterns have important implications for mental health. For over two decades, the most widely used tool for assessing emotion regulation has been the Emotion Regulation Questionnaire, a 10-item measure of cognitive reappraisal and expressive suppression. Here, we introduce a new 30-item version-the Emotion Regulation Questionnaire-30 (ERQ-30). Built on the conceptual foundation of the process model of emotion regulation, the ERQ-30 aims to advance emotion regulation assessments by capturing a more comprehensive range of clinically relevant emotion regulation strategies. It is designed to assess how frequently people use 10 strategies, collectively spanning all stages of the process model, including five generally adaptive strategies (behavioral activation, problem solving, acceptance, cognitive reappraisal, social sharing) and five generally maladaptive strategies (situational avoidance, social withdrawal, distraction, rumination, expressive suppression). Across two studies (Ns = 451, 658), we examine the factor structure, reliability, and affective correlates of the ERQ-30, and use its conceptual breadth to further clarify the nature of emotion regulation. We find it to have a theoretically congruent 10-factor (subscale) structure. All strategy subscales demonstrated good internal consistency reliability, and an expected pattern of affective correlates (e.g., with psychopathology symptoms, wellbeing, emotional reactivity, overall emotion regulation difficulties, alexithymia, emotion beliefs, and personality). We demonstrate that the breadth of strategies assessed by the ERQ-30 enhances its clinical utility and predictive value. Overall, the ERQ-30 has strong psychometric performance, and can now enable more comprehensive assessments of emotion regulation.
Cognitive dissonance has been studied for more than 60 years and many insightful findings have come from this research. However, some important theoretical and methodological issues are yet to be resolved, particularly regarding dissonance reduction. In this paper, we place dissonance theory in the larger framework of appraisal theories of emotion, emotion regulation, and coping. The basic premise of dissonance theory is that people experience negative affect (to varying degrees) following the detection of cognitive conflict. The individual will be motivated to alleviate these emotional reactions and could do so by reducing dissonance in some manner. We argue that detection of dissonance will follow the same principles as when people interpret any other stimuli as emotionally significant. Thus, appraisal theory of emotion, which argues that emotions are generated via the cognitive evaluation of surrounding stimuli, should be applicable to the dissonance-detection process. In short, we argue that dissonance-reduction strategies (attitude change, trivialization, denial of responsibility, etc.) can be understood as emotion-regulation strategies. We further argue that this perspective contributes to reconciling fragmented (and sometimes contrary) viewpoints present in the literature on dissonance reduction. In addition to proposing the general model of dissonance reduction, we illustrate at the hand of empirical data how research on dissonance reduction can be performed without relying on experimental paradigms that focus on a specific reduction strategy.
Social media addiction has spread rapidly among young people in recent years. Individuals with social media addiction are more likely to avoid and suppress negative emotions instead of reappraising these emotions, which can cause psychological and even physical harm. This study presents a second-order adaptive mental network model to simulate the process of emotion regulation in social media addicts and the impacts of stress and therapy in this process. This network model can use three types of emotion regulation strategies: suppression, avoidance (by escaping to social media), and reappraisal. Using this model, two scenarios for a person with social media addiction are compared: with and without therapy. It is found that if therapy successfully improves the regulation by reappraisal, the use of suppression and avoidance can be reduced. Characteristics of this model were tuned by simulated annealing, using data points estimated from psychological literature, indicating that the model matches well with empirical information. The presented mental network model may also be used for other types of addictions which involve avoidance of emotions, such as alcohol abuse and game addiction.
The crucial role of emotion regulation in learning has been well established, but its potential impact on the English as a foreign language (EFL) learning process remains uncertain. Examining the relationship between emotion regulation strategies and EFL learning engagement, as well as antecedent variables, has significant theoretical and practical value. This study aims to explored the potential mediating effects of emotion regulation strategies (cognitive reappraisal and emotion suppression) on the associations between perceived EFL teacher social support, peer social support and EFL learning engagement among Chinese adolescents. The data were gathered through an online survey of 1,506 (776 males) 10th to 12th high school EFL learners. Structural equation modeling was used to analyse the mediation model. This study found that EFL teachers’ social support had a significant and direct effect on the three dimensions of EFL learning engagement, whereas the direct effect of peer social support was insignificant. Additionally, cognitive reappraisal significantly mediated role in the positive relationship between perceived EFL teacher support and the three dimensions of EFL learning engagement. It also mediated the positive relationship between perceived peer support and the three dimensions of EFL learning engagement. However, emotion suppression only mediated the negative link between perceived peer support and EFL behavioral engagement. These findings emphasize the need to explore the crucial role of emotion regulation strategies in EFL learning engagement.
The current research is aimed at examining the psychometric properties, i.e. the structural and convergent validity of the Cognitive Emotion Regulation Questionnaire (CERQ) translated into Serbian through two independent and consequent studies. In Study 1, conducted on the sample of 674 young adults (M age = 19.68, SD = 1.29), the structural validity of the CERQ was evaluated by testing the theoretically based nine-component structure using the methods of confirmatory factor analysis and exploratory structural equation modelling. Study 2 was aimed at retesting the model obtained in the previous study on the sample of 703 participants (M age = 22.96, SD = 7.05). In addition, convergent validity of the CERQ was examined by the correlation with the measures of positive and negative affect, life satisfaction, and general distress. The results support the CERQ as a reliable and valid measure of the cognitive emotion regulation strategies. The latent structure of the questionnaire is best described by a nine-factor model defined by the original instrument. In both of our samples, the dimension of Positive reformulation has demonstrated the same structural specificities, suggesting the need for additional checking of both the instrument itself and the specificities of the cognitive emotion regulation strategies in our cultural area. The findings of these studies also indicate usefulness of exploratory structural equation modelling compared to the traditional methods of confirmatory factor analysis in the investigation of the latent structure of the CERQ.
No abstract available
Background Adults with substance use disorders (SUDs) often have co-occurring mental health problems. Emotion regulation may play a vital role in mental health problems. The Cognitive Emotion Regulation Questionnaire (CERQ) is a widely used measure for assessing cognitive emotion regulation. However, it has not been used in Pakistan on patients with co-occurring SUDs and mental health issues. The present study aims to translate and adapt the CERQ into the Urdu language and to determine its reliability and convergent validity in a sample of male patients with SUDs in Pakistan. Method Participants completed a demographic information form, the CERQ, the Depression, Anxiety, and Stress Scale Short Form [DASS-21)], and the Rosenberg Self-Esteem Scale [RSES)] in Urdu. Results Male participants (N = 237) 18–50 years of age (M = 29.8, SD = 8.1) were recruited from four substance use disorder treatment centers and hospitals in Karachi. The reliability of the Urdu version of the CERQ was based on an examination of its internal consistency reliability (Cronbach's α) and test–retest reliability for both the total scale and its subscales. Internal consistency for the CERQ total (α = 0.80) was adequate, as it was for subscales of self-blame, (0.76) acceptance (0.78), rumination (0.72), positive refocusing (0.79), focus on planning (0.89), positive reappraisal (0.81), putting into perspective (0.83), catastrophizing (0.73), and other blame (0.70). The 10–14 day test–retest reliability of the CERQ total score was 0.86. Higher CERQ scores were significantly (ps < 0.001) negatively associated with DASS-21depression (r = –0.24), anxiety (r = –0.23), and stress (r = –0.27) subscales, as well as the DASS-21 total score (r = –0.26) and positively associated with the RSES self-esteem score (r = 0.30). Conclusion The Urdu version of the CERQ is a reliable measure for investigating cognitive emotion regulation strategies related to mental health and SUDs in Pakistan.
No abstract available
Background Given that emotion regulation counts for much in breast cancer, it is important to fully understand its construct. The cognitive emotion regulation questionnaire (CERQ) is a widely applied instrument for measuring conscious cognitive coping strategies in both general and clinical samples; however, there are no data on its factor structure in women with breast cancer, not to mention evidence of measurement invariance (MI) across sociodemographic variables. Thus, the purpose of the present study was to examine the latent factor structure and MI between different sociodemographic groups for CERQ in specific patients. Methods The sample consisted of 1032 women newly diagnosed with breast cancer, with a mean age of 47.54 years (SD = 8.51). The latent factor structure for CERQ was tested using confirmatory factor analysis (CFA). Further, MI various sociodemographic variables was evaluated by a series of multiple-group CFA process. Results The nine-factor CFA model was an adequate fit for the data collected in women with breast cancer. Also, this nine-factor structure had strong factorial invariance across age, place of residence, educational levels, and employment status. Conclusion This study firstly examined the latent factor structure for CERQ among Chinese women with malignancy and MI across various sociodemographic variables, which deepens the understanding of the construct for CERQ as a useful tool for assessing patients’ conscious cognitive component of emotion regulation based on self-report.
Given that Fibromyalgia Syndrome (FMS) is associated with problems in emotion regulation, the importance of assessing this construct is widely acknowledged by clinical psychologists and pain specialists. Although the Cognitive Emotion Regulation Questionnaire (CERQ) is a self-report measure used worldwide, there are no data on its psychometric properties in patients with FMS. This study analyzed the dimensionality, reliability, and validity of the CERQ in a sample of 231 patients with FMS. Given that “fibrofog” is one of the most disabling FMS symptoms, in the present study, items in the CERQ were grouped by dimension. This change in item presentation was conceived as an efficient way of facilitating responses as a result of a clear understanding of what the items related to each dimension are attempting to measure. The following battery of measures was administered: the CERQ, the Revised Fibromyalgia Impact Questionnaire, the Pain Catastrophizing Scale, the Center for Epidemiologic Studies Depression Scale, and the State-Trait Anxiety Inventory. Four models of the CERQ structure were examined and confirmatory factor analyses supported the original factor model, consisting of nine factors—Self-blame, Acceptance, Rumination, Positive refocusing, Refocus on planning, Positive reappraisal, Putting into perspective, Catastrophizing, and Other-blame. There was minimal overlap between CERQ subscales and their internal consistency was adequate. Correlational and regression analyses supported the construct validity of the CERQ. Our findings indicate that the CERQ (items-grouped version) is a sound instrument for assessing cognitive emotion regulation in patients with FMS.
Purpose Little research has focused on identifying the dynamic relationship and core features of cognitive emotion regulation strategies (CERS) that critically contribute to the onset and maintenance of NSSI. This study aims to investigate the CERS network structure in Chinese adolescents with NSSI through network analysis, identifying the core strategies within this network. Patients and Methods A total of 2711 Chinese adolescents (50.5% female, mean age = 12.89 ± 0.73 years) were assessed using the CERQ. Independent t-tests were conducted to compare CERS scores between adolescents with and without NSSI. Network analysis was performed to identify core CERS and to explore differences in the networks between the two groups. Results A total of 1065 adolescents (39.28%) reported engaging in NSSI at least once within the past six months. Among adolescents with NSSI, catastrophizing (strength = 1.32, betweenness = 1.98, closeness = 0.45) and rumination (strength = 1.18, betweenness = 1.10, closeness = 2.02) emerged as the most central CERS. In contrast, among adolescents without NSSI, catastrophizing (strength = 1.79, betweenness = 1.00, closeness = 0.08), rumination (strength = 0.34, betweenness = 1.00, closeness = 1.02), and positive reappraisal (strength = 0.57, betweenness = 1.50, closeness = 1.50) were identified as central CERS. Significant differences in network structure, global strength, and centrality were observed between the two groups, reflecting distinct patterns of CERS. Conclusion NSSI is associated with tightly connected, rigid CERS networks. Targeted interventions should focus on reducing catastrophizing and enhancing positive reappraisal to disrupt these rigid cognitive emotion regulation patterns, ultimately mitigating the risk of NSSI.
OBJECTIVES Sharp and Fonagy's conception was framework for a hypothesis regarding mentalization deficits as predictors of depressive disorders in adolescence. According to the theory, the mediators of this relationship would be the child's emotion regulation processes. METHODS The basis for planning and data analysis was correlation-regression model. A cross-sectional study was conducted on a non-clinical group of 204 adolescents - primary and secondary school students. The Polish versions of the following research tools were used: CDI-2 questionnaire by Kovacs, Reflective Functioning Questionnaire (RFQ-8) by Fonagy, Hypermentalization Questionnaire by Sharp, and Cognitive Emotion Regulation Questionnaire (CERQ) by Garnefski and Kraaij. RESULTS Data analyses revealed that the more compromised the ability to mentalize, the greater the severity of depressive symptoms, especially those related to emotional problems: negative mood and low self-esteem. All the diagnostic criteria of the disease are linked to a diminished ability to understand the world of experiences - one's own and those of others. Both hypomentalization and hypermentalization are significant predictors of depressive symptoms in adolescents, with the mediator of this relationship being the triad of maladaptive cognitive emotion regulation strategies: self-blame, rumination, and catastrophizing. CONCLUSIONS Self-blame constitutes the most common strategy combined with all types of mentalization deficits as well as all symptoms of depression. Whereas catastrophizing constitutes a regulation strategy that is mostly combined with one type of mentalization deficits.The obtained results require further research determining the conditions under which the exaggerated sense of guilt is associated with the occurrence of symptoms of psychopathol- ogy in adolescents.
Objectives Various factors can have a role in predicting police forces’ mental and spiritual health. This study aims to assess whether the general health and spiritual well-being of police forces in Iran can be predicted by metacognitive beliefs with the mediation of cognitive emotion regulation (CER) strategies. Methods This is descriptive/correlational study using structural equation modeling (SEM). The study population includes all the employees of the Tehran Police Commands in 2023. Participants were 294 employees of the police headquarters in Tehran, Iran, in 2023, who were selected using a convenience sampling method. Spiritual well-being scale (SWBS), general health questionnaire (GHQ), metacognition questionnaire (MCQ), and cognitive emotion regulation strategies questionnaire (CERQ) were used to collect data. SPSS v.22 and Amos v.24 were used for data analysis. Results Based on the fit indices, the fit of the initial SEM model was not acceptable (RMSEA=0.07, CFI=0.88, GFI=0.87), because the path between metacognitive beliefs and spiritual well-being was not significant (P>0.05). After removing this path, the model’s fit was acceptable (RMSEA=0.06, CFI=0.90, GFI=0.91). The direct and indirect paths between metacognitive beliefs and general health were significant (P<0.01). Also, the indirect path between metacognitive beliefs and spiritual well-being through CER strategies was significant (P<0.01). Conclusion The metacognitive beliefs in Iranian police forces can significantly predict their general health and spiritual well-being directly or indirectly through CER strategies.
No abstract available
Background The underlying mechanism of impulsivity in obsessive-compulsive disorder (OCD) patients is complex and still unclear. Previous studies have not thoroughly explored whether impulsivity in OCD patients is a result of the obsessive-compulsive symptoms themselves or other contributing factors. This study aimed to explore whether cognitive emotion regulation strategies and depressive symptoms mediate the relationship between the severity of obsessive-compulsive symptoms and impulsivity in a clinical population with OCD. Methods This was a case-control study that recruited 65 OCD patients (male/female=31/34) and 65 healthy controls (male/female =23/42), matched for age, gender, and education level. Demographic and clinical data were collected, and the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Beck Depression Inventory-II (BDI-II), Barratt Impulsiveness Scale-11 (BIS-11) and Cognitive Emotion Regulation Questionnaire (CERQ) were adopted. Results OCD patients scored higher on BIS-11 attentional and non-planning impulsiveness and total scores (all p < 0.05). On CERQ, OCD patients showed elevated maladaptive strategies (self-blame, rumination, catastrophizing, blaming others) and reduced adaptive strategies (positive reappraisal) (all p < 0.05). Attentional impulsiveness positively correlated with OCD severity, depression, and maladaptive strategies (all p < 0.05). Non-planning impulsiveness and BIS-11 total scores positively correlated with depression and negatively with adaptive strategies (all p < 0.05). After adjusting for age, gender, depression level, there was only a significant negative correlation between BIS-11 non-planning impulsiveness and CERQ maladaptive strategies (r = -0.28, p < 0.05). Mediation analysis revealed significant indirect effects of OCD severity on impulsivity via adaptive strategies/depression (β = 0.13, 95% CI: 0.03~0.24, p = 0.012) and via maladaptive strategies/depression (β = 0.09, 95% CI: 0.00~0.23, p = 0.042), but no significant direct or total effects. Conclusions OCD symptom severity indirectly influences impulsivity through emotion regulation strategies and depressive symptoms, highlighting the need to target these mediators in clinical interventions.
AIMS This study assessed the mediating role of cognitive emotion regulation strategies in the relationship between illness uncertainty and diabetes health-promoting self-care behaviours. METHODS A cross-sectional study was conducted with 433 T2DM outpatients using the Mishel Uncertainty in Illness Scale, the Diabetes Health Promotion Self-Care Scale, and the Cognitive Emotion Regulation Questionnaire (CERQ). Data were analysed using SPSS (v.29) for descriptive and Pearson correlation tests, and Process Macro for SPSS (Model 4, v.4.2) for mediation analysis. RESULTS There is a statistically significant, weak negative relationship between illness uncertainty and diabetes health promotion self-care scores (r = -0.105, p = 0.029). CERQ showed a weak negative correlation with illness uncertainty scores, whereas the questionnaire demonstrated a statistically significant, moderate positive correlation with diabetes health-promoting self-care (p < 0.05). The relationship between illness uncertainty and diabetes health- promoting self-care was mediated by CERQ such as self-blame (β= 0.083, 95 % CI= 0.019 - 0.155), acceptance (β= -0.031, 95 % CI= -0.061 - -0.007), rumination (β= -0.107, 95 % CI= -0.179 - -0.048), and positive reappraisal (β= -0.043, 95 % CI= -0.091 - -0.001). CONCLUSIONS Illness uncertainty negatively impacts self-care behaviours in T2DM patients. CERQ, including self-blame, acceptance, rumination, and positive reappraisal, play a mediating role, highlighting their potential in interventions to improve self-care.
Objective: This study aimed to investigate the relationship between different dimensions of parenting styles and cognitive emotion regulation among high school students in Tabriz, Iran. Methods and Materials: A cross-sectional design was employed, with a sample size of 416 high school students determined using the Cochran formula. Participants were selected through multistage cluster random sampling. Data were collected using the Cognitive Emotion Regulation Questionnaire (CERQ) and the Family as a Social Context (FSC) Questionnaire. Pearson correlation was used to examine relationships between cognitive emotion regulation and each parenting dimension. Additionally, linear regression analyses were conducted to determine the predictive power of parenting styles on emotion regulation. SPSS-27 software was used for statistical analyses. Findings: Descriptive statistics indicated that warmth had the highest mean score among parenting dimensions, while rejection had the lowest. Significant correlations were found between cognitive emotion regulation and all six subscales of parenting styles. Warmth (r = 0.45), structure (r = 0.38), and autonomy support (r = 0.41) were positively correlated with cognitive emotion regulation, whereas rejection (r = -0.32), chaos (r = -0.29), and coercion (r = -0.27) showed negative correlations. Regression analyses confirmed that these dimensions significantly predicted cognitive emotion regulation, explaining 46% of the variance. Conclusion: The study highlights the crucial role of parenting styles in shaping cognitive emotion regulation among adolescents. Positive dimensions such as warmth, structure, and autonomy support enhance emotion regulation, while negative dimensions like rejection, chaos, and coercion hinder it.
This study investigates the cognitive emotion regulation strategies applied by ISIS Iraq attack survivors in general and specific psychological results and effects of war-related trauma. This cross-sectional study intended to investigate gender and age differences in the use of maladaptive and adaptive coping strategies, utilizing the Cognitive Emotion Regulation Questionnaire-Arabic Version (CERQ-AR) among 420 survivors from Mosul, Iraq. Data were analyzed using confirmatory factor analysis (CFA), independent t-tests, and correlational analysis. Results showed that males scored significantly higher than females on rumination, catastrophizing, and other-blame. However, no gender difference was found in the case of adaptive strategies. The finding implies that these differences could be a function of the traditional gender roles in Iraqi society, especially in conservative areas like Mosul. Secondly, age as a variable in how these strategies are adopted: older individuals show a decline in maladaptive coping but an increase in other-blame. The research study ended with the recommendation that such cognitive emotion regulation strategies in post-conflict settings should be pursued through gender- and age-specific interventions. KEY WORDS: emotion regulation; ISIS survivors; war-related trauma; maladaptive coping; CERQ
The mechanisms through which childhood trauma contributes to increased suicide risk in individuals diagnosed with major depressive disorder (MDD) have not been comprehensively explored. This study aimed to investigate the role of resilience and cognitive emotion regulation strategies in the link between childhood trauma and recent suicide risk in MDD patients. The study included 136 MDD patients and 112 healthy participants. Standardized instruments were utilized to collect demographic and clinical data, including the 9-item Patient Health Questionnaire (PHQ-9), the 7-item Generalized Anxiety Disorder Scale (GAD-7), the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Connor-Davidson Resilience Scale (CD-RISC). Structural equation modeling (SEM) was employed, and mediation analysis was conducted. Significant correlations were observed between recent suicide risk in MDD patients and various factors, including childhood trauma (emotional abuse, emotional neglect; positive correlation), maladaptive strategies (positive correlation), and resilience traits (tenacity, strength, optimism; negative correlations). An ordinal logistic regression identified gender and maladaptive strategies as significant predictors of suicide risk. Most importantly, the bootstrap test showed that the direct effect (β = 0.114, 95% CI: -0.103–0.362) of childhood trauma on recent suicide risk was not significant, but the indirect (β = 0.224, 95% CI: 0.099–0.461) and total effects (β = 0.338, 95% CI: 0.180–0.552) of childhood trauma on recent suicide risk were significant. Building on cross-sectional data, our path analysis supports a model in which childhood trauma exerts its influence on recent suicide risk in MDD patients indirectly through resilience and emotion regulation, rather than through direct effects. In terms of suicide risk prevention and intervention for MDD patients with childhood trauma, the application of emotion regulation-oriented intervention measures is recommended. Not applicable.
Purpose: This study aimed to develop and test a predictive model of high-risk sexual behaviors among female high school students based on cognitive emotion regulation strategies, with psychological hardiness as a mediating variable.Methods and Materials: The study employed an applied, descriptive-correlational design using structural equation modeling. The sample included 300 female students from second-cycle high schools in Babol city during the 2022–2023 academic year, selected via non-random, voluntary sampling. Data were collected using standardized questionnaires: the Sexual Risk Behaviors Questionnaire, the Cognitive Emotion Regulation Questionnaire (CERQ), and the Hardiness Profile. Validity and reliability of the instruments were confirmed. Data analysis involved SPSS v25 and SmartPLS software for path analysis and hypothesis testing.Findings: Results indicated that negative cognitive emotion regulation strategies positively predicted engagement in high-risk sexual behaviors (β = 0.736) and negatively predicted psychological hardiness (β = –0.742). Conversely, positive regulation strategies were associated with decreased risky sexual behaviors (β = –0.738) and increased hardiness (β = 0.744). Psychological hardiness negatively predicted risky sexual behaviors (β = –0.748) and mediated the relationships between both positive and negative regulation strategies and risky behaviors. All hypothesized paths were statistically significant at p < 0.01, with model fit indices supporting the structural model’s adequacy.Conclusion: The study confirms the significant direct and indirect roles of cognitive emotion regulation strategies in predicting high-risk sexual behaviors among female adolescents, with psychological hardiness serving as a key mediating protective factor. These findings highlight the importance of fostering adaptive emotion regulation and resilience in interventions aimed at reducing sexual risk-taking in adolescent girls.
Drawing on the theory of constructed emotion (Barrett et al., 2001), this study examined how emotion differentiation influences the relationship between affect intensity and cognitive emotion regulation strategies. A total of 102 university students and young adults completed an online scenario rating task (SRT). Data from this task were used to derive levels of emotion differentiation and affect intensity for positive and negative emotional situations. Cognitive emotion regulation strategies were assessed using the Korean version of the Cognitive Emotion Regulation Questionnaire (K-CERQ). Results showed that emotion differentiation did not moderate the overall relationship between affect intensity and cognitive emotion regulation strategies; however, the use of specific strategies differed depending on the level of emotion differentiation. Higher negative emotion differentiation was associated with reduced use of positive refocusing in high-intensity negative emotional situations, whereas lower positive emotion differentiation was associated with greater self-blame in high-intensity positive emotional situations. Additional analyses indicated that participants with higher emotion differentiation were better able to distinguish between similar emotions and reported lower affect intensity for those emotions than those with lower emotion differentiation. These findings suggest that emotion differentiation may regulate the link between affect intensity and emotion regulation strategies by providing more precise information about emotional experiences. This study contributes to research on constructed emotion and emotion differentiation in a Korean sample. It further suggests that emo tion regulation interventions and training should consider individuals’ levels of emotion differentiation.
No abstract available
No abstract available
Romantic relationship satisfaction has been linked to psychological outcomes, including emotional well-being and eating behaviors. However, the mechanisms underlying this relationship remain unclear. This study examines the mediating role of cognitive emotion regulation strategies—particularly catastrophizing—in the relationship between romantic relationship satisfaction and eating attitudes. A cross-sectional study was conducted with 355 university students. Participants completed the Relationship Satisfaction Scale, the Cognitive Emotion Regulation Questionnaire (CERQ), and the Eating Attitudes Test-26 (EAT-26). Structural equation modeling (SEM) was performed using AMOS and R with robust maximum likelihood estimation. Model fit was evaluated using χ2/df, CFI, GFI, RMSEA, and SRMR. Catastrophizing significantly mediated the relationship between romantic relationship satisfaction and eating attitudes. Romantic relationship satisfaction was negatively associated with catastrophizing (β = -0.18, p = .028), and catastrophizing was positively associated with problematic eating attitudes (β = 0.35, p < .001). The direct effect of romantic relationship satisfaction on eating attitudes was not statistically significant (β = -0.12, p = .104), indicating full mediation. Acceptance did not significantly mediate the relationship (p = .348). Gender differences were observed: women scored significantly higher on rumination, dieting, and bulimia/food preoccupation (p < .05). These findings highlight the role of maladaptive cognitive emotion regulation—specifically catastrophizing—in linking romantic relationship dissatisfaction with disordered eating attitudes. Targeting catastrophizing in interventions may improve both relationship satisfaction and eating behaviors.
Abstract Adolescents transition into independent adulthood during puberty, facing a unique shift that challenges their socio-cognitive abilities. This challenge becomes intensified for incarcerated Adolescents, who often exhibit higher levels of psychological distress. This study aimed to investigate the effectiveness of social cognition training, emphasizing the cognitive behavioral approach in emotion regulation and self-reported responsibility of prisoners under 18 in Shiraz Juvenile Reformatory Center. This census study included all 30 eligible incarcerated male adolescents in the Shiraz Juvenile Reformatory Center who met the inclusion criteria and were assigned to the experimental and control groups. The research method was semi-experimental with a control group. The tools used in this study were the Cognitive Emotion Regulation Questionnaire (CERQ) and the Responsibility Scale from California Psychological Inventory (CPI). The research procedure involved pretesting both groups, followed by administering 12 two-hour social cognition training sessions (based on cognitive-behavioral methods) solely to the experimental group. After the termination/completion of the sessions, both groups were tested. Furthermore, a follow-up test was conducted/administered three months after the training. Data were analyzed using univariate analysis of covariance. The findings indicated that social cognition training significantly affected cognitive emotion regulation and responsibility.
This study investigates the relationship between Chinese EFL teachers' emotion regulation, teachers' pedagogical beliefs, pedagogical practices, and their engagement. A total of 516 English teachers from diverse universities in Jiangsu Province participated in the survey, with demographic data revealing a balanced representation of gender and age groups, as well as varied teaching experience. The instruments employed included the Cognitive Emotion Regulation Questionnaire (CERQ), Teacher Engagement Scale, Teachers' Pedagogical Beliefs Survey, and Classroom Practices Survey, all assessed for reliability and validity. Analysis utilized SPSS software (version 27) and AMOS (version 24), employing Structural Equation Modeling (SEM) to scrutinize the data. The findings demonstrate a significant correlation between teachers' engagement and emotion regulation, pedagogical beliefs, and practices, explaining approximately 57 % of the variation observed across subjects. This highlights the crucial role of these factors in shaping teachers' engagement and underscores the importance of addressing them holistically to enhance educational outcomes.
This study aimed to investigate the relations between CERQ and depression, and anxiety and also aimed to reveal the characteristics of a Japanese sample through meta-analysis. The results showed that self-blame, acceptance, rumination, catastrophizing, and blaming others had significantly positive correlations with both depression and anxiety, whereas positive refocusing, refocus on planning, positive reappraisal, and putting into perspective had significantly negative correlations with both variables. Moreover, when comparing the correlation coefficients of the Japanese samples and the combined value, correlations between depression and positive reappraisal were significantly larger than the combined value. On the other hand, regarding the correlation coefficients of depression and putting into perspective, the combined value was larger than the value of Japanese samples. In addition, compared to the combined value, the Japanese sample's positive correlation between anxiety and rumination, and negative correlation between anxiety and positive reappraisal were larger.
Objectives This study investigated the mediating role of maladaptive cognitive emotion regulation strategies in the relationship between alexithymia and self-perceived aging among older adults. Methods We surveyed 478 Chinese community-dwelling older adults from November 2022 to May 2023. The Toronto Alexithymia Scale (TAS-20), Cognitive Emotion Regulation Questionnaire (CERQ), and Brief Aging Perceptions Questionnaire (B-APQ) were used. Correlation analyses, multiple linear regression analysis, and structural equation modeling were performed. Results The average age of participants was 71.52 ± 7.80 years, and the number of chronic diseases was distributed as follows: 270 (56.49%) had 2 disease conditions, 156 (32.64%) had 3 disease conditions, and 52 (10.88%) had 4 disease conditions or more. Scores for alexithymia 57.83 ± 10.19; maladaptive cognitive emotion regulation strategies 49.63 ± 10.65; and self-perceived aging 58.74 ± 10.23. Alexithymia and maladaptive cognitive emotion regulation strategies were positively correlated with negative self-perceived aging (r=0.665 and r=0.673, respectively), explaining 51.8% of the variance in self-perceived aging. Structural equation modeling results showed that alexithymia had a direct effect (of 0.368) on self-perceived aging, accounting for 44.1% of the total effect. Maladaptive cognitive emotion regulation strategies partially mediated the relationship, with a mediation effect of 0.386, accounting for 51.8% of the total effect. Conclusion These findings suggest that addressing maladaptive cognitive emotion regulation strategies can help reduce negative self-perceived aging in elderly individuals with multiple chronic conditions, particularly among those with alexithymia.
Little is known about the latent profiles of cognitive emotion regulation strategy (CERS) and its relationship with negative emotions and Non-Suicidal Self-Injury (NSSI) in Chinese junior high school students, although CERS is thought to be strongly associated with emotional-behavioral problems in adolescents. A total of 2807 junior high school students in Yunnan Province, China, were selected for the study. They were measured with the Cognitive Emotion Regulation Questionnaire (CERQ), the Non-Suicidal Self-Injury Questionnaire, and the Depression-Anxiety-Stress Scale. Latent profile analysis was used to explore latent profiles of CERS among students, and the one-way ANOVA or c2 test was used to explore the relationship between the profiles and depression, anxiety, stress or NSSI. (1) Latent profile analysis revealed five CERS types: ‘Maladaptive group’ (32.25%), ‘Moderate adaptive-low maladaptive group’ (24.68%), ‘Rigid group’ (19.73%), ‘High adaptive-moderate maladaptive group’ (14.42%), and ‘Sensitive group’ (8.82%). (2) The multivariable logistic regression analyses showed that with increasing age (OR = 0.812, 95% CI = 0.66–0.99, p < 0.05), junior high school students were less likely to be in the ‘Moderate adaptive-low maladaptive group’, and males (OR = 0. 698, 95% CI = 0.52–0.94, p < 0.05) were less likely to be classified as ‘Moderate adaptive-low maladaptive group’; (3) ANOVA and c2 test results showed that the differences between the different latent profiles of junior high school students on anxiety, depression, stress and NSSI indicators were statistically significant (p < 0.05). The ‘Sensitive group’ had the highest risk of emotional-behavioral problems and the ‘Moderate adaptive-low maladaptive group’ had the lowest risk of emotional-behavioral problems. Negative emotions and NSSI in junior high school students are closely related to their CERS profiles, and it is important to use targeted strategies to prevent and intervene in emotional-behavioral problems for individuals with different CERS subtypes.
Background/Aim: The Cognitive Emotion Regulation Questionnaire (CERQ) is among the most popular and widely used measures of emotion regulation across age groups. This study aimed to validate the CERQ short version (CERQ-short) for use on adolescents in the Norwegian population. Method: A sample of 3461 adolescents (47.3% girls) aged 12–16 years was recruited through the UEVO population-based study of child maltreatment in Norway. Factor structure, reliability, measurement invariance and criterion validity were investigated. Results: Confirmatory factor analysis supported the original nine-factor model including 18 items; however, not a two-factor structure nor a higher order two-factor solution. Internal consistency was adequate for all subscales, with alpha levels ranging from .73 to .84 between subscales across genders. Relationships with internalizing problems measured with the 10-item Hopkins Symptom Checklist and health-related quality of life according to KIDSCREEN-10 supported the criterion-related validity of the Norwegian CERQ-short. Conclusions: Results suggest that the CERQ-short can be used to measure cognitive emotion regulation strategies in the Norwegian adolescent population. The validation of the CERQ-short in Norway could significantly improve mental health care by facilitating better diagnosis, treatment planning, and evaluation, as well as informing public health policy and cross-cultural research.
The study aimed to evaluate the psychometric properties and measurement invariance (MI) of the Chinese version of the cognitive emotion regulation questionnaire‐short (CERQ‐short) in cancer patients.
We found that the factors involved in the genesis/maintenance of sleep difficulties needed to be much better known. Our aims were to explore the role of cognitive emotion regulation (CER) and psychological distress (PD) as mediators in the relationship between pessimism/optimism and sleep difficulties. Our methods were to ask 253 university students to complete the Depression, Anxiety and Stress Scale-21, the Optimism-Pessimism-2 Scale, the Cognitive Emotion Regulation Questionnaire (CERQ), and answer three questions about sleep difficulties. Our results showed that optimism, adaptive/positive CER strategies, positive reappraisal and refocusing on planning (CERQ1) correlated inversely with sleep difficulties, whereas pessimism, PD, and non-adaptive/negative CER strategies correlated positively with them. Pessimism was a vulnerability factor for sleep difficulties, with its indirect effect mediated by negative CER and/or increased PD. Optimism had a protective effect against sleep difficulties through CERQ1 and/or the reduction of PD. Our conclusion was that fostering adaptive CER strategies, reducing non-adaptive strategies, and addressing pessimism may have clinical implications for promoting psychological well-being and improving sleep quality.
