The consequences of effortful emotion regulation when processing distressing material: a comparison of suppression and acceptance

Synchronized affect in shared experiences strengthens social connection

People structure their days to experience events with others. We gather to eat meals, watch TV, and attend concerts together. What constitutes a shared experience and how does it manifest in dyadic behavior? The present study investigates how shared experiences-measured through emotional, motoric, physiological, and cognitive alignment-promote social bonding. We recorded the facial expressions and electrodermal activity (EDA) of participants as they watched four episodes of a TV show for a total of 4 h with another participant. Participants displayed temporally synchronized and spatially aligned emotional facial expressions and the degree of synchronization predicted the self-reported social connection ratings between viewing partners. We observed a similar pattern of results for dyadic physiological synchrony measured via EDA and their cognitive impressions of the characters. All four of these factors, temporal synchrony of positive facial expressions, spatial alignment of expressions, EDA synchrony, and character impression similarity, contributed to a latent factor of a shared experience that predicted social connection. Our findings suggest that the development of interpersonal affiliations in shared experiences emerges from shared affective experiences comprising synchronous processes and demonstrate that these complex interpersonal processes can be studied in a holistic and multi-modal framework leveraging naturalistic experimental designs.

Judging emotions as good or bad: Individual differences and associations with psychological health

People differ in their initial emotional responses to events, and we are beginning to understand these responses and their pervasive implications for psychological health. However, people also differ in how they think about and react to their initial emotions (i.e., emotion judgments). In turn, how people judge their emotions-as predominantly positive or negative-may have crucial implications for psychological health. Across five MTurk and undergraduate samples collected between 2017 and 2022 (total N = 1,647), we investigated the nature of habitual emotion judgments (Aim 1) and their associations with psychological health (Aim 2). In Aim 1, we found four distinct habitual emotion judgments that differ according to the valence of the judgment (positive or negative) and the valence of the emotion being judged (positive or negative). Individual differences in habitual emotion judgments were moderately stable across time and were associated with, but not redundant with, conceptually related constructs (e.g., affect valuation, emotion preferences, stress mindsets, meta-emotions) and broader traits (i.e., extraversion, neuroticism, trait emotions). In Aim 2, positive judgments of positive emotions were uniquely associated with better psychological health and negative judgments of negative emotions were uniquely associated with worse psychological health concurrently and prospectively, above and beyond the other types of emotion judgments, and above and beyond conceptually related constructs and broader traits. This research gives insight into how people judge their emotions, how these judgments relate to other emotion-related constructs, and their implications for psychological health. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

A systematic review and meta-analysis of the effect of cognitive interventions to prevent intrusive memories using the trauma film paradigm

There is an unmet need for effective early interventions that can relieve initial trauma symptoms and reduce symptoms of posttraumatic stress disorder (PTSD). We evaluated the efficacy of cognitive interventions compared to control in reducing intrusion frequency and PTSD symptoms in healthy individuals using the trauma film paradigm, in which participants view a film with aversive content as an experimental analogue of trauma exposure. A systematic literature search identified 41 experiments of different cognitive interventions targeting intrusions. In the meta-analysis, the pooled effect size of 52 comparisons comparing cognitive interventions to no-intervention controls on intrusions was moderate (g = -0.46, 95% CI [-0.61 to -0.32], p < .001). The pooled effect size of 16 comparisons on PTSD symptoms was also moderate (g = -0.31, 95% CI [-0.46 to -0.17], p < .001). Both visuospatial interference and imagery rescripting tasks were associated with significantly fewer intrusions than controls, whereas verbal interference and meta-cognitive processing tasks showed nonsignificant effect sizes. Interventions administered after viewing the trauma film showed significantly fewer intrusions than controls, whereas interventions administered during film viewing did not. No experiments had low risk of bias (ROB), 37 experiments had some concerns of ROB, while the remaining four experiments had high ROB. To the best of our knowledge, this is the first meta-analysis investigating the efficacy of cognitive interventions targeting intrusions in non-clinical samples. Results seem to be in favour of visuospatial interference tasks rather than verbal tasks. More research is needed to develop an evidence base on the efficacy of various cognitive interventions and test their clinical translation to reduce intrusive memories of real trauma.

