Emotion dysregulation and anxiety in late adulthood

Orgeta, Vasiliki

doi:10.1016/j.janxdis.2011.06.010

Cited by 19 publications

(13 citation statements)

References 59 publications

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“…Notably, difficulties in emotion regulation was no longer a significant predictor for fear of falling when depression was accounted for, suggesting that this relationship can be at least in part accounted for by the link between depression and emotion regulation difficulties. This is consistent with previous research (which found depression to be related to the use of specific emotion regulation strategies (Orgeta, 2011), as well as the proposed model of anxiety and depression being postulated to arise from greater difficulties with regulating emotions (D'Avanzato, Joormann, Siemer & Gotlib, 2013).…”

Section: Discussionsupporting

confidence: 92%

“…Lastly, the DERS, whilst showing good internal consistency within this study and having been used with older adults in previous studies, (Orgeta, 2011) does not measure all of the facets of emotion regulation that may be implicated.…”

Section: Limitationsmentioning

confidence: 82%

“…The DERS has been found to have high internal consistency (α = .93), good test-retest reliability, and adequate construct and predictive validity (Gratz & Roemer, 2004). It has also been used with older adults (Orgeta, 2011). In the current study, internal consistency was good with a Cronbach's alpha of 0.89…”

Section: Methodsmentioning

confidence: 99%

“…For example, Orgeta (2011) found that older adults with mild depressive symptoms reported more difficulties in emotion regulation, whereas those without depressive symptoms reported greater use of reappraisal strategies and less use of expressive suppression. Difficulties in emotion regulation have also been associated with psychological distress in older adults with physical comorbidities (Petkus, Gum & Wetherell, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Fear of falling and emotional regulation in older adults

Scarlett

Baikie

Chan

2018

Aging & Mental Health

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Objectives: Fear of falling is common amongst older adults with and without a prior experience of falling. It is related to decreased quality of life, isolation, and institutionalisation. It also poses a risk for future falls when activity is avoided because of fear of falling and muscle deconditioning occurs. Relatively little is known about the psychological factors underpinning fear of falling. This study explored the relationship between emotion regulation and fear of falling in community dwelling older adults. Method: A sample of 117 older adults (>65 years) were recruited from community based exercise classes, falls reduction classes, NHS and charity organisations. Self-reported measures included the Falls Efficacy Scale-International (FES-I), the Fear of Falling Behaviour Questionnaire (FFABQ), the Difficulties in Emotion Regulation Scale (DERS) and the Hospital and Anxiety Depression Scale (HADS). Results: A significant positive correlation was found between emotion regulation and fear of falling, as well as between emotional regulation and fear-related avoidance behaviour. A regression model found that after controlling for depression and age, emotion regulation was no longer significantly related to fear of falling. Conclusions: Fear of falling is associated with emotion regulation difficulties in community dwelling older adults. However, this link no longer exists once depression is controlled for. The key clinical implication is the importance of the assessment of depression in older adults with a fear of falling. Future research should use a longitudinal design to further unpick the causal relationships between these variables.

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Section: Discussionsupporting

confidence: 92%

Section: Limitationsmentioning

confidence: 82%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fear of falling and emotional regulation in older adults

Scarlett

Baikie

Chan

2018

Aging & Mental Health

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“…Furthermore, it has been demonstrated that also healthy older adults with elevated fear or worry show attentional bias towards fear-relevant or threatening stimuli [19], [20], [21]. Recently, Orgeta [22] showed that older adults who experience more anxiety also report more difficulties in regulating their emotional experiences. Therefore, it is possible that inter-individual differences in mood and non- clinical symptoms of anxiety and depression in older adults may influence information processing and hamper the positivity effect, which might explain the inconsistent results in the older adult literature.…”

Section: Introductionmentioning

confidence: 99%

Attentional Bias for Emotional Information in Older Adults: The Role of Emotion and Future Time Perspective

Demeyer

Raedt

2013

PLoS ONE

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ObjectivesResearch suggests that older adults display a positivity bias at the level of information processing. However, because studies investigating attentional bias for emotional information in older adults have produced mixed findings, research identifying inter-individual differences that may explain these inconsistent results is necessary. Therefore, we investigated whether mood, symptoms of depression, symptoms of anxiety and future time perspective are related to attentional bias in older adults.MethodThirty-seven healthy older adults and 25 healthy middle-aged adults completed questionnaires to assess mood, symptoms of depression, symptoms of anxiety and future time perspective. Attentional bias towards happy, sad and neutral information was measured using a modified exogenous cueing paradigm with long cue presentations, to measure maintained attention versus avoidance of emotional stimuli.ResultsOlder adults showed attentional avoidance for all emotional faces, whereas no attentional biases were found in the middle-aged group. Moreover, in the older adult group, avoidance for negative information was related to anxiety. Future time perspective was unrelated to attentional bias.DiscussionThese findings suggest that anxiety may lead to inter-individual differences in attentional bias in older adults, and that avoidance from negative information may be an emotion regulation strategy.

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Anxiety in Later Life

Mohlman

Bryant

2015

The Encyclopedia of Adulthood and Aging

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Recent empirical findings have refined the conceptualization and treatment of anxiety disorders in older adults, which are associated with significant consequences, including lower quality of life, deficits in cognitive functioning, and poorer recovery from physical illnesses. The DSM‐5 includes guidance as to the recognition of these disorders in older adults. Nevertheless, some important aspects of anxiety make detection and diagnosis challenging in this age group. With respect to treatment, a number of selective serotonin reuptake inhibitor medications have been shown to be efficacious. Cognitive–behavioral therapy and mindfulness‐based interventions are effective psychotherapies, and there may be potential for online treatment of anxiety in older adults. Augmentation strategies are also being tested and have shown promise for enhancing therapeutic outcomes. These and other issues, such as neurobiology and cognitive functioning of anxious older adults, are discussed. This wave of research has greatly enhanced our knowledge of anxiety across the lifespan.

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Emotion dysregulation and anxiety in late adulthood

Cited by 19 publications

References 59 publications

Fear of falling and emotional regulation in older adults

Fear of falling and emotional regulation in older adults

Attentional Bias for Emotional Information in Older Adults: The Role of Emotion and Future Time Perspective

Anxiety in Later Life

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