Objective: The aim of this study was to predict adolescents' cognitive emotion regulation strategies based on the mothers' maladaptive early schemas and their parenting styles. Methods and Materials This descriptive correlational study involved a randomly selected cluster sample of 406 high school students (comprising 200 girls and 206 boys) from Tabriz. Data were collected using three scales: Young's Schema Questionnaire-Short Form (YSQ-SF), the short form of the Persian version of the Cognitive Emotion Regulation Questionnaire for adults (CERQ-P), and the Family as a Social Context Scale by Skinner. The collected data were analyzed using correlational statistics and structural equation modeling. Findings: The results confirmed the role of mothers' maladaptive early schemas and their parenting styles in the formation and application of their children's cognitive emotion regulation strategies. Conclusion: The findings of this study indicated that when parents' schemas are adjusted, it leads to the selection of effective parenting methods, which in turn increases adolescents' use of positive cognitive emotion regulation strategies.
Purpose: Research shows resilience is an important factor in a number of groups exposed to danger and plays a very vital mediating role in the appearance of many psychological disorders.The current study was carried out with the aim of examining the mediating role of resilience in the relationship between cognitive emotion regulation and quality of life among young couples. Method: This is a correlational study, the statistical population of which includes all married students of Islamic Azad University of Shahroud, out of whom 45 couples were selected using convenience sampling. Then, Conner-Davidson Riesilience Scale (CD-RISC) (2003), Garnefski, Kraaji and Spinhoven Cognitive Emotion Regulation Questionnaire (CERQ) (2001) and the World Health Organization Quality of Life Assessment (WHOQOL) were completed by the participants. The data were analyzed with the Pearson correlation coefficient and multiple regression. Results: The findings indicate cognitive emotion regulation and the quality of life are significant positive predictors of resilience. Resilience has a significant mediating role in the relationship between cognitive emotion regulation and the quality of life among couples. Conclusion: According to the results it can be said the strategies used by couples to regulate their emotions can be a highly determining factor in their resilience, which leads to a higher quality of life. Improving the positive strategies of cognitive emotion regulation can be taken for preparing interventions and educational programs of resilience into attention.
No abstract available
Background. The addiction to social networks poses serious risks to the lives and well-being of adolescents. This study aimed to create a model of social media addiction that takes into account family dynamics, positive development, and psychological distress, with cognitive emotion regulation strategies acting as mediators among adolescents. Methods. This descriptive-correlational study included adolescents aged 15-18 years during the 2022–2023 educational year in Tabriz schools. Multi-stage cluster sampling was used to select the adolescents. Data were collected using the Social Network Addiction Scale (SNAS), the Cognitive Emotion Regulation Questionnaire (CERQ), the Depression, Anxiety, and Stress Scale (DASS), the Positive Youth Development-Via Strengths Family Scale (PYD-VSF), and the McMaster Family Assessment Device. Pearson correlation and structural equation modeling (SEM) analyses were conducted using SPSS and LISREL software. Results. A strong positive correlation was found between positive youth development and effective emotion regulation strategies. Conversely, there was a notable negative correlation between dysfunctional family dynamics and effective emotion regulation strategies. Psychological distress was directly linked to ineffective emotion regulation strategies. Additionally, a significant direct connection was identified between psychological distress and social media addiction. There was also a notable relationship between dysfunctional family dynamics and social media addiction. The results from the structural equation modeling indicated a strong fit for the proposed model. Specifically, healthy family dynamics were positively correlated with effective cognitive emotion regulation strategies (t = 2.44, γ = 0.17),, while dysfunctional family dynamics showed a negative correlation with these strategies (t = -4.74, γ = -0.43). In conclusion, psychological distress and dysfunctional family dynamics are predictors of social media addiction, with cognitive emotion regulation strategies serving as a mediating factor. Improving emotional self-regulation through better family dynamics and addressing psychological distress can help safeguard adolescents from addiction to the Internet and social media. Conclusion. Psychological distress and unhealthy family functioning predict social media addiction, mediated by cognitive emotion regulation strategies. Enhancing emotional self-regulation through family functioning and addressing psychological distress can protect adolescents from Internet and social media addiction.
Introduction Adherence to direct-acting antivirals (DAAs) could be a predictor of chronic viral hepatitis C (HCV) therapeutic failure. We examined the perceptions of patients receiving DAAs to determine how cognitive factors influence their decision to maintain adherence. Also, we explored the threshold of DAAs adherence for obtaining sustained virologic response (SVR) among patients with HCV, in order to better implement a strategy that improves the DAAs adherence in the future clinical practice. Methods A single-arm prospective study was performed. Patients with HCV that started and completed DAAs treatment in the County Hospital of Craiova, Dolj, Romania, were enrolled. Patients’ medication adherence was assessed using the HCV-AD10 questionnaire, and the cognitive emotion regulation was measured with CERQ questionnaire (five positive/adaptive cognitive emotion-regulation domains and four negative/maladaptive domains). Spearman correlation analysis was conducted to explore the relationships between adherence and different factors. ROC-curves were used to evaluate the adherence threshold to achieve SVR. A linear regression model was performed to analyze the primary outcome (DAAs adherence) to be the target variable based on given independent variables (age, treatment duration, severity of HCV, the nine adaptive and maladaptive strategies). Results 368 patients (mean age: 61 years) with HCV diagnosed 4.05 ± 6.38 (average) years ago were enrolled. Mean (±SD) adherence via HCV-AD10 was 91.51 ± 8.34, and the proportion of the participants achieving SVR was 96%. Patients with an adherence less than 84% (5 patients, 1.36%) was considered nonadherent and they have a high probability of not achieving response (sensitivity and specificity of 83% and 80%, respectively). We obtained significantly higher values of three adaptive strategies between adherent and nonadherent patients following DAAs treatment: in positive refocusing (p-value = 0.044), refocus on planning (p-value = 0.037), and positive reappraisal (p-value = 0.047). Discussion The interplay between the three adaptive strategies of the cognitive emotion regulation and the enhancement of DAAs adherence contributes to a more holistic comprehension of patient behavior in the context of HCV treatment. Increasing refocusing and planning using goal setting and assisting patients in establishing specific, achievable goals can be crucial strategies for clinicians aiming to improve adherence among their patients.
Objectives This study aimed to investigate the mediating role of cognitive emotion regulation(CER) in the relation-ship between deliberate rumination(DR), posttraumatic stress symptoms(PTSS) and posttraumatic growth(PTG). Methods 496 people completed self-reporting questionnaires: a Trauma Events Checklist, the Korean Version of Event Related Rumination Inventory(K-ERRI), the Korean Version of Impact of Event Scale-Revised(IES-R-K), the Korean Version of Posttraumatic Growth Inventory(K-PTGI), the Korean Version of Cognitive Emotion Regulation Questionnaire(K-CERQ). Results The results showed significant positive correlations among deliberate rumination, maladaptive CER, adap-tive CER, PTSS and PTG, although adaptive CER was not significantly correlated with PTSS. As a result of the me-diating effect test, a significant partial mediating effect of maladaptive CER was found in the relationship between deliberate rumination and PTSS. In the relationship between deliberate rumination and PTSS, a significant partial mediating effect of adaptive CER was found. The suppression effect of adaptive CER was suggested in the rela-tionship between deliberate rumination and PTSS. In the relationship between deliberate rumination and PTG, a significant partial mediating effect of adaptive CER was found. Conclusions These results suggest that the experience of PTSS or PTG after deliberate rumination depends on the type of cognitive emotion regulation strategies being used.
Purpose: This study aimed to investigate the relationship between childhood traumatic experiences and social anxiety disorder (SAD) among university students, with a specific focus on the mediating role of cognitive emotion regulation (CER). Methodology: A cross-sectional design was employed, involving 367 university students from Islamic Azad University, Lahijan, Iran, during the academic year 2023-2024. Data were collected using validated self-report measures, including the Childhood Trauma Questionnaire (CTQ), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Social Phobia Inventory (SPIN). Structural equation modeling (SEM) was used to analyze the direct and indirect effects of childhood trauma on SAD, with CER as a mediating variable. Findings: The results indicated a significant positive relationship between childhood traumatic experiences and SAD. Furthermore, CER was found to play a significant mediating role in this relationship, with maladaptive CER strategies, such as rumination and self-blame, exacerbating the effects of childhood trauma on SAD. Conversely, adaptive CER strategies, such as positive reappraisal and acceptance, were found to mitigate the impact of childhood trauma, reducing the severity of SAD symptoms. Conclusion: The findings highlight the critical role of CER in mediating the relationship between childhood trauma and SAD. These results suggest that interventions targeting CER strategies may be particularly effective in reducing social anxiety symptoms in individuals with a history of childhood trauma. The study underscores the importance of early intervention and culturally sensitive approaches in treating SAD among university students.
Background: Severe psychological or mental pain is an experience of discomfort that can be associated with mental illness (such as major depression) or loss (such as the death of a child). Objectives: The aim of this study is to understand the pathology of major depression using a non-clinical student sample by assessing the roles of mental pain, cognitive emotion regulation, self-compassion, and anxiety. Methods: This cross-sectional study selected a sample (n = 300) using a multi-stage random cluster sampling method. Data was collected using the Orbach & Mikulincer Mental Pain Questionnaire (OMMP), the Cognitive Emotion Regulation Questionnaire (CERQ), the Self-Compassion Scale-Short Form (SCS-SF), the Beck Anxiety Inventory (BAI), and the Beck Depression Inventory-II (BD-II). Results: The results of the forward multiple linear regression model showed significant standardized beta coefficients for the following variables: Anxiety and depression (β = 0.21, P = 0.002), mental pain and depression (β = 0.436, P < 0.001), maladaptive cognitive emotion regulation strategies and depression (β = 0.21, P = 0.002), negative dimensions of self-compassion and depression (β = 0.082, p = 0.041), adaptive cognitive emotion regulation strategies and depression (β = -0.135, P = 0.031), and positive dimensions of self-compassion and depression (β = -0.078, P = 0.042). Additionally, the results indicated that 56% of the variance in depression is explained by mental pain, cognitive emotion regulation, self-compassion, and anxiety (P < 0.001). Conclusions: The results of this study indicate that therapies focused on emotional regulation and self-compassion can effectively address emotional problems, anxiety, and depression in individuals with depression.
Objectives This study aims to test the mediating effect of self-compassion and maladaptive, cognitive emotion regulation strategy in the effect of rejection sensitivity on relationship addiction. Methods This study did a survey to 387 male and female adults from 19 to 39 years old. The data were analyzed with the SPSS 25 statistical program using rejection sensitivity, self-compassion, relationship addiction (RAQ-30), self-compassion(SCS), and Cognitive Emotion Regulation Questionnaire (CERQ) scale. Results The findings of the analysis were as follows. First, correlation analysis between rejection sensitivity, self-compassion, maladaptive cognitive emotion regulation strategy, and relationship addiction showed that they were significantly correlated. Second, in the effect of rejection sensitivity on relationship addiction, self-compassion and maladaptive cognitive emotion regulation strategy were found to have partial mediating effect. Third, rejection sensitivity was found to have indirect effect on rejection sensitivity by mediating self-compassion and maladaptive cognitive emotion regulation strategy in order. Conclusions This study examined the effect of rejection sensitivity on relationship addiction, addictive human relationship pattern, and wanted to give information to alleviate relationship addiction by focusing on self-compassion and maladaptive cognitive emotion regulation strategy. The purpose and meaningfulness of it is to provide help in real counseling scenes by agreeing on treatment goals which one can establish real counseling scene and exploring effective intervention method. Based on such findings, this study discussed limites of this study and necessity of further studies.
The dorsolateral prefrontal cortex (DLPFC) and ventrolateral prefrontal cortex (VLPFC) are central to cognitive reappraisal, yet the mechanisms underlying their collaboration remain unclear. This study uses transcranial alternating current stimulation (tACS) to modulate neural synchrony between the DLPFC and VLPFC in the theta band, aiming to elucidate the effects of synchronous versus asynchronous neural interaction on reappraisal. It also examines whether these effects are unique to reappraisal or extend to other emotion regulation strategies. In Experiment 1, 43 participants underwent in-phase, antiphase, or sham tACS before performing a reappraisal task to downregulate negative emotions. The findings showed that in-phase tACS significantly enhanced reappraisal performance and reduced regulation difficulty, supporting a causal role of DLPFC-VLPFC synchrony in reappraisal. Experiment 2 combined tACS with electroencephalography to further validate these results and included distraction as a control condition. Another 43 participants engaged in both reappraisal and distraction strategies following either in-phase or sham tACS. Phase-locking values confirmed that in-phase tACS selectively enhanced theta-band oscillations between the DLPFC and VLPFC. Consistent with Experiment 1, in-phase tACS specifically improved reappraisal performance, as indicated by reduced negative emotional responses, lower regulation difficulty, and a decrease in late positive potential amplitude, with no effect on distraction. This study provides the first causal evidence that enhancing DLPFC-VLPFC synchrony improves reappraisal performance. These findings highlight the potential of neural modulation to optimize brain network connectivity, offering promising avenues for targeted interventions in emotion regulation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
No abstract available
OBJECTIVE Left ventrolateral prefrontal cortex (VLPFC) has been demonstrated to be a crucial region involved in the down-regulation of negative affect by cognitive reappraisal. However, the neural evidence of causality is still lacking. The current study was to investigate the contribution of left VLPFC in cognitive reappraisal by using single-pulse transcranial magnetic stimulation (spTMS) and electroencephalogram (EEG). METHODS Fifteen participants repeated the cognitive reappraisal task at different TMS settings: no stimulation, spTMS applied at 300 ms after image onset to the left VLPFC, and to the vertex as a control site. EEG and behavioral data were concurrently recorded. TMS-evoked potential (TEP) and late positive potential (LPP) were investigated. RESULTS In cognitive reappraisal, left VLPFC stimulation elicited stronger TEPs than vertex stimulation at 180 ms after TMS onset. Increased source activation of TEPs was identified in the precentral gyrus. Emotion regulation by reappraisal enlarged the trough of TEP at stimulation site. The left VLPFC stimulation led to enhanced LPP in cognitive reappraisal, which was negatively correlated with self-reported arousal. CONCLUSIONS The TMS stimulation over left VLPFC influences the cognitive reappraisal process by potentiating the neural responses. Accordingly, the cortical region responsible for the execution of cognitive reappraisal is activated. The modulated neural activity is related to the behavioral response. The present study provided neural signatures for the facilitated execution of emotion regulation by left VLPFC stimulation, potentially contributing to the therapeutic protocols for mood disorders.
No abstract available
BACKGROUND Borderline personality disorder (BPD) is primarily characterized by deficient emotion regulation. Impaired cognitive control over negative emotions is central to emotion dysregulation in BPD. Respective executive dysfunctions are associated with hypoactivation of prefrontal regions, and consecutive alterations of fronto-limbic network functionality. Here, we investigated the effect of increasing activity of the dorsolateral prefrontal cortex (DLPFC) with repeated transcranial direct current stimulation (tDCS) on (1) executive dysfunctions and (2) whether improving cognitive control affects emotion dysregulation and emotional processing in BPD. METHODS Thirty-two patients diagnosed with BPD were randomly assigned to active stimulation (N = 16) or sham stimulation (N = 16) group in a randomized, sham-controlled, parallel-group design. They received 10 sessions of active (2 mA, 20 min, anodal left- cathodal right DLPFC) or sham tDCS over 10 days. Major executive functions, emotion regulation strategies, and emotional processing of the patients were assessed before and immediately after the intervention. RESULTS The active stimulation group showed a significant improvement in major executive function domains. Importantly, cognitive reappraisal strategy of emotion regulation and several factors of emotional processing involved in the control of emotion significantly improved in the active stimulation group after the intervention. Factors related to emotional expression were, however, not affected. LIMITATIONS The single-blind design, absence of follow-up measures, and the intrinsically limited focality of tDCS are limitations of this study. CONCLUSIONS Increasing activity of the DLPFC improves executive functioning in BPD and improves ´cognitive control over negative emotions. Cognitive control interventions could be a potential, symptom-driven therapeutic approach in BPD.
Abstract Background Although deficits in affective processing are a core component of anorexia nervosa (AN), we lack a detailed characterization of the neurobiological underpinnings of emotion regulation impairment in AN. Moreover, it remains unclear whether these neural correlates scale with clinical outcomes. Methods We investigated the neural correlates of negative emotion regulation in a sample of young women receiving day-hospital treatment for AN (n = 21) and healthy controls (n = 21). We aimed to determine whether aberrant brain activation patterns during emotion regulation predicted weight gain following treatment in AN patients and were linked to AN severity. To achieve this, participants completed a cognitive reappraisal paradigm during functional magnetic resonance imaging. Skin conductance response, as well as subjective distress ratings, were recorded to corroborate task engagement. Results Compared to controls, patients with AN showed reduced activation in the dorsolateral prefrontal cortex (dlPFC) during cognitive reappraisal [pFWE<0.05, threshold-free cluster enhancement (TFCE) corrected]. Importantly, psycho–physiological interaction analysis revealed reduced functional connectivity between the dlPFC and the amygdala in AN patients during emotion regulation (pFWE<0.05, TFCE corrected), and dlPFC-amygdala uncoupling was associated with emotion regulation deficits (r = −0.511, p = 0.018) and eating disorder severity (r = −0.565, p = .008) in the AN group. Finally, dlPFC activity positively correlated with increases in body mass index (r = 0.471, p = 0.042) and in body fat mass percentage (r = 0.605, p = 0.008) following 12 weeks of treatment. Conclusions Taken together, our findings indicate that individuals with AN present altered fronto-amygdalar response during cognitive reappraisal and that this response may serve as a predictor of response to treatment and be linked to clinical severity.
Cognitive reappraisal is a commonly used form of emotion regulation that utilizes frontal-executive control to reframe an approaching emotional event to moderate its potential psychological impact. Use of cognitive reappraisal has been associated with diminished experience of anxiety and depressive symptoms, as well as greater overall well-being. Using data from a study of 647 healthy young adults, we provide initial evidence that an association between typical use of cognitive reappraisal in daily life and the experience of anxiety and depressive symptoms is moderated by the microstructural integrity of the uncinate fasciculus, which provides a major anatomical link between the amygdala and prefrontal cortex. Our findings are consistent with the nature of top-down regulation of bottom-up negative emotions and suggest the uncinate fasciculus may be a useful target in the search for biomarkers predicting not only disorder risk but also response to psychotherapy utilizing cognitive reappraisal.
The neural substrate of cognitive reappraisal has been well-mapped. Individuals who successfully downregulate negative affect (NA) by reshaping their thoughts about a potentially emotional situation show augmented activity in the prefrontal cortex (PFC), with attenuated activity in the amygdala. We performed functional neuroimaging with experience sampling to determine whether individual differences in brain activation correspond to differences in real-life NA. While being scanned, 69 female students (aged 18–25 years) were asked to perform a cognitive reappraisal task. In addition, repeated assessments (5/day, 14 days) of affect and minor events in real-life were conducted. Individual t-maps were created for an instructed downregulation contrast (downregulate negative–attend negative) and an uninstructed regulation contrast (attend negative–attend neutral). Mean beta values were extracted from a priori defined regions of interest in the bilateral amygdala and PFC and were correlated with three daily life NA measures: baseline (mean) NA, NA variability, and NA reactivity to negative events. Only one out of twelve correlations for the amygdalae was nominally significant, which did not survive correction for multiple comparisons. PFC activation in the instructed and uninstructed regulation contrasts explained approximately 10% of the variance in NA reactivity; stronger recruitment during the attend-negative condition was correlated with lower reactivity levels. The degree to which individuals spontaneously engage frontal clusters may be a critical aspect of real-life emotional reactivity. The findings of this study provide a partial external validation of the cognitive reappraisal task, suggesting that frontal brain activation during implicit task conditions may have the strongest connection with real-life behaviors.
Despite functional brain imaging research pointing to the role of prefrontal cortex in cognitive reappraisal, the structural correlates of habitual engagement of reappraisal are unclear. Functional imaging studies of reappraisal have shown broad engagement of bilateral middle frontal cortex (MFC) and left superior frontal cortex (SFC), and specific engagement of the right SFC. However, volumetric studies have not identified clear associations between reappraisal and these regions. This discrepancy between functional and structural studies suggests that broad functional engagement associated with reappraisal might not be detectable at a structural level using highly localized volumetric measures. This study addressed the discrepant structural findings by assessing the relation between reappraisal and grey matter volume, using methods that allow both region-level broad/diffuse assessments (surface-based morphometry), and voxel-level specific/localized (voxel-based morphometry) measures. Results were consistent with diffuse positive volumetric associations with reappraisal in the right MFC and left SFC, and a localized positive volumetric association in the right SFC, thus resolving the discrepancy between functional and structural studies. This study provides novel evidence supporting the idea that functional engagement related to transient manipulations of reappraisal can be linked to structural associations related to habitual engagement of similar operations, within the same brain regions.
Reappraisal, an emotion regulation strategy, includes reinterpretation and affect labeling involving verbalizing emotions. In general, reappraisal is supported by lateral prefrontal cortical regions, which are also known to underlie cognitive regulation. Other research has shown that affect labeling combined with reappraisal of negative emotions increases lateral prefrontal cortex activity more than reappraisal alone does, suggesting that affect labeling facilitates emotional regulation. However, the influence of affect labeling on the efficacy of reappraisal in reducing subjective negative emotions has not been determined. In the experiment, 35 participants (mean age = 28.2 years (SD = 9.63); 12 women and 23 men) viewed vignettes that aroused negative emotion. Then, they rated subjective negative emotions as baseline values. Following the baseline rating, the task branched into four conditions, combining affect labeling and emotion regulation factors. In the affect-labeling factor, participants selected emotional labels consistent with their own emotions or not. Regarding the emotion regulation factor, participants engaged in reappraisal to regulate their negative emotions. Throughout the experiment, the intensity of negative emotions was measured three times, mirroring the baseline measurement. Oxyhemoglobin (OxyHb) signal values in prefrontal cortex regions during tasks were measured by functional near-infrared spectroscopy. Differences between the subjective negative emotion ratings at baseline and after reappraisal indicated that reappraisal significantly reduced negative emotion with and without affect labeling (t (1173.05) = 29.97, p < 0.001), and the combination of affect labeling and reappraisal was less effective in regulating negative emotions at the subjective level than reappraisal without affect labeling (t (1172.03) = 3.15, p < 0.01). Additionally, there was an increase in OxyHb signal in the bilateral dorsolateral prefrontal and right ventral prefrontal cortices while participants performed reappraisal with affect labeling. Our findings suggest that affect labeling, when performed prior to cognitive reappraisal, may influence the process of negative emotion regulation in complex ways. The interaction between affect labeling and reappraisal appears to modulate prefrontal cortex activity, potentially reflecting changes in cognitive processing during emotion regulation attempts. These results highlight the need for further investigation into the intricate relationship between different emotion regulation strategies.
No abstract available
BACKGROUND Childhood trauma exposure is a risk factor for suicide. However, not all trauma exposed individuals experience suicidal urges and core factors moderate this risk pathway. Individual differences in volitional emotion regulation capacity may be one key factor that shapes the association between childhood trauma and suicide; however, few studies have comprehensively investigated these associations using both subjective and objective indicators of emotion regulation. We therefore utilized a multimodal design with 80 adults reporting active suicidal urges. METHODS Participants completed self-report forms capturing suicidogenic cognitions and severity of suicidal ideation. Volitional cognitive reappraisal was measured using self-report and prefrontal cortex activation (PFC; i.e., ventrolateral and dorsolateral) during instructed reappraisal with functional magnetic resonance imaging. RESULTS Hierarchal linear regression analyses revealed evidence of childhood trauma by PFC activation interactions on suicide risk. At low levels of vlPFC activation, but not high levels, greater childhood trauma was associated with greater suicidal ideation severity and suicide cognitions. Similarly, at low levels of dlPFC activation, but not high levels, greater childhood trauma was associated with suicide cognitions. CONCLUSION Hypoactivation of regulatory PFC regions during volitional emotion regulation may contribute to increased suicide risk amongst individuals with a history of childhood trauma.
No abstract available
No abstract available
Emotions can be understood as behavioral, physiological, and subjective individual’s alteration due to a given situation. Several times, an efficient regulation of these emotions can promote psychological and social survival. It has been demonstrated that the Prefrontal Cortex (PFC) presents a relevant role in cognitive control, especially during emotion regulation strategies. However, evidence for the role of the PFC and emotional regulation comes mostly from neuroimaging experiments lacking from causal information. Transcranial Direct Current Stimulation (tDCS) has been shown to be an efficient noninvasive neuromodulation technique capable to address causal hypothesis. The aim of this study was to investigate the role of two regions of the PFC (Dorsolateral and Ventrolateral region) on different strategies of emotional reappraisal during the observation of negative images. 180 undergraduate students (mean age 21,75 ± 3,38) participated in this study, divided in two experiments (Dorsolateral PFC - n = 90; Ventrolateral PFC - n = 90). As not expected, DLPFC tDCS did not modulate the responses on the emotional regulation task. However, VLPFC tDCS resulted in less negative valence of negative images as well as decreased cardiac interbeat interval on earlier moments of emotional processing. These findings supports the general view about the role of the PFC on emotional regulation and, at the same time, advances the field by providing evidence that evaluation of negative stimuli is much more based on the VLPFC than on the DLPCF.
Hai-Yang Wang Bing-Wei Zhang Xue-Lin Li 1Department of Neurology, Jining No. 1 People’s Hospital, Jining, Shandong Province, People’s Republic of China; 2Department of Neurology and Psychiatry, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, People’s Republic of China; 3Department of Intensive Care Unit, Jining No. 1 People’s Hospital, Jining, Shandong Province, People’s Republic of China Dear editor Following our recently published article in Neuropsychiatric Disease and Treatment, many readers have commented that the effects of comorbid depression cannot be ruled out as a factor in our results, since anxiety disorders and major depression are heterogeneous disorders. We would like to respond to the points made. Impaired cognitive emotion regulation is commonly seen in many psychiatric disorders. A recent review concluded that individuals with depressive disorders consistently show decreased activation of the ventrolateral prefrontal cortex (vlPFC) and dorsolateral prefrontal cortex (dlPFC) during cognitive reappraisal. Moreover, enhanced activity of the amygdala, which is associated with hyperactive bottom-up emotion responses during downregulation of negative emotion, is a disorder-specific deficit in the recruitment of brain regions during cognitive reappraisal in depression disorder. Our meta-analysis was intended to provide a comprehensive description of the brain mechanisms underlying cognitive reappraisal deficits in anxiety disorder. We concluded that patients with anxiety disorder could not recruit the frontoparietal network, including dorsal anterior cingulate cortex (dACC), parietal cortex, dorsomedial prefrontal cortex and supplementary motor area, to down-regulate their emotion responses. Notably, we did not find that abnormalities of vlPFC, dlPFC or amygdala activity were involved in anxiety disorder, which suggests that the cognitiveappraisal-related impairments in emotion regulation that occur in anxiety disorders and major depression have different neural correlates. There are several explanations for our negative findings. First, although we included some patients with anxiety disorder accompanied by depression, they were eligible for inclusion in the meta-analysis as anxiety disorder was the primary diagnosis. Second, although some studies reported that patients with anxiety disorder showed diminished vlPFC and dlPFC activity during downregulation of negative emotion, the results are mixed. Our comprehensive meta-analysis was performed to provide a robust description of the neurobiological underpinnings of anxiety. Third, although patients with major depression consistently show enhanced amygdala activity during cognitive reappraisal, none of the eight studies included in the meta-analysis reported enhanced amygdala during cognitive reappraisal in anxiety disorders. Correspondence: Xue-Lin Li Department of Intensive Care Unit, Jining No. 1 People’s Hospital, Jining, No. 6, Jiankang Road, Jining, Shandong Province 272011, People’s Republic of China Email lixuelin0828@163.com Neuropsychiatric Disease and Treatment Dovepress open access to scientific and medical research
No abstract available
Placebo pills can reduce emotional distress even when recipients have been informed about the inert nature of the treatment. However, before such open-label placebos (OLPs) can be recommended for general clinical use, their efficacy and acceptability need to be further investigated and compared with established methods for emotion regulation, such as cognitive reappraisal (CR). The current study with functional magnetic resonance imaging compared the effects of an OLP pill with CR for reducing a specific form of emotional distress: disgust. Participants (150 healthy females) were randomly allocated to one of three groups, all of which were exposed to disgusting and neutral images (OLP, CR, PV: passive viewing). It was tested whether the three groups would differ in brain activity and reported disgust. Ratings for the perceived efficacy and plausibility of treatment were also compared between OLP and CR. Both OLP and CR increased the activity in a cognitive control region, the ventrolateral prefrontal cortex. Relative to PV and OLP, CR reduced activity in the putamen and pallidum. These regions play an important role in decoding disgust signals from different modalities. Self-reports indicated that CR was perceived as a more effective and plausible intervention strategy than OLP. In conclusion, CR was a superior method for disgust regulation compared to OLP, both on the subjective as well as the neurobiological level. Future OLP studies are needed to test whether the observed effects generalize to other forms of emotional distress.
Abstract The dorsolateral prefrontal cortex (DLPFC) and ventrolateral prefrontal cortex (VLPFC) are both crucial regions involved in voluntary emotion regulation. However, it remains unclear whether the two regions show functional specificity for reappraisal and distraction. This study employed transcranial magnetic stimulation (TMS) to explore, in a real social interactive scenario, whether different lateral prefrontal regions play relatively specific roles in downregulating social pain via reappraisal and distraction. Participants initially took part in a social interactive game, followed by receiving either active (the DLPFC- or VLPFC-activated group, n = 100 per group) or control (the vertex-activated group, n = 100) TMS session. They were then instructed to use both distraction and reappraisal strategies to downregulate any negative emotions evoked by the social evaluation given by their peers who interacted with them previously. Results demonstrated that the TMS-activated DLPFC has a greater beneficial effect during distraction, whereas the activated VLPFC has a greater beneficial effect during reappraisal. This result investigated the direct experience of social pain and extended previous findings on empathy-related responses to affective pictures while also controlling for confounding factors such as empathic concern. Therefore, we are now confident in the double dissociation proposal of the DLPFC and VLPFC in distraction and reappraisal.
The right ventrolateral prefrontal cortex (rVLPFC) is highly engaged in emotion regulation of social pain. However, there is still lack of both inhibition and excitement evidence to prove the causal relationship between this brain region and voluntary emotion regulation. This study used high‐frequency (10 Hz) and low‐frequency (1 Hz) repetitive transcranial magnetic stimulation (rTMS) to separately activate or inhibit the rVLPFC in two groups of participants. We recorded participants' emotion ratings as well as their social attitude and prosocial behaviors following emotion regulation. Also, we used eye tracker to record the changes of pupil diameter to measure emotional feelings objectively. A total of 108 healthy participants were randomly assigned to the activated, inhibitory or sham rTMS groups. They were required to accomplish three sequential tasks: the emotion regulation (cognitive reappraisal) task, the favorability rating task, and the donation task. Results show that the rVLPFC‐inhibitory group reported more negative emotions and showed larger pupil diameter while the rVLPFC‐activated group showed less negative emotions and reduced pupil diameter during emotion regulation (both compared with the sham rTMS group). In addition, the activated group gave more positive social evaluation to peers and donated more money to a public welfare activity than the rVLPFC‐inhibitory group, among which the change of social attitude was mediated by regulated emotion. Taken together, these findings reveal that the rVLPFC plays a causal role in voluntary emotion regulation of social pain and can be a potential brain target in treating deficits of emotion regulation in psychiatric disorders.
No abstract available
Affective disorders are associated with maladaptive emotion regulation strategies. In particular, the left more than the right ventrolateral prefrontal cortex (vlPFC) may insufficiently regulate emotion processing, e.g., in the amygdala. A double-blind cross-over study investigated NF-supported cognitive reappraisal training in major depression (n = 42) and age- and gender-matched controls (n = 39). In a randomized order, participants trained to upregulate either the left or the right vlPFC during cognitive reappraisal of negative images on two separate days. We wanted to confirm regional specific NF effects with improved learning for left compared to right vlPFC (ClinicalTrials.gov NCT03183947). Brain responses and connectivity were studied with respect to training progress, gender, and clinical outcomes in a 4-week follow-up. Increase of vlPFC activity was stronger after NF training from the left- than the right-hemispheric ROI. This regional-specific NF effect during cognitive reappraisal was present across patients with depression and controls and supports a central role of the left vlPFC for cognitive reappraisal. Further, the activity in the left target region was associated with increased use of cognitive reappraisal strategies (r = 0.48). In the 4-week follow-up, 75% of patients with depression reported a successful application of learned strategies in everyday life and 55% a clinically meaningful symptom improvement suggesting clinical usability.
Cognitive reappraisal is a form of emotion regulation that involves reinterpreting the meaning of a stimulus, often to downregulate one’s negative affect. Reappraisal typically recruits distributed regions of prefrontal and parietal cortex to generate new appraisals and downregulate the emotional response in the amygdala. In the current study, we compared reappraisal ability in an fMRI task with affective flexibility in a sample of children and adolescents (ages 6–17, N = 76). Affective flexibility was defined as variability in valence interpretations of ambiguous (surprised) facial expressions from a second behavioral task. Results demonstrated that age and affective flexibility predicted reappraisal ability, with an interaction indicating that flexibility in children (but not adolescents) supports reappraisal success. Using a region of interest-based analysis of participants’ BOLD time courses, we also found dissociable reappraisal-related brain mechanisms that support reappraisal success and affective flexibility. Specifically, late increases in middle prefrontal cortex activity supported reappraisal success and late decreases in amygdala activity supported flexibility. Together, these results suggest that our novel measure of affective flexibility – the ability to see multiple interpretations of an ambiguous emotional cue – may represent part of the developmental building blocks of cognitive reappraisal ability.