The link between emotion regulation and size estimation of spiders pictures among women with fear of spiders

Introduction

Fear is associated with perceptual biases. People who are afraid of spiders perceive spiders as larger than people without this fear. It is yet unclear, however, whether this effect can be influenced by using implicit (non-deliberate) emotion regulation (ER) processes and explicit (deliberate) ER strategies, such as reappraisal and suppression.

Method

This study examined the link between implicit and explicit ER and size estimation among women afraid of spiders. After performing an implicit ER (cognitive control) task, participants rated the size and valence of spiders, wasps and butterflies shown in pictures. Participants' tendency to use reappraisal and suppression was assessed using the Emotion Regulation Questionnaire.

Results

Results showed no effect of implicit ER on size and valence ratings. A greater tendency to use reappraisal was linked to reduced negative feelings on seeing the pictures of spiders. Greater use of suppression, however, was linked to increased size estimation of the spider stimuli.

Discussion

These results highlight the role of ER in perceptual biases and offer avenues for future ER-based treatments for specific phobias.

Are We Sailing in the Right Direction for Deeper Insights Into Acceptance? Evidence From a Systematic Review of Research in Laboratory Settings

This systematic review aims to review and update the current state of research on the acceptance strategy for a healthy population in a laboratory setting. Using a previously defined search strategy, the PsycInfo, PubMed, and Web of Science databases were searched from 1961 to May 2020 for articles on this topic. Twenty-five high-quality articles, involving a total of 2265 participants, met inclusion criteria. According to these results, acceptance is a strategy with promising outcomes for handling pain in healthy populations, although its superiority over other strategies to reduce negative affect, anger, and other pain variables is unclear. The instructions and outcome variables vary widely between studies, and few studies compare acceptance with mindfulness. We discuss these findings and provide information to guide future researchers for designing fine-grained investigations that can address the gaps in this area.

Cardiovascular reactivity during sadness induction predicts inhibitory control performance

Higher negative affectivity has an association with decreased executive function and cognitive control. Heart rate variability (HRV) serves as an index of cardiac vagal regulation differences in the autonomic nervous system for both cognition and emotion. The current study investigates this association using a classic as well as emotional antisaccade paradigm to study inhibitory control performance. Ninety participants completed affective questionnaires (Beck Depression Inventory-II, and Mood Scale), a 6-minute baseline electrocardiogram, and two different antisaccade tasks. After the baseline, subjects were presented with a video sequence with either neutral, sad, or emotionally arousing content. By subtracting the baseline from the video sequence, we computed HRV reactivity and tested whether the reactivity score could predict inhibitory control performance. We hypothesized that this would be the case in both the sadness and arousal group, but not in the neutral one. Furthermore, we awaited significant performance differences between experimental groups. Contrary to our assumption, inhibitory control performance did not differ between experimental groups. Moreover, there was no significant relation between affective measures and task performance. Nevertheless, cardiovascular reactivity in terms of HRV was predictive of error rates in both antisaccade tasks in the sadness group. We could find this effect neither in the neutral nor in the arousal group. In addition, BDI scores moderated the effect in the emotional task. Results indicate that emotional reactivity to a sad video stimulus as indexed by HRV as well as the interaction with current emotional state predict inhibitory control performance.

The Effects of Attentional Deployment on Reinterpretation in Depressed Adolescents: Evidence from an Eye-Tracking Study

Background

Individuals with major depression have difficulties employing cognitive reappraisal. Most prior studies have not accounted for attentional deployment, which seems to be involved in this process.

