The impact of emotion awareness and regulation on social functioning in individuals at clinical high risk for psychosis

Kimhy, David; Gill, Kelly E.; Brucato, Gary; Vakhrusheva, Julia; Arndt, Leigh Y.; Gross, James J.; Girgis, Ragy R.

doi:10.1017/s0033291716000490

Cited by 64 publications

(57 citation statements)

References 89 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent evidence suggests that low emotional awareness is also associated with the general psychopathology (i.e., p-factor) and mediates the association between childhood trauma and the p-factor [76]. Similarly, disruptions in emotion regulation are associated with virtually all types of psychopathology and predict the onset of internalizing and externalizing problems [87][88][89][90] as well as account for comorbidity between disorders [5,91,92]. Indeed, elevated emotional reactivity, difficulties with emotion regulation, and reduced functional coupling between the mPFC and amygdala-a neural pattern associated with poor implicit emotion regulation-have all been shown to mediate the link between childhood trauma exposure and transdiagnostic psychopathology [61,67,68,84,86], including the p-factor [63].…”

Section: Emotional Processing Mechanismsmentioning

confidence: 99%

Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience

McLaughlin

Colich

Rodman

et al. 2020

BMC Med

319

210

View full text Add to dashboard Cite

Background: Transdiagnostic processes confer risk for multiple types of psychopathology and explain the cooccurrence of different disorders. For this reason, transdiagnostic processes provide ideal targets for early intervention and treatment. Childhood trauma exposure is associated with elevated risk for virtually all commonly occurring forms of psychopathology. We articulate a transdiagnostic model of the developmental mechanisms that explain the strong links between childhood trauma and psychopathology as well as protective factors that promote resilience against multiple forms of psychopathology. Main body: We present a model of transdiagnostic mechanisms spanning three broad domains: social information processing, emotional processing, and accelerated biological aging. Changes in social information processing that prioritize threat-related information-such as heightened perceptual sensitivity to threat, misclassification of negative and neutral emotions as anger, and attention biases towards threat-related cues-have been consistently observed in children who have experienced trauma. Patterns of emotional processing common in children exposed to trauma include elevated emotional reactivity to threat-related stimuli, low emotional awareness, and difficulties with emotional learning and emotion regulation. More recently, a pattern of accelerated aging across multiple biological metrics, including pubertal development and cellular aging, has been found in trauma-exposed children. Although these changes in social information processing, emotional responding, and the pace of biological aging reflect developmental adaptations that may promote safety and provide other benefits for children raised in dangerous environments, they have been consistently associated with the emergence of multiple forms of internalizing and externalizing psychopathology and explain the link between childhood trauma exposure and transdiagnostic psychopathology. Children with higher levels of social support, particularly from caregivers, are less likely to develop psychopathology following trauma exposure. Caregiver buffering of threat-related processing may be one mechanism explaining this protective effect.

show abstract

Section: Emotional Processing Mechanismsmentioning

confidence: 99%

Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience

McLaughlin

Colich

Rodman

et al. 2020

BMC Med

319

210

View full text Add to dashboard Cite

show abstract

“…Germane to schizophrenia, previous reports have documented increased use of suppression and more limited use of reappraisal among individuals with psychotic spectrum disorders including in individuals with schizophrenia 7,15,16 , at clinical high-risk for psychosis 16,17 , as well as in nonclinical psychosis-prone individuals 16,18 . A recent large systematic review and metaanalysis incorporating data from 42 studies (2498 individuals with psychosis and 3381 healthy controls) provided strong support for these associations 19 .…”

Section: Introductionmentioning

confidence: 99%

“…Another factor may be the fact that a plurality of the studies reviewed by Ludwig et al examined the impact of ER on total psychosis burden, rather than individual symptoms, potentially obscuring granular ER influences on specific symptoms 19 . Finally, many individuals with schizophrenia display poor emotion awareness, characterized by difficulties identifying, labeling, and/or differentiating their own emotions 15,17 . The presence of such difficulties may have a detrimental effect on ER effectiveness and obfuscate the ability to identify potential affective processes underlying the impact of ER on psychotic symptoms.…”

Section: Introductionmentioning

confidence: 99%

The impact of emotion awareness and regulation on psychotic symptoms during daily functioning

et al. 2020

View full text Add to dashboard Cite

Emotion regulation (ER) difficulties are ubiquitous among individuals with schizophrenia and have been hypothesized to contribute to stress sensitivity and exacerbation of psychotic symptoms in this population. However, the evidence supporting this link is equivocal, potentially due to previous studies' reliance on retrospective assessments of ER and psychosis, as well as lack of consideration of putative moderators such as emotion awareness. To address these limitations, we employed experience sampling method using mobile electronic devices to investigate the links between momentary in vivo use of ER strategies (m ER), emotion awareness, and psychotic symptoms during daily functioning. Fifty-four individuals with schizophrenia completed assessment of m ER and psychotic symptoms, along with traditional retrospective measures of ER and symptoms. Use of m ER suppression predicted significant increases in momentary experiences of thought insertion, mind reading, auditory and visual hallucinations. Use of m ER reappraisal predicted significant increases in momentary experiences of suspiciousness, thought insertion, and mind reading. Emotion awareness, driven primarily by difficulties identifying feelings, moderated the impact of ER on psychotic symptoms. There were no associations between retrospective measures of ER and symptoms. Our results indicate that, among individuals with schizophrenia, emotion awareness significantly impacts the relationship between use of ER and exacerbations in psychotic symptoms during the course of daily functioning. Our results highlight the need to incorporate emotion awareness and regulation difficulties into the development of treatment models and interventions for psychosis. In addition, our results underscore the need to employ in vivo, high time-resolution assessment methods to study dynamic clinical phenomena such as ER and psychotic symptoms.

show abstract

“…Social functioning in those at CHR for psychosis has been reported to be associated with transition and poor social functioning is predictive of transition to a frank psychotic disorder (Addington et al, ; Cannon et al, ; Cornblatt et al, ; Cornblatt et al, ; Jang et al, ). Even in those who do not transition to a psychotic disorder social functioning deficits remain prevalent (Addington et al, ) and are associated with a range of symptoms such as negative symptoms (Corcoran et al, ; Kim et al, ; Lee, Kim, Lee, & An, ; Meyer et al, ; Schlosser et al, ), poor emotional awareness (Kimhy et al, ), dyskinesia (Mittal et al, ) and cognitive deficits (Carrion et al, ). Thus, it is pertinent to develop treatments that are designed to target and improve social functioning in youth at CHR for psychosis and to investigate the impact of treatment strategies on social functioning up to the present time.…”

Section: Introductionmentioning

confidence: 99%

Interventions and social functioning in youth at risk of psychosis: A systematic review and meta‐analysis

Devoe

Farris

Townes

et al. 2018

Early Intervention Psych

View full text Add to dashboard Cite

show abstract

The impact of emotion awareness and regulation on social functioning in individuals at clinical high risk for psychosis

Cited by 64 publications

References 89 publications

Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience

Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience

The impact of emotion awareness and regulation on psychotic symptoms during daily functioning

Interventions and social functioning in youth at risk of psychosis: A systematic review and meta‐analysis

Contact Info

Product

Resources

About