Abstract Background One common denominator to the clinical phenotypes of borderline personality disorder (BPD) and major depressive disorder (MDD) is emotion regulation impairment. Although these two conditions have been extensively studied separately, it remains unclear whether their emotion regulation impairments are underpinned by shared or distinct neurobiological alterations. Methods We contrasted the neural correlates of negative emotion regulation across an adult sample of BPD patients (n = 19), MDD patients (n = 20), and healthy controls (HCs; n = 19). Emotion regulation was assessed using an established functional magnetic resonance imaging cognitive reappraisal paradigm. We assessed both task-related activations and modulations of interregional connectivity. Results When compared to HCs, patients with BPD and MDD displayed homologous decreased activation in the right ventrolateral prefrontal cortex (vlPFC) during cognitive reappraisal. In addition, the MDD group presented decreased activations in other prefrontal areas (i.e., left dorsolateral and bilateral orbitofrontal cortices), while the BPD group was characterized by a more extended pattern of alteration in the connectivity between the vlPFC and cortices of the visual ventral stream during reappraisal. Conclusions This study identified, for the first time, a shared neurobiological contributor to emotion regulation deficits in MDD and BPD characterized by decreased vlPFC activity, although we also observed disorder-specific alterations. In MDD, results suggest a primary deficit in the strength of prefrontal activations, while BPD is better defined by connectivity disruptions between the vlPFC and temporal emotion processing regions. These findings substantiate, in neurobiological terms, the different profiles of emotion regulation alterations observed in these disorders.
Despite findings showing that acute exercise may help enhance emotion regulation, the neurophysiological mechanisms of these effects remain poorly understood. In this study, we examined whether acute exercise influences cognitive emotion regulation, and, in particular, an implicit cognitive reappraisal. Twenty sedentary young women were randomly assigned to either a control group (n = 10) or an exercise group (n = 10). Participants underwent an implicit cognitive reappraisal task twice, before and after the 30-min acute exercise or control, alongside functional near-infrared spectroscopy recordings (NIRS). The left dorsolateral prefrontal cortex (dlPFC) and left orbital frontal cortex (OFC) were activated during implicit cognitive reappraisal at baseline, but only the left dlPFC activation was linked with behavioral performance. Acute exercise enhanced the activation of these regions, reflective of the partial neural bases of implicit cognitive reappraisal, in the left dlPFC and left OFC, but did not alter the behavioral performance. Results also showed that acute exercise moderated the positive effect of left dlPFC activation on implicit cognitive reappraisal performance; specifically, this effect was stronger in the exercise group. In conclusion, the enhanced activation of the left dlPFC by acute exercise and the increased link between behavioral performance and its neural indices may point to acute exercise as a promoter of implicit cognitive reappraisal.
Background Panic disorder (PD) is thought to be related with deficits in emotion regulation, especially in cognitive reappraisal. According to the cognitive model, PD patients’ intrinsic and unconscious misappraisal strategies are the cause of panic attacks. However, no studies have yet been performed to explore the underlying neuromechanism of cognitive reappraisal that occur on an unconscious level in PD patients. Methods Twenty-six patients with PD and 25 healthy controls (HC) performed a fully-verified event-block design emotional regulation task aimed at investigating responses of implicit cognitive reappraisal during an fMRI scan. Participants passively viewed negatively valanced pictures that were beforehand neutrally, positively, or adversely portrayed in the task. Results Whole-brain analysis of fMRI data showed that PD patients exhibited less activation in the right dorsolateral prefrontal cortex (dlPFC) and right dorsomedial prefrontal cortex (dmPFC) compared to HC, but presented greater activation in parietal cortex when negative pictures were preceded by positive/neutral vs negative descriptions. Simultaneously, interactive effects of Group × Condition were observed in the right amygdala across both groups. Furthermore, activation in dlPFC and dmPFC was is negatively correlated to severity of anxiety and panic in PD when negative images were preceded by non-negative vs negative descriptions. Conclusions Emotional dysregulation in PD is likely the result of deficient activation in dlPFC and dmPFC during implicit cognitive reappraisal, in line with impaired automatic top-down regulation. Correlations between severity of anxiety and panic attack and activation of right dlPFC and dmPFC suggest that the failure to engage prefrontal region during implicit cognitive reappraisal might be associated wtih the severity of anxiety and panic; such functional patterns might be the target of possible treatments.
Abstract Neural bases of cognitive reappraisal may depend on the direction of regulation (up- or downregulation) and stimulus valence (positive or negative). This study aimed to examine this using a cognitive reappraisal task and conjunction analysis on a relatively large sample of 83 individuals. We identified regions in which activations were common for all these types of emotion regulation. We also investigated differences in brain activation between the ‘decrease’ and ‘increase’ emotional response conditions, and between the regulation of negative and positive emotions. The common activation across conditions involved mainly the prefrontal and temporal regions. Decreasing emotions was associated with stronger involvement of the dorsolateral prefrontal cortex, while increasing with activation of the amygdala and hippocampus. Regulation of negative emotions involved stronger activation of the lateral occipital cortex, while regulation of positive emotions involved stronger activation of the anterior cingulate cortex extending to the medial prefrontal cortex. This study adds to previous findings, not only by doing a conjunction analysis on both emotional valences and regulation goals, but also doing this in a bigger sample size. Results suggest that reappraisal is not a uniform process and may have different neural bases depending on regulation goals and stimulus valence.
Highlights • We found neurofeedback-specific attenuation of amygdala responses.• Trauma symptoms and the affective state improved in patients at one-month follow-up.• Reduced amygdala responses were associated with improved well-being at follow-up.• 75% of individuals with PTSD used the learned strategies in daily life.• Left lateral prefrontal cortex responses were reduced during neurofeedback training.
The cognitive reappraisal of emotion is hypothesized to involve frontal regions modulating the activity of subcortical regions such as the amygdala. However, the pathways by which structurally disparate frontal regions interact with the amygdala remains unclear. In this study, 104 healthy young people completed a cognitive reappraisal task. Dynamic causal modeling (DCM) was used to map functional interactions within a frontoamygdalar network engaged during emotion regulation. Five regions were identified to form the network: the amygdala, the presupplementary motor area (preSMA), the ventrolateral prefrontal cortex (vlPFC), dorsolateral prefrontal cortex (dlPFC), and ventromedial prefrontal cortex (vmPFC). Bayesian Model Selection was used to compare 256 candidate models, with our winning model featuring modulations of vmPFC-to-amygdala and amygdala-to-preSMA pathways during reappraisal. Moreover, the strength of amygdala-to-preSMA modulation was associated with the habitual use of cognitive reappraisal. Our findings support the vmPFC serving as the primary conduit through which prefrontal regions directly modulate amygdala activity, with amygdala-to-preSMA connectivity potentially acting to shape ongoing affective motor responses. We propose that these two frontoamygdalar pathways constitute a recursive feedback loop, which computes the effectiveness of emotion-regulatory actions and drives model-based behavior.
No abstract available
Reward-seeking and relief from negative emotions are two central motivational drives underlying addictions. Impaired executive control over craving and negative emotions contributes to compulsive addictive behaviors. Neuroimaging evidence has implicated the prefrontal cortex (PFC) in regulating craving or emotions. This study aims at examining whether anodal transcranial direct current stimulation (tDCS) over a specific region of the PFC would enhance both regulation processes. Thirty-three men with internet gaming disorder received active (1.5 mA for 20 minutes) and sham tDCS over the right dorsolateral PFC (dlPFC) one week apart in a randomized order. During each stimulation session, participants regulated craving for gaming during a regulation of craving (ROC) task and negative emotions during an emotion regulation (ER) task using cognitive reappraisal. Subjective ratings of craving and negative emotions and skin conductance responses (SCRs) were recorded. For both craving and negative emotions, tDCS of the right dlPFC facilitated downregulation and upregulation: active relative to sham tDCS decreased ratings (ROC: 95% CI of difference -1.38 to -0.56, p < 0.001; ER: -1.65 to -0.70, p < 0.001) and/or SCRs (ROC: -1.99 to -0.41 μs, p = 0.004) for downregulation, and increased ratings (ROC: 0.24 to 0.82, p = 0.001; ER: 0.26 to 0.72, p < 0.001) for upregulation. These findings provide the first experimental evidence confirming that tDCS of the right dlPFC enhances both craving- and negative-emotion-regulation. This suggests a promising approach for concurrently enhancing executive control over two central motivational drives underlying addictions.
No abstract available
No abstract available
Research into cognitive emotion regulation (ER) extends our understanding of human cognition, which is capable of processing objective information and is crucial in maintaining subjective/internal homeostasis. Among various ER strategies, the alleviation of negative emotion via reappraisal is of particular importance for adaptation and psychological well-being. Although still debated, previous neuroimaging studies tend to infer that the reappraisal ER is mediated by the capability of working memory (WM), which has not been examined empirically. This meta-analytical study of published neuroimaging literature used activation likelihood estimation (ALE) to compare the neural circuits that regulate negative emotion (reappraisal tasks; 46 studies/1254 subjects) and execute WM (2-back tasks; 50 studies/1312 subjects), with special emphasis on the prefrontal cortex (PFC). Taking the canonical WM network as a reference, ALE results revealed that the dorsal midline PFC was partly shared by both ER and WM, whereas ER-specific PFC structures were delineated in the inferior, middle, and superior frontal cortices, as well as in the posterior brain regions. The peak coordinates of ER in the middle frontal cortex were dorsal to those of WM by 15.1 mm (left) and 21.6 mm (right). The results support specialized emotion-related neural substrates in the PFC, negating the assumption that reappraisal ER and WM rely on the same neural resources. The holistic picture of "emotional brain" may need to incorporate the emotion-related PFC circuit, together with subcortical and limbic emotion centers.
Previous studies have reported the failure of cognitive emotion regulation (CER), especially in regulating unpleasant emotions under stress. The underlying reason for this failure was the application of CER depends heavily on the executive function of the prefrontal cortex (PFC), but this function can be impaired by stress-related neuroendocrine hormones. This observation highlights the necessity of developing self-regulatory strategies that require less top-down cognitive control. Based on traditional Chinese philosophy and medicine, which examine how different types of emotions promote or counteract one another, we have developed a novel emotion regulation strategy whereby one emotion is used to alter another. For example, our previous experiment showed that sadness induction (after watching a sad film) could reduce aggressive behavior associated with anger [i.e., “sadness counteracts anger” (SCA)] (Zhan et al., 2015). Relative to the CER strategy requiring someone to think about certain cognitive reappraisals to reinterpret the meaning of an unpleasant situation, watching a film or listening to music and experiencing the emotion contained therein seemingly requires less cognitive effort and control; therefore, this SCA strategy may be an alternative strategy that compensates for the limitations of cognitive regulation strategies, especially in stressful situations. The present study was designed to directly compare the effects of the CER and SCA strategy in regulating anger and anger-related aggression in stressful and non-stressful conditions. Participants’ subjective feeling of anger, anger-related aggressive behavior, skin conductance, and salivary cortisol and alpha-amylase levels were measured. Our findings revealed that acute stress impaired one’s ability to use CR to control angry responses provoked by others, whereas stress did not influence the efficiency of the SCA strategy. Compared with sadness or neutral emotion induction, CER induction was found to reduce the level of subjective anger more, but this difference only existed in non-stressful conditions. By contrast, irrespective of stress, the levels of aggressive behavior and related skin conductance after sadness induction were both significantly lower than those after CER induction or neutral emotion induction, thus suggesting the immunity of the regulatory effect of SCA strategy to the stress factor.
Childhood maltreatment, a significant distal risk factor for individual development, is potentially linked to maladaptive cognitive emotion regulation strategies (MCERS) and increased internalizing problems (i.e., depression and anxiety). Prior research has widely identified that MCERS mediate the link between childhood maltreatment and internalizing problems. However, this result overlooks the potential bidirectional relationship between MCERS and internalizing problems. In this study, we aim to explore whether childhood maltreatment longitudinally linked to internalizing problems through the mediating role of MCERS, or, conversely, was related to subsequent MCERS through internalizing problems. Gender differences in the associations between these variables were also examined. Participants were 892 adolescents from a longitudinal design with two waves (487 females, 405 males; Mage = 15.36, SDage = 1.43). Our results indicated that childhood maltreatment was longitudinally related to MCERS and internalizing problems. T1 MCERS mediated the relationship between T1 child maltreatment and T2 internalizing problems, while T1 internalizing problems also played a mediating role between T1 child maltreatment and T2 MCERS. These findings were also equivalent across genders. Taken together, childhood maltreatment was longitudinally associated with internalizing problems through MCERS, and also related to subsequent MCERS through internalizing problems.
No abstract available
The COVID-19 pandemic has created a significant mental health burden on the global population. Studies during the pandemic have shown that risk factors such as intolerance of uncertainty and maladaptive emotion regulation are associated with increased psychopathology. Meanwhile, protective factors such as cognitive control and cognitive flexibility have been shown to protect mental health during the pandemic. However, the potential pathways through which these risk and protective factors function to impact mental health during the pandemic remain unclear. In the present multi-wave study, 304 individuals (18 years or older, 191 Males), residing in the USA during data collection, completed weekly online assessments of validated questionnaires across a period of five weeks (27th March 2020–1st May 2020). Mediation analyses revealed that longitudinal changes in emotion regulation difficulties mediated the effect of increases in intolerance of uncertainty on increases in stress, depression, and anxiety during the COVID-19 pandemic. Further, individual differences in cognitive control and flexibility moderated the relationship between intolerance of uncertainty and emotion regulation difficulties. While intolerance of uncertainty and emotion regulation difficulties emerged as risk factors for mental health, cognitive control and flexibility seems to protect against the negative effects of the pandemic and promote stress resilience. Interventions aimed at enhancing cognitive control and flexibility might promote the protection of mental health in similar global crises in the future.
BACKGROUND Suicide is a major cause of death among adolescents, with suicidal ideation (SI) being a common symptom in this group. SI arises from a complex mix of biological, environmental, and psychological factors, however, the specific relationships between them is not yet fully understood. Network theory has been proposed as a promising framework to analyze these relationships, with latent network models (LNM) offering a novel approach to capture their complex underlying dynamics. METHODS We examined a SI-based LNM in a sample of 1539 students from secondary public schools (M = 15.336; SD = 1.022; female = 52.39 %). The model included depressive and anxiety symptoms, feelings of hopelessness, emotion regulation strategies, and cognitive-behavioral and problem-solving skills. Strength and expected influence indices were calculated for each variable. RESULTS Hopelessness and depressive symptoms showed the highest strength and expected influence values within the model, respectively. Our findings suggest that hopelessness might play a crucial mediating role linking common mental disorders and emotion regulation strategies with SI in adolescents. Expressive suppression had a direct and negative association with SI, showing its underlying regulatory role when other factors are controlled. Cognitive-behavioral and problem-solving skills showed weak links with SI. CONCLUSIONS Primary care- and school-based interventions should center on hopelessness as a relevant direct predictor for SI, and potential mediator in the course of SI. A combination of research and intervention efforts directed at reducing hopelessness in youths may prove to be essential for reducing suicide-related behaviors altogether.
Abstract Within the strategy-based approach, research has extensively explored cognitive emotion regulation strategies and their association with psychopathology. The present study aims to focus on behavioral strategies by adapting the Behavioral Emotion Regulation Questionnaire (BERQ). Additionally, to explore the interplay between multiple types of strategies and their interaction with psychopathology, we assessed the links between both adaptive and maladaptive cognitive and behavioral strategies with symptoms of depression, anxiety, and stress, utilizing a network perspective. Using a sample of 518 native Spanish speakers, the results corroborated the factor structure of both the BERQ-SP and the reduced version, demonstrating comparable reliability and validity. In terms of associations with psychopathology, maladaptive strategies exhibited stronger links with symptoms, particularly cognitive ones, which appeared more closely connected to the symptoms within the network. Considering bridge centrality, adaptive strategies such as actively approaching and seeking distraction, and maladaptive strategies such as self-blame and rumination, exhibited a central role in the network, connecting different types of strategies and symptoms. Notably, rumination and seeking distraction showed positive links with both adaptive and maladaptive strategies. These findings highlight the complexity of the interactions between strategies and symptoms, suggesting the need to consider these connections in the context of therapeutic interventions.
No abstract available
Associations between parental psychopathology and youth functional emotion regulation brain networks
Parental mental health is associated with children’s emotion regulation (ER) and risk for psychopathology. The relationship between parental psychopathology and children’s functional ER networks and whether connectivity patterns mediate the relationship between parent and youth psychopathology remains unexplored. Using resting-state functional magnetic resonance imaging data from the Adolescent Brain Cognitive Development Study (N = 4202, mean age = 10.0) and a multilevel approach, we analyzed the relationship between self-reported parental psychopathology and their offsprings’ connectivity of four ER networks, as well as associations with self-reported youth psychopathology at a 3-year follow-up. Parental internalizing and total problems were associated with 1) higher connectivity between a subcortical-cortical integrative and ventrolateral prefrontal cortical (PFC) network, 2) lower connectivity between dorsolateral and ventrolateral PFC networks involved in cognitive aspects of ER, and 3) lower connectivity within a subcortical ER network (β = −0.05–0.04). Parental externalizing and total problems were associated with lower connectivity within the integrative network (βext = −0.05; βtot = −0.04). Mediation analyses yielded direct effects of parental to youth psychopathology, but no mediation effect of ER network connectivity. Overall, our results show that ER network connectivity in youth is related to parental psychopathology, yet do not explain intergenerational transmission of psychopathology.
Abstract The Emotion Regulation Questionnaire-Short Form (ERQ-S) is a brief 6-item self-report measure of two emotion regulation strategies, cognitive reappraisal and expressive suppression. It is a short form of the most widely used emotion regulation measure in the field, but currently there are limited data on the performance of the ERQ-S. The aim of this study was to introduce a Polish version of the ERQ-S, examine its psychometric properties and provide Polish norms to aid score interpretation. Our sample was 574 Polish-speaking adults aged 18–69 from the general community in Poland. We examined the ERQ-S’s factor structure and measurement invariance with confirmatory factor analysis. We assessed the concurrent validity of the questionnaire via relationships with psychopathology symptoms and well-being. As expected, the Polish version of the ERQ-S demonstrated strong factorial validity with a theoretically congruent 2-factor structure (cognitive reappraisal and expressive suppression factors), which was invariant across gender, age and education categories. The ERQ-S’s concurrent validity and internal consistency reliability were good. As expected, cognitive reappraisal was significantly associated with lower psychopathology symptoms and higher well-being, whereas the opposite pattern was present for expressive suppression. Overall, the Polish version of the ERQ-S has strong psychometric properties and good clinical relevance.
Adolescence poses significant challenges for emotion regulation (ER) and is thus a critical phase in the emergence of various mental disorders, specifically internalising disorders such as anxiety and depression. Affective control, defined as the application of cognitive control in affective contexts, is crucial for effective ER. However, the relationship between ER and affective control is unclear. This study examined the predictive role of ER strategies and difficulties in affective control, measured as the congruency effect and error rate on an Emotional Stroop task (EST), in a sample of adolescents and young adults (aged 14–21, M = 17.28, 22% male). It was hypothesised that participants with internalising disorders would show higher congruency effects and error rates on the EST than healthy controls after a psychosocial stress induction, indicating lower affective control. Surprisingly, our findings revealed no significant differences in these measures between the groups. However, higher depression scores were associated with increased EST errors. While ER strategies and difficulties did not predict affective control, exploratory analyses unveiled associations between depression scores and ER strategy repertoire, perceived ER success and the ER strategy Acceptance. These findings underscore the importance of implicit ER facets, particularly perceived ER success and flexibility to change between applied strategies for adolescents and young adults with elevated depressive symptoms.
Background: Emotion regulation skills form part of many interventions for youth with internalizing and externalizing difficulties. This pilot study examines a prevention program delivered at school to improve adolescents’ emotion regulation skills, focusing on those at risk for mental health problems. Methods: Adolescents 12–18 years old were referred to a six-session group program by their school counselors, based on inclusion criteria related to family sociodemographic and mental health characteristics. Group sessions took place during school hours to facilitate participation and reduce dropout. The intervention targeted emotion regulation skills, drawing from central components of different cognitive behavioral approaches. To assess clinical outcomes, participants answered questionnaires before and after the program, which covered emotion regulation strategies, addictive behaviors, and internalizing and externalizing symptoms. The acceptability of the program was also assessed. Results: Emotion regulation skills improved after the program, and there was a significant reduction in internalizing and externalizing problems. The program was evaluated as useful by participants. Counsellors reported satisfaction with the program. Conclusions: Targeted emotion regulation skills training is a potentially useful transdiagnostic intervention to prevent mental health problems in youth. Bringing the intervention to the school setting and involving counsellors in referring at-risk students can facilitate uptake and reduce dropout.
Abstract: Background: Emotional sadness caused by the experience of the loss of a romantic relationship can lead to love trauma syndrome, which includes a set of psychopathology symptoms. The present study was also conducted to investigate the effectiveness of cognitive emotion regulation training based on the Gross model in improving the love trauma syndrome, hoping and positive affect negative affect among female students with love trauma. Methods: The research method was experimental (pre-test and post-test with the control group). The statistical population was all the female students with love trauma at the University of Mohaghegh Ardabili and 34 participants (17 participants in each group) were selected by purposive sampling. Also, in order to determine the target sample from the Love Trauma Syndromes Inventory (LTSI-10), to implement the intervention of the cognitive emotion regulation program based on the Gross model, and to measure dependent variables in addition to the LTSI, Positive Affect Negative Affect Scale (PANAS-20) and Miller Hope Scale (MHS-48) were used. Multivariate analysis of covariance (MANCOVA) was also used for data analysis. Results: The results showed that the assumptions (homogeneity of covariances and variances) are maintained. Also, the effect of group membership shows the significant impact of the intervention on the love trauma syndrome (p less than 0.01), negative affect (p less than 0.01), hope (p less than 0.01), and no effect on positive affect (p greater than 0.05). Conclusions: Therefore, after identifying individuals with love trauma, the intervention of cognitive emotion regulation can be done on them in a group to reduce the symptoms of psychological harms in them and also to cognitive strategies, and to equip them for problem solving or compatibility.
Earlier depression onsets are associated with more debilitating courses and poorer life quality, highlighting the importance of effective early intervention. Many youths fail to improve with evidence-based treatments for depression, likely due in part to heterogeneity within the disorder. Multi-method assessment of individual differences in positive and negative emotion processing could improve predictions of treatment outcomes. The current study examined self-report and neurophysiological measures of reward responsiveness and emotion regulation as predictors of response to cognitive-behavioral therapy (CBT). Adolescents (14–18 years) with depression ( N = 70) completed monetary reward and emotion regulation tasks while electroencephalogram (EEG) was recorded, and self-report measures of reward responsiveness, emotion regulation, and depressive symptoms at intake. Adolescents then completed a 16-session group CBT program, with depressive symptoms and clinician-rated improvement assessed across treatment. Lower reward positivity amplitudes, reflecting reduced neural reward responsiveness, predicted lower depressive symptoms with treatment. Larger late positive potential residuals during reappraisal, potentially reflecting difficulty with emotion regulation, predicted greater clinician-rated improvement. Self-report measures were not significant predictors. Results support the clinical utility of EEG measures, with impairments in positive and negative emotion processing predicting greater change with interventions that target these processes.
Research shows that nighttime social media is negatively associated with sleep quality and that it might be utilized to cope with aversive psychological states related to cognitive pre-sleep arousal (i.e., transdiagnostic psychopathology variables, referring to maladaptive repetitive thought), namely Fear of Missing Out (FoMO). The use of nighttime social media to cope with other aversive cognitive states (i.e., worry/rumination), their relationship with FoMO, and these variables' association with sleep are not fully understood. This study explored the relationships between nighttime social media, sleep quality, FoMO, cognitive pre-sleep arousal, and maladaptive cognitive emotion regulation (i.e., worry/rumination). The present correlational study followed a cross-sectional design. Participants were 525 university students, ranging in age from 18 to 64 (M = 22.39, SD = 5.62). Measures of sleep quality, morningness/eveningness, cognitive pre-sleep arousal, worry, rumination, FoMO, nighttime screen, and social media use were collected online or in pencil-paper format. Multiple linear regression analyses were performed. Nighttime social media and FoMO were associated with rumination, worry (H1) and cognitive pre-sleep arousal. Both FoMO and worry predicted higher levels of cognitive pre-sleep arousal (H2) and nighttime social media use (H3). Nighttime social media use independently predicted poor sleep quality (H4). These results suggest that worry and FoMO may potentially affect sleep quality by increasing cognitive pre-sleep arousal and nighttime social media. A possible explanation for these findings is that nighttime social media might be used as a strategy to cope with aversive cognitive states. These conclusions may contribute to improving sleep intervention in this population.
: Depression is the most common mental illness in adolescence, characterized by an inability to regulate the negative emotional response to stress. In recent years, as the number of adolescents with depression has increased, how to treat it has gradually become a widespread social concern. Cognitive reappraisal, an emotion regulation strategy that can be pre-occupied and widely adaptable in psychopathology, may be a new direction to improve adolescent depressive symptoms. By studying a large body of English literature, this article provides an overview of adolescent depression and cognitive reappraisal strategies, and reviews the application and current status of cognitive reappraisal emotion regulation strategies to improve adolescent depression.
BACKGROUND Childhood emotional abuse (CEA) and childhood emotional neglect (CEN) are major risk factors for adult psychopathology. They may alter long-term emotion processing by reducing adaptive strategies such as cognitive reappraisal and increasing maladaptive strategies such as expressive suppression. Such regulatory changes are considered central mechanisms increasing risk for mental disorders. OBJECTIVE The aim of this study was to examine both the direct and indirect associations between childhood emotional maltreatment (CEM)-a composite of CEA and CEN-as well as the two subdimensions separately, and the presence of a psychiatric diagnosis in adulthood. Cognitive reappraisal and expressive suppression were tested as parallel mediating mechanisms. PARTICIPANTS AND SETTING Analyses were based on data from N = 2484 adults drawn from a nationally representative German population sample (data collection: October 2024 to February 2025). CEA and CEN were assessed using the corresponding subscales of the Childhood Trauma Questionnaire (CTQ; Bernstein et al., 2003). Emotion regulation was measured with the German version of the Emotion Regulation Questionnaire (ERQ; Gross & John, 2003), with cognitive reappraisal and expressive suppression as subscales. METHODS In the main analysis, a composite predictor for emotional maltreatment (sum of CEA and CEN scores) was created. The binary criterion variable (Y) was the self-reported presence of a current or past psychiatric diagnosis. Reappraisal and suppression were specified as parallel mediators. Covariates included age, gender, education level, physical abuse, sexual abuse, and physical neglect. Statistical analyses were conducted using PROCESS v4.2 (Hayes, 2022), Model 4, with 5000 bootstrap samples. For the binary outcome, logistic regression was applied. RESULTS In the main CEM model (CEA + CEN), higher self-reported CEM was associated with an increased likelihood of having a psychiatric diagnosis (OR ≈ 1.09; p < .001), partially mediated by lower reappraisal (b = 0.0040; 95% CI [0.0013; 0.0076]); suppression was not a significant mediator. The CEN model showed a similar pattern (OR ≈ 1.06; p = .0002; indirect effect via reappraisal: b = 0.0051; 95% CI [0.0017; 0.0098]). In the CEA model, only the direct association remained significant (OR ≈ 1.15; p < .001), with no indirect effects. CONCLUSIONS CEA and CEN represent substantial risk markers for mental health problems. The present findings indicate that deficits in emotion regulation-particularly reduced cognitive reappraisal-partially mediate this risk. Differences between CEA and CEN suggest divergent underlying processes, which is important for tailoring interventions. The results highlight the central role of emotion regulation as a target for reducing the long-term mental health consequences of CEM and enhancing resilience. Although direct comparisons with physical forms of maltreatment are beyond the scope of this study, the robust and independent effects of emotional maltreatment suggest that psychological violence should be considered at least as relevant for prevention and clinical care as physical abuse.
Abstract Cognitive strategies that adolescents use to cope with negative emotions might show distinct profiles of cognitive emotion regulation strategies, which could be differentially associated with depressive symptoms. In total, 411 Dutch adolescents who had experienced at least one stressful life event that required some coping strategy participated in this study, including 334 nonclinical and 77 clinically depressed adolescents (12–21 years). A person-centered approach with Latent Profile Analysis was used to identify underlying profiles of cognitive emotion regulation based on the adolescents’ reports of their use of cognitive emotion regulation strategies when they were confronted with stressful life events. Nine different strategies, five adaptive and four maladaptive, were used as indicators. Four profiles with distinct features were found in the nonclinical sample, as well as in the combined sample of nonclinical and clinically depressed adolescents: Low Regulators, High Regulators, Maladaptive Regulators, and Adaptive Regulators. In both samples, the High Regulators profile was most commonly used, followed by the Adaptive, Maladaptive, and Low Regulators profile. Maladaptive Regulators endorsed higher levels of depressive symptoms relative to Low, High, and Adaptive Regulators. The findings underscore the utility of using a person-centered approach in order to identify patterns of cognitive emotion regulation deficits in psychopathology.
Contemporary cognitive models of depression propose that cognitive biases for negative information at the level of attention (attention biases; AB) and interpretation (interpretation biases; IB) increase depression risk by promoting maladaptive emotion regulation (ER). So far, empirical support testing interactions between these variables is restricted to non-clinical and clinical adult samples. The aim of the current study was to extend these findings to a sample of children and adolescents. This cross-sectional study included 109 children aged 9–14 years who completed behavioural measures of AB (passive-viewing task) and IB (scrambled sentences task) as well as self-report measures of ER and depressive symptoms. In order to maximize the variance in these outcomes we included participants with a clinical diagnosis of depression as well as non-depressed youth with an elevated familial risk of depression and non-depressed youth with a low familial risk of depression. Path model analysis indicated that all variables (AB, IB, adaptive and maladaptive ER) had a direct effect on depressive symptoms. IB and AB also had significant indirect effects on depressive symptoms via maladaptive and adaptive ER. These findings provide initial support for the role of ER as a mediator between cognitive biases and depressive symptoms and provide the foundations for future experimental and longitudinal studies. In contrast to studies in adult samples, both adaptive as well as maladaptive ER mediated the effect of cognitive biases on depressive symptoms. This suggests potentially developmental differences in the role of ER across the lifespan.
Explanatory theoretical models have proposed an association between problematic online gaming and abilities or strategies in alleviating distress or negative emotions in times of stress as proximal non-gaming-related personality factors. However, there is little research that has targeted how emotion regulation relates to problematic online gaming—especially during adolescence when gaming behavior is most prevalent. In emotion regulation research, there has been a particular emphasis on rumination because it is strongly associated with overall psychopathology. However, it is unknown whether this putatively maladaptive strategy relates to problematic online gaming and whether it is a gender-dependent association. Consequently, the present study examined how emotion regulation strategies, and particularly rumination, related to problem gaming and tested whether gender moderated this relationship in adolescents. In a national representative adolescent sample, 46.9% of the participants (N = 1,646) reported online gaming in the past 12 months and provided information on problematic gaming, and it was these data that were used for further analysis. Their data concerning problematic online gaming and emotion regulation strategies were analyzed, including rumination along with other putatively maladaptive (e.g., catastrophizing) and adaptive (e.g., positive reappraisal) strategies, while controlling for age, gender, and game genre preference. Results of linear regression analyses showed that all the putatively maladaptive emotion regulation strategies (including self-blame, other blame, catastrophizing, and rumination) were positively related to problematic online gaming. Positive reappraisal proved to be a protective factor; it was inversely related to problematic online gaming. In addition, the relationship between rumination and online gaming was moderated by gender (i.e., the relationship was stronger among boys). Based on the results, it is argued that emotion regulation is a useful framework to study problematic online gaming. The present study highlighted that the relative predictive value of rumination for problematic online gaming varied for boys and girls, suggesting that trait rumination might be a gender-specific vulnerability factor for problematic online gaming, but this requires further investigation and replication.
Knowing the processes of emotion regulation that children use to respond to stressful situations is essential to analyze the development of psychopathology. The objectives of this research were to study the use of nine cognitive emotion regulation strategies (CERS) in depressed children, compared to non-depressed children, and to analyze their possible mediating effects on the relationship between childhood depression and several areas related to child psychological adjustment. The sample comprised 336 children (46.7% girls) aged 8 - 12 years. Participants completed measures on depression symptoms (CDI), psychological strengths and difficulties (SDQ), and cognitive emotion regulation strategies (CERQ-Sk). Correlations and multiple regression analyses were conducted to test whether CERS, and child gender and age predicted child depression. Mediation analyses were run to identify the CERS that mediate the relationship between depression and daily psychological adjustment. On multiple regression, children who score higher in self-blame (β =.18, p < .01), catastrophizing (β =.24, p < .001), other-blame (β =.14, p ≤ .01), but lower in positive reappraisal (β = -.15, p ≤ .01), and females (β = .10, p < .05) were more likely to present higher scores in depression. The maladaptive CERS "other-blame" mediated a positive relationship between depression and conduct problems, and between depression and peer problems. Other-blame mediated a negative relationship between depression and prosocial behavior. In conclusion, this research provides evidence of which specific CERS mediate the emergence of psychopathology in vulnerable children, and provides clues for the proper orientation of psychological interventions in childhood.
Abstract Childhood maltreatment is associated with increased risk for most forms of psychopathology. We examine emotion dysregulation as a transdiagnostic mechanism linking maltreatment with general psychopathology. A sample of 262 children and adolescents participated; 162 (61.8%) experienced abuse or exposure to domestic violence. We assessed four emotion regulation processes (cognitive reappraisal, attention bias to threat, expressive suppression, and rumination) and emotional reactivity. Psychopathology symptoms were assessed concurrently and at a 2-year longitudinal follow-up. A general psychopathology factor (p factor), representing co-occurrence of psychopathology symptoms across multiple internalizing and externalizing domains, was estimated using confirmatory factor analysis. Maltreatment was associated with heightened emotional reactivity and greater use of expressive suppression and rumination. The association of maltreatment with attention bias varied across development, with maltreated children exhibiting a bias toward threat and adolescents a bias away from threat. Greater emotional reactivity and engagement in rumination mediated the longitudinal association between maltreatment and increased general psychopathology over time. Emotion dysregulation following childhood maltreatment occurs at multiple stages of the emotion generation process, in some cases varies across development, and serves as a transdiagnostic mechanism linking child maltreatment with general psychopathology.