Methods

We investigated the cognitive reappraisal tactic reinterpretation in 20 depressed and 28 healthy youths and assessed regulation success in response to negative pictures via self-report. To investigate attentional deployment during reinterpretation, we applied eye-tracking and manipulated gaze focus by instructing participants to direct their attention towards/away from emotional picture aspects.

Results

Depressed adolescents, compared with healthy youths, had a diminished regulation success when their gaze was focused on emotional aspects. Both depressed and healthy adolescents spent less time fixating on emotional facets of negative pictures when using reinterpretation as compared with simply attending to the pictures.

Conclusions

Results from this study suggest that adolescents with major depression have emotion regulation deficits when being confronted with negative emotional facets, while showing intact overt attentional processes. The findings provide important starting points for future research investigating the role of other factors which might impact on emotion regulation processes in this patient group, such as cognitive control deficits.

Aging and emotion regulation during the COVID-19 pandemic

Objectives: Self-reported emotional well-being tends to increase with age (Charles & Carstensen, Annual Review of Psychology, 61, 383-409, 2010), and this has remained true during the COVID-19 pandemic (e.g. Bruine de Bruin, The Journals of Gerontology: Series B, 76(2), e24-e29, 2021) despite older adults being disproportionately affected by the virus (CDC, Coronavirus disease 2019 (COVID-19): Older adults, 2020). This study aimed to investigate how younger and older adults are regulating their emotions during the current pandemic. Specifically, this study measured potential age differences in acceptance (broken down into situational and emotional acceptance), because it has been identified as a possible underlying mechanism of the relationship between aging and reduced negative affect (Shallcross et al., Journal of Personality and Social Psychology, 104(4), 734-749, 2013). Methods: Younger (N = 150) and older (N = 150) adults completed trait-level questionnaires of emotional and situational acceptance, and completed a task where they reacted to 24 negative, arousing COVID-19 news headlines, half of which were old-age focused, to capture trial-level acceptance use. Results: Older adults reported greater trait-level acceptance and used emotional acceptance more frequently than younger adults during the headlines task, especially on trials containing old-age focused headlines. Interestingly, younger adults reported reduced trial-level subjective arousal when engaging in emotional acceptance compared to active emotion regulation (suggesting beneficial affective outcomes of acceptance), while older adults reported no differences in arousal between trials when they engaged in acceptance and when they engaged in more active emotion regulation. Conclusion: We discuss potential explanations for these findings as well as present future research directions on acceptance across the lifespan.

A psychophysiological investigation of mourning: There are two sides to the story

Mourning constitutes an important human emotion, which might cause—among other things—major depressive symptoms when lasting for too long. To date, no study investigated whether mourning is related to specific psychophysiological activation patterns. Therefore, we examined physiological reactions induced by iconographic mourning-related stimuli in comparison to neutral and attachment stimuli in healthy adults (N = 77, mean age: 21.9). We evaluated pupillometric and eye-tracking parameters as well as heart rate variability (HRV) and skin conductance (EDA). Eye-tracking revealed a stronger dilated pupil during mourning in comparison to the neutral, but not to the attachment condition; furthermore, fixation patterns revealed less fixations on mourning stimuli. While HF HRV was reduced during mourning and attachment, we found no differences concerning EDA parameters between conditions. Results suggest specific eye-movement and pupil adaptations during representations of mourning, which might point toward inward cognition or avoidance, but no specific physiological pattern concerning HRV and EDA.

