Choosing how to feel: Emotion regulation choice in bipolar disorder.

Hay, Aleena C.; Sheppes, Gal; Gross, James J.; Gruber, June

doi:10.1037/emo0000024

Cited by 56 publications

(59 citation statements)

References 34 publications

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“…Results from previous studies investigating reactivity to emotional stimuli using self-report measures of valence in patients with BD have been inconsistent. In accordance with the results of our study showing no differences between patients and HCs on selfreported emotional reactivity to happy, sad, and neutral film clips, a majority of previous studies report no aberrant self-reported emotion reactivity to unpleasant, pleasant, and neutral images [11,16,[39][40][41]. Other studies, however, have found that remitted patients with BD report greater positive emotional responses in response to happy, sad, and neutral film clips and neutral pictures, respectively [42,43]-possibly reflecting a state-dependent feature of mania only observable in samples of BD-I patients.…”

Section: Discussionsupporting

confidence: 92%

Eye gaze and facial displays of emotion during emotional film clips in remitted patients with bipolar disorder

et al. 2020

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Background. Aberrant emotional reactivity is a putative endophenotype for bipolar disorder (BD), but the findings of behavioral studies are often negative due to suboptimal sensitivity of the employed paradigms. This study aimed to investigate whether visual gaze patterns and facial displays of emotion during emotional film clips can reveal subtle behavioral abnormalities in remitted BD patients. Methods. Thirty-eight BD patients in full or partial remission and 40 healthy controls viewed 7 emotional film clips. These included happy, sad, and neutral scenarios and scenarios involving winning, risk-taking, and thrill-seeking behavior of relevance to the BD phenotype. Eye gaze and facial expressions were recorded during the film clips, and participants rated their emotional reactions after each clip. Results. BD patients showed a negative bias in both facial displays of emotion and self-rated emotional responses. Specifically, patients exhibited more fearful facial expressions during all film clips. This was accompanied by less positive self-rated emotions during the winning and happy film clips, and more negative emotions during the risk-taking/thrill-related film clips. Conclusions. These findings suggest that BD is associated with trait-related abnormalities in subtle behavioral displays of emotion processing. Future studies comparing patients with BD and unipolar depression are warranted to clarify whether these differences are specific to BD. If so, assessments of visual gaze and facial displays of emotion during emotional film clips may have the potential to be implemented in clinical assessments to aid diagnostic accuracy.

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Section: Discussionsupporting

confidence: 92%

Eye gaze and facial displays of emotion during emotional film clips in remitted patients with bipolar disorder

et al. 2020

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“…In high-intensity negative scenarios, individuals were more inclined to choose avoidance-oriented strategies such as expressive suppression, which had better effects in the short term. This was consistent with previous studies [45,46,47] that subjects tended to adopt cognitive reappraisal strategy for low or moderate-intensity stimuli, and expressive suppression strategy in high-intensity negative scenarios. A correlation analysis showed that the coefficient of positive correlation between cognitive reappraisal and expressive suppression reached 0.476, which means that medical students who were used to adopting the cognitive reappraisal may frequently adopt the expressive suppression, and the two strategies may coexist instead of contrast each other.…”

Section: The Relationships Between Test Anxiety Emotion Regulation supporting

confidence: 93%

Test anxiety and emotion regulation among undergraduate medical students in China: the mediating role of psychological resilience

Pan

Yang

et al. 2020

Preprint

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Background: Medical students experience a considerable amount of anxiety due to exams. Emotion regulation and psychological resilience are established protective factors of individual mental health, however, the investigations for the effects of anxiety were limited. The goal of the present study was to examine the relationship of psychological resilience and emotion regulation with test anxiety and the associated factors of them among medical students.Methods: In this cross-sectional survey, a simple random sampling methods was used to select the participants. Information from a sample of 1266 medical students was collected by self-reporting questionnaires. Logistic regression was applied to test the associations between test anxiety and emotion regulation, resilience. Bootstrap were conducted to explore the mediating role of resilience.Results: Our important results were that the prevalence of problematic test anxiety among medical students to be 71.4%, 33.7% was high test anxiety. Gender and academic performance correlated significantly with test anxiety, emotion regulation, and psychological resilience. There were correlations between test anxiety and various dimensions of emotion regulation and psychological resilience ( P<0.01 ). Emotion regulation and psychological resilience predicted emerging test anxiety. The mediating role of psychological resilience was identified for the effects of emotion regulation on test anxiety.Conclusions： Findings suggest that emotion regulation affected test anxiety through psychological resilience, which may provide insights for clinical psychologists, raise their awareness of the importance of cultivating and improving medical students' psychological resilience, and prompt them to offer psychological support to students with test anxiety as early as possible. The combination of curing and self-healing can solve the root cause of the problem and truly apply psychological research to improving the mental health of the general public.

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“…Lastly, emotion regulation was assessed solely by way of self-report. Future studies should consider the addition of behavioral/experimental tasks to assess ER (Hay, Sheppes, Gross, & Gruber, 2015; Scheibe, Sheppes & Staudinger, 2015). …”

Section: Discussionmentioning

confidence: 99%

Difficulties in emotion regulation in treatment-seeking alcoholics with and without co-occurring mood and anxiety disorders

Bradizza

Brown

Ruszczyk

et al. 2018

Addictive Behaviors

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Emotion regulation difficulties (ERD) are known to underlie mental health conditions including anxiety and depressive disorders and alcohol use disorder (AUD). Although AUD, mood, and anxiety disorders commonly co-occur, no study has examined the association between these disorders and ERD among AUD outpatients. In the current study, emotion regulation (ER) scores of AUD individuals with no co-occurring mental health condition were compared to the ER scores of individuals who met diagnostic criteria for co-occurring mood and/or anxiety disorders. Treatment-seeking AUD individuals (N=77) completed measures of emotion regulation, alcohol use and psychological functioning prior to beginning a 12-week outpatient cognitive-behaviorally oriented alcohol treatment program. Individuals were classified as having no co-occurring mood or anxiety disorder (AUD-0, n=24), one co-occurring disorder (AUD-1, n=34), or two or more co-occurring disorders (AUD-2, n=19). Between-group differences in emotion regulation, quantity/frequency of alcohol consumption, positive and negative affect, affective drinking situations, negative mood regulation expectancies, distress tolerance, alexithymia, trait mindfulness, and psychological symptom severity were examined. Compared with the AUD-0 group, the AUD-2 group reported significantly greater ERD, psychiatric distress and alcohol consumption, more frequent drinking in response to negative affect situations, greater interference from negative emotions, and less use of mindfulness skills. The AUD-1 group differed from AUD-0 group only on the DERS lack of emotional awareness (Aware) subscale. Emotion regulation scores in the AUD-0 group were comparable to those previously reported for general community samples, whereas levels of ERD in the AUD-1 and AUD-2 were similar to those found in other clinical samples. Implications for the inclusion of ER interventions among AUD patients who might most benefit from such an intervention are discussed.

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Choosing how to feel: Emotion regulation choice in bipolar disorder.

Cited by 56 publications

References 34 publications

Eye gaze and facial displays of emotion during emotional film clips in remitted patients with bipolar disorder

Eye gaze and facial displays of emotion during emotional film clips in remitted patients with bipolar disorder

Test anxiety and emotion regulation among undergraduate medical students in China: the mediating role of psychological resilience

Difficulties in emotion regulation in treatment-seeking alcoholics with and without co-occurring mood and anxiety disorders

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