Background/Objectives: The Emotion Regulation Questionnaire (ERQ) is a 10-item self-report measure of two emotion regulation strategies, cognitive reappraisal (CR) and expressive suppression (ES). This study aimed to (1) examine the latent structure of the Polish version of the ERQ, and (2) use it to explore different profiles of emotion regulation strategy use and their links with mental health outcomes. Methods: Our sample was 1197 Polish-speaking adults from the general community in Poland. Results: A factor analysis showed that the ERQ had strong factorial validity, with an intended two-factor structure (CR and ES factors) that was invariant across gender, age, and education categories, as well as across different levels of psychopathology symptoms and alexithymia. Our latent profile analysis extracted four emotion regulation profiles (subtypes): a Mainly Reappraisal profile (high CR, low ES), a Mainly Suppression profile (low CR with high ES), a Generally Low Regulation profile (low CR, low ES), and a Generally High Regulation profile (high CR, high ES). People with the Mainly Reappraisal profile had the best mental health outcomes, whereas people with the Mainly Suppression profile had the poorest mental health outcomes. Conclusions: Conceptually, these findings support the process model of emotion regulation, illustrating the differential affective outcomes of various emotion regulation strategies. Our results highlight the importance of considering individual differences in strategy use patterns, including combinations of strategies within an emotion regulation profile. The Polish version of the ERQ appears to be a robust measure of these key emotion regulation processes across a variety of demographic groups. To facilitate its use, including score interpretations in clinical practice, we present Polish percentile rank norms for the ERQ.
No abstract available
Child maltreatment has been linked to numerous psychopathology outcomes throughout life, with emotion regulation proposed as a transdiagnostic mechanism. However, it remains relatively unknown how childhood abuse and neglect may differentially predict the development of emotion regulation during later years vulnerable to psychopathology. We examined the impact of early abuse and neglect experiences on the developmental trajectories of emotion regulation throughout adolescence and into young adulthood. The sample consisted of 167 adolescents who completed questionnaires assessing emotion regulation difficulties and emotion regulation strategies (cognitive reappraisal and expressive suppression) approximately annually across six time points, from ages 14 to 20 (2014-2021). Information on maltreatment experienced from ages 1 to 13 was collected at 18-19 years. Conditional growth curve models examining the effects of both abuse and neglect from ages 1 to 13 on the initial levels and growth rates of emotion regulation difficulties and strategies from ages 14 to 20. Abuse predicted developmental changes in emotion regulation difficulties, such that greater childhood abuse was associated with larger increases in emotion regulation difficulties from ages 14 to 20. Neglect predicted the initial levels of emotion regulation difficulties such that greater childhood neglect was associated with greater difficulties in emotion regulation at age 14. The findings suggest developmental consequences of childhood abuse and neglect evidenced by impaired development of emotion regulation abilities throughout adolescence and into young adulthood, whereas emotion regulation strategy is relatively unaffected by childhood abuse and neglect. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Childhood trauma constitutes a significant risk factor for adolescent anxiety, with emotion regulation playing a critical role. This large-scale longitudinal study (N = 2461 at baseline, with external validation) examined differential relationships between childhood trauma subtypes and adolescent anxiety, focusing on the mediating roles of cognitive reappraisal and expressive suppression. Integrating machine learning with traditional mediation analysis, we not only identified emotional abuse as the strongest predictor of adolescent anxiety relative to other trauma subtypes, but also detected and systematically validated both cognitive reappraisal and expressive suppression as significant partial mediators in the emotional abuse-anxiety pathway, with these mediating effects being temporally stable and externally valid. These findings advance theoretical frameworks for trauma-related psychopathology and offer empirical support for interventions targeting emotion regulation in trauma-exposed adolescents.
Emotion regulation (ER) has been incorporated into many models of psychopathology, but it has not been examined directly in cognitive behavioral therapy (CBT) for panic disorder with agoraphobia (PD/A). In this study, a preliminary model of ER in CBT for PD/A is proposed based on existing theories, and several propositions of the model are tested. We hypothesized that increases in cognitive reappraisal would precede decreases in biased cognitions, decreases in expressive suppression would follow decreases in biased cognitions, and a reduction in symptom severity would follow decreases in expressive suppression. Twenty-nine patients who received CBT for PD/A completed weekly self-report measures of symptom severity, anxiety sensitivity, reappraisal and expressive suppression. In addition, patients were compared to a matched normal sample. Cross-lagged analyses partially supported the hypotheses. Reappraisal did not change until late stages of therapy and was generally not associated with treatment outcome. Suppression decreased significantly and exhibited a reciprocal relationship with biased cognitions. Symptom reduction followed decreases in suppression as hypothesized. However, patients did not differ in ER from matched controls at either pre- or posttreatment. Results suggest the important distinction between reappraisal and appraisal, and stress the role of session-by-session decreases in suppression as a predictor of symptom reduction.
Background Adolescence is a period that coincides with a peak in both the onset of psychopathology and a sensitive period for neural development. One transdiagnostic characteristic of psychopathology is impaired emotion regulation (ER), a process with both implicit (automatic) and explicit (voluntary) underpinnings. The current study aims to better understand the normative neurodevelopment of these two components of ER in adolescents. Methods 139 youth (aged 10–20 years) completed ER assessment during fMRI at baseline and one-year follow-up. Implicit and explicit ER were examined using an emotional N-Back and a cognitive reappraisal task, respectively. Linear-mixed effects modeling was used to identify regions of the frontal cortex (Schaefer atlas) and the amygdala and hippocampus (Tian atlas) whose activity was predicted by ER- and age-related variables, covaried for sex, childhood adversity, and psychopathology symptoms. Results Regions that displayed change across age were localized to the salience/ventral attention network in the right hemisphere. For implicit ER, mid-insula activity showed changes during early adolescence (∼10 years old), such that activity to negative stimuli increased during this time before plateauing. For explicit ER, the posterior insula, Rolandic Operculum, and paracentral lobule showed linear decreases in activity across the entire age range, where the decrease occurred at a faster rate in response to neutral relative to negative stimuli. Conclusions Functional changes in frontal circuits related to emotional attention may encode the development of ER during neurodevelopment. Maturation of these circuits seem to reach completion by mid-adolescence for implicit ER, but explicit ER continues developing across adolescence.
Children of depressed parents are at heightened risk for developing depression, yet relatively little is known about the specific mechanisms responsible. Since preventive interventions for this risk group show small effects which diminish overtime, it is crucial to uncover the key risk factors for depression. This study compared various potential mechanisms in children of depressed (high-risk; n = 74) versus non-depressed (low-risk; n = 37) parents and explored mediators of parental depression and risk in offspring. A German sample of N = 111 boys and girls aged 8 to 17 years were compared regarding children’s (i) symptoms of depression and general psychopathology, (ii) emotion regulation strategies, (iii) attributional style, (iv) perceived parenting style and (v) life events. Children in the high-risk group showed significantly more symptoms of depression and general psychopathology, less adaptive emotion regulation strategies, fewer positive life events and fewer positive parenting strategies in comparison with the low-risk group. Group differences in positive and negative attributional style were small and not statistically significant in a MANOVA test. Maladaptive emotion regulation strategies and negative life events were identified as partial mediators of the association between parental depression and children’s risk of depression. The study highlights the elevated risk of depression in children of depressed parents and provides empirical support for existing models of the mechanisms underlying transmission. Interestingly, the high-risk group was characterised by a lack of protective rather than increased vulnerability factors. These results are crucial for developing more effective preventive interventions for this high-risk population.
Internalizing psychopathology, including depression and anxiety, has been associated with sleep-wake problems among youth. Although transdiagnostic theories of psychopathology posit that emotion dysregulation explains many of the symptoms associated with internalizing psychopathology, examination of regulatory mechanisms underlying this association is limited, particularly during the transition to early adolescence when risk for affective dysregulation and sleep-wake problems is heightened. Using a longitudinal design with a youth community sample (N = 278), the current study found a positive, indirect effect of internalizing psychopathology ( X ¯ age = 9.84) on later sleep-wake problems ( X ¯ age = 14.53) via higher levels of a more maladaptive emotion regulation strategy (i.e., expressive suppression), with no evidence of an indirect effect of a more adaptive strategy (i.e., cognitive reappraisal; X ¯ age = 12.02). Findings have important clinical implications for targeting the reduction of maladaptive emotion regulation strategies, such as expressive suppression, in order to address sleep problems among youth with internalizing psychopathology.
Background: Patients with major depressive disorder (MDD) often struggle with adaptive strategies like self-reflection and cognitive reappraisal, relying instead on maladaptive ones like self-rumination and emotional suppression. Mindfulness-based techniques (MBTs) have been identified as a promising complementary psychological intervention for this population. Aims: To evaluate the effects of MBTs on mindful attention awareness, self-rumination, self-reflection, cognitive reappraisal and expressive suppression in patients with MDD between patients who receive MBTs and those who do not. Methods: This quasi-experimental research was carried out at the Psychiatric Outpatient Clinics. A representative sample of 120 patients with MDD were randomly recruited to either a study group (n = 60) or a control group (n = 60). The Mindful Attention Awareness Scale (MAAS), The Rumination-Reflection Questionnaire (RRQ) and The Emotion Regulation Questionnaire (ERQ) were utilised to collect data. Results: After participation in MBTs, the study group had significantly greater improvements in the mean scores of MAAS, RRQ, Cognitive Reappraisal and Expressive Suppression compared to the control group (p < 0.001 each). Recommendations: The study recommends developing and implementing training programmes for nurses to equip them with the skills and knowledge to effectively deliver MBTs as part of patient care. Conducting longitudinal studies is necessary to assess the sustainability of these improvements.
With artificial intelligence (AI) increasingly integrated into recruitment processes, understanding the emotional impact of rejection by algorithmic versus human agents is crucial. This study examined emotional reactions and coping strategies following online job application rejections from either a human or an algorithmic decision-maker. Quantitative analyses revealed no significant differences in immediate emotional reactions between conditions (negative emotions: p =.070, d = -0.33; positive emotions: p =.201, d = -0.22). In contrast, significant group differences emerged in maladaptive coping: applicants rejected by humans reported more rumination (p =.004, d = -0.51) and self-blame (p =.009, d = -0.46) than those rejected by algorithms. Positive reappraisal, an adaptive strategy, did not differ significantly (p =.311, d = -0.17). Qualitative analyses revealed nuanced differences in how applicants explained their rejection: algorithmic rejections were more frequently attributed to impersonal mismatch criteria (e.g., to be a better fit for a different task), whereas human rejections often triggered personal inadequacy beliefs (e.g., to have sent a weak application or to be worse than other candidates) that may foster maladaptive strategies such as rumination and self-blame more strongly. These findings suggest that while immediate emotional responses to rejection appear comparable, human rejection may carry greater long-term psychological risks due to higher reliance on maladaptive coping. Practitioners should therefore consider not only short-term emotional outcomes but also longer-term psychological implications when designing rejection communication. Although human rejections may not feel worse in the moment, they may prompt more harmful self-focused coping over time. Rejection by humans may leave deeper scars than rejection from machines – not because of how it feels in the moment, but because of how we cope with it.
No abstract available
Major Depressive Disorder (MDD) is characterized by poor emotion regulation. Rumination, a maladaptive strategy for dealing with negative emotions, is common in MDD, and is associated with impaired inhibition and cognitive inflexibility that may contribute to impaired emotion regulation abilities. However, it is unclear whether rumination is differently associated with emotion regulation in individuals with MDD history (MDD-ever) and healthy individuals. In this study, children (8–15 years old) performed a cognitive reappraisal task in which they attempted to decrease their emotional response to sad images during fMRI scanning. Functional connectivity (FC) between both the amygdala and subgenual anterior cingulate (sACC) increased with cortical control regions during reappraisal as rumination increased in MDD-ever, while connectivity between those regions decreased during reappraisal as rumination increased in healthy controls. As the role of cortical control regions is to down-regulate activity of emotion processing regions during reappraisal, this suggests that rumination in MDD-ever, but not controls, is associated with inefficient regulation. This finding suggests that rumination may be particularly associated with poor emotion regulation in MDD-ever, and may also indicate qualitative group differences in whether rumination is maladaptive. These differences in rumination may provide important insight into depressive risk and potential avenues for treatment.
People vary in how they cope with negative events. Some people become immersed in repetitive ruminative thinking concerning the event, whereas others employ reappraisal and attempt to interpret the event in less negative ways. Interestingly, although both reappraisal and rumination involve active processing of negative situations rather than avoiding their affective value, these two strategies lead to opposite outcomes. Whereas rumination is maladaptive and is a risk factor for psychopathology, reappraisal is adaptive and has been linked to emotional well-being (for a meta-analysis see Aldao et al., 2010). In the current paper, we examine a shared process that may play a role in both rumination and reappraisal. We suggest that inhibition of irrelevant, negatively valenced information while pursuing a goal or performing a task underlies both rumination and reappraisal. We present correlational and causal findings linking impaired inhibition of negative content with reduced reappraisal and with increased tendency to ruminate. We postulate possible pathways for the links between inhibition of negative content and these two emotion regulation strategies.
OBJECTIVE To evaluate the relative impact of three brief therapist-supported internet-delivered emotion regulation treatments for maladaptive anger (mindful emotion awareness [MEA], cognitive reappraisal [CR], and mindful emotion awareness + cognitive reappraisal [MEA + CR]) and to test whether baseline levels of anger pathology moderate treatment outcome. METHOD Treatments were evaluated in a randomized controlled trial. In total, 234 participants (59% female; mean age = 41.1, SD = 11.6) with maladaptive anger were randomized to MEA (n = 78), CR (n = 77), or MEA + CR (n = 79). Self-reported primary and secondary outcomes were followed up at primary endpoint, 3 months after treatment termination (88% retention). Primary outcomes were also assessed weekly during a prolonged baseline phase (4 weeks) and an active treatment phase (4 weeks). RESULTS At the primary endpoint, the MEA + CR was superior in terms of anger expression (d = 0.27 95% confidence interval, CI [0.03, 0.51]), aggression (d = 0.43 [0.18, 0.68]), and anger rumination (d = 0.41 [0.18, 0.63]). MEA + CR was particularly effective in reducing anger expression (d = 0.66 [0.21, 1.11]), aggression (d = 0.90 [0.42, 1.39]), and anger rumination (d = 0.80 [0.40, 1.20]) for individuals who reported high values (+1SD) of the outcomes at baseline. CONCLUSIONS Brief therapist-supported internet-delivered MEA and CR treatments are effective interventions for maladaptive anger. Combining MEA and CR is especially effective in reducing anger expression and aggression, particularly, in individuals who report higher levels of initial anger pathology. The present study highlights the importance of emotion regulation as an important treatment target for reducing maladaptive anger. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
No abstract available
ABSTRACT This study aimed to investigate the relationships between cognitive emotion regulation (CER) strategies, resilience, and insomnia and the underlying mechanism that explains the relationships. Six hundred and fifty-three middle-aged and old people recruited from community service centers in Henan province completed questionnaires related to CER strategies, resilience, and insomnia. Results showed refocus on planning and positive reappraisal negatively predicted insomnia, and catastrophising, rumination and self-blame positively predicted insomnia. Moreover, maladaptive emotion regulation strategies (especially catastrophising) mediated the relationship between resilience and insomnia. The findings suggest the middle-aged and elderly with insomnia tended to employ maladaptive emotion regulation strategies and had lower resilience. Maladaptive emotion regulation strategies buffered the positive effect of resilience on sleep.
According to the neurocognitive framework for regulation expectation, adaptively regulating emotions in anticipation of a stressful event should help individuals deal with the stressor itself. The goal of this study was twofold: first, the authors compared the influence of adaptive versus maladaptive anticipatory emotion regulation (ER) on the autonomic system during anticipation of, confrontation with, and recovery from a stressor; second, they explored whether trait rumination moderated this relationship. The authors collected data from 56 healthy female undergraduates during a public speaking task. The task involved 4 phases: baseline, anticipatory ER, stressor, and recovery. Participants were assigned to 1 of 2 anticipatory ER instructions (reappraisal or catastrophizing). Heart rate variability (HRV) indexed autonomic regulation. Results confirmed that HRV was higher in the reappraisal than in the catastrophizing group (over all time points, except for baseline). Trait rumination levels moderated the effect of anticipatory ER strategy on HRV during the stressor phase. Specifically, whereas for low ruminators reappraisal (versus catastrophizing) in the anticipation phase led to higher HRV when confronted to the stressor, high ruminators demonstrated lower HRV in that same condition. To conclude, over all participants, using reappraisal during the anticipation phase allowed participants to better cope with stress. However, only low, but not high ruminators could profit from the beneficial effect of anticipatory reappraisal on autonomic regulation. Even though further research is needed, this study suggests that, in female undergraduates, the tendency to ruminate is associated with abnormal anticipatory ER that might hinder an adaptive response to a stressor.
Numerous cross-sectional studies found psychosis to be associated with less awareness of emotions, a decreased use of adaptive (e.g. reappraisal) and an increased use of maladaptive emotion regulation (ER) strategies (e.g. suppression). In this study, we tested whether state levels of emotion awareness and momentary use of specific ER strategies moderate the link between negative affect at one timepoint (t-1) and paranoia at the next timepoint (t) in a six-day experience sampling study. Individuals with psychotic disorders (n = 71) reported on the presence of paranoia, negative affect, emotion awareness and the use of six ER strategies (reappraisal, acceptance, social sharing, distraction, suppression and rumination) ten times per day. Multilevel regression analysis revealed that higher awareness at t-1 reduced the association of negative affect at t-1 and paranoia at t, whereas rumination had an opposite, amplifying moderation effect. Our results provide novel insight into the conditions under which negative affect translates into delusional beliefs. The finding that emotion awareness and rumination have a relevant role corresponds with current psychological conceptualisations of psychosis and with the attempt to treat delusions by focusing on reducing ruminative thoughts. To investigate the causal effect, treatment trials with a focus on enhancing these components of emotion regulation are needed.
No abstract available
Women are particularly vulnerable to anxiety and depressive disorders. This greater vulnerability has been partly attributed to post-pubertal sex hormone fluctuations, estradiol and progesterone, as well as gender-specific tendencies to engage in maladaptive forms of emotion regulation, particularly rumination. To date, no research has investigated whether sex hormones are associated with emotion regulation in women. In the present study, 61 women participated in a sad mood induction task, involving the viewing of an emotive film. Negative affect was assessed immediately and following recovery, along with self-reported use of rumination, reappraisal, and suppression. Serum levels of estradiol and progesterone were assessed through a blood sample taken at the end of the experiment. Regression analyses were used to examine the relationship between serum hormones and self-reported emotional regulation strategy use, and between serum hormones and the impact of these strategies on negative affect. Estradiol levels positively predicted rumination, but not suppression or reappraisal use. Moreover, estradiol and progesterone interacted with emotion regulation strategies to predict negative affect following the sad mood induction. Reappraisal was associated with greater negative affect only in women with high estradiol, and in women with high progesterone. Conversely, rumination was associated with greater negative affect only in women with low estradiol. Together, these results suggest that sex hormone concentration may be an endogenous contextual factor that is associated with the selection and consequences of emotion regulation strategies in women.
No abstract available
No abstract available
Abstract: Given the significant negative consequences of problematic video gaming among adolescents, it is crucial to identify risk and protective factors to inform effective prevention and intervention strategies. The aim of the current study was to examine the associations between adaptive and maladaptive cognitive emotion regulation strategies and both prolonged and problematic video gaming among early-to-mid adolescents in Germany. A total of 626 adolescents in Grades 5 – 10 completed the Cognitive Emotion Regulation Questionnaire, as well as providing details on their prolonged gaming time and symptoms of problematic gaming. Catastrophizing and acceptance were positively associated with prolonged gaming time, while refocus on planning showed a negative association. The maladaptive strategies rumination and blaming others were positively associated with problematic gaming, and the adaptive strategy positive reappraisal showed a negative association. The findings highlight the role of emotion regulation in problematic gaming and pave the way for future studies focusing on developmental mechanisms as well as insights for prevention and intervention measures.
The main objective of the study was to evaluate the cognitive emotion regulation profiles of individuals with Borderline Personality Disorder (BPD). This was a cross-sectional study comprising 350 participants. The sample was divided into two subgroups of individuals with BPD and a non-clinical subgroup. The study employed purposive sampling technique to select sample of BPD (n=150) and age, gender and education matched control group participants (n=200). Participants were assessed on Cognitive Emotion Regulation Questionnaire to assess their reliance on maladaptive and adaptive cognitive emotion regulation strategies. Data analysis was performed using SPSS for the interpretation of data. Descriptive analysis and t-tests assessed the differences between two groups. Findings showed that individuals with BPD clinical group of patients with BPD scored significantly higher on all four maladaptive strategies of self-blame, other-blame, rumination, catastrophizing. While on adaptive strategies including positive reappraisal, refocus on planning, positive refocus, acceptance, clinical group participants reported lower scores compared to their nonclinical counterparts. In conclusion, the individuals with BPD present emotional dysregulation and poor affective regulation mechanisms. The findings have several implications for theory, practice, and clinicians.
OBJECTIVE Emotion regulation is central to the etiology, course, and treatment of both posttraumatic stress symptoms (PTSS) and alcohol use disorder. Therefore, it is critical to investigate emotion regulation among populations susceptible to more severe and prolonged PTSS and alcohol use problems, such as those with intimate partner violence. Cognitive emotion regulation strategies are used to modify emotional information and include both presumed adaptive (i.e., acceptance, planning, positive refocusing, reappraisal, putting into perspective) and maladaptive (i.e., self-blame, other-blame, rumination, and catastrophizing) strategies. METHOD This study examined whether specific cognitive emotion regulation strategies are associated with PTSS (PCL-5) and heavy alcohol consumption (Timeline Followback) and problem severity (Alcohol Use Disorder Identification Test) among couples with alcohol use disorder and physical intimate partner violence (N = 100 couples). RESULTS Results of multilevel models accounting for individuals nested within couples indicated that self-blame, other-blame, and catastrophizing were associated with greater PTSS. Reappraisal was associated with less alcohol consumption and less severe alcohol problems, and catastrophizing was associated with more alcohol consumption. CONCLUSIONS Findings highlight the cognitive emotion regulation strategies most relevant to PTSS and alcohol misuse among a high-risk sample. This information can help guide clinical practice, such as focusing on reducing the maladaptive emotion regulation skills while increasing reappraisal. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Emotional differentiation refers to an individual's ability to accurately distinguish and label their emotional experiences. While it is often assumed that high emotional differentiation supports more effective emotion regulation, empirical findings remain mixed, revealing a complex pattern of associations. The present study investigated the role of negative emotion differentiation in emotion regulation. A total of 110 participants took part in an experience sampling study. Over the course of ten days, seven times per day, participants rated the intensity of seven negative emotions and reported their use of six emotion regulation strategies—three considered putatively adaptive (reappraisal, acceptance, problem-solving) and three putatively maladaptive (suppression, rumination, avoidance). The results showed that individuals with higher levels of negative emotion differentiation reported more frequent use of suppression and avoidance. Moreover, higher differentiation was associated with more effective use of putatively maladaptive strategies, but showed no significant relationship with the effectiveness of adaptive strategies. Overall, emotional differentiation was linked to both the frequency and effectiveness of emotion regulation strategy use, with stronger associations observed for maladaptive strategies.
Difficulties in emotion regulation (ER) have been consistently associated with eating disorders (EDs). However, little is known about how this association operates during early adolescence, and the specific influence of sex. Objectives: This study aims to assess if maladaptive ER strategies predict greater ED symptomatology, while adaptive strategies predict lower levels of EDs symptoms among early adolescents. Additionally, the moderating effect of sex will also be assessed in these associations. Method: Ninety-eight Spanish-speaking adolescents aged 12–15 years (55 girls, 43 boys) participated in this study and completed a baseline assessment, including measures of EDs, adaptative (i.e., cognitive reappraisal) and maladaptive (i.e., expressive suppression and rumination) ER strategies. Independent sample t-tests were used to examine sex differences in age, ER, and ED symptoms. Hierarchical regression models assessed whether sex moderated the associations between ER strategies and ED symptoms. Results: Girls reported significantly higher levels of both brooding and reflective rumination compared to boys, but no sex differences were found in other measures. Regression analyses showed that expressive suppression and brooding rumination significantly predicted higher ED symptomatology, independent of sex. In contrast, cognitive reappraisal and reflective rumination were not associated with ED symptoms. No moderating effects of sex were observed in any model. Conclusions: Findings indicate that maladaptive ER strategies, particularly expressive suppression and ruminative brooding, predict greater ED symptom severity in early adolescence. However, sex did not moderate these relationships. These results underscore the importance of targeting maladaptive ER processes in adolescent prevention programs. Interventions focused on reducing maladaptive ER may be especially relevant at this developmental stage, when cognitive capacities for adaptive ER are still maturing.
No abstract available
BACKGROUND Trait-level emotion regulation (ER) difficulties are associated with eating disorders (EDs) transdiagnostically. However, little research has examined whether within-person fluctuations in ER longitudinally predict ED behaviors in daily life or the mechanisms of ER effects. Investigating daily ER could help us better understand why people experience ED behaviors at a given time. We examined whether day-to-day changes in adaptive (e.g., cognitive reappraisal) and maladaptive (e.g., rumination) ER longitudinally predicted core ED behaviors (binge eating, purging, dieting) and whether changes in affect mediated effects. METHOD Female participants (N = 688) ages 15-30 from the Michigan State University Twin Registry reported their adaptive and maladaptive ER use, negative affect (NA), positive affect (PA), binge eating, purging, and dieting on 49 consecutive days. Using structural equation modeling, we examined whether within-person fluctuations in ER predicted same- and next-day ED behaviors and whether changes in affect mediated longitudinal ER effects. RESULTS Greater maladaptive ER predicted increased likelihood of same-day binge eating and next-day binge eating and purging. The association between maladaptive ER and next-day binge eating and purging was mediated by increased next-day NA. In contrast, dieting was more closely related to changes in PA. Adaptive ER did not predict reduced likelihood of any ED behavior. CONCLUSIONS Maladaptive ER may longitudinally increase risk for binge eating and purging by amplifying NA. Interventions focused on decreasing maladaptive ER and subsequent NA might help disrupt binge eating-purging cycles. Conversely, results add to evidence that PA fluctuations may play a unique role in maintaining restrictive behaviors. PUBLIC SIGNIFICANCE Little is known about how daily changes in emotion regulation may impact disordered eating. We found that maladaptive emotion regulation (e.g., rumination) was associated with a higher likelihood of binge eating and purging on the next day because it predicted increased next-day negative affect. In contrast, dieting was more closely tied to fluctuations in positive affect. Targeting daily emotion regulation and affective processes may help disrupt cycles of disordered eating.
It is well-established that general anxiety associates with the lower use of adaptive emotion regulation and the higher use of maladaptive emotion regulation. However, no study has previously investigated the impact of cognitive emotion regulation on academic anxieties. Using a sample of secondary school students (N = 391), this study examined the impact of cognitive emotion regulation on math and science anxieties. Math anxiety showed stronger correlations with adaptive than maladaptive emotion regulation, whereas general anxiety showed stronger correlations with maladaptive than adaptive emotion regulation. Hierarchical regression analyses showed that math anxiety was associated with the high uses of acceptance, rumination and other-blame and the low uses of positive reappraisal and putting into perspective. However, with controlling science and general anxieties, math anxiety was associated with the high use of rumination and the low use of positive reappraisal. In contrast, science anxiety was associated with the high uses of acceptance and other-blame and the low use of positive reappraisal. Importantly, however, with controlling math and general anxieties, those science anxiety associations did not remain. Accordingly, these results might provide important insights for the specificity, etiology, and intervention of math anxiety.
BACKGROUND Schizotypy, a multidimensional construct with positive, negative, and disorganized dimensions, represents a vulnerability marker for the development of schizophrenia. Although there has been increasing evidence linking schizotypy to emotion regulation (ER) deficits, the specific association between different schizotypal dimensions and alterations in ER strategy use in daily life remains poorly understood. METHODS Using the experience sampling method (ESM), the present study examined the associations between positive, negative, and disorganized schizotypy and ER strategy use in daily life in a nonclinical young adult sample (N = 258). Participants were instructed to report their ER strategy use 5 times a day for 14 days. Four adaptive ER strategies (reflection, reappraisal, social sharing, and distraction) and two maladaptive ER strategies (suppression and rumination) were included. RESULTS Multilevel modeling analyses showed that positive schizotypal traits predicted greater use of adaptive ER strategies, while negative schizotypal traits predicted less use of adaptive ER strategies and more frequent use of emotional suppression in daily life. No associations between disorganized schizotypal traits and any ER strategy use were found. CONCLUSION Schizotypy dimensions are differentiated by preferences for different ER strategies in daily life. The findings suggest a strong association between negative schizotypy and notable dysfunctions in ER, emphasizing the significance of negative schizotypy as a vulnerability factor for psychosis.
Bipolar disorder (BD) is assumed to be a disorder of emotion regulation (ER), with the most prominent endophenotype being deficient cognitive control (CC). However, the nature of ER and CC deficits and specifically their association in BD has not been adequately examined. Therefore, the present study examines different aspects of ER and CC within n = 32 euthymic patients with BD and n = 32 healthy controls (HCs). Besides self-reported habitual use of ER strategies, we also assessed spontaneous use and success of reappraisal and rumination following different mood inductions (MIs; amusement, sadness) and the ability to use reappraisal when instructed to do so. General and valence-specific CC performance was assessed by a working memory manipulation task. BD patients reported increased habitual use of maladaptive ER strategies alongside decreased use of adaptive strategies in response to negative affect. Regarding positive affect, heightened use of dampening was reported. By contrast, no group differences emerged with respect to spontaneous strategy use following MI. However, when instructed to downregulate amusement using reappraisal, patients reported heightened positive affect reactivity compared to HCs following the MI. Furthermore, patients showed overall but no valence-specific CC deficits. ER deficits in the BD group were partly mediated by reduced CC. Our findings confirm that patients show deviations in their habitual ER strategy use and fail to down-regulate positive emotions when required to do so, indicating both performance and competence deficits. This appears to be partly influenced by impaired CC. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
No abstract available
Background Maladaptive and adaptive emotion regulation are putative risk and protective factors for depression and anxiety, but most prior research does not differentiate within-person effects from between-person individual differences. The current study does so during the early part of the Covid-19 pandemic when internalizing symptoms were high. Methods A sample of emerging adult undergraduate students ( N = 154) completed online questionnaires bi-weekly on depression, anxiety, and emotion regulation across eight weeks during the early days of the Covid-19 pandemic (April 2nd to June 27th, 2020). Results Depression demonstrated significantly positive between-person correlations with overall maladaptive emotion regulation, catastrophizing, and self-blame, and negative correlations with overall adaptive emotion regulation and reappraisal. Anxiety demonstrated significantly positive between-person correlations with overall maladaptive emotion regulation, rumination, and catastrophizing, and a negative correlation with reappraisal. After controlling for these between-person associations, however, there were generally no within-person associations between emotion regulation and internalizing symptoms. Conclusions Emotion regulation and internalizing symptoms might be temporally stable individual differences that cooccur with one another as opposed to having a more dynamic relation. Alternatively, these dynamic mechanisms might operate over much shorter or longer periods compared to the two-week time lag in the current study.
Adolescence is a crucial developmental stage characterized by various challanges that require effective coping techniques. This study examines gender differences in adolescent girls' and boys' cognitive-emotional coping methods. Conducted on 130 high school students in Jakarta, Indonesia, the research utilized the Cognitive Emotion Regulation Questionnaire (CERQ) and SPSS 20 for analysis.The findings reveal significant gender-specific differences in coping strategies. Female students predominantly employ maladaptive coping strategies, scoring higher in Catastrophizing (Mean = 14.2, SD = 3.1) and Rumination (Mean = 15.6, SD = 3.5) compared to their male counterparts (Catastrophizing: Mean = 12.3, SD = 3.4; Rumination: Mean = 13.2, SD = 3.2). In Contrast, male students exhibita more balanced use of adaptive and maladaptive strategies, with higher scores in strategies like Positive Reappraisal (Mean = 16.4, SD = 3.2) compared to females (Mean = 14.8, SD = 3.0). These gender-specific differences highlight the need for tailored interventions and educational programs that address the unique coping needs of each gender. Furthermore, this study contributes novel insights into the cognitive-emotional coping landscape within Southeast Asia, a region with limited existing research. By understanding these gender-specific coping strategies, educators, parents, and mental health professionals can better support adolescents in developing healthier coping mechanisms, ultimately enhancing their psychological resilience and well-being. This research lays the groundwork for future studies and practical applications aimed at improving adolescent mental health through targeted coping strategy interventions.
No abstract available
ABSTRACT The COVID-19 pandemic has impacted families’ lives around the world. The measures used to contain transmission have led to increased stress and put parents at increased risk for parental burnout (PB). The aim of the current study was to examine the association between COVID-related parental stress and PB, and to test whether emotion regulation (ER) moderated this association. We hypothesised that rumination, which is a generally maladaptive ER strategy, would act as a risk factor. In comparison, we hypothesised that reappraisal, which is a generally adaptive ER strategy, would act as a resilience factor. We assessed 8225 parents from 22 countries using an on-line survey, and focused on general stress and parenting stress. These stressors were associated with greater PB. Importantly, parental ER moderated these associations; rumination strengthened the link between stress-related variables and PB, whereas reappraisal weakened it. This study emphasises the negative effect COVID-19 has on parents and highlights key ER risk and resilience factors.
No abstract available
Individuals with psychosis report employing more maladaptive and less adaptive emotion regulation (ER) strategies compared to nonclinical controls (NCs). However, it is unknown whether this is predictive of affect experienced in daily life and whether ER strategies are used less frequently and effectively by individuals with psychosis in daily life. Individuals with psychosis and current delusions (PDs; n = 71) and NCs (n = 42) completed questionnaires of habitual ER and experience sampling over 6 consecutive days, in which they reported 10 times a day on the presence of negative and positive affect and deployment of ER strategies (reappraisal, acceptance, awareness, suppression, rumination, distraction, and social sharing). Effectiveness of strategy use was operationalized by examining successive differences in positive and negative affect. Multilevel regression analyses were conducted. Questionnaires of habitual ER were largely predictive of affect in daily life. There was indication of a more frequent use of putatively maladaptive strategies but either no differences in individual adaptive strategies or even a more frequent use (reappraisal) in PDs compared to NCs. Several ER strategies (e.g., reappraisal, rumination) proved effective in reducing negative affect by the next prompt, independent of group, but suppression was effective in only PDs and acceptance had unfavorable effects in both groups. Thus, PDs demonstrated an increased use of ER strategies in daily life, of which the majority helped them to reduce negative affect. This indicates that their increased levels of negative affect are not explicable by difficulties in deploying explicit ER strategies. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
Objective This study aims to explore the multilevel mediation effects of cognitive emotion regulation strategies (CERS) on the link between neuroticism and depressive symptoms among Chinese adolescents. Method A total of 1,265 Chinese adolescents were surveyed using the Chinese version of the Cognitive Emotion Regulation Questionnaire (CERQ-C), the neuroticism scale of the Chinese children’s version of the Eysenck Personality Questionnaire (EPQ-Ck), and the Chinese Children’s Depressive symptoms Inventory (CDI-C). Partial correlation analyses, multigroup confirmatory factor analyses, and structural equation modeling were used. Results (1) Neuroticism had significant, positive correlations with maladaptive CERS strategies (self-blame, acceptance, rumination, catastrophizing, and other-blame) and depressive symptoms (ps < 0.001). Adaptive CERS strategies (positive refocusing, refocus on planning, positive reappraisal, and putting into perspective) had significant, negative correlations with neuroticism and depressive symptoms (ps < 0.001). (2) Neuroticism and CERS strategies significantly predicted depressive symptoms. CERS strategies played partially mediating roles in the relationship between adolescents’ neuroticism and depressive symptoms. Conclusion CERS strategies have partial multilevel mediation effects on the link between neuroticism and depressive symptoms.
One of the most effective strategies for regulating emotional responses is cognitive reappraisal. While prior work has made great strides in characterizing reappraisal's neural mechanisms and behavioral outcomes, the key issue of how regulation varies as a function of emotional intensity remains unaddressed. We compared the behavioral and neural correlates of reappraisal of high- and low-intensity emotional responses using functional magnetic resonance imaging (fMRI). We found that successful reappraisal of both high- and low-intensity emotions depends upon recruitment of dorsomedial (dmPFC) as well as left dorsolateral (dlPFC) and ventrolateral (vlPFC) prefrontal cortex. However, reappraisal of high-intensity emotions more strongly activated left dlPFC, and in addition, activated right lateral and dorsomedial PFC regions not recruited by low-intensity reappraisal. No brain regions were more strongly recruited during reappraisal of low when compared with high-intensity emotions. Taken together, these results suggest that reappraisal of high-intensity emotion requires greater cognitive resources as evidenced by quantitative and qualitative differences in prefrontal recruitment. These data have implications for understanding how and when specific PFC systems are needed to regulate different types of emotional responses.
Social rejection elicits potent emotional responses with significant mental health implications. This event-related potential (ERP) study characterized the neurochronometry of emotion regulation during social rejection. Key findings revealed that (1) linear mixed-effects modeling confirmed attention transfer significantly reduced late positive potential (LPP) amplitudes versus cognitive reappraisal and non-regulation across all time windows; (2) the superiority of attention transfer was most pronounced during the early/mid-processing stages, achieving rapid disengagement from rejection stimuli; (3) enhanced suppression under social rejection reflected context-dependent regulatory dynamics. Attention transfer demonstrates contextually optimized efficacy for rapid threat disengagement during social rejection. However, EEG source localization limitations preclude definitive conclusions regarding dorsolateral prefrontal cortex (DLPFC) engagement; future studies should employ multimodal approaches (e.g., fMRI-EEG) to verify neuroanatomical mechanisms.
No abstract available
No abstract available
Introduction Emotion dysregulation is commonly reported among autistic individuals. Prior work investigating the neurofunctional mechanisms of emotion regulation (ER) in autistic adults has illustrated alterations in dorsolateral prefrontal cortex (dlPFC) activity, as well as concurrent atypical patterns of activation in subcortical regions related to affect during cognitive reappraisal of social images. Whereas most research examining ER in autism has focused on regulation of negative emotions, the effects of regulating positive emotions has been generally understudied. This is surprising given the relevance of positive motivational states to understanding circumscribed interests (CI) in autism. Methods Accordingly, the purpose of this study was to use fMRI with simultaneous eye-tracking and pupillometry to investigate the neural mechanisms of ER during passive viewing and cognitive reappraisal of a standardized set of nonsocial images and personalized (self-selected) CI images. Results The autistic group demonstrated comparatively reduced modulation of posterior cingulate cortex (PCC) activation during cognitive reappraisal of CI images compared to viewing of CI, although no eye-tracking/pupillometry differences emerged between-groups. Further, the autistic group demonstrated increased PCC connectivity with left lateral occipital and right supramarginal areas when engaging in cognitive reappraisal vs. viewing CI. Discussion In autistic adults, CI may be differentially modulated via PCC. Considering the documented role of the PCC as a core hub of the default mode network, we further postulate that ER of CI could potentially be related to self-referential cognition.
No abstract available
BackgroundRecent laboratory studies employing an extended sleep deprivation model have mapped sleep-related changes in behavior onto functional alterations in specific brain regions supporting emotion, suggesting possible biological mechanisms for an association between sleep difficulties and deficits in emotion regulation. However, it is not yet known if similar behavioral and neural changes are associated with the more modest variability in sleep observed in daily life.MethodsWe examined relationships between sleep and neural circuitry of emotion using the Pittsburgh Sleep Quality Index and fMRI data from a widely used emotion regulation task focusing on cognitive reappraisal of negative emotional stimuli in an unselected sample of 97 adult volunteers (48 women; mean age 42.78±7.37 years, range 30–54 years old).ResultsEmotion regulation was associated with greater activation in clusters located in the dorsomedial prefrontal cortex (dmPFC), left dorsolateral prefrontal cortex (dlPFC), and inferior parietal cortex. Only one subscale from the Pittsburgh Sleep Quality Index, use of sleep medications, was related to BOLD responses in the dmPFC and dlPFC during cognitive reappraisal. Use of sleep medications predicted lesser BOLD responses during reappraisal, but other aspects of sleep, including sleep duration and subjective sleep quality, were not related to neural activation in this paradigm.ConclusionsThe relatively modest variability in sleep that is common in the general community is unlikely to cause significant disruption in neural circuits supporting reactivity or regulation by cognitive reappraisal of negative emotion. Use of sleep medication however, may influence emotion regulation circuitry, but additional studies are necessary to determine if such use plays a causal role in altering emotional responses.
Patients with obsessive-compulsive disorder (OCD) present increased brain activity in orbitofrontal and limbic regions when experiencing negative emotions, which could be related to deficits in emotion regulation abilities. 30 OCD patients and 29 healthy controls (HC) performed a cognitive reappraisal functional magnetic resonance imaging (fMRI) task and completed emotion regulation and OCD symptomatology questionnaires. Besides task activation, connectivity was also compared between groups through psychophysiological interaction analysis (PPI), using regions previously reported to be hyperactive in OCD as seeds. Finally, brain-behavior correlations were performed between activation/connectivity strength in group differential regions and the questionnaires' scores, as well as the emotional ratings reported during the task. Behaviorally, patients with OCD were less successful than controls at lowering the emotional impact of negative images. At the brain level, there were no significant between-group differences in brain activation. Contrarily, PPI analyses showed that HC had increased frontoparietal connectivity when experiencing negative emotions in comparison to OCD patients, while this pattern was reversed when regulating emotions (increased connectivity in patients). Finally, frontoparietal connectivity was correlated with measures of emotion regulation success and OCD symptomatology. Our findings point towards frontoparietal altered connectivity as a potential compensatory mechanism during emotion regulation in OCD patients.
No abstract available
BACKGROUND Maladaptive emotion regulation (ER) is central to both borderline personality disorder (BPD) and anorexia nervosa (AN). However, neural mechanisms underlying cognitive reappraisal and emotion suppression in response to disorder-specific stimuli remain understudied in these groups-especially for suppression in AN. METHOD Women with BPD (N = 44), AN restrictive type (N = 38), and healthy control women (HCs; N = 40) completed self-report measures and an fMRI task involving cognitive reappraisal and emotion suppression using disorder-specific stimuli. RESULTS In response to disorder-specific stimuli, BPD individuals showed heightened activation in the anterior orbitofrontal cortex (aOFC) and dorsal anterior cingulate cortex (dACC) compared to HCs. In AN, whole-brain analysis revealed increased activity in the right angular gyrus and cingulate gyrus/precuneus, and reduced activation in the left central operculum and inferior frontal gyrus (IFG) during cognitive reappraisal compared to HCs. Across all groups, emotional state worsened after the fMRI task, with BPD and AN groups reporting more negative affect than controls, possibly reflecting increased emotional burden. DISCUSSION The study reveals distinct neural patterns of ER in BPD and AN. Using disorder-relevant stimuli enhances ecological validity and provides novel insights into ER in these clinical populations.
Emotion regulation mediated by cognitive reappraisal can induce activity changes in brain areas and fluctuations in peripheral physiological indicators regulated by the autonomic nervous system (ANS). However, little is known about the relationship between emotional and ANS regulation in major depressive disorder (MDD). In specific, the intermediate band (IM; 0.12–0.18 Hz) is thought to reflect relaxation and emotion processing. In a real-time fMRI neurofeedback-guided cognitive reappraisal experiment in MDD patients, we utilized a general linear model to obtain brain activations of reappraisal, heart rate variability (HRV) IM band, and respiratory IM band. The emotion regulation-related brain regions involved in cognitive reappraisal were defined as regions of interest (ROIs). Statistical tests were performed on the average time course of voxels within these ROIs in the brain activations of HRV and respiratory IM band. This enabled the establishment of the coupling between brain regions involved in emotion regulation and peripheral physiological indicators. Emotion regulation and fluctuations in the IM band of HRV and respiration during cognitive reappraisal predicted brain activity, both for MDD patients and healthy controls. However, there were significant differences between patients and healthy controls in the coupling between ANS activity and neural activity during emotion regulation. In particular, the coupling between the IM band and prefrontal regions changed over training sessions only in MDD patients. This study established links between peripheral physiological indicators in the IM band and neural activity that deepen understanding of ANS regulation in MDD patients. The identified altered ANS coupling and its relation to cognitive reappraisal emphasize the close association between the IM band and emotion regulation, which may aid in assessing psychological states in patients with MDD.
No abstract available
A clear understanding of the neural circuit underlying emotion regulation (ER) is important for both basic and translational research. However, a lack of evidence based on combined neuroimaging and neuromodulation techniques calls into question (1) whether the change of prefrontal-subcortical activity intrinsically and causally contributes to the ER effect; and (2) whether the prefrontal control system directly modulates the subcortical affective system. Accordingly, we combined fMRI recordings with transcranial magnetic stimulation (TMS) to map the causal connections between the PFC and subcortical affective structures (amygdala and insula). A total of 117 human adult participants (57 males and 60 females) were included in the study. The results revealed that TMS-induced ventrolateral PFC (VLPFC) facilitation led to enhanced activity in the VLPFC and ventromedial PFC (VMPFC) as well as attenuated activity in the amygdala and insula during reappraisal but not during nonreappraisal (i.e., baseline). Moreover, the activated VLPFC intensified the prefrontal-subcortical couplings via the VMPFC during reappraisal only. This study provides combined TMS-fMRI evidence that downregulating negative emotion involves the prefrontal control system suppressing the subcortical affective system, with the VMPFC serving as a crucial hub within the VLPFC-subcortical network, suggesting an indirect pathway model of the ER circuit. Our findings outline potential protocols for improving ER ability by intensifying the VLPFC-VMPFC coupling in patients with mood and anxiety disorders. SIGNIFICANCE STATEMENT Using fMRI to examine the TMS effect, we uncovered that the opposite neural changes in prefrontal (enhanced) and subcortical (attenuated) regions are not a byproduct of emotion regulation (ER); instead, this prefrontal-subcortical activity per se causally contributes to the ER effect. Furthermore, using TMS to amplify the neural changes within the ER circuit, the “bridge” role of the VMPFC is highlighted under the reappraisal versus nonreappraisal contrast. This “perturb-and-measure” approach overcomes the correlational nature of fMRI data, helping us to identify brain regions that causally support reappraisal (the VLPFC and VMPFC) and those that are modulated by reappraisal (the amygdala and insula). The uncovered ER circuit is important for understanding the neural systems underlying reappraisal and valuable for translational research.
Cognitive reappraisal of food craving and emotions: a coordinate-based meta-analysis of fMRI studies
Abstract Growing evidence supports the effectiveness of cognitive reappraisal in down-regulating food desire. Still, the neural bases of food craving down-regulation via reappraisal, as well as their degree of overlap vs specificity compared with emotion down-regulation, remain unclear. We addressed this gap through activation likelihood estimation meta-analyses of neuroimaging studies on the neural bases of (i) food craving down-regulation and (ii) emotion down-regulation, alongside conjunction and subtraction analyses among the resulting maps. Exploratory meta-analyses on activations related to food viewing compared with active regulation and up-regulation of food craving have also been performed. Food and emotion down-regulation via reappraisal consistently engaged overlapping activations in dorsolateral and ventrolateral prefrontal, posterior parietal, pre-supplementary motor and lateral posterior temporal cortices, mainly in the left hemisphere. Its distinctive association with the right anterior/posterior insula and left inferior frontal gyrus suggests that food craving down-regulation entails a more extensive integration of interoceptive information about bodily states and greater inhibitory control over the appetitive urge towards food compared with emotion down-regulation. This evidence is suggestive of unique interoceptive and motivational components elicited by food craving reappraisal, associated with distinctive patterns of fronto-insular activity. These results might inform theoretical models of food craving regulation and prompt novel therapeutic interventions for obesity and eating disorders.
Internet addiction (IA) negatively impacts individuals' emotional regulation. However, previous studies have mostly focused on negative emotion regulation, neglecting the importance of regulating positive emotions. Internet addicts are more prone to emotional fluctuations following positive emotions, and elevated positive affect is a risk factor for mania and risky behaviors. Therefore, it is crucial to focus on the core deficits in positive emotion regulation among internet addicts, especially providing neural evidence to serve as targets for interventions. This study adopted a 2 (group: IA group; health control group) × 2 (emotion regulation condition: no emotional regulation; emotional regulation) × 2 (emotion regulation strategy: cognitive reappraisal and expression suppression) mixed experimental design. A total of 49 participants were included in the experiment (IA group: 22 participants; health control group: 27 participants). fNIRS was used to detect brain activity during emotional regulation. The results revealed that compared to the control group, internet addicts performed worse in regulating positive emotions, with lower activation in the dlPFC and a significantly reduced emotional regulation effect in the cognitive reappraisal condition, characterized by decreased effective connectivity from dlPFC to vmPFC. The effective connectivity between dlPFC and vmPFC plays a mediating role in the impact of internet addiction on emotion regulation. This study provides a reference for future interventions aimed at emotional issues in internet addicts, emphasizing the need to help maintain stable and balanced emotional states, focusing on enhancing cognitive reappraisal abilities and targeting the dlPFC and vmPFC for neural interventions.
Patients with obsessive-compulsive disorder (OCD) show heightened brain activity in limbic and orbitofrontal regions when confronted with negative emotions, which could be associated with impairments in emotion regulation skills. The ability to regulate emotions is a necessary coping mechanism when facing emotionally distressing situations, and deliberate emotion regulation strategies such as cognitive reappraisal have been extensively studied in the general population. Despite this, little is known about potential deliberate emotion regulation deficits in OCD patients and the associated neural correlates. Here, we describe a protocol to investigate the neural correlates of deliberate emotion regulation (cognitive reappraisal) using functional magnetic resonance imaging (fMRI) in OCD patients in comparison to a matched control sample. This protocol follows current gold standards for neuroimaging studies and includes both task activation and connectivity analysis (as well as behavioral data) to allow a more complete investigation. Therefore, we expect it will contribute to expanding the knowledge of the neural correlates of emotion (dys)regulation in OCD, and it could also be applied to explore emotion regulation deficits in other psychiatric disorders.
Cognitive reappraisal and fear extinction learning represent two different approaches to emotion regulation. While their respective neural correlates have been widely studied with functional magnetic resonance imaging (fMRI), few direct comparisons between these processes have been conducted. We conducted a meta-analysis of fMRI studies of reappraisal and fear extinction, with the aim of examining both commonalities and differences in their neural correlates. We also conducted independent analyses that focused on specific reappraisal strategies (reinterpretation, distancing). Overall, we observed that the dorsal anterior cingulate cortex (dACC) and the bilateral anterior insular cortex (AIC) were similarly consistently engaged by reappraisal and extinction. Extinction was more consistently linked to activation of sensory and emotion processing regions, whereas reappraisal was more consistently associated with activation of a dorsal fronto-parietal network. Interestingly, the amygdala was preferentially deactivated by distancing. These results suggest that the dACC and the AIC are involved in domain-general regulatory networks. Differences between extinction and reappraisal could be explained by their relative processing demands on visual perceptual versus higher cognitive neural systems.
Cognitive reappraisal and attentional distraction constitute two core strategies for regulating emotions. Prior studies have largely focused on young adults regulating simple laboratory stimuli, with few direct comparisons of brain regions that differentiate or mutually implement these strategies. Here, we expanded the typical age range of participants, compared reappraisal and distraction within participants, and used ecologically valid autobiographical memories as regulatory targets. Sixty-two healthy adults aged 35-75 years generated cue words for negative and neutral autobiographical memories and were trained to either reappraise, distract, or let their emotions flow naturally in response to cued memories. Strategy-specific contrasts were derived from whole-brain fMRI data using univariate analyses. For reappraisal, relative to flow, we observed activity in bilateral occipital cortex, right cerebellum, and cingulate cortex and primarily left-sided frontal, temporal, and parietal cortices. Distraction, relative to flow, engaged bilateral lateral prefrontal, medial parietal, cingulate, occipital, and retrosplenial regions and left cerebellum. Common areas of activation included midline occipital and posterior cingulate cortices. Direct comparisons yielded strategy differences across multiple cortical areas: distraction engaged paralimbic areas (insula and left parahippocampal gyrus), dorsolateral and ventrolateral pFC, and right inferior frontoparietal cortex, whereas reappraisal engaged dorsomedial pFC, left ventrolateral pFC, anterior temporal cortex, and left posterolateral pFC. In-scanner valence ratings verified the efficacy of the experimental manipulation and revealed a negative impact of age on reappraisal success, which was correlated with greater visual cortical processing. These findings extend knowledge regarding the neural mechanisms of emotion regulation across the adult lifespan for autobiographical events.
Insecure attachment, impaired personality structure and impaired emotion regulation figure prominently in substance use disorders. While negative emotions can trigger drug-use and relapse, cognitive reappraisal may reduce emotional strain by promoting changes in perspective. In the present study, we explored behavioral and neural correlates of cognitive reappraisal in poly-drug use disorder by testing individuals’ capability to generate cognitive reappraisals for aversive events (Reappraisal Inventiveness Test). 18 inpatients with poly-drug use disorder and 16 controls completed the Adult Attachment Scale, the Emotion Regulation Questionnaire, the Brief Symptom Inventory, the Wonderlic Personnel Test, and the Operationalized Psychodynamic Diagnosis Structure Questionnaire, as well as two versions of the Reappraisal Inventiveness Test (during fMRI and outside the lab). Compared to controls, polydrug inpatients reported impaired personality structure, attachment and emotion regulation abilities. In the Reappraisal Inventiveness Test, poly-drug inpatients were less flexible and fluent in generating reappraisals for anger-eliciting situations. Corresponding to previous brain imaging evidence, cognitive reappraisal efforts of both groups were reflected in activation of left frontal regions, particularly left superior and middle frontal gyri and left supplemental motor areas. However, no group differences in neural activation patterns emerged. This suggests that despite cognitive reappraisal impairments on a behavioral level, neural reflections of these deficits in poly-drug use disorder might be more complex.
Abstract Placebo analgesia (PA) depends crucially on the prefrontal cortex (PFC), which is assumed to be responsible for initiating the analgesic response. Surprisingly little research has focused on the psychological mechanisms mediated by the PFC and underlying PA. One increasingly accepted theory is that cognitive reappraisal—the reinterpretation of the meaning of adverse events—plays an important role, but no study has yet addressed the possible functional relationship with PA. We studied the influence of individual differences in reappraisal ability on PA and its prefrontal mediation. Participants completed a cognitive reappraisal ability task, which compared negative affect evoked by pictures in a reappraise versus a control condition. In a subsequent fMRI session, PA was induced using thermal noxious stimuli and an inert skin cream. We found a region in the left dorsolateral PFC, which showed a positive correlation between placebo-induced activation and (i) the reduction in participants’ pain intensity ratings; and (ii) cognitive reappraisal ability scores. Moreover, this region showed increased placebo-induced functional connectivity with the periaqueductal grey, indicating its involvement in descending nociceptive control. These initial findings thus suggest that cognitive reappraisal mechanisms mediated by the dorsolateral PFC may play a role in initiating pain inhibition in PA.
A number of empirical researches have shown that reactive aggression, which is the behavior that is impulsive, thoughtless, driven by anger, and causes harm toward another individual, can lead to a series of negative effects. Cognitive reappraisal may have the potential to reduce reactive aggression, but evidence for this effect in healthy populations is lacking. We randomly assigned participants to a Reappraisal Group (n = 19) or Control Group (n = 20) in a functional magnetic resonance imaging (fMRI) version of the well-established Taylor Aggression Paradigm (TAP). TAP was employed to elicit and measure reactive aggression, during which participants were informed that they would play a competitive reaction time task against two opponents in turn and the winner would punish the loser. The TAP used in this study separates the decision-making (during which participants were asked to set a punishment level for the opponent) and affective processes (during which the punishment was applied or received) that underlie reactive aggression. Behavioral data showed that there was no difference between the Reappraisal Group and Control Group in the punishment level selections (i.e., reactive aggression). However, on the neural level, cognitive reappraisal reduced the activation of left insula, right cuneus, and right middle frontal gyrus (MFG) during the decision phase, independently of the level of provocation. In addition, cognitive reappraisal reduced the activation of the caudate under the provocative condition when making decisions about aggressive behavior. The results of the outcome phase showed that, after winning a competition, cognitive reappraisal increased the activation of the right orbital middle frontal gyrus (OMFG) under the provocative condition and reduced the activation of the bilateral supplementary motor area (SMA) under the non-provocative condition. The results suggest that cognitive reappraisal would be effective in modulating the neural activity of reactive aggression.
It is well-known that the regulation and management of emotions depend on cognitive capabilities, and that, conversely, cognitive functions can be influenced by emotional states. Real-time functional magnetic resonance imaging neurofeedback (rtfMRI-NF) represents a secure and non-pharmacological form of intervention. This technique has effectively enabled individuals to better regulate their emotions. Aimed to investigate the efficiency of rtfMRI-NF targeting the left dorsolateral prefrontal cortex (DLPFC) for emotion regulation, we employed a framework of rtfMRI-NF experiments for emotion regulation, using negative emotional stimuli, intermittent feedback while simultaneously utilizing a positive autobiographical memory approach. Twenty-seven healthy subjects participated in two neurofeedback sessions. This study is centered on the application of rtfMRI-NF training. Using this technique, it investigates the changes in the Regional Homogeneity (ReHo) values of brain functional images in the left DLPFC before and after training. Our study aims to uncover the neural mechanisms of emotion regulation and cognitive control processes in the brain. Moreover, it provides a theoretical foundation and technical support for developing new neurofeedback training strategies and expanding clinical psychological interventions.
Background Childhood maltreatment is considered as a robust predictor of depression. However, the underlying psychological and neurological mechanisms linking childhood maltreatment and depression remain poorly understood. Sufficient evidence demonstrates emotion dysregulation in individuals who have experienced childhood maltreatment, but it is unknown whether these changes represent vulnerability for depression. Here we speculated that decreased cognitive reappraisal and its corresponding neural basis might explain the relationship between childhood maltreatment and follow-up depression. Methods First, we investigated whether cognitive reappraisal can explain the relationship between childhood maltreatment and depression, with a cross-sectional (n = 657) behavioral sample. Then we recruit 38 maltreated participants and 27 controls to complete the cognitive reappraisal functional magnetic resonance imaging (fMRI) task. The between-group difference in brain activation and functional connectivity (FC) were tested using independent t-tests. Finally, we investigated the relationship between childhood maltreatment, task-based brain activity and depression. Results The behavior results suggested that cognitive reappraisal mediate the association between childhood maltreatment and depression. Specifically, participants with higher level of childhood maltreatment tend to have deficit in cognitive reappraisal, which ultimately predict higher level of depression when facing stressful life event. In addition, the maltreated group exhibited lower activation of orbitofrontal cortex (OFC) and higher FC of between the dorsolateral prefrontal cortex (DLPFC), posterior cingulate cortex (PCC), OFC, and amygdala during cognitive reappraisal, compared with healthy controls. Furthermore, the FC of DLPFC-amygdala mediates the association between childhood maltreatment and depression. Conclusion In summary, childhood maltreatment is associated with inefficient cognitive reappraisal ability, manifesting as aberrant modulation of cortical areas on amygdala. These cognitive and neural deficits might explain the relationship between childhood maltreatment and risk of depression in later life. On the other side, cognitive reappraisal might also be a potential resilient factor for the prevention of maltreatment related emotional problems.
No abstract available
What are the cognitive processes that allow flexible responses to the changing demands of varying emotional contexts? Previous research suggests that higher levels of cognitive control are linked to successful emotion regulation. In particular, the implementation of emotion regulation strategies has been associated with individual differences in cognitive control, including (a) inhibiting prepotent responses, (b) updating information in working memory, and (c) shifting mental sets. Although most of this work has focused on the relationship between cognitive control and the short-term implementation of regulatory strategies, cognitive control may be even more important for understanding the dynamic adaptation to varying emotional contexts, that is, emotion regulation flexibility. However, cognitive control and emotion regulation flexibility have not been investigated in conjunction, resulting in a lack of a coherent understanding. In this article, we describe a framework outlining the importance of cognitive control for understanding three key components of emotion regulation flexibility: (a) strategy stopping or switching, (b) strategy maintenance, and (c) monitoring. We highlight the relevance of studying each of these components through the lens of cognitive control processes, particularly focusing on the tradeoff between shielding versus shifting goals and goal-directed behavior in various emotional contexts. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
The ability to regulate emotion effectively plays a key role in child psychosocial development and mental health. The current study examines the effect of cognitive training for executive function on emotion regulation in Chinese preschool children, and further investigate the underlying mediating mechanisms. A cluster randomized control trial design with pre-test and post-test was conducted in 61 preschool children aged 3-6 years in China. The intervention group consisted of 30 children who received eight cognitive training sessions on executive function, while the control group consisted of 31 children who did not receive any psychological training. Children's executive function was measured individually via five laboratory tasks both in the pre-test and post-test. Adaptive and maladaptive emotion regulation strategies were coded in emotion-elicit contexts. Intervention group outperformed control group in working memory and inhibitory control. Children in the intervention group exhibited increased use of adaptive emotion regulation strategies and decreased use of maladaptive emotion regulation strategies than children in the control group. Mediation analyses indicated that there were significantly indirect effects of Intervention Condition on the gain scores of adaptive and maladaptive emotion regulation strategies through the gain score of inhibitory control. Executive function training effectively promotes working memory, inhibitory control and the use of adaptive emotion regulation strategies, and reduces the use of maladaptive emotion regulation strategies. In addition, executive function training improves the use of adaptive and maladaptive emotion regulation strategies through the enhancement of inhibitory control capacity.
This study examines how age and cognitive ability predict use of different emotion regulation strategies in a laboratory task eliciting emotions varying in valence and arousal. Participants (N = 287) aged 25-85 completed the NIH Toolbox Cognitive Battery and an emotion regulation task in a laboratory setting. They watched a series of emotional clips (disgust, sadness, amusement, and contentment) under instructions to increase positive emotions or decrease negative emotions. After each clip, they rated the extent to which they used emotion regulation strategies that involve different types of engagement with emotional stimuli and disengagement from emotional stimuli. Older age was predictive of greater use of immersive-engagement strategies (e.g., perspective taking) and less use of disengagement strategies (e.g., distraction). Fluid cognitive ability was positively associated with immersive-engagement strategy use, particularly for high-arousal clips. For older adults, fluid cognitive ability was also associated with using positive-engagement strategies (e.g., positive reappraisal) to a greater extent to regulate negative emotions. Patterns of emotion regulation strategy use varied by age, even when accounting for differences in reactivity. Findings suggest that older adults may not necessarily prefer strategies that are lower in cognitive demands or that focus on enhancing positivity. Results support the idea that strategy preferences are driven by a combination of characteristics of the regulator and the regulation context. The relevance of cognitive resources likely varies across situations, perhaps being most consequential for deeper processing of high-arousal stimuli and for older adults' engagement with positive aspects of an otherwise negative situation.
Cognitive inflexibility has been linked to difficulties in revising paranoid beliefs, whereas cognitive flexibility may protect against the development and maintenance of paranoid beliefs by allowing for troubleshooting in light of available evidence. While less discussed in the context of paranoia research, better regulation of affective states may reduce the likelihood of biased beliefs developing in the first place, reducing the burden on belief updating mechanisms. The present study hypothesized that high cognitive flexibility and strong emotion regulation ability may act as a reciprocal protective shield against the risk associated with lower ability in the other domain. Participants were recruited from the general population (N = 221) to complete the Ambiguous Interpretation Inflexibility Task, as well as self-report measures for paranoia and emotion regulation ability. The results show an interaction between cognitive flexibility and emotion regulation ability as related to less severe paranoia. Better emotion regulation ability is associated with lower paranoia in individuals with lower cognitive flexibility, whereas higher cognitive flexibility is associated with less severe paranoia in individuals with greater emotion regulation difficulties. These findings highlight the importance of emotion regulation in early interventions of paranoia, especially how emotion regulation relates to known cognitive vulnerabilities such as inflexibility.
Burnout contributes to high turnover rates, medical errors, and poor patient satisfaction in geriatric nursing staff. Nurses' cognitive emotion regulation (ER) strategies are emerging as an important personal resource related to burnout that are modifiable with intervention. This study examined the association between cognitive ER strategies and burnout among geriatric nursing staff. Participants were 54 nurses (RNs, LPNs, CNA/UWs) with a mean age of 43.1 years ( After controlling for CVs, cognitive ER strategies accounted for unique variance in depersonalization, but did not account for unique variance in emotional exhaustion or personal accomplishment. Rumination was associated with greater depersonalization, and greater refocus on planning was associated with lower depersonalization. Findings suggest that depersonalization may be most impacted by ER; however, other ER strategies may be important that were not included in the current study (e.g., experiential avoidance, mindfulness). Future research is needed with additional ER strategies and larger samples. Findings support the use of person-centered interventions, such as cognitive-behavioral and mindfulness-based techniques, to improve stress management and decrease depersonalization.
Sadness regulation is crucial for maintaining the romantic relationships of couples. Interpersonal emotion regulation, including affective engagement (AE) and cognitive engagement (CE), activates social brain networks. However, it is unclear how AE and CE regulate sadness in couples through affective bonds. We recruited 30 heterosexual couple dyads and 30 heterosexual stranger dyads and collected functional near-infrared spectroscopy hyperscanning data while each dyad watched sad or neutral videos and while the regulator regulated the target's sadness. Then, we characterized interbrain synchronization (IBS) and Granger causality (GC). The results indicated that AE and CE were more effective for couples than for strangers and that sadness evaluation of female targets was lower than that of male targets. CE-induced IBS at CH13 (BA10, right middle frontal gyrus) was lower for female targets than for male targets, while no gender difference in AE was detected. GC change at CH13 during CE was lower in the sad condition for male targets than for female targets, while no gender difference in AE was discovered. These observations suggest that AE and CE activate affective bonds but that CE was more effective for regulating sadness in female targets, revealing different neural patterns of cognitive and affective sadness regulation in couples.
The incidence of non-suicidal self-injury (NSSI) has been on the rise in recent years. Studies have shown that people with NSSI have difficulties in emotion regulation and cognitive control. In addition, some studies have investigated the cognitive emotion regulation of people with NSSI which found that they have difficulties in cognitive emotion regulation, but there was a lack of research on cognitive emotion regulation strategies and related neural mechanisms. This study included 117 people with NSSI (age = 19.47 ± 5.13, male = 17) and 84 non-NSSI participants (age = 19.86 ± 4.14, male = 16). People with NSSI met the DSM-5 diagnostic criteria, and non-NSSI participants had no mental or physical disorders. The study collected all participants' data of Cognitive Emotion Regulation Questionnaire (CERQ) and functional magnetic resonance imaging (fMRI) to explore the differences in psychological performance and brain between two groups. Afterwards, Machine learning was used to select the found differential brain regions to obtain the highest correlation regions with NSSI. Then, Allen's Human Brain Atlas database was used to compare with the information on the abnormal brain regions of people with NSSI to find the genetic information related to NSSI. In addition, gene enrichment analysis was carried out to find the related pathways and specific cells that may have differences. The differences between NSSI participants and non-NSSI participants were as follows: positive refocusing (t = -4.74, p < 0.01); refocusing on plans (t = -4.11, p < 0.01); positive reappraisal (t = -9.22, p < 0.01); self-blame (t = 6.30, p < 0.01); rumination (t = 3.64, p < 0.01); catastrophizing (t = 9.10, p < 0.01), and blaming others (t = 2.52, p < 0.01), the precentral gyrus (t = 6.04, p People with NSSI are more inclined to adopt non-adaptive cognitive emotion regulation strategies. Rolandic operculum is also abnormally active. Abnormal changes in the rolandic operculum of them are associated with non-adaptive cognitive emotion regulation strategies. Changes in the excitatory and inhibitory neurons provide hints to explore the abnormalities of the neurological mechanisms at the cellular level of them. Trial registration number NCT04094623.
Several governments have implemented strict measures to reduce the spread of COVID-19, such as lockdown measures. However, these measures have brought negative consequences at an individual level by exacerbating the psychological distress caused by the pandemic. We evaluated the role of cognitive emotion regulation strategies (CERS) on the levels of anxiety and depression during the lockdown in a sample of 663 Spanish-speaking adults, while controlling for variables related to social support, hobbies, seeking information related to COVID-19, perceived risk of infection, time of assessment, number of deaths and contagions during the assessment and age. Using multiple regression analyses with a stepwise model selection procedure, 29% of the variance in anxiety and 38% of the variance of depression were found to be predicted by specific CERS. The impact of CERS on anxiety and depression was moderated by the sex of participants and the time of assessment, indicating that CERS did not have the same protective or harmful effects in all participants and situations. Based on our results, recommendations are provided for improving coping with stressful events where lockdown measures are taken.
Emotion regulation, and in particular cognitive reappraisal. Gross has been booming in theory development and empirical research for the last two decades. A large number of publications have demonstrated the importance of these mechanisms for understanding and promoting well-being and mental health. It is thus timely for
Emotion regulation is vital in maintaining romantic relationships in couples. Although gender differences exist in cognitive and affective strategies during 'intrapersonal' emotion regulation, it is unclear how gender differences through affective bonds work in 'interpersonal' emotion regulation (IER) in couples. Thirty couple dyads and 30 stranger dyads underwent functional near-infrared spectroscopy hyperscanning recordings when targets complied with their partner's cognitive engagement (CE) and affective engagement (AE) strategies after viewing sad and neutral videos. Behaviorally, for males, CE was less effective than AE in both groups, but little difference occurred for females between AE and CE. For couples, Granger causality analysis showed that male targets had less neural activity than female targets in CH06, CH13 and CH17 during CE. For inflow and outflow activities on CH06 and CH13 (frontopolar cortex), respectively, male targets had less activity in the CE condition than in the AE condition, while for outflow activities on CH 17 (dorsolateral prefrontal cortex), female targets had more activity in the CE condition than in the AE condition. However, these differences were not observed in strangers. These results suggest gender differences in CE but not in AE and dissociable flow patterns in male and female targets in couples during sadness regulation.
Cognitive training seems a promising approach to enhance emotion regulation. To establish a causal connection, researchers must compare the training intervention with a control group that accounts for improvements induced by some factors other than the training. Despite this familiar methodology, the influence of expectations on the transfer effects of training remains poorly understood. We tested this possibility in 2 experiments, where a procedure was designed to intentionally induce a placebo effect via the suggestion of cognitive enhancement to evaluate the role of expectation in emotion regulation gains from cognitive training. Both the Placebo and Control groups completed the identical short-term working memory training (20 min) in Experiment 1. New participants were recruited to complete a long-term pseudotraining program (7 days) in Experiment 2. The results from the 2 experiments consistently showed that the Placebo group, who expected benefits from the training, unlike the Control group, showed less negative emotion and better regulatory effects after pseudotraining, irrespective of the duration of the training. Thus, inadequate control of expectation is a fundamental design flaw that potentially undermines any causal inferences. These findings also suggest a novel perspective for optimizing the experimental designs in psychological interventions and advancing the understanding of emotion regulation enhancement. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
This study investigated the psychometric properties of the Cognitive Emotion Regulation Questionnaire in a Tunisian Arabic-Speaking population. The CERQ original version was translated and back-translated and then administrated to 360 participants. Afterwards, using the explanatory and confirmatory factor analysis, we studied the latent factor structure for CERQ. The internal consistency of the subscales was assessed by Cronbach's alfa coefficients, and the test-retest and interscale reliability were assessed with Pearson correlations. The criterion validity was also examined using correlations between the CERQ subscales and both the Beck Depression Inventory (BDI) and State-Trait Anxiety Inventory (STAI) scales at first evaluation and at a one year follow-up. The Tunisian version was quite satisfactory with the nine-factor structure, as in the original CERQ. Moreover, all validity and reliability measures were comparable to the original CERQ. The present study is the first work devoted to a Tunisian adaptation of the CERQ. Our findings highlight that the Tunisian version is both reliable and valid for the measurement of cognitive emotion regulation strategies.
Effective emotion regulation (ER) is theorized to require cognitive resources. Past work has identified inconsistent relationships between cognitive ability and ER success and has focused on implementation of instructed ER strategies. In the present study, we examine a wide range of cognitive abilities as predictors of ER success in the absence of constraints on strategy selection. An age-diverse sample of participants (
This study examined the possible link between cognitive distortions (CDs), which involve erroneous information processing in normal reasoning, and cognitive emotion regulation strategies (CERS), which are strategies implemented at the cognitive level to modulate the emotional response following a negative or unpleasant event, in a non-clinical young adult population. Ninety-six participants (age 18-39 years; 48 women) completed the French version of the Cognitive Emotion Regulation Questionnaire and the French Cognitive Distortions Inventory for adults. Overall, negative distortions were positively correlated with the use of non-adaptive strategies of cognitive emotion regulation, while positive distortions were negatively correlated with the use of adaptive strategies. The CDs most associated with the use of adaptive CERS were positive dichotomous reasoning, minimization and neutral omission in favour of the positive. Selective abstraction was the CD most associated with the use of non-adaptive CERS. We observed a negative correlation effect between education level and several distortions and catastrophizing, and a positive correlation with acceptance. Men used more positive maximization, requalification as negative, acceptance and blaming others than women. The discussion of the results focuses on explaining the observed relationships between the variables in this non-clinical sample.
The aim of this study was to examine cognitive emotion regulation strategies (CERS) of help-seeking adolescents diagnosed with personality disorders. At pre-treatment, patients (N = 116) were found to use some maladaptive but also some adaptive CERS more often than adolescents from the general population. Less than 4% of these pre-treatment CERS predicted treatment outcome. In patients whose treatment outcome according to the Symptom Checklist-90 (SCL-90) showed significant improvement (N = 75), a reduction of maladaptive CERS and an increase of adaptive CERS occurred. Patients that were unchanged or deteriorated (N = 41) showed no significant changes in CERS. In conclusion, pre-treatment CERS are not predictive for treatment outcome in this sample of adolescents diagnosed with personality disorders. Even though patients who use more adaptive and less maladaptive CERS have fewer symptoms, the relationship between these CERS and symptoms in this group of severe patients remains unclear.
Interpersonal emotion regulation (ER) refers to the different processes aimed at changing the emotional states of others. Some authors have speculated about the pivotal role of empathy for interpersonal ER to happen. However, the very limited empirical evidence suggests that only cognitive empathy as opposed to affective empathy may be a necessary antecedent. As previous research only considered interpersonal affect improvement and showed mixed evidence for the regulation strategies, we aimed to address this gap in the current research. To that aim, 374 adults (M = 30.3 years, 249 female) reported their tendency to engage in cognitive (perspective-taking) and affective empathy (empathic concern and personal distress) as well as their tendency to improve and worsen others' mood, and to use different regulation strategies (situation modification, attention deployment, cognitive change, and modulation of the emotional response) to change others' feelings. Results of the regression analyses showed that while affect improvement was not significantly predicted by any of the empathy variables, affect worsening was positively predicted by personal distress. Concerning the regulation strategies, while cognitive change and situation modification were positively predicted by personal distress, attention deployment was positively predicted by perspective-taking. Overall, the obtained results highlight the need to further investigate the link between empathy and ER and to carefully consider the methods selected for that purpose.
Gambling behavior presents substantial individual variability regarding its severity, manifestations, and psychological correlates. Specifically, differences in emotion regulation, impulsivity, and cognitive distortions have been identified as crucial to describe individual profiles with implications for the prevention, prognosis, and treatment of gambling disorder (GD). The aim of the present study was to investigate the associations of gambling-related cognitions (measured according to the GRCS model) with impulsivity (UPPS-P model) and emotion regulation (CERQ model), in a sample of 246 gamblers with different levels of gambling involvement, using mixed-effects modelling to isolate theoretically relevant associations while controlling for the potentially confounding effects of sociodemographic and clinical covariates. Affective/motivational dimensions of UPPS-P impulsivity positive urgency and sensation seeking, on the one hand, and CERQ emotion regulation strategies reappraisal, rumination and blaming others, on the other, independently and significantly predicted distorted gambling-related cognitions. These results (a) reinforce the ones of previous studies stressing the relevance of emotional and motivational processes in the emergence of gambling-related cognitive distortions; and (b) replicate the seemingly paradoxical finding that gamblers use emotion regulation strategies customarily considered as adaptive (i.e. reappraisal) to strengthen and justify their biased beliefs about gambling outcomes and controllability.
Cognitive reappraisal and expressive suppression have long been considered the two most important emotion regulation strategies. Increasingly, studies have found that mindfulness has a relationship with them. However, the magnitude and direction of the relationship between them have yet to reach a consistent conclusion. To this end, a three-level meta-analysis was used to explore the relationship between mindfulness, cognitive reappraisal, and expressive suppression. Thirty-six studies were included in the meta-analysis through a literature search, including 36 samples with 83 effect sizes and a total of 12,026 subjects. The three-level random effects model showed that mindfulness was positively correlated with cognitive reappraisal to a low to moderate degree but was not correlated with expressive suppression. The moderating effect analysis showed that the relationship between mindfulness and cognitive reappraisal was slightly closer in males than in females. The study found a relatively stable positive relationship between mindfulness and cognitive reappraisal, an adaptive emotion regulation mode, while the relationship with expressive suppression was insignificant. The finding supported the affect regulation training model and also shed light on potential areas for future studies.
Cognitive reappraisal is a strategy for emotional regulation, important in the context of anxiety disorders. It is not known whether anxiolytic effects of benzodiazepines affect cognitive reappraisal. We aimed to investigate the effect of 25 mg oxazepam on cognitive reappraisal. In a preliminary investigation, 33 healthy male volunteers were randomised to oxazepam or placebo, and then underwent an experiment where they were asked to use cognitive reappraisal to upregulate or downregulate their emotional response to images with negative or neutral emotional valence. We recorded unpleasantness ratings, skin conductance, superciliary corrugator muscle activity, and heart rate. Participants completed rating scales measuring empathy (Interpersonal Reactivity Index, IRI), anxiety (State-Trait Anxiety Inventory, STAI), alexithymia (Toronto Alexithymia Scale-20, TAS-20), and psychopathy (Psychopathy Personality Inventory-Revised, PPI-R). Upregulation to negative-valence images in the cognitive reappraisal task caused increased unpleasantness ratings, corrugator activity, and heart rate compared to downregulation. Upregulation to both negative- and neutral-valence images caused increased skin conductance responses. Oxazepam caused lower unpleasantness ratings to negative-valence stimuli, but did not interact with reappraisal instruction on any outcome. Self-rated trait empathy was associated with stronger responses to negative-valence stimuli, whereas self-rated psychopathic traits were associated with weaker responses to negative-valence stimuli. While 25 mg oxazepam caused lower unpleasantness ratings in response to negative-valence images, we did not observe an effect of 25 mg oxazepam on cognitive reappraisal.
The ability to cognitively regulate emotional responses to aversive events is important for mental and physical health. Little is known, however, about neural bases of the cognitive control of emotion. The present study employed functional magnetic resonance imaging to examine the neural systems used to reappraise highly negative scenes in unemotional terms. Reappraisal of highly negative scenes reduced subjective experience of negative affect. Neural correlates of reappraisal were increased activation of the lateral and medial prefrontal regions and decreased activation of the amygdala and medial orbito-frontal cortex. These findings support the hypothesis that prefrontal cortex is involved in constructing reappraisal strategies that can modulate activity in multiple emotion-processing systems.
Effective regulation of emotions is essential in coping with everyday stressors. Although cognitive reappraisal and acceptance are both commonly employed to downregulate negative emotions, they differ in many aspects. Their effectiveness in real-life situations can also be influenced by prior stress or a person's trait preferences for certain emotion regulation (ER) strategies. In the present study, we compared the effectiveness of both ER strategies in a laboratory setting, while focussing on the effect of stress and trait moderators. Ninety-eight healthy participants aged 18-40 were randomly divided into three groups with instructions to use reappraisal, acceptance, or nothing while viewing distressing pictures from the IAPS database. Half of the participants in each group underwent a laboratory stressor (socially evaluated cold pressor test) 20-30 min before the ER task. The effectiveness of ER was measured subjectively on the visual analog scale, and by measuring heart rate, skin conductance, and pupil responses. The data show that cognitive reappraisal lowered subjectively experienced negative emotion, while acceptance did not. These group differences were however not supported by psychophysiological indicators. Secondly, although the laboratory stressor elicited cortisol stress responses in our participants, we did not find any effect on ER. Furthermore, the data has not supported the moderation effect by trait reappraisal and acceptance. The present findings show that deliberate usage of ER strategies when viewing emotionally charged pictures leads to a decrease in experienced emotion. On the other hand, the effects of stress and trait moderators were not supported, therefore they may be smaller and more variable than expected.
Extinction learning although initially successful in blocking fear responses, can result in relapse in some individuals over time. This deficit demands a strategy that could reinforce the extinction of fear. The current study aimed to investigate the top-down regulatory processes like cognitive reappraisal and the nature of reappraisal on augmentation of fear extinction and retention. We used a screaming lady fear conditioning paradigm with 63 participants (
Self-as-Context (SAC) is one of the six core components of the Acceptance and Commitment Therapy model (ACT). The aim of the current study was to investigate whether SAC is effective in reducing negative affect and maintaining positive affect in response to a personally relevant stressor relative to cognitive reappraisal (CR) and spontaneous coping strategies. An undergraduate sample ( The SAC group reported significantly less negative affect than participants in the control group post-training induction; although the CR group did not differ from the SAC or control participants in reductions in negative affect post-induction. There were no significant group differences for positive affect. The findings provide preliminary evidence that SAC is an effective emotion regulatory strategy in reducing acute distress in a stress-exposed young adult sample.
Cognitive reappraisal is perhaps the most researched emotion regulation strategy. It involves reinterpreting emotional content to reduce its impact. While many studies have demonstrated that cognitive reappraisal reduces negative affect, the utility of cognitive reappraisal in buffering against the consequences of negative affect on subsequent behaviors and attitudes is not clear. To address this issue, the present study assessed whether cognitive reappraisal mitigates the influence of immediate threat on food craving. In Experiment 1, 80 women performed a novel combination of a cognitive reappraisal task with a food-rating task. Participants were exposed to threat-provoking or neutral images and were instructed to either reappraise or observe the images. Subsequently, they rated their desire to eat different types of foods. As expected, the desire to eat decreased after exposure to threat-provoking content. However, after reappraising the threat-provoking images, the desire to eat increased relative to when participants merely observed these images. These results were replicated in Experiment 2 (
Maladaptive emotion regulation strategies increase prolonged grief and depressive symptoms following bereavement. However, less is known about the role of adaptive emotion regulation strategies in adaptation to loss. Therefore, we examined the concurrent and longitudinal associations of three putative adaptive emotion regulation strategies (cognitive reappraisal, emotional expression, and mindfulness) with prolonged grief and depression symptoms. A two-wave longitudinal survey. A sample of 397 bereaved Dutch adults (89% female, mean age 54 years) completed validated questionnaires to assess trait cognitive reappraisal, emotional expression, mindfulness and prolonged grief and depression symptoms at baseline (T1) and 344 participants completed symptom measures again six months later (T2). Zero-order correlations demonstrated that mindfulness, cognitive reappraisal and emotional expression relate negatively to T1 and T2 prolonged grief and depression symptoms. In multiple regression analyses, controlling for relevant background variables, all emotion regulation strategies related negatively to T1 prolonged grief and depression symptoms. In multiple regression analyses, controlling for T1 symptoms and background variables, mindfulness predicted lower T2 depression symptoms. Adaptive emotion regulation strategies relate negatively to post-loss psychopathology symptoms, yet only mindfulness longitudinally predicts lower depression symptoms. Dispositional mindfulness may be a protective factor in psychological adaptation to bereavement.
Although the effects of cognitive reappraisal in regulating negative emotion are generally well documented, its regulatory effects are usually not very strong because the ordinary reappraisals employed in previous studies were insufficient to overcome the mental set or response bias toward negative situations. In this study, we developed a new strategy employing creative reappraisals that provides an insightful reinterpretation of the negative stimulus. We believe this approach, through adopting a guided (creative) reappraisal rather than self-generation strategy, will greatly improve the emotion regulation effect of reappraisal through activating the neural networks representing the process of deep and structural mental representational change accompanied by the feeling of positive emotion and mental reward. The behavioral results suggested that 1) regarding the transient regulatory effect, creative reappraisal resulted in a positive rating for standardized negative pictures; 2) creative reappraisal had a long-lasting effect in reducing negative affect. In parallel with these behavioral results, the imaging data indicated that 1) creative reappraisal was specifically associated with greater engagement of the amygdala and hippocampus as well as regions in the ventral striatum, and 2) the engagement of the amygdala predicted the transient regulatory effect of creative reappraisal, while the involvement of the hippocampus and the ventral striatum predicted long-term regulatory effects. These findings suggest that the superior regulatory effect of creative reappraisal could be mediated by amygdala-based salient emotional arousal, hippocampus-based new association formation, and striatum-based mental rewarding to lead to a novel and positive experience that could be kept in long-term memory. This research indicates the key role of creative insight in reappraisal and presents a novel and highly efficient reappraisal strategy.
Emotion dysregulation symptoms are associated with higher conversion rates from MCI to dementia. Thus, understanding the neural mechanism underlying emotion regulation in people with MCI could provide useful information in early detection and intervention of MCI. This study investigated cognitive reappraisal, an emotion regulation strategy, in people with MCI using event-related potentials analysis. Late positive potential (LPP) was measured in 46 amnestic MCI subjects and 47 healthy elderly controls (HECs) as they viewed neutral and unpleasant images. All participants viewed a brief description of the upcoming image; neutral images were neutrally described (the Neut condition), and negative images were preceded with either more neutral (the Rea condition) or more negative (the Neg condition) interpretations. MCI subjects reduced their emotional intensity to a smaller extent than HEC subjects. For MCI subjects, the decreased level of emotional intensity was positively correlated with function in the verbal and executive domains. The reduced intensity (Rea - Neg) was also inversely correlated with the LPP difference (Rea - Neg) 3600-5000 ms after stimulus onset. Compared with HEC subjects, MCI subjects showed hypoactivation in the cuneus in the N2 time range (240-310 ms) and in the inferior parietal lobule and supramarginal gyrus in the 3600-5000 ms range. These results suggest that MCI subjects failed to maintain the reappraisal of negative stimuli in the late time window, which contributed to a smaller success with reappraisal.
There is an association between depression and diminished social support; indeed, interpersonal dysfunction is often a central feature of depression. The purpose of this study is to examine the role that an emotion regulation (ER) strategy, cognitive reappraisal, plays in influencing the association between depressive symptoms and perceived social support in older adults. Data for this cross-sectional study come from a community-based survey of older adults (60+, Depressive symptoms were associated with lower levels of perceived social support. Cognitive reappraisal was associated with higher levels of perceived social support. Cognitive reappraisal moderated the negative consequences of depressive symptoms on perceived social support. Whereas depressive symptoms had a negative effect on perceived social support, the negative effect was greater for those with lower levels of cognitive reappraisal compared to those with higher levels of cognitive reappraisal. ER strategies may play a role in attenuating the negative consequences of depressive symptoms on social support in older age. It may be possible to help individuals maintain social support in later life, even in the face of mental health challenges, if they cultivate ER skills.
Cognitive reappraisal, an important strategy of emotion regulation, can change emotional experience and attention to emotional information. However, not all individuals can deploy reappraisal strategies successfully. In the current study, we investigated event-related potential (ERP) characteristics of reappraisal success and of reappraisal failure. Twenty-six participants were divided into the success group or the failure group based on self-report ratings of how successful they were in reducing their response to negative images using cognitive reappraisal strategy. All participants viewed 30 neutral images and 30 negative images which they were asked to just watch, and 30 negative stimuli that they were asked to reappraise, while electroencephalogram (EEG) was recorded. The success group reported a significant reduction in the unpleasantness of negative images than the failure group in the negative-reappraisal condition. The ERP data indicated that two time windows differentiated between the success and failure groups. In 200-300 ms, P200 was significantly more positive to the negative-watch condition relative to both negative-reappraisal and neutral conditions in the failure group, while no difference was observed in the success group. In 300-5,000 ms, cognitive reappraisal led to increased late positive potential (LPP) relative to negative-watch in the early and middle latency windows (300-3,100 ms) in both groups; in the late latency window (3,100-5,000 ms), the reappraisal success group showed the LPP amplitude to the negative-reappraisal stimuli to be more positive than to the negative-watch stimuli, while no difference was found in the reappraisal failure group. Our study provided direct evidence that different neurophysiological features were associated with reappraisal success and failure while engaging in the reappraisal of negative stimuli. This result will contribute to better understanding of the neural mechanism of emotion regulation in emotional disorders (i.e., depression and anxiety).
Characterized by setting high standards for performance, perfectionism is a transdiagnostic process implicated in the development and maintenance of psychopathology. In contrast, cognitive flexibility is associated with enhanced mental health. Yet, the relationship between perfectionism and cognitive flexibility is understudied. We examined the relationship between perfectionism and cognitive flexibility, and whether emotion regulation strategies moderated the association between them. Adult participants (N = 486) were recruited online and completed questionnaires on perfectionism, emotion regulation and cognitive flexibility. Perfectionism negatively correlated with one of the two aspects of cognitive flexibility assessed. Reappraisal, but not suppression, moderated the relationship between perfectionism and flexibility. Results indicate that perfectionism is associated with inflexible appraisal of everyday challenges. Additionally, cognitive reappraisal attenuates the negative relationship between perfectionism and cognitive flexibility; except in individuals with high narcissistic perfectionism for whom the debilitating relationship between the two variables is enhanced by reappraisal.
In healthy individuals, there is evidence that effective implementation of an emotion regulation strategy has beneficial effects on temporally proximal cognitive control task performance. This effect occurs because both of these processes rely heavily on the prefrontal cortex. Individuals with schizophrenia (SZ) have impairments in both emotion regulation and cognitive control that are driven by structural and functional abnormalities of the prefrontal cortex; however, it is unknown whether emotion regulation attempts fail to benefit subsequently performed cognitive control tasks in people with SZ. The present study examined whether attempts to increase or decrease negative emotion via reappraisal have differential effects on subsequent cognitive control in a sample of outpatients diagnosed with SZ (n = 30) and demographically matched healthy controls (CN; n = 29). Participants completed a combined emotion regulation and cognitive control task in which numerical Stroop trials were presented immediately after unpleasant or neutral images that were either increased via reappraisal, decreased via reappraisal, or passively viewed. The electroencephalogram was recorded while participants performed the reappraisal-Stroop task and event related potentials (ERPs) were used to index emotion regulation effectiveness (late positive potential: LPP) and cognitive control (sustained potential: SP). Both CN and SZ evidenced higher LPP amplitude for unpleasant than neutral stimuli consistent with robust neural response to unpleasant stimuli. Although CN demonstrated neurophysiological evidence of effective use of reappraisal to increase and decrease negative emotion, SZ only showed an effective ability to increase negative emotion via reappraisal. CN displayed enhanced cognitive control following increase trials and impaired cognitive control following decrease trials, as indicated by modulation of SP amplitude. In SZ, increase instructions impaired cognitive control and decrease instructions had no effect on cognitive control. Findings suggest that emotion regulation abnormalities may play an underrecognized role in general cognitive control deficits that occur in SZ. (PsycINFO Database Record
The present study investigates the effect of cognitive reappraisal on emotion regulation in socially anxious individuals. Twenty-eight female subjects were divided into high-socially anxious (HSA) and low-socially anxious (LSA) groups. All subjects viewed threatening faces under cognitive reappraisal and passive viewing conditions, with subjective emotion ratings and event-related potentials (ERPs) recorded. Although the HSA and LSA groups reported similar amounts of reduction in emotion ratings while reappraising threatening faces, ERP data showed the LSA group generated a significantly larger stimuli-preceding negativity (SPN) than the HSA group when viewing the reappraisal cue word. Additionally, the LSA group, but not the HSA group, exhibited reduced P2-N2 peak-to-peak values for the reappraisal condition relative to the passive viewing condition. These results suggest that the LSA subjects paid more attention to and prepared better for the upcoming emotion-regulating task than the HSA subjects. Unlike subjects in the HSA group, subjects in the LSA group could modulate face processing by reappraisal. In conclusion, cognitive reappraisal can be an effective emotion regulation strategy for socially anxious people, and a different neural mechanism may be involved for people who are not socially anxious.
Cognitive reappraisal and acceptance: Effects on emotion, physiology, and perceived cognitive costs.
Two emotion regulation strategies-cognitive reappraisal and acceptance-are both associated with beneficial psychological health outcomes over time. However, it remains unclear whether these 2 strategies are associated with differential consequences for emotion, physiology, or perceived cognitive costs in the short-term. The present study used a within-subjects design to examine the effects of reappraisal (reframing one's thoughts) and acceptance (accepting feelings without trying to control or judge them) on the subjective experience of negative emotions, positive emotions, and physiological responses during and following recovery from sad film clips shown in the laboratory. Participants also reported on perceived regulatory effort, difficulty, and success after deploying each emotion regulation strategy. In 2 samples of participants (N = 142), reappraisal (vs. acceptance) was associated with larger decreases in negative and larger increases in positive emotions, both during the film clips and recovery period. However, acceptance was perceived as less difficult to deploy than reappraisal, and was associated with a smaller dampening of skin conductance level (indicating more successful regulation) during the film clips in 1 sample. These results suggest that reappraisal and acceptance may exert differential short-term effects: Whereas reappraisal is more effective for changing subjective experiences in the short term, acceptance may be less difficult to deploy and be more effective at changing one's physiological response. Thus, these 2 strategies may both be considered "effective" for different reasons. (PsycINFO Database Record
Sex differences in emotion regulation strategies may impact sex differences in affective disorders. Using cognitive reappraisal strategy in the discriminative task of conditioned fear was studied to understand how sex differences in emotion regulation impact on conditioned fear in men and women. College students with low cognitive reappraisal scores completed the task of conditioned fear during two days: acquisition and extinction at the first day, and re-extinction at the second day. The reappraisal training was carried out before conditioned fear task. The self-reported fear rating of the conditioned stimulus (CS) and US-expectancy in the conditioned fear (unconditioned stimulus, US) were analyzed. Results showed all subjects acquired conditional fear and successfully distinguished CS+ from CS-. Cognitive reappraisal significantly reduces the fear rating and improves the extinction of US-expectancy in both sexes, but the fear rating in female reappraisal group decreases more slowly than that in male reappraisal group, as well as the extinction of US-expectancy in woman requiring a longer time and more trials of extinction than that in men. For individuals with low cognitive reappraisal scores, cognitive reappraisal promotes the extinction of conditioned fear in both males and females. Because of the original gender difference of conditioned fear extinction and emotion regulation, the effect of cognitive reappraisal on conditioned fear is complex, which shows differently in influence speed and practice effect.
Emotion regulation (ER) is critical for children's healthy socio-emotional development, in part through its modulation of negative emotions that might otherwise place children at risk for psychopathology. The cognitive ER strategy of reappraisal appears to be particularly protective against the development of symptoms of anxiety and depression during childhood. Despite widespread acceptance of the benefits of reappraisal for children's long-term affective function, little is known about the developmental mechanisms that support emerging reappraisal in young children. Proximal mechanisms supporting reappraisal include biological processes; the modulation of reactivity to negative emotional stimuli is visible at the neural level through the Late Positive Potential (LPP). Influences on the developmental course of mechanisms like the LPP almost certainly include contextual factors, including quality of the environment, which have been largely ignored in work to date. The present study included a test of early (age 3-4) socioeconomic status (SES) as a moderator of children's reappraisal, evidenced by differences in the LPP to passive view and reappraisal conditions, at age 5. Results supported the presence of moderation. Reappraisal was visible as differences in LPP across conditions at high, but not low, levels of SES. Findings offer a foundation for delineating the development of reappraisal and understanding contexts that may promote preschoolers' reappraisal. Results also contribute to the delineation of the role of early psychophysiological markers in affective function and early risk for psychopathology.
Alexithymia is a key transdiagnostic risk factor for emotion-based psychopathologies. Conceptual models specify that this is because alexithymia impairs emotion regulation. However, the extent of these putative emotion regulation impairments remains underexplored. Our aim in this study was to begin to address this gap by examining whether people with high, average, or low levels of alexithymia differ in the types of emotion regulation strategies they typically use. General community adults from the United States (N = 501) completed a battery of alexithymia and emotion regulation measures. Participants were grouped into high, average, and low alexithymia quantiles. After controlling for demographics and current levels of distress, the high, average, and low alexithymia groups differed in their use of cognitive and behavioral emotion regulation strategies. Compared to the other groups, the high alexithymia group reported lesser use of generally adaptive regulation strategies (cognitive reappraisal, approaching problems, and seeking social support) and greater use of generally maladaptive regulation strategies (expressive suppression, behavioral withdrawal, ignoring). Our data were cross-sectional and from self-report questionnaires. Future work in other cultural groups would be beneficial. Our results support the view that alexithymia is associated with impaired emotion regulation. In particular, people with high alexithymia seem to exhibit a less adaptive profile of emotion regulation strategies. Direct targeting of these emotion regulation patterns in psychotherapy may therefore be a useful pathway for the treatment of emotional disorder symptoms in people with high alexithymia.
Despite increasing interest in emotional processes in cognitive science, theories on emotion regulation have remained rather isolated, predominantly focused on cognitive regulation strategies such as reappraisal. However, recent neurocognitive evidence suggests that early emotion regulation may involve sensorimotor control in addition to other emotion-regulation processes. We propose an action-oriented view of emotion regulation, in which feedforward predictions develop from action-selection mechanisms. Those can account for acute emotional-action control as well as more abstract instances of emotion regulation such as cognitive reappraisal. We argue the latter occurs in absence of overt motor output, yet in the presence of full-blown autonomic, visceral, and subjective changes. This provides an integrated framework with testable neuro-computational predictions and concrete starting points for intervention to improve emotion control in affective disorders.
Personality pathology is associated with emotional problems that are potentially attributable to problematic emotion regulation strategy patterns. We evaluated the emotion regulation strategies associated with the pathological personality traits in the Alternative Model of Personality Disorders (AMPD). A total of 504 participants completed measures of AMPD traits and strategy usage, which were analyzed using hierarchical regressions and latent profile analysis (LPA). Regression results demonstrated that each trait was associated with a unique strategy pattern:
Improving emotion regulation abilities, a process that requires learning, can enhance psychological well-being and mental health. Empirical evidence suggests that emotion regulation can be learned-during development and the lifespan, and most explicitly in psychotherapeutic interventions and experimental training paradigms. There is little work however that directly addresses such learning mechanisms. The present article proposes that learning in specific components of emotion regulation-emotion goals, emotional awareness, and strategy selection-may drive skill learning and long-term changes in regulatory behavior. Associative learning (classical and instrumental conditioning) and social learning (including observational, instructed, or interpersonal emotion regulation processes) are proposed to function as underlying mechanisms, while reinforcement-learning models may be useful for quantifying how these learning systems operate. A framework for how people learn emotion regulation will guide basic science investigations and impact clinical interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
The extended process model of emotion regulation (ER) posits that dynamic ER processes monitor and adjust the implementation of ER strategies over time. When an initial ER strategy is ineffective, monitoring processes allow one to flexibly switch to a new, possibly more effective strategy. The present study employed a novel experimental task to explore these dynamic ER processes. Sixty-eight adult female participants each completed 40 trials. In each trial, participants first were assigned to use either distraction or reappraisal for the either low- or high-intensity negative image presented. Then, they were presented with a choice between continuing to use the assigned strategy or switching strategies before viewing the negative image again. Results showed that the combinations of ER strategies and image intensities generated different affect states for the choice context. The magnitude of intermediate negative affect was positively associated with a greater probability of choosing to switch strategies. Finally, for higher intermediate negative affect, negative affect was lower after choosing to switch strategies. For lower intermediate negative affect, negative affect remained low regardless of continuing or switching strategies. These findings support the extended process model and contribute to a growing body of empirical support for dynamic models of ER.
Recent models suggest emotion generation, perception, and regulation rely on multiple, interacting large-scale brain networks. Despite the wealth of research in this field, the exact functional nature and different topological features of these neural networks remain elusive. Here, we addressed both using a well-established data-driven meta-analytic grouping approach. We applied k-means clustering to a large set of previously published experiments investigating emotion regulation (independent of strategy, goal and stimulus type) to segregate the results of these experiments into large-scale networks. To elucidate the functional nature of these distinct networks, we used functional decoding of metadata terms (i.e. task-level descriptions and behavioral domains). We identified four large-scale brain networks. The first two were related to regulation and functionally characterized by a stronger focus on response inhibition or executive control versus appraisal or language processing. In contrast, the second two networks were primarily related to emotion generation, appraisal, and physiological processes. We discuss how our findings corroborate and inform contemporary models of emotion regulation and thereby significantly add to the literature.
This study aimed to examine the psychometric properties of a widely-used measure of emotion regulation, the short version of the Cognitive Emotion Regulation Questionnaire (CERQ-short), in the Persian language (CERQ-P-short) among Iranian populations. The CERQ-P-short was administered to 1825 participants (female = 974) including 436 adolescents, 834 adults from the general population, 45 patients each with generalized anxiety and obsessive-compulsive disorders, an additional 30 patients each with generalized anxiety and obsessive-compulsive disorders receiving treatment, 45 patients with substance use disorders (SUDs) and an additional 360 adult psychiatric patients. We tested reliability, factor structure, measurement invariance, convergent and discriminant validity, and treatment sensitivity (i.e., intervention response) by age, sex, and diagnostic group. The Depression Anxiety Stress Scale-21 was also administered. Cronbach's alpha coefficient and test-retest coefficients suggested good reliability. Fit indices suggested that the 9-factor CERQ-P-Short model was good across groups. The CERQ-P-Short showed good measurement invariance in all four models (configural, metric, scalar, and strict) in all groups. Both adaptive and maladaptive cognitive emotion-regulation strategies demonstrated convergent and discriminant validity. Finally, treatment sensitivity of the CERQ-P-Short scale before and after the completion of treatment sessions was suggested for patients with generalized anxiety and obsessive-compulsive disorders. While the present study has some limitations, it represents a significant contribution because it supports CERQ-P-Short scales usefulness, validity, and reliability in the general population and among psychiatric patients. The results of the current study can be beneficial to the both clinicians and researchers.
The present study investigated the applicability of the Cognitive Emotion Regulation Questionnaire (CERQ) in the Chinese community elderly and explored the influence of cognitive emotion regulation strategies on late-life depression. A total of 367 community elderly aged 60-94 were deemed eligible and completed CERQ, the Perceived Stress Scale-10, the Geriatric Depression Questionnaire-15, and the State Anxiety Inventory. Confirmatory factor analysis was adopted to verify the 9-factor structure of CERQ. Cronbach's α coefficient, Ω coefficient and split-half reliability were used to test the internal consistency of CERQ. Pearson correlations among scores of CERQ and other scales were calculated to examine its convergent validity. In addition, a structural equation model was used to further examine the effect of cognitive emotion regulation strategies on the association between perceived stress and late-life depression. All the fitting indexes of CERQ's 9-factor model met the criterion ( With good reliability and factor validity, the CERQ showed good applicability in the Chinese elderly population. The influence of perceived stress on depression in the elderly was mediated by maladaptive emotion regulation strategies.
To examine the reliability,validity,and practicability of Cognitive Emotion Regulation Questionnaire (CERQ) in hypertensive patients in China. Altogether 434 hypertensive patients and 462 healthy subjects were recruited. All the subjects were assessed with the CERQ-Chinese version (CERQ-C), Dysfunctional Attitude Scale (DAS), Mood and Anxiety Symptom Questionnaire-Short Form (MASQ-SF), and Center for Epidemiologic Studies Depression Scale (CES-D). We calculated the mean inter-item correlations for the total CERQ and for each of the subscales. Cronbach's alpha coefficient was used to analyze the inter-correlation and reliability, and confirmatory factor analysis was used to examine the 9-factor model. 1) Hypertension group reported significantly higher score than that of healthy ones on rumination (12.19 ± 2.51 vs. 11.51 ± 2.60, P<0.001), catastrophizing(8.82 ± 2.19 vs.8.11 ± 2.70,P<0.001),and blaming others(10.76 ± 2.11 vs. 9.88 ± 2.48,P<0.001), and had significantly lower score than that of healthy ones on positive reappraisal(13.80 ± 3.55 vs.14.71 ± 4.11,P<0.001).2)Reliability:In the hypertension group the Cronbach's alpha for the total CERQ was 0.80, and that for the 9 subscales ranged from 0.71 (self-blame) to 0.90 (rumination). In the healthy group the Cronbach's alpha for the total CERQ was 0.79, and that for the 9 subscales ranged from 0.71 (positive reappraisal) to 0.90 (rumination). The mean inter-item correlation coefficient for the 9 subscales was 0.21-0.42(the hypertension group)/0.19-0.32 (the healthy group). In the hypertension group,the test-retest reliability of the total scale was 0.82, the test-retest reliability of the 9 subscales ranged from 0.73 to 0.92. The confirmatory factor analysis showed that the 9 first-order factor data fitted both 2 samples well. CERQ meets the psychometric standard and it is reliable and valid for cognitive emotion regulation strategies, which may be regarded as an appropriate assessment tool.
Adults with asthma who experience difficulties in emotion regulation are prone to developing psychopathological symptoms that may affect their self-management activities and symptom control. The current research investigated the role of psychological flexibility and cognitive emotion regulation strategies in relation to mental health outcomes (psychological distress and quality of life) among patients with asthma in Pakistan. A sample of 200 adults, diagnosed with asthma (32% men, 68% women; Results of Pearson product moment correlation showed that most of the adaptive cognitive emotion regulation strategies (positive refocusing, refocus on planning, and positive reappraisal) were positively correlated with psychological flexibility and quality of life, whereas negatively correlated with psychological distress. All the maladaptive strategies of cognitive emotion regulation had a significant inverse relationship with psychological flexibility and quality of life, while positively correlated with psychological distress. Results of serial mediation analysis through PROCESS MACRO showed that catastrophising and anxiety fully mediated the relationship between psychological flexibility and asthma-related quality of life. Evidence-based interventions should focus on developing psychological flexibility and identifying maladaptive patterns of cognitive emotion regulation strategies for improved mental health and quality of life outcomes for adults with asthma.
Based on findings indicating increased stress reactivity and prolonged stress recovery in individuals with bipolar disorder (BD), it has been proposed that emotion regulation (ER) deficits lie at the core of this disorder. Recent studies show an increased use of maladaptive ER strategies and a decreased use of adaptive ER strategies in BD. Whether this pattern is merely a correlate of affective episodes or might be a stable characteristic of BD, however, remains to be explored. In addition, it is unclear whether these deficits in ER are specific to people with a history of BD. We examined whether euthymic BD individuals differ from healthy controls (HC) and individuals with a history of Major Depressive Disorder (MDD) with respect to the cognitive ER strategies they habitually use (CERQ) in response to negative affect. The sample consisted of 42 bipolar patients, 43 patients with MDD and 39 HC. Compared to HC, euthymic BD and MDD individuals reported increased use of rumination, catastrophizing, and self-blame alongside decreased use of positive reappraisal, and putting into perspective. No differences were found between BD and MDD groups. These findings are based on self-reports reflecting the habitual use of ER-strategies. The use of more objective methods and the examination of the spontaneous use of ER-strategies in euthymic BD would be desirable. Deficits in the habitual use of ER strategies may characterize BD and MDD individuals even outside of an acute episode and thereby play a role in the recurrence of affective disorders.
The present study investigated the interactions between emotion regulation strategies and cognitive distortions in posttraumatic stress disorder (PTSD). We also examined differences in emotion regulation and cognitive distortions across the trauma spectrum. The study was conducted in France between December 2019 and August 2020 and was approved by the university ethics committee. We recruited 180 participants aged over 18, with 3 groups of 60 each: (1) patients diagnosed with PTSD, (2) trauma-exposed without PTSD, (3) no history of trauma. Exclusion criteria were a history of neurological or mental disorders, psychoactive substance abuse, and a history of physical injury that could affect outcomes. All participants completed the Life Events Checklist‑5 (LEC-5), Post-traumatic Check List‑5 (PCL-5), Dissociative Experiences Scale (DES), Cognitive Emotion Regulation Questionnaire (CERQ), and Cognitive Distortions scale for Adults (EDC-A). Correlation analysis was performed to observe the relationship between PTSD severity and cognitive functioning. Correlations between cognitive distortions and maladaptive emotion regulation strategies were calculated for the PTSD group. A moderation analysis of the whole sample was conducted to examine the relationship between cognitive distortions, emotion regulation strategies, and PTSD. Participants with PTSD scored significantly higher on the PCL‑5 and for dissociation than the other groups. PCL‑5 scores were positively correlated with maladaptive emotion regulation strategies and acceptance. They were also correlated with positive and negative dichotomous reasoning and negative minimization. Analysis of the PTSD group revealed correlations between maladaptive emotion regulation strategies and negative cognitive distortions. The moderation analysis revealed the cognitive distortions explaining the relationship between emotion regulation strategies and trauma exposure overall, and how they exacerbate emotional problems in PTSD. The study provides indications for management of PTSD patients. Inclusion of an intermediate group of individuals exposed to trauma without PTSD revealed differences in the observed alterations. It would be interesting to extend the cross-sectional observation design to study traumatic events that may cause a specific type of disorder. ZWECK: Die vorliegende Studie untersuchte die Wechselwirkungen zwischen Emotionsregulationsstrategien und kognitiven Verzerrungen bei posttraumatischer Belastungsstörung (PTSD). Außerdem wurden die Unterschiede in der Emotionsregulation und den kognitiven Verzerrungen innerhalb des Traumaspektrums untersucht. Die Studie wurde zwischen Dezember 2019 und August 2020 in Frankreich durchgeführt und von der Ethikkommission der Universität genehmigt. Es wurden 180 Teilnehmer im Alter von über 18 Jahren rekrutiert, die in 3 Gruppen zu je 60 Personen eingeteilt wurden: (1) Patienten mit diagnostizierter PTBS, (2) Traumaexponierte ohne PTBS, (3) ohne Traumaanamnese. Ausschlusskriterien waren neurologische oder psychische Störungen in der Anamnese, psychoaktiver Substanzmissbrauch und eine körperliche Verletzung in der Vorgeschichte, welche die Ergebnisse beeinflussen könnte. Alle Teilnehmenden füllten die Life Events Checklist‑5 (LEC-5), die Post-traumatic Check List‑5 (PCL-5), die Dissociative Experiences Scale (DES), den Cognitive Emotion Regulation Questionnaire (CERQ) und die Cognitive Distortions Scale for Adults (EDC-A) aus. Eine Korrelationsanalyse wurde durchgeführt, um die Beziehung zwischen dem Schweregrad der PTBS und den kognitiven Funktionen zu untersuchen. Die Korrelationen zwischen kognitiven Verzerrungen und maladaptiven Emotionsregulationsstrategien wurden für die PTBS-Gruppe berechnet. Eine Moderationsanalyse der gesamten Stichprobe wurde durchgeführt, um die Beziehung zwischen kognitiven Verzerrungen, Emotionsregulationsstrategien und PTBS zu untersuchen. Teilnehmende mit PTBS erzielten signifikant höhere Werte in der PCL‑5 und für Dissoziation als die anderen Gruppen. Die PCL-5-Werte waren positiv mit maladaptiven Emotionsregulationsstrategien und Akzeptanz korreliert. Sie korrelierten auch mit positivem und negativem dichotomem Denken und negativer Minimierung. Die Analyse der PTBS-Gruppe ergab Korrelationen zwischen maladaptiven Emotionsregulationsstrategien und negativen kognitiven Verzerrungen. Die Moderationsanalyse zeigte, dass die kognitiven Verzerrungen die Beziehung zwischen den Emotionsregulationsstrategien und der Traumaexposition insgesamt erklären und wie sie die emotionalen Probleme bei PTBS verschlimmern. Die Studie liefert Hinweise für das Management von PTBS-Patienten. Die Einbeziehung einer Zwischengruppe von Personen, die einem Trauma ausgesetzt waren, ohne an einer PTBS zu leiden, ergab Unterschiede bei den beobachteten Veränderungen. Es wäre interessant, das Design der Querschnittsbeobachtung zu erweitern, um traumatische Ereignisse zu untersuchen, die möglicherweise eine bestimmte Art von Störung verursachen.
Introduction: Burnout is a group of mental, emotional, and physical symptoms that occur as a result of chronic stress and emotional strain. The literature on burnout is extensive, and external and intrapsychic causal factors became a popular area of research. Despite the growing number of studies, the relationship between cognitive emotion regulation and burnout among individuals having helping professions, primarily physicians, is an area of little research. Only a few studies address this topic, which showed that there is a positive interaction between maladaptive techniques of cognitive emotion regulation and burnout. Objective: Our aim is to explore which factors of cognitive emotion regulation are associated with burnout. Method: We performed a quantitative cross-sectional study using an online questionnaire method, with the participation of Hungarian physicians operating for at least one year in their profession. The Cognitive Emotion Regulation Questionnaire (CERQ) was used to measure cognitive emotion regulation, and the Maslach Burnout Inventory (MBI) was used to examine burnout. Pearson correlation as well as multiple linear regression analysis were used. Results: Catastrophizing (β = 0.351; p<0,001), rumination (β = 0.191; p = 0.037) and positive refocusing (β = –0.23; p = 0.009) significantly predict a higher level of emotional exhaustion, reverse relationship with positive refocusing. Self-blame (β = 0.263; p = 0.002) and positive refocusing (β = –0.406; p<0.001) significantly predict a lower level of personal effectiveness, reverse relationship with positive refocusing. Self-blame (β = 0.41; p<0.001), blaming others (β = 0.282; p = 0.001) and planning (β = –0.307; p<0.001) significantly predict a higher level of depersonalization, reverse relationship with planning. Burnout factors have a positive relationship with maladaptive cognitive emotion regulation methods, and they show a significantly negative relationship with adaptive emotion regulation techniques. Conclusion: Our study has important practical significance, drawing attention to the fact that it is essential to take these intrapsychic factors into account in the prevention and treatment of burnout, and to emphasize the development of adaptive cognitive emotion regulation in a profession where emotional stress is increased in everyday work. Orv Hetil. 2022; 163(8): 319–327. Bevezetés: A kiégés olyan mentális, érzelmi és fizikai tünetcsoport, amely krónikus stressz, érzelmi megterhelés hatására lép fel. A kiégés szakirodalma széles, a külső és az intrapszichés oki tényezők népszerű kutatási területté váltak. A növekvő számú vizsgálatok ellenére a segítő foglalkozásúakat – elsősorban orvosokat – tekintve a kognitív érzelemszabályozás és a kiégés közötti összefüggés kevéssé kutatott terület. Csupán néhány vizsgálat foglalkozik ezen témakörrel, amelyek azt mutatták, hogy a kognitív érzelemreguláció maladaptív technikái és a kiégés között pozitív irányú együttjárás van. Célkitűzés: Célunk annak feltárása, hogy a kiégés a kognitív érzelemreguláció mely tényezőivel mutat összefüggést. Módszer: Kvantitatív keresztmetszeti vizsgálatot végeztünk online kérdőíves módszerrel, szakmájukban minimum egy éve tevékenykedő magyar orvosok (N = 108) részvételével. A kognitív érzelemszabályozás mérésére a Kognitív Érzelemreguláció Kérdőívet (CERQ), a kiégés vizsgálatára pedig a Maslach Kiégés Leltárt (MBI) alkalmaztuk. Pearson-féle korrelációt, valamint többszörös lineáris regressziós elemzést használtunk. Eredmények: A katasztrofizálás (β = 0,351; p<0,001), a rumináció (β = 0,191; p = 0,037) és a pozitív átértékelés (β = –0,23; p = 0,009) szignifikánsan jelzi előre az érzelmi kimerülés magasabb szintjét, a pozitív átértékelés fordított irányban. Az önvád (β = 0,263; p = 0,002) és a pozitív átértékelés (β = –0,406; p<0,001) szignifikánsan jelzi előre a kiégés személyeshatékonyság-csökkenésének magasabb szintjét, a pozitív átértékelés fordított irányban. Az önvád (β = 0,41; p<0,001), mások hibáztatása (β = 0,282; p = 0,001) és a tervezés (β = –0,307; p<0,001) szignifikánsan jelzi előre a deperszonalizáció magasabb szintjét, a tervezés fordított irányban. A kiégés faktorai a maladaptív kognitív érzelemregulációs módszerekkel pozitív irányú kapcsolatot, az adaptív érzelemszabályozási technikákkal negatív irányú szignifikáns összefüggést mutatnak. Következtetés: Kutatásunk fontos gyakorlati jelentőséggel bír: felhívja a figyelmet arra, hogy a kiégés megelőzésénél, kezelésénél nélkülözhetetlen figyelembe venni ezen intrapszichés tényezőket és hangsúlyt helyezni az adaptív kognitív érzelemszabályozás fejlesztésére egy olyan szakmát tekintve, ahol az érzelmi megterhelés fokozott a mindennapos munkában. Orv Hetil. 2022; 163(8): 319–327.
The Cognitive Emotion Regulation Questionnaire (CERQ) is an instrument developed to assess the cognitive strategies of emotional regulation used by people after experiencing a negative event. The present study aimed to validate the Spanish version of the CERQ in students of the University of Granada (Spain) during the Covid-19 homebound. An online scale was developed and applied based on the Spanish version of the CERQ-S36, consisting of 36 items structured around nine cognitive strategies. Using a mixed sampling, the scale was applied to 450 students from different degree programmes. Regarding the psychometric results of the scale, firstly, in relation to reliability as internal consistency, we found that the scale applied to University students in a Covid-19 setting is highly stable. Secondly, in reference to concurrent criterion validity, we can conclude that the items individually measure the same as the total scale (taken as internal criterion), and thirdly and finally, in relation to construct validation, the two factor analyses implemented, one exploratory and the other confirmatory in nature, conform a factor structure of latent dimensions identical to the original one. In conclusion, the results obtained as a whole suggest that the CERQ-S36 scale could be useful for assessing cognitive coping in University populations in times of crisis. In situations such as the current global emergency due to the presence of Covid-19, the scale is useful for understanding emotional regulation strategies. More studies should be carried out with this scale to find out how emotions influence and what consequences they have on the health and psychological functioning of University students in times of social crisis.
Prisoners are exposed to a deprived environment, which triggers mental illness and psychological problems. Abundant research has reported that mental illness problems, suicide, aggression, and violent behaviors occur in incarcerated people. Although the mental healthcare system for incarcerated people is emphasized, little research has been conducted due to their limited environment. In particular, the regulation of negative emotion is significantly associated with mental illness and anti-social and violent behaviors. However, mental healthcare through cognitive emotional regulation based on cognitive behavioral therapy has not been fully investigated. This study identified four different patterns in cognitive strategies for regulating negative emotions. Cognitive emotional regulation strategies (i.e., self-blame, other-blame, rumination, catastrophizing, putting into perspective, positive refocusing, positive reappraisal, acceptance, and refocus on planning) were examined and addressed their vulnerable psychological factors. We analyzed a total of 500 prisoners' responses to the cognitive emotional regulation questionnaire (CERQ) by latent class profiling analysis. A four-class model was identified based on the responses of CERQ. In addition, the significant effect of depression on classifying the four classes was found. Furthermore, differences in the average number of incarcerations were also shown across four classes. In conclusion, Class 2 (
The cognitive regulation of emotions is a fundamental variable in socio-affective functioning, being an essential skill in childhood due to its relationship with multiple areas of social functioning. Although there is a version that allows evaluating this construct (CERQ-k), translated and adapted for Argentine children, the structural model found does not fully coincide with the model proposed by the authors of the original version of CERQ. To test, through Confirmatory Factor Analysis (CFA), the model obtained in the adapted version and compare it with that of the original version of the instrument. From a non-probabilistic sample, 761 children between the ages of 9 and 12, from the provinces of Entre Ríos and Córdoba, participated in the study. Descriptive analyzes of the items, CFA, and reliability analysis were carried out. The CFA indicated an adequate fit in both models, although the second-order model proved to be more parsimonious and with satisfactory fit and error indices. The CERQ-k version adapted to Argentina, whose structure has been confirmed in this study, allows a valid and reliable measure of the construct to evaluate the cognitive regulation of emotion in children aged 9 to 12 years. La regulación cognitiva de las emociones es una variable fundamental en el funcionamiento socioafectivo, siendo una habilidad esencial en la infancia por su relación con múltiples áreas del funcionamiento social. Si bien existe una versión que permite evaluar este constructo (CERQ-k), traducida y adaptada para niños argentinos, el modelo estructural encontrado no coincide plenamente con el modelo propuesto por los autores de la versión original del CERQ. Poner a prueba, a través de Análisis Factorial Confirmatorio (AFC), el modelo obtenido en la versión adaptada y compararlo con el de la versión original del instrumento. A partir de una muestra no probabilística, 761 niños de 9 a 12 años, de las provincias de Entre Ríos y Córdoba, participaron del estudio. Se realizaron análisis descriptivos de los ítems, AFC y análisis de fiabilidad. El AFC indicó un ajuste adecuado en ambos modelos, aunque el de segundo orden demostró ser más parsimonioso y con índices de ajuste y error satisfactorios. La versión CERQ-k adaptada a Argentina, cuya estructura ha sido confirmada en este estudio, permite una medida válida y confiable del constructo para evaluar la regulación cognitiva de la emoción en niños de 9 a 12 años.
This study aimed to determine the effects of cognitive emotion regulation strategies on depressive symptoms in women with breast cancer. Five hundred and nine women with breast cancer completed a demographic survey, the Chinese version of Cognitive Emotion Regulation Questionnaire (CERQ-C), and the Center for Epidemiological Studies Depression Scale (CES-D) at the initial assessment (T1). One month later (T2), 504 patients completed the CES-D. Patients were assigned to four groups: H-H (CES-D scores ≥16 at both timepoints), H-L (CES-D score ≥16 at T1, <16 at T2), L-H (CES-D score <16 at T1, ≥16 at T2) and L-L (CES-D scores <16 at both timepoints). Over 80% patients had mild or no depressive symptoms at both timepoints. There were significant group differences in cognitive emotion regulation strategies. CERQ-C subscale scores for adaptive strategies were higher, and scores for maladaptive strategies were lower among patients in L-L and H-L groups than among those in H-H group. Hierarchical regression analyses showed that cognitive emotion regulation strategies at T1 differentiated depressive symptoms at T2, accounting for 56.5% of variance after controlling for sociodemographic and biological variables and baseline levels of depression. Greater acceptance, positive refocusing, and positive reappraisal at T1 were associated with fewer depressive symptoms at T2. Cognitive emotion regulation strategies accounted for considerable variance in depressive symptom scores 1 month later. The strategies of acceptance, positive refocusing, and positive reappraisal may be beneficial for women with breast cancer. Intervention studies are needed to confirm if these associations are causal.
The Cognitive Emotion Regulation Questionnaire (CERQ) is an instrument that assesses nine cognitive strategies to cope with negative situations. The aim of this study was to validate the CERQ for a sample of Spanish adolescents, to analyse reliability and validity, and to examine the factor structure by confirmatory factor analysis. The Spanish version of CERQ (CERQ-S) and other scales (gratitude, emotional intelligence, satisfaction with life, depression, anxiety and stress) were completed by 835 adolescents aged 14-18 (455 girls) from the South of Spain. The results showed that the CERQ-S in adolescents (CERQ-SA) has appropriate psychometric properties with indexes of reliability a = .89 and w = .96, and the original nine-factor structure was confirmed. There was also significant correlation between the CERQ-SA and the other scales, showing evidence of convergent validity. The results suggest that the CERQ-SA could be useful for appraising cognitive coping in adolescents. This will help to expand the study and understanding of these strategies, their influence and their consequences for adolescents' psychological functioning and health.
The purpose of this study was to investigate cognitive emotion regulation in adolescents with chronic illness and their parents. Eighty-five young people (mean = 15.86 years, standard deviation = ± 1.42, girls 65.88%) with chronic illnesses (inflammatory bowel disease n = 40 or type 1 diabetes n = 45), and their parents (mean = 46.06 years, 87.06% mother) completed the Cognitive Emotion Regulation Questionnaire (CERQ) for themselves and the Inventory of Quality of Life in Children and Adolescents (ILC) questionnaire adolescent and parent version. We conducted two hierarchical linear regression analyses with "enter" method. The CERQ scales and the diagnosis of chronic disease were chosen as independent variables, and the total ILC score in the first analysis and the ILC proxy score in the second analysis were chosen as dependent variables. Among adolescents, cognitive emotion regulation strategies such as self-blame, positive reappraisal, and catastrophizing have been proven to be predictors of their own quality of life; however, parental self-blame was also found to be a predictor of adolescents' quality of life. Parental rumination and positive refocusing have been shown to be predictors of how parents rate their child's quality of life. The present study sheds light on cognitive emotion regulation strategies in adolescents with chronic illness and their parents that have a significant impact on the development of young people's quality of life.
The Cognitive Emotion Regulation Questionnaire (CERQ) was developed to measure nine cognitive strategies referring to what someone thinks after the experience of threatening or stressful events. The main purpose of this study was to evaluate the validity of the Brazilian version of the CERQ. The adaptation process included translation, backtranslation, expert committee evaluation, and test on 30 participants from the target population. A sample of 445 university students completed the Portuguese version of the CERQ, a sociodemographic questionnaire, the Life Events Checklist (LEC-5), and the Positive and Negative Affect Schedule (PANAS) on an on-line research platform. Validity was assessed through confirmatory factor analysis of two models - a nine-factor model and a second-order model. Internal consistency was assessed through Cronbach's alpha analysis and correlations with affective variables measured by the PANAS. The analyses showed that the nine-factor model of the CERQ has good factorial validity and high reliability, with Cronbach's alpha values ranging between 0.71 and 0.88. The second-order model did not have a good fit to the data. The results obtained in this study are similar to the ones found previously, indicating that the Brazilian version of the CERQ is a valid and reliable tool for assessing cognitive emotion regulation strategies, but that grouping them according to their adaptability is not recommended.
The Cognitive Emotion Regulation Questionnaire for children (CERQ-k) is a useful clinical and research tool to identify cognitive patterns of emotion regulation that predict the presence of emotional symptomatology. This study aimed to validate the Spanish version of the CERQ-k (the CERQ-Sk) using a sample of children from Spain, which is not available. The sample consisted of 582 children (48.6% girls) aged between 7 and 12 years (Mage = 9.49; SD = 1.2) recruited from Alicante, Spain. Cognitive emotion regulation strategies, anxiety and depressive symptomatology were self-reported evaluated. Factor structure, internal consistency, temporal stability with the Spanish version for children were examined. Convergent validity was evaluated using Spearman correlations to examine the relationships between the CERQ-k and measures of anxiety (trait anxiety subscale of STAI-C) and depression (CDI). The Spanish version of CERQ-Sk had the same nine factors proposed in the original version. Ordinal alpha of the total scale was excellent (.88), and moderate indexes were found for each subscale (.56 to .75). The 8-week test-retest coefficient was adequate for the total scale (ICC = .74) and moderate for the subscales (.54 to .70). Evidence of convergent validity was provided through correlations with the CDI (depression) and trait anxiety subscale of the STAI-C (anxiety). Cognitive strategies such as Rumination, self-blame, catastrophizing, and other-blame were significantly and positively related to depressive and anxiety symptoms. Moreover, positive refocusing and planning seemed to act as strategies that have a positive effect on the prevention of depression in children. Results suggest that the CERQ-Sk is a reliable and valid tool that can be useful for researchers and clinicians to identify maladaptive cognitive emotion regulation patterns that may increase the risk of emotional problems, and orient treatment and prevention of mental health problems in children from Spanish-speaking countries.
We are frequently challenged with situations requiring the control of our emotions, often under substantial time-pressure and rapidly changing contextual demands. Coping with those demands requires the ability to flexibly and rapidly switch between different emotional control strategies. However, this ability has been largely neglected by current neurocognitive models on emotional control. Drawing on the decision-making literature, we propose that rapid switching between alternative emotional control strategies requires the concurrent evaluation of unchosen (counterfactual) options. This model explains how an individual can adaptively change emotional control behavior to meet contextual demands and shifting goals. We propose that the neural implementation of this emotional control mechanism relies on the anterior prefrontal cortex (aPFC/lateral frontal pole), given its known role in monitoring alternative options during cognitive decision-making tasks. We reappraise meta-analytic evidence showing consistent aPFC involvement during emotional control when monitoring of alternative emotional control strategies is required, and when alternative emotional actions have high value. We conclude with emphasizing the clinical and evolutionary implications of this new framework on emotional control.
Difficulties in emotion regulation, particularly in using adaptive regulation strategies such as cognitive reappraisal, are a commonly observed correlate of paranoia. While it has been suggested that poor implementation of cognitive reappraisal in dealing with aversive events precedes the onset of subclinical paranoid thinking, there is little empirical research on neural activation patterns during cognitive reappraisal efforts that might indicate vulnerability towards paranoid thinking. Prefrontal EEG alpha asymmetry changes were recorded while n = 57 participants were generating alternative appraisals of anger-eliciting events, and were linked to a behavioral measure of basic cognitive reappraisal capacity and self-reported paranoia proneness (assessed by personality facets of hostility and suspiciousness; Personality Inventory for DSM-5). Mediation analysis revealed that less left-lateralized activation at ventrolateral prefrontal sites during reappraisal efforts predicted a higher degree of paranoia proneness. This relationship was mediated through poorer cognitive reappraisal capacity. Matching previous evidence, findings suggest that inappropriate brain activation during reappraisal efforts impairs individuals' capacity to come up with effective alternative interpretations for anger-evoking situations, which may accentuate personality features related to increased paranoid thinking. The findings add to our understanding of neurally underpinned impairments in the capacity to generate cognitive reappraisals and their link to maladaptive personality and behavior.
Memory control (MC) ability is critical for people's mental and physical health. Previous research had conceptually demonstrated that MC ability has close relationship with reappraisal. However, experimental evidence supporting the relationship was limited. Thus, in the present study, we investigated how MC and reappraisal are linked, both in behavior and in the brain. The habitual use of reappraisal was assessed by Emotion Regulation Questionnaire, and memory control ability was measured through directed forgetting task. Resting-state functional magnetic resonance imaging was used to test the seed-based functional connectivity in 181 healthy subjects. Behavioral results revealed that more frequent reappraisal was associated with an enhanced ability to control negative memories. Resting-state seed-based functional connectivity showed that habitual use of reappraisal was positively related to the strength of functional connectivity between the right ventrolateral prefrontal cortex (VLPFC) and right insula. Most importantly, this functional connectivity mediated the effect of habitual use of reappraisal on control over negative memories. Present results mainly showed the habitual use of reappraisal was related with MC ability in negative items. Future study could further explore the relationship between MC ability of different categories of negative emotional memories and other kinds of ER strategies. Our results support the notion that reappraisal provides opportunities for individuals to practice and enhance inhibitory control-a relationship underpinned by connectivity between the right VLPFC and right insula.
Chronic pain patients often report higher levels of negative emotions, suggesting reduced ability to regulate emotions effectively, however, little is known of the underlying neural cognitive mechanisms. Therefore, the aim of this study was to explore brain activity and connectivity during cognitive reappraisal in chronic low back pain (CLBP). This study recruited 24 female participants; 12 with CLBP and 12 healthy controls. Participants completed an emotion regulation task that involved cognitive reappraisal of negative images during functional magnetic resonance imaging. The negative affect following each image and perceived success of the task were reported. Region of interest and seed-to-voxel analyses were conducted using key regions involved in cognitive reappraisal (i.e., amygdalae and dorsomedial prefrontal cortex) as seed regions. During the task, there were no group differences in the behavioural measures and blood oxygen level-dependent (BOLD) brain activation in the seed regions. Functional connectivity analysis showed reduced coupling between the amygdalae and dorsolateral prefrontal cortex, orbitofrontal cortex and inferior parietal cortex in the CLBP group compared to controls. Connectivity between the amygdala and inferior parietal cortex positively correlated with the percent of reduced negative affect during reappraisal in the CLBP group. These preliminary findings demonstrate that individuals with CLBP exhibit similar emotion regulation abilities to healthy controls at the behavioural and BOLD level. However, altered functional connectivity observed in the CLBP group may reduce effective cognitive reappraisal. These results provide evidence for the potential clinical impact of network changes in CLBP.
Several studies have reported reduced cerebral gray matter (GM) volume or density in chronic pain conditions, but there is limited research on the plasticity of the human cortex in response to psychological interventions. We investigated GM changes after cognitive-behavioral therapy (CBT) in patients with chronic pain. We used voxel-based morphometry to compare anatomic magnetic resonance imaging scans of 13 patients with mixed chronic pain types before and after an 11-week CBT treatment and to 13 healthy control participants. CBT led to significant improvements in clinical measures. Patients did not differ from healthy controls in GM anywhere in the brain. After treatment, patients had increased GM in the bilateral dorsolateral prefrontal, posterior parietal, subgenual anterior cingulate/orbitofrontal, and sensorimotor cortices, as well as hippocampus, and reduced GM in supplementary motor area. In most of these areas showing GM increases, GM became significantly higher than in controls. Decreased pain catastrophizing was associated with increased GM in the left dorsolateral prefrontal and ventrolateral prefrontal cortices, right posterior parietal cortex, somatosensory cortex, and pregenual anterior cingulate cortex. Although future studies with additional control groups will be needed to determine the specific roles of CBT on GM and brain function, we propose that increased GM in the prefrontal and posterior parietal cortices reflects greater top-down control over pain and cognitive reappraisal of pain, and that changes in somatosensory cortices reflect alterations in the perception of noxious signals. An 11-week CBT intervention for coping with chronic pain resulted in increased GM volume in prefrontal and somatosensory brain regions, as well as increased dorsolateral prefrontal volume associated with reduced pain catastrophizing. These results add to mounting evidence that CBT can be a valuable treatment option for chronic pain.
Difficulty reappraising drives to consume palatable foods may promote poorer inhibition and binge eating (BE) in adults with obesity, but neural underpinnings of food-related reappraisal are underexamined. To examine neural correlates of food-related reappraisal, adults with obesity with and without BE wore a portable neuroimaging tool, functional near-infrared spectroscopy (fNIRS). fNIRS measured activity in the prefrontal cortex while participants watched videos of food and attempt to "resist" the food stimuli (i.e., "consider the negative consequences of eating the food"). Participants (N = 32, 62.5% female; BMI 38.6 [Formula: see text] 7.1; 43.5 [Formula: see text] 13.4 y) had a BMI > 30 kg/m Among adults with obesity, BE status was not linked to differential activation in inhibitory prefrontal cortex areas during a food-related reappraisal task. Future research is needed with larger samples, adults without obesity, and inhibition paradigms with both behavioral and cognitive components. Level III: Evidence obtained from well-designed cohort or case-control analytic studies. # NCT03113669, date April 13, 2017.
Inefficient mechanisms of emotional regulation appear essential in understanding the development and maintenance of binge-eating disorder (BED). Previous research focused mainly on a very limited emotion regulation strategies in BED, such as rumination, suppression, and positive reappraisal. Therefore, the aim of the study was to assess a wider range of emotional regulation strategies (i.e. acceptance, refocusing on planning, positive refocusing, positive reappraisal, putting into perspective, self-blame, other-blame, rumination, and catastrophizing), as well as associations between those strategies and binge-eating-related beliefs (negative, positive, and permissive), and clinical variables (eating disorders symptoms, both anxiety, depressive symptoms, and alexithymia). Women diagnosed with BED (n = 35) according to the DSM-5 criteria and healthy women (n = 41) aged 22-60 years were assessed using: the Eating Attitudes Test-26, the Eating Beliefs Questionnaire-18, the Hospital Anxiety and Depression Scale, the Toronto Alexithymia Scale-20, the Cognitive Emotion Regulation Questionnaire, and the Difficulties in Emotion Regulation Scale. Statistical analyses included: Student t - tests or Mann-Whitney U tests for testing group differences between BED and HC group, and Pearson's r coefficient or Spearman's rho for exploring associations between the emotion regulation difficulties and strategies, and clinical variables and binge-eating-related beliefs in both groups. The BED group presented with a significantly higher level of emotion regulation difficulties such as: nonacceptance of emotional responses, lack of emotional clarity, difficulties engaging in goal-directed behavior, impulse control difficulties, and limited access to emotion regulation strategies compared to the healthy controls. Moreover, patients with BED were significantly more likely to use maladaptive strategies (rumination and self-blame) and less likely to use adaptive strategies (positive refocusing and putting into perspective). In the clinical group, various difficulties in emotion regulation difficulties occurred to be positively correlated with the level of alexithymia, and anxiety and depressive symptoms. Regarding emotion regulation strategies, self-blame and catastrophizing were positively related to anxiety symptoms, but solely catastrophizing was related to the severity of eating disorder psychopathology. Our results indicate an essential and still insufficiently understood role of emotional dysregulation in BED. An especially important construct in this context seems to be alexithymia, which was strongly related to the majority of emotion regulation difficulties. Therefore, it might be beneficial to pay special attention to this construct when planning therapeutic interventions, as well as to the maladaptive emotion regulation strategies self-blame and catastrophizing, which were significantly related to BED psychopathology.