Emotion regulation and substance use: A meta-analysis

There has been exponential growth in research on emotion regulation and substance use in the past decade. The current meta-analysis evaluated variability in the magnitude of the relation between aspects of emotion regulation and substance use. A search of PsycINFO, Embase, PubMed, CINAHL Plus, and PILOTS in December 2020 resulted in 6642 initial studies, of which 95 met inclusion criteria (association between emotion regulation and substance use was reported, participants were > 18 years old, article was in English). A total of 445 effects were obtained (N = 156,025 participants; weighted M_age = 29.31; 59.5% female; 66.1% White; 76.6% non-clinical). Emotion regulation and substance use were significantly related (r = 0.19; p < 0.001; 95%CI [0.17, 0.20]). Emotion regulation abilities were generally more strongly related to substance use than emotion regulation strategies; this pattern was stronger for behavioral vs. cognitive abilities and extended to both negative and positive emotions. Relations were stronger for older and clinical samples; mixed effects were found for sex and no conclusive effects were found for race. Despite limitations of the existing literature (e.g., cross-sectional, self-reports), results indicated that the magnitude of the relation between emotion regulation and substance use varied considerably as a function of emotion regulation and substance use constructs and sample characteristics.

Challenges and added value of measuring embodied variables in psychotherapy

Research on embodied aspects of clinical encounters is growing, but discussion on the premises of including embodied variables in empirical research is scarce. Studies have repeatedly demonstrated that embodied aspects of psychotherapy interaction are vital in developing a therapeutic alliance, and these should be considered to better understand the change process in psychotherapy. However, the field is still debating which methods should be used and which features of the embodied aspects are relevant in the clinical context. The field lacks methodological consistency as well as a theoretical model. In the Relational Mind research project, we have studied the embodied aspects of interaction in the context of couple therapy for almost a decade and have gained experience with the positive and negative aspects of studying embodied variables in quantitative and qualitative studies. We have set out to develop the methodology (or procedures) for studying embodied variables in a multiperson setting, concentrating on interpersonal synchrony of sympathetic nervous system responses and movements, and we have strived to create methods for integrating information from different embodied modalities. In this narrative review, we share our experiences of the challenges and added value of studying embodied aspects in psychotherapy. The research field urgently needs an ongoing discussion of what researchers should take into consideration when studying the embodied aspects of interaction. We urge researchers to collaborate between research groups to jointly decide on the basic parameters of studies on the different embodied modalities of the research so that the individual researcher can become more aware of the impact the methodological choices have on their studies, results, and interpretations. We also see the use of embodied variables as having added value in the clinical work of psychotherapists, since it not only deepens our understanding about what is helpful in psychotherapy but will enable fine-tuning therapy processes to better suit clients who are verbally less fluent.

Immediate & delayed effects of suppression and mindfulness as emotion regulation strategies

BACKGROUND & OBJECTIVES

Emotion regulation is an integral component of multiple physical and psychological functions, and problems with emotion regulation are thought to be involved with the development of psychological disorders. Most laboratory research on emotion regulation has been limited to investigating short-term impact during a single session.

DESIGN & METHODS

In the current study, we investigated the potential delayed consequences of the short-term use of two emotion regulation strategies: mindfulness and suppression. To do so, a two-session design was implemented, with 56 undergraduate participants viewing images under various regulation instructions at Time 1, returning one week later for a recognition memory test for these images at Time 2. Images were rated for valence and arousal at both time points.

RESULTS

We hypothesized that images encoded mindfully would elicit lower levels of anxiety upon re-exposure, while suppression would increase levels of anxiety. Results did not support original hypotheses: although participants reported being calmer and happier at re-exposure, this effect did not vary by strategy. High-anxiety participants reported higher arousal levels regardless of Instruction condition or Time Point.

CONCLUSIONS

These findings suggest that short-term use of emotion regulation does not impact feelings of calmness long-term, when exposed to anxiety-provoking stimuli.

Emotionen im Rettungsdienst

Hintergrund

Rettungskräfte müssen im Notfalleinsatz häufig mit emotional belastenden Situationen und ihren eigenen Reaktionen auf menschliches Leid umgehen. Wir untersuchten Rettungskräfte hinsichtlich ihrer Empathie und emotionalen Reaktivität sowie Strategien zur Emotionsregulation und Bewältigung schwieriger Situationen und stellten Zusammenhänge zum chronischen Stresserleben her. Zum Vergleich diente eine studentische Vergleichsstichprobe, welche keine medizinischen Berufserfahrungen vorwies.

Methode

Stress, Empathie, Emotionsregulation und Bewältigungsstrategien wurden mittels einer Fragebogenbatterie erfasst. Emotionale Reaktivität wurde experimentell mit normiertem Bildmaterial zur Erzeugung von Ekel, Trauer, Angst und Freude untersucht, welches auf einer mehrstufigen Skala von angenehm bis unangenehm beurteilt wurde.

Ergebnisse

Rettungskräfte (n = 161) erlebten weniger Stress, waren weniger empathisch und machten seltener oder ähnlichen Gebrauch von Strategien zur Emotionsregulation und Bewältigung wie Studierende (n = 56). Sie empfanden zudem ekel- und trauerauslösende Bilder weniger unangenehm. Mehr Reaktivität auf Ekelbilder, mehr Empathie, Emotionsunterdrückung und vermeidende Bewältigungsstrategien waren mit mehr Stress assoziiert.

Konklusion

Eine verminderte, jedoch nicht niedrige Empathie könnte im Einsatz hilfreich zur emotionalen Abschirmung sein, während nach dem Einsatz eine aktive Auseinandersetzung mit eigenen Emotionen und erlebten kritischen Situationen adaptiv zum Schutz vor Stress erscheint.

Suppression and acceptance in unipolar depression: Short-term and long-term effects on emotional responding

OBJECTIVES

Transdiagnostic treatments increasingly include emotion regulation training focused on use of emotional suppression and acceptance. Despite the frequent use of these treatments in depression, little is known about the effects of these strategies in this population.

DESIGN

An experimental study.

METHODS

Eighty Veterans with unipolar depression participated in a study examining effects of these strategies on emotional responding (subjective, behavioural, and physiological). Physiological measures included: heart rate (HR), respiration (Resp), skin conductance (SC), and corrugator electromyography. On Day 1, participants were randomised to one of three conditions (acceptance, suppression, or control) and underwent an autobiographical sad mood induction. On Day 2, participants underwent a similar mood induction one week later.

RESULTS

The suppression group demonstrated reduced physiological reactivity (Resp and SC) on Day 1. However, the suppression group reported decreased positive affect on Day 2.

CONCLUSIONS

Results support short-term effectiveness and longer term costs from suppression use among depressed individuals. Findings may inform application of transdiagnostic emotion regulation treatments and suggest suppression functions differently in depressed versus other clinical populations.

Simulating the computational mechanisms of cognitive and behavioral psychotherapeutic interventions: insights from active inference

Cognitive-behavioral therapy (CBT) leverages interactions between thoughts, feelings, and behaviors. To deepen understanding of these interactions, we present a computational (active inference) model of CBT that allows formal simulations of interactions between cognitive interventions (i.e., cognitive restructuring) and behavioral interventions (i.e., exposure) in producing adaptive behavior change (i.e., reducing maladaptive avoidance behavior). Using spider phobia as a concrete example of maladaptive avoidance more generally, we show simulations indicating that when conscious beliefs about safety/danger have strong interactions with affective/behavioral outcomes, behavioral change during exposure therapy is mediated by changes in these beliefs, preventing generalization. In contrast, when these interactions are weakened, and cognitive restructuring only induces belief uncertainty (as opposed to strong safety beliefs), behavior change leads to generalized learning (i.e., "over-writing" the implicit beliefs about action-outcome mappings that directly produce avoidance). The individual is therefore equipped to face any new context, safe or dangerous, remaining in a content state without the need for avoidance behavior-increasing resilience from a CBT perspective. These results show how the same changes in behavior during CBT can be due to distinct underlying mechanisms; they predict lower rates of relapse when cognitive interventions focus on inducing uncertainty and on reducing the effects of automatic negative thoughts on behavior.