A considerable number of adolescents exhibit severe self-regulation deficits in affect and behavior, which are referred to as affective dysregulation (AD). AD may be conceptualized as a dimensional trait that, in its extreme form, resembles the diagnostic categories of severe mood dysregulation (SMD) or disruptive mood dysregulation disorder (DMDD). Assuming a shared pathway of psychopathology in AD and SMD, similar underlying dysfunctional mechanisms in emotion processing, particularly emotion recognition (RECOG) and regulation (REGUL), may be postulated. Adolescent inpatients with AD (CAD, N = 35), without AD (CCG, N = 28), and nonclinical controls (NCG; N = 28) were administered a morphed facial recognition task (RECOG). REGUL abilities, levels of irritability as well as depressive symptoms were also assessed. We found no significant group differences in accuracy and thresholds for RECOG abilities. Patients with AD reported more dysfunctional REGUL strategies than did CCG and NCG. Both depression and AD, but not irritability, influenced the overall degree of maladaptive REGUL. The broad phenotype of AD does not involve the deficits in RECOG reported for adolescents with a narrow phenotype (SMD); regarding REGUL strategies, AD seems to be associated with specific impairments.
Childhood maltreatment is a major risk factor for psychopathology, and increasing evidence suggests that emotion regulation is one of the underlying mechanisms. However, most of this evidence comes from single assessments of habitual emotion regulation, which may not overlap with spontaneous emotion regulation in daily life and which fail to account for within-individual variability in emotion regulation across multiple contexts. In the present study, we investigated the relation between history of childhood maltreatment, positive and negative affect, and multiple dimensions of spontaneous emotion regulation (strategy use, emotion regulation goals, emotion regulation success and effort) in everyday life, using experience sampling method (3 assessments/day, for 10 consecutive days), in a sample of healthy volunteers (N = 118). Multilevel modeling results indicated that childhood maltreatment was associated with lower positive affect and higher negative affect. Childhood maltreatment was also related to lower use of reappraisal and savoring (but not suppression, rumination and distraction), reduced emotion regulation success (but not effort), as well as lower levels of and higher within-individual variability of hedonic (but not instrumental) emotion regulation goals. These results provide ecological evidence for multiple differences in emotion regulation in individuals with a history of childhood maltreatment.
Previous research has identified maladaptive emotion regulation as a key factor in psychopathology. Thus, addressing emotion regulation via scalable, low-threshold digital interventions - such as smartphone-based Cognitive Bias Modification (CBM) - holds important therapeutic potential. Using a randomized-controlled crossover trial, we tested the efficacy of an integrated CBM module within the Affect Regulation Training (ART, i.e., CBM-ART) that targeted emotion regulation through elements of appraisal-based and approach avoidance training. Undergraduate students reporting elevated stress were randomized to a one-week active intervention (
Theoretical conceptualizations of emotion and affect regulation have a considerable common ground. However, mentalization theory considers the ability to regulate affects as being contingent on the ability to mentalize. The aim of the present study is to examine the association between emotion regulation and mentalization, operationalized as reflective functioning, in a sample of patients with depression and/or anxiety. The study used data from the TRAns-diagnostic Cognitive behavioural Therapy versus standard cognitive behavioural therapy (TRACT-RCT) trial. Patients with depression and/or anxiety (N = 291; 64.4% female; M Overall, the patients had a reduced level of emotion regulation (M In patients with anxiety and/or depression, hypomentalization as measured by the RFQ-6 is not a major problem, but emotion regulation is. It seems that these two, theoretically related constructs, do not necessarily co-occur. Alternatively, the RFQ-6 scale might not capture the mentalization construct in a valid way. Emotion regulation strategies are highly related to symptomatology; therefore, they are likely to be an important target for psychotherapy.
Pain is a primary symptom driving patients to seek physical therapy, and its attenuation commonly defines a successful outcome. A large body of evidence is dedicated to elucidating the relationship between chronic stress and pain; however, stress is rarely addressed in pain rehabilitation. A physiologic stress response may be evoked by fear or perceived threat to safety, status, or well-being and elicits the secretion of sympathetic catecholamines (epinephrine and norepinepherine) and neuroendocrine hormones (cortisol) to promote survival and motivate success. Cortisol is a potent anti-inflammatory that functions to mobilize glucose reserves for energy and modulate inflammation. Cortisol also may facilitate the consolidation of fear-based memories for future survival and avoidance of danger. Although short-term stress may be adaptive, maladaptive responses (eg, magnification, rumination, helplessness) to pain or non-pain-related stressors may intensify cortisol secretion and condition a sensitized physiologic stress response that is readily recruited. Ultimately, a prolonged or exaggerated stress response may perpetuate cortisol dysfunction, widespread inflammation, and pain. Stress may be unavoidable in life, and challenges are inherent to success; however, humans have the capability to modify what they perceive as stressful and how they respond to it. Exaggerated psychological responses (eg, catastrophizing) following maladaptive cognitive appraisals of potential stressors as threatening may exacerbate cortisol secretion and facilitate the consolidation of fear-based memories of pain or non-pain-related stressors; however, coping, cognitive reappraisal, or confrontation of stressors may minimize cortisol secretion and prevent chronic, recurrent pain. Given the parallel mechanisms underlying the physiologic effects of a maladaptive response to pain and non-pain-related stressors, physical therapists should consider screening for non-pain-related stress to facilitate treatment, prevent chronic disability, and improve quality of life.
There is limited research investigating the mechanisms underlying the lower rate of posttraumatic stress disorder (PTSD) in older compared to younger adults. This study examined age differences in peritraumatic and posttraumatic reactions, and the use of two emotion regulation strategies (rumination and positive reappraisal) using a trauma film induction paradigm. Participants (45 older adults and 45 younger adults) watched a trauma film. Eye gaze, Galvanic Skin Response, peritraumatic distress, and emotion regulation were assessed during the film. Participants completed an intrusive memory diary over the next 7 days and follow-up measures of posttraumatic symptoms and emotion regulation. Findings showed no age differences in peritraumatic distress or use of rumination or positive reappraisal during film viewing. Older adults reported lower posttraumatic stress and distress from intrusive memories than younger adults at the 1-week follow-up, despite experiencing a comparable number of intrusions. Rumination was a unique predictor of intrusive and hyperarousal symptoms, after accounting for age. There were no age differences in the use of positive appraisal, and positive reappraisal was not associated with posttraumatic stress. Lower rates of late-life PTSD may relate to decreased use of maladaptive emotion regulation (i.e., rumination), rather than increased use of adaptive emotion regulation strategies (i.e., positive reappraisal). (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Emotional suppression and cognitive reappraisal are emotion regulation strategies that have been linked to the severity of depression. Recent research has shown that greater ruminative inertia (i.e., rumination that is more resistant to change across time) is also associated with higher levels of depressive symptoms in clinical samples. However, it is unknown how tendencies to use suppression or reappraisal might be related to the inertia of rumination from day to day. After completing a baseline assessment of depressive symptoms and trait emotional suppression and cognitive reappraisal use, undergraduates (n = 94) completed daily-diary questionnaires assessing rumination for two weeks. Both higher depressive symptoms and greater tendencies to use suppression predicted stronger ruminative inertia, while tendencies to use reappraisal were unrelated to ruminative inertia. These results suggest that maladaptive emotion regulation strategies may contribute to a pattern of rumination that is more resistant to change over time. They also provide the first evidence that ruminative inertia is positively associated with depressive symptoms in a nonclinical sample.
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.
Emotion regulation as a proximal factor has been linked with depressive symptoms. However, studies have mainly focused on a limited number of strategies and have mostly been cross-sectional in design. This is particularly evident when examining the protective effects of adaptive strategies. This study aimed to investigate the prospective relationship between putatively adaptive and maladaptive emotion regulation strategies and depressive symptoms among adolescents. Additionally, a person-oriented approach was applied to identify latent classes of adolescents based on their depressive symptoms and compared these classes in terms of their adaptive and maladaptive strategies. Two waves of data from a prospective study, which included 1371 youth (mean age: 15.66 years; SD = 0.49 years; 55.1% girls), were analysed. The two points of data collection were spaced approximately half a year apart. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale, and putatively adaptive and maladaptive emotion regulation strategies were assessed with the Cognitive Emotion Regulation Questionnaire. Seven strategies (acceptance, positive refocusing, positive reappraisal, putting into perspective, self-blame, rumination, and catastrophizing) were categorised into adaptive and maladaptive factors using exploratory structural equation modeling. After controlling for gender, age, and depressive symptoms at Time 1, both maladaptive and adaptive emotion regulation strategies at Time 1 predicted depressive symptoms at Time 2. Three subgroups emerged based on the intensity of depressive symptoms across the waves: the stable low, stable moderate, and stable high depressive symptom groups. The use of maladaptive emotion regulation strategies (such as rumination, self-blame, and catastrophizing) at Time 1 was more pronounced in the stable moderate and high symptom groups compared to the stable low depressive symptom group. The comparable prospective associations between putatively adaptive and maladaptive strategies with symptoms suggest the need to identify factors that may mitigate the negative impact of maladaptive emotion regulation and/or promote adaptive emotion regulation to buffer the effects of everyday stressors.
Emotional disorders are highly prevalent in primary care. Transdiagnostic cognitive behavior therapy (TD-CBT) is a promising treatment of emotional disorders. In this study, we evaluated several emotion regulation strategies as potential mediators of treatment outcomes in a clinical sample of primary care. A total of 1061 primary care patients were included in a randomized clinical trial comparing treatment-as-usual (TAU) to TD-CBT+TAU. Of these, 631 (TAU=316; TD-CBT+TAU=315) completed the full treatment and all pre- and post-treatment scales to assess symptoms (anxiety, depression, somatization), emotion regulation strategies (worry, rumination, negative metacognition, suppression, cognitive reappraisal), overall functioning, and quality of life (QoL). Treatment and direct effects showed that TD-CBT+TAU was superior to TAU alone. On the multivariate mediation analysis of indirect effects, three maladaptive strategies (worry, rumination and negative metacognition) had significant effects on all emotional symptoms. Suppression was also significant for depression. Rumination and negative metacognition were significant mediators of functioning, while only negative metacognition was significant for QoL. Reappraisal had no effect on any outcome. We focused mainly on maladaptive cognitive emotion regulation strategies and only studied one behavioural strategy (suppression) and one adaptive strategy (reappraisal). Targeting certain maladaptive emotion regulation strategies (worry, rumination, suppression, negative metacognition) as mediators for treatment with TD-CBT could reduce emotional symptoms and improve well-being. Negative metacognition was the most transdiagnostic strategy, whereas an adaptive strategy such as reappraisal was not a mediator. Thus, maladaptive emotion regulation strategies are key mediators in transdiagnostic therapy for emotional disorders in primary care.
Social anxiety disorder (SAD) in adolescents may be associated with the use of maladaptive emotion regulation (ER) strategies. The present study examined the use of maladaptive and adaptive ER strategies in adolescents with SAD. 30 adolescents with SAD (CLIN) and 36 healthy adolescents for the control group (CON) aged between 11 and 16 years were assessed with the standardized questionnaires PHOKI ( Compared to controls, adolescents with SAD used adaptive ER strategies significantly less often, but made use of maladaptive ER strategies significantly more often. There was a significant positive correlation between maladaptive ER and social anxiety in adolescents. Examining group differences of single ER strategy use, the CLIN and CON differed significantly in the use of the adaptive ER strategy Promoting adaptive emotion regulation should be a central component of psychotherapy (cognitive behavioral therapy-CBT) for social anxiety in adolescents from the beginning of the therapy process. These findings provide rationale for special therapy programs concentrating on the establishment of different adaptive ER strategies (including
Self-compassion (SC) seems to play an important role in improving Emotion Regulation (ER). Nevertheless, the results of previous studies regarding the links between SC and ER are not consistent, especially facing diverse models of ER (strategy-based vs skill-based). The goal of this prospective study was to evaluate the links between these three concepts, by testing the predictive roles of SC and ER skills on both ER adaptive and maladaptive strategies, using standardised questionnaires and visual analogue scales. Results of regression analysis showed that self-compassion positively predicts cognitive reappraisal, acceptance, problem-solving, relaxation, self-support, tolerance and ER skills and negatively predicts behavioural avoidance, expressive suppression and ruminations. Results also showed that ER skills positively predict cognitive reappraisal, expression, acceptance, relaxation, self-support and tolerance and negatively predicts behavioural avoidance, expressive suppression and ruminations. Results from a mediation model are also promising regarding both the role of ER skills on the effect of SC on adaptive ER strategy use. Even if this study can be associated with common limits of self-report measures, it highlights the role of SC in a model of ER.
When facing a negative event, people implement different strategies to regulate ongoing emotions. Although the previous literature has suggested that the emotional intensity of a negative episode is associated with the characteristics of the subsequent autobiographical memory, it is still unknown whether emotion regulation (ER) moderates this relationship. In the present study, we provided undergraduate students with a smartphone-based diary to report a negative episode immediately after its occurrence and rate the momentary use of two ER strategies: cognitive reappraisal and rumination. To explore autobiographical memory, two "surprise" recall tasks were performed one week and one month after the event. According to the results, cognitive reappraisal was linked with better memory performances, and a tendency to retrospectively underestimate the negativity of highly intense events was observed only in participants adopting high rates of this strategy. Conversely, intense rumination was found to be associated with less detailed memories of emotionally intense events, as well as with higher emotional involvement with negative episodes over time, regardless of their intensity. Together, our results support the maladaptive role of rumination and the adaptive influence of cognitive reappraisal on autobiographical memory.
Cognitive processes may be characterized as how individuals think, whereas cognitive content constitutes what individuals think. Both cognitive processes and cognitive content are theorized to play important roles in chronic pain adjustment, and treatments have been developed to target both. However, the evaluation of treatments that target cognitive processes is limited because extant measures do not satisfactorily separate cognitive process from cognitive content. The current study aimed to develop a self-report inventory of potentially adaptive and presumed maladaptive attentional processes that may occur when someone is experiencing pain. Scales were derived from a large item pool by successively applying confirmatory factor analysis to item data from two undergraduate samples (N = 393 and 233). Items, which were generated to avoid confounding of cognitive content with cognitive processes, represented nine constructs: Suppression, Distraction, Enhancement, Dissociation, Reappraisal, Absorption, Rumination, Nonjudgment, and Acceptance. The resulting nine scales formed the Pain-Related Cognitive Process Questionnaire (PCPQ), and scale correlations produced four conceptually distinct composite scales: Pain Diversion, Pain Distancing, Pain Focus, and Pain Openness. Internal consistency reliabilities of the nine scales were adequate (α ≥ 0.70) to good, and the four composite scales had α values of 0.79 or higher. Correlations with pain-related criterion variables were generally consistent with putative constructs. The developed PCPQ scales offer a comprehensive assessment of important cognitive processes specific to pain. Overall, the findings suggest that the PCPQ scales may prove useful for evaluating the role of pain-related cognitive processes in studies of chronic pain.
Attention control mediates the relationship between mental imagery vividness and emotion regulation.
Contradictory findings suggest mental imagery may both exacerbate and protect against negative affect. We aimed to reconcile these contradictory findings by considering individual differences (N=989) in imagery vividness, attention control, resilience, emotion regulation strategy, and negative affect (depressive, anxious, and posttraumatic stress symptomology). We hypothesized that attention control would mediate relationships between imagery vividness and emotion regulation strategy use, and psychopathology symptomology. Results revealed that imagery vividness, as mediated by attention control, predicted greater levels of healthy reappraisal and deleterious rumination. Attention control also mediated negative relationships between imagery vividness and catastrophizing, self-blame, and psychopathology symptomology. An exploratory latent structural equation model revealed that imagery vividness and attention control aggregated positively with reappraisal and resilience scores. The present investigation suggests an adaptive function of imagery vividness via the indirect effects of attention control, facilitating adaptive emotion regulation and limiting maladaptive strategy use, thereby protecting against negative affect.
No abstract
Social reappraisal, during which one person deliberately tries to regulate another's emotions, is a powerful cognitive form of social emotion regulation, crucial for both daily life and psychotherapy. The neural underpinnings of social reappraisal include activity in the default mode network (DMN), but it is unclear how social processes influence the DMN and thereby social reappraisal functioning. We tested whether the mere presence of a supportive social regulator had an effect on the DMN during rest, and whether this effect in the DMN was linked with social reappraisal-related neural activations and effectiveness during negative emotions. A two-part fMRI experiment was performed, with a psychotherapist as the social regulator, involving two resting state (social, non-social) and two task-related (social reappraisal, social no-reappraisal) conditions. The psychotherapist's presence enhanced intrinsic functional connectivity of the dorsal anterior cingulate (dACC) within the anterior medial DMN, with the effect positively related to participants' trust in psychotherapists. Secondly, the social presence-induced change in the dACC was related with (a) the social reappraisal-related activation in the bilateral dorsomedial/dorsolateral prefrontal cortex and the right temporoparietal junction and (b) social reappraisal success, with the latter relationship moderated by trust in psychotherapists. Results demonstrate that a psychotherapist's supportive presence can change anterior medial DMN's intrinsic connectivity even in the absence of stimuli and that this DMN change during rest is linked with social reappraisal functioning during negative emotions. Data suggest that trust-dependent social presence effects on DMN states are relevant for social reappraisal-an idea important for daily-life and psychotherapy-related emotion regulation.
Exaggerated reactivity to threats that are uncertain (U-threat) is a risk factor for problem alcohol use. Data suggest that exaggerated reactivity to U-threat is associated with chronic anxiety and motivation for coping-oriented drinking. Not all individuals with high U-threat reactivity engage in excessive drinking and theory and research suggest that individual differences in emotion regulation, particularly frequency and effectiveness of cognitive reappraisal, are potential moderators of this well-established link. The aim of the current study was to test this hypothesis using a multimodal laboratory design. A total of 83 volunteers with depression and/or anxiety completed a well-validated threat sensitivity task and two complimentary assessments of cognitive reappraisal. Threat sensitivity was measured using startle eyeblink potentiation during threat-of-electric shock. Cognitive reappraisal was measured using self-report and estimates of prefrontal cortex activation (PFC; i.e., ventrolateral, dorsolateral and dorsomedial) during instructed reappraisal during functional magnetic resonance imaging. Results revealed self-reported and PFC indices of reappraisal were correlated within-subjects. Additionally, self-reported and ventrolateral (vlPFC) activation during reappraisal moderated the association between reactivity to U-threat and problem alcohol use. Across both measures, at low engagement in reappraisal, greater startle reactivity to U-threat was associated with greater problem alcohol use. At high engagement in reappraisal, there was no association between U-threat reactivity and problem alcohol use. Together, the findings reveal that exaggerated reactivity to U-threat may be a particularly robust risk factor for problem alcohol use in the context of impaired or ineffective emotion regulation.
The importance of reappraising negative events to reduce negative emotional responses has been widely acknowledged. However, most neuroimaging studies have explored the neural mechanisms of deliberate and intentional reappraisal, while little is known about the neural correlates of reappraisal that occurs outside of one's awareness. Electrophysiological studies suggest that precedent neutral descriptions could implicitly reduce neural responses to unpleasant images. To investigate the neural mechanism underlying implicit reappraisal, functional magnetic resonance imaging was conducted on 25 participants while they passively viewed unpleasant images that were previously neutrally/positively or negatively described. Increased activity in prefrontal areas including the dorsolateral and dorsomedial prefrontal cortices, lateral orbitofrontal cortex, and temporal cortex, and decreased activation in the amygdala was observed-similar to the pattern reported in deliberate emotion regulation-when unpleasant images were preceded by neutral/positive versus negative descriptions. Functional connectivity analysis revealed significant negative couplings between prefrontal regions and the amygdala. These findings suggest that implicit reappraisal recruits prefrontal regions to change semantic representations in the temporal cortex, in turn modulating the emotional response of the amygdala.
Most neuroimaging studies of adolescent depression employ tasks not designed to engage brain regions necessary for the cognitive control of emotion, which is central to many behavioral therapies for depression. Depressed adults demonstrate less effective activation of these regions and greater amygdala activation during cognitive reappraisal; we examined whether depressed adolescents show similar patterns of brain activation. We collected functional magnetic resonance imaging (fMRI) data during cognitive reappraisal in 41 adolescents with major depressive disorder (MDD) and 34 matched controls (ages 13-17). We examined group differences in (1) activations associated with reappraisal and reappraisal success (i.e., negative affect reduction during reappraisal) using whole brain and amygdala region-of-interest analyses, and (2) functional connectivity of regions from the group-by-reappraisal success interaction. We found no significant group differences in whole brain or amygdala analyses during reappraisal. In the group-by-reappraisal success interaction, activations in the left dorsomedial prefrontal cortex (dmPFC) and left dorsolateral PFC (dlPFC) were associated with reappraisal success in healthy controls but not depressed adolescents. Depressed adolescents demonstrated reduced connectivity between the left dmPFC and the anterior insula/inferior frontal gyri bilaterally (AI/IFG) and between left dlPFC and left AI/IFG. Our results should be considered exploratory given our less conservative statistical threshold in the group-by-reappraisal interaction. We find preliminary evidence that depressed adolescents engage cognitive control regions less efficiently than healthy controls, suggesting delayed maturation of regulatory prefrontal cortex regions; more research is needed to determine whether cognitive therapies improve functioning of these regions in depressed youth.
Cognitive reappraisal is an essential emotion regulation skill for social life and psychological health. However, individuals with major depressive disorder (MDD) cannot use this skill effectively. Successful cognitive reappraisal in healthy controls (HC) has been shown to be associated with theta activity in a frontal and subcortical network. In the present study, we investigated whether MDD patients are characterized by altered theta power and connectivity pattern during cognitive reappraisal compared to HC. Using EEG and eLORETA, we examined both theta activity and connectivity when 25 controls and 24 patients with MDD were asked to complete the emotion cognitive reappraisal task of viewing neutral and negative pictures and reappraise negative pictures. Habitual use of emotion regulation skills was collected using the Cognitive Emotion Regulation Questionnaire (CERQ). The results showed that MDD patients had (1) reduced theta activity in the left dorsolateral (dlPFC), dorsomedial prefrontal (dmPFC), and rostral-ventral cingulate cortices (rvACC), as well as (2) reduced dlPFC-rvACC theta connectivity than HC during reappraisal. In addition, left dlPFC-rvACC theta connectivity was positively correlated with self-reported cognitive reappraisal in HC. This relation was not observed in MDD. In contrast, CERQ revealed significantly greater use of inadequate regulations skills and significantly lower use of adaptive skills in MDD. Sample size, limited solution space to cortical grey matter excluding regions such as the amygdala. This study may indicate a putative frontocingulate dysfunction leading either to an increased use of inadequate emotion regulation or a decreased use of skills that serve to boost positive emotion.
Early parenting relies on emotion regulation capabilities, as mothers are responsible for regulating both their own emotional state and that of their infant during a time of new parenting-related neural plasticity and potentially increased stress. Previous research highlights the importance of frontal cortical regions in facilitating effective emotion regulation, but few studies have investigated the neural regulation of emotion among postpartum women. The current study employed a functional neuroimaging (fMRI) approach to explore the association between perceived stress, depressive symptoms, and the neural regulation of emotion in first-time mothers. Among 59 postpartum mothers, higher perceived stress during the postpartum period was associated with less self-reported use of cognitive reappraisal in everyday life, and greater use of emotion suppression. While viewing standardized aversive images during the Emotion Regulation Task (ERT), mothers were instructed to experience their natural emotional state (Maintain) or to decrease the intensity of their negative emotion by using cognitive reappraisal (Reappraise). Whole-brain analysis revealed a two-way interaction of perceived stress x condition in the right dorsolateral prefrontal cortex (DLPFC) at p < .05 cluster-wise corrected, controlling for postpartum months and scanner type. Higher levels of perceived stress were associated with heightened right DLPFC activity while engaging in cognitive reappraisal versus naturally responding to negative stimuli. Higher right DLPFC activity during Reappraise versus Maintain was further associated with elevated parenting stress. Findings suggest that stress and everyday reappraisal use is reflected in mothers' neural regulation of emotion and may have important implications for their adaptation to parenthood.
Emotion and affect play crucial roles in human life that can be disrupted by diseases. Functional brain networks need to dynamically reorganize within short time periods in order to efficiently process and respond to affective stimuli. Documenting these large-scale spatiotemporal dynamics on the same timescale they arise, however, presents a large technical challenge. In this study, the dynamic reorganization of the cortical functional brain network during an affective processing and emotion regulation task is documented using an advanced multi-model electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) technique. Sliding time window correlation and [Formula: see text]-means clustering are employed to explore the functional brain connectivity (FC) dynamics during the unaltered perception of neutral (moderate valence, low arousal) and negative (low valence, high arousal) stimuli and cognitive reappraisal of negative stimuli. Betweenness centralities are computed to identify central hubs within each complex network. Results from 20 healthy subjects indicate that the cortical mechanism for cognitive reappraisal follows a 'top-down' pattern that occurs across four brain network states that arise at different time instants (0-170[Formula: see text]ms, 170-370[Formula: see text]ms, 380-620[Formula: see text]ms, and 620-1000[Formula: see text]ms). Specifically, the dorsolateral prefrontal cortex (DLPFC) is identified as a central hub to promote the connectivity structures of various affective states and consequent regulatory efforts. This finding advances our current understanding of the cortical response networks of reappraisal-based emotion regulation by documenting the recruitment process of four functional brain sub-networks, each seemingly associated with different cognitive processes, and reveals the dynamic reorganization of functional brain networks during emotion regulation.
Dealing with one's emotions is a core skill in everyday life. Effective cognitive control strategies have been shown to be neurobiologically represented in prefrontal structures regulating limbic regions. In addition to cognitive strategies, mindfulness-associated methods are increasingly applied in psychotherapy. We compared the neurobiological mechanisms of these two strategies, i.e. cognitive reappraisal and mindfulness, during both the cued expectation and perception of negative and potentially negative emotional pictures. Fifty-three healthy participants were examined with functional magnetic resonance imaging (47 participants included in analysis). Twenty-four subjects applied mindfulness, 23 used cognitive reappraisal. On the neurofunctional level, both strategies were associated with comparable activity of the medial prefrontal cortex and the amygdala. When expecting negative versus neutral stimuli, the mindfulness group showed stronger activations in ventro- and dorsolateral prefrontal cortex, supramarginal gyrus as well as in the left insula. During the perception of negative versus neutral stimuli, the two groups only differed in an increased activity in the caudate in the cognitive group. Altogether, both strategies recruited overlapping brain regions known to be involved in emotion regulation. This result suggests that common neural circuits are involved in the emotion regulation by mindfulness-based and cognitive reappraisal strategies. Identifying differential activations being associated with the two strategies in this study might be one step towards a better understanding of differential mechanisms of change underlying frequently used psychotherapeutic interventions.
The underlying corticostriatal mechanisms of sex and hormonal effects in addiction are unknown, limiting the development of personalized treatments. Thirty-two women (age = 38.85 ± 9.84 years) with heroin use disorder (HUD) or cocaine use disorder (CUD) (HUD = 16; CUD = 16) and 49 age-matched men (age = 41.96 ± 9.71 years) with HUD were scanned using functional magnetic resonance imaging (MRI), with a subgroup of women (HUD = 3; CUD = 13) scanned twice, during the late-follicular and mid-luteal phases. Women showed higher medial prefrontal cortex (PFC) drug cue reactivity while men showed higher frontal eye field (FEF)/dorsolateral PFC (dlPFC) drug reappraisal as associated with lower cue-induced drug craving. In women, drug cue reactivity was higher during the follicular phase in the FEF/dlPFC, whereas drug reappraisal was higher during the luteal phase in the anterior PFC/orbitofrontal cortex. The more the estradiol during the follicular versus luteal phase (Δ), the higher the Δdrug cue reactivity in the ventromedial PFC (vmPFC), which also correlated with higher Δdrug craving (observed also in the inferior frontal gyrus). The more the Δestradiol, the lower the Δdrug reappraisal in the vmPFC, anterior PFC, and striatum. Conversely, during the luteal versus follicular phase, the Δprogesterone/estradiol ratio was positively associated with Δdrug reappraisal in the dlPFC. Compared with men with HUD, women with HUD/CUD show more corticostriatal drug cue reactivity and less PFC drug reappraisal activity, an effect driven by the follicular compared with the luteal phase and directly related to craving and fluctuations in estrogen and progesterone, with the former constituting a vulnerability and the latter a protective factor, providing insights for developing precisely timed and hormonally informed treatments for women with HUD/CUD.
The perceived lack of control over the experience of pain is arguably-one major cause of agony and impaired life quality in patients with chronic pain disorders as fibromyalgia (FM). The way perceived control affects subjective pain as well as the underlying neural mechanisms have so far not been investigated in chronic pain. We used functional magnetic resonance imaging (fMRI) to examine the neural correlates of self-controlled compared to computer-controlled heat pain in healthy controls (HC, n = 21) and FM patients (n = 23). Contrary to HC, FM failed to activate brain areas usually involved in pain modulation as well as reappraisal processes (right ventrolateral (VLPFC), dorsolateral prefrontal cortex (DLPFC) and dorsal anterior cingulate cortex (dACC)). Computer-controlled (compared to self-controlled) heat revealed significant activations of the orbitofrontal cortex (OFC) in HC, whereas FM activated structures that are typically involved in neural emotion processing (amygdala, parahippocampal gyrus). Additionally, FM displayed disrupted functional connectivity (FC) of the VLPFC, DLPFC and dACC with somatosensory and pain (inhibition)-related areas during self-controlled heat stimulation as well as significantly decreased gray matter (GM) volumes compared to HC in DLPFC and dACC. The described functional and structural changes provide evidence for far-reaching impairments concerning pain-modulatory processes in FM. Our investigation represents a first demonstration of dysfunctional neural pain modulation through experienced control in FM according to the extensive functional and structural changes in relevant sensory, limbic and associative brain areas. These areas may be targeted in clinical pain therapeutic methods involving TMS, neurofeedback or cognitive behavioral trainings.
Cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) is thought to enhance cognitive reappraisal in patients with SAD. Such improvements should be evident in cognitive reappraisal-related prefrontal cortex responses. To determine whether CBT for SAD modifies cognitive reappraisal-related prefrontal cortex neural signal magnitude and timing when implementing cognitive reappraisal with negative self-beliefs. DESIGN Randomized clinical trial of CBT for SAD vs wait-list control group during a study that enrolled patients from 2007 to 2010. University psychology department. Seventy-five patients with generalized SAD randomly assigned to CBT or wait list. Sixteen sessions of individual CBT for SAD. Negative emotion ratings and functional magnetic resonance imaging blood oxygen-level dependent signal when reacting to and cognitively reappraising negative self-beliefs embedded in autobiographical social anxiety situations. RESULTS During reactivity trials, compared with wait list, CBT produced (1) greater reduction in negative emotion ratings and (2) greater blood oxygen-level dependent signal magnitude in the medial prefrontal cortex. During cognitive reappraisal trials, compared with wait list, CBT produced (3) greater reduction in negative emotion ratings, (4) greater blood oxygen level-dependent signal magnitude in the dorsolateral and dorsomedial prefrontal cortex, (5) earlier temporal onset of dorsomedial prefrontal cortex activity, and (6) greater dorsomedial prefrontal cortex-amygdala inverse functional connectivity. Modulation of cognitive reappraisal-related brain responses, timing, and functional connectivity may be important brain changes that contribute to the effectiveness of CBT for social anxiety. This study demonstrates that clinically applied neuroscience investigations can elucidate neurobiological mechanisms of change in psychiatric conditions. clinicaltrials.gov Identifier: NCT00380731.
Deficits in emotion regulation are a prominent feature of psychiatric conditions and a promising target for treatment. For instance, cognitive reappraisal is regarded as an effective strategy for emotion regulation. Neurophysiological models have established the lateral prefrontal cortex (LPFC) as a key structure in the regulation of emotion processing through modulations of emotion-eliciting structures such as the amygdala. Feedback of the LPFC activity by real-time functional magnetic resonance (fMRI) may thus enhance the efficacy of cognitive reappraisal. During cognitive reappraisal of aversive visual stimuli, LPFC activity was fed back to the experimental group, whereas control participants received no such information. As a result, during reappraisal, amygdala activity was lower in the experimental group than in the controls. Furthermore, an increase of inter-hemispheric functional connectivity emerged in the feedback group. The current study extends the neurofeedback literature by suggesting that fMRI feedback can modify brain activity during a given task.
Effective regulation of negative affective states has been associated with mental health. Impaired regulation of negative affect represents a risk factor for dysfunctional coping mechanisms such as drug use and thus could contribute to the initiation and development of problematic substance use. This study investigated behavioral and neural indices of emotion regulation in regular marijuana users (n = 23) and demographically matched nonusing controls (n = 20) by means of an fMRI cognitive emotion regulation (reappraisal) paradigm. Relative to nonusing controls, marijuana users demonstrated increased neural activity in a bilateral frontal network comprising precentral, middle cingulate, and supplementary motor regions during reappraisal of negative affect (P < 0.05, FWE) and impaired emotion regulation success on the behavioral level (P < 0.05). Amygdala-focused analyses further revealed impaired amygdala downregulation in the context of decreased amygdala-dorsolateral prefrontal cortex functional connectivity (P < 0.05, FWE) during reappraisal in marijuana users relative to controls. Together, the present findings could reflect an unsuccessful attempt of compensatory recruitment of additional neural resources in the context of disrupted amygdala-prefrontal interaction during volitional emotion regulation in marijuana users. As such, impaired volitional regulation of negative affect might represent a consequence of, or risk factor for, regular marijuana use. Hum Brain Mapp 38:4270-4279, 2017. © 2017 Wiley Periodicals, Inc.
本报告综合了认知情绪调节(CER)领域的全方位研究现状。研究体系已从最初的量表开发与跨文化验证,深入发展到利用多模态神经成像技术揭示前额叶-边缘系统的调控机制。在临床应用方面,CER被确认为多种精神障碍的核心病理特征,并广泛应用于青少年发育、创伤修复及现代社会压力管理。当前的科研趋势呈现出三大特点:一是干预手段的精准化,结合了神经反馈与数字医疗;二是对个体差异(如认知特质、性别)的深度挖掘;三是理论模型的动态化与社会化,从单一的个体策略研究转向复杂的人际调节与计算模型构建。