Judges' emotion: an application of the emotion regulation process model

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.

Positive and Negative Emotion Regulation in College Athletes: A Preliminary Exploration of Daily Savoring, Acceptance, and Cognitive Reappraisal

BACKGROUND

Despite increasing interest in positive psychological states, we know little about how regulatory responses to positive (savoring) compared to negative events (e.g. acceptance, cognitive reappraisal) influence emotional functioning. Savoring may be particularly helpful for athletes who are often trained to attend more to negative (e.g. rectifying weaknesses) compared to positive stimuli (e.g. enjoying progress).

METHODS

Sixty-seven college athletes completed a two-week daily diary study. Using multi-level modeling, we first explored whether various regulatory responses to daily negative events predicted unique variance in daily emotions (i.e. happy, content, grateful, sad, angry, annoyed). Next, we tested whether savoring positive events strengthened the association between event intensity and positive daily emotions. Finally, we tested whether regulatory responses to positive compared to negative events had stronger moderating (buffering) effects on the association between daily negative event intensity and daily emotions.

RESULTS

Based on 836 daily observations, reappraising and accepting negative events were the only strategies that predicted unique variance in daily emotions. Savoring enhanced positive emotions related to positive events. Reappraising negative events buffered associations between negative event intensity and decreased daily gratitude, while savoring positive events buffered associations between negative event intensity and increased anger, annoyance, and average negative emotions. Accepting negative events had similar effects.

CONCLUSIONS

Savoring positive events may be an underappreciated strategy for helping athletes regulate emotions related to negative events. Since our sample predominantly identified as white and female, further research is needed to understand savoring use and effectiveness among the full, diverse spectrum of college athletes.

The Effect of Concerns About COVID-19 on Anxiety, Stress, Parental Burnout, and Emotion Regulation: The Role of Susceptibility to Digital Emotion Contagion

Background and aims: The COVID-19 pandemic has caused social and economic turmoil, which has led to enormous strain for many families. Past work with pandemic outbreaks suggests that media attention can increase anxiety and compensatory behaviors. Social isolation can lead to increase in online communication and parents who use social media may be affected by other people's emotions online through what is known as digital emotion contagion (DEC). The current study aimed to examine the role of DEC in the relationship between stress, concern about COVID-19, parental burnout and emotion regulation (ER). Methods: In April 2020, an online survey was advertised in Social Media Parenting Groups and published on FIU Psychology online research system SONA. Data were analyzed using correlational analysis, linear and multiple linear regression, and moderation analysis. Results: Concern about COVID-19 predicted stress, depression, and parental burnout. Susceptibility to DEC significantly increased the impact of stress on parental burnout. Having relatives infected with COVID-19 increased the effect of DEC on parental burnout. A higher level of ER buffered the relationship between emotion contagion and concern about COVID-19. Conclusion: These findings suggest that susceptibility to digital emotion contagion may have a negative effect on parents. Digital emotion contagion may increase parental burnout and is tied to stress.

The simultaneous use of Emotional suppression and Situation selection to regulate emotions incrementally favors physiological responses

Background

Emotion regulation alters the trajectories of emotional responses and, when effective, transforms the emotional responses to help individuals adapt to their environment. Previous research has mainly focused on the efficiency of regulation strategies performed individually at a given time. Yet, in daily life, it is likely that several strategies are often combined. Thus, we question in this study the combinatorial efficiency of two emotion regulation strategies, Situation selection and Emotional suppression.

Methods

In a within-subject design, sixty-five participants were asked to implement either no strategy, Situation selection only, Emotional suppression only, or both strategies together (four conditions) while looking at various emotionally charged images. Experience, expressivity, and physiological arousal were recorded throughout the viewing. Repeated-measures ANOVAs and corrected post-hoc tests were used for analyzing the data.

Results

The results of the combined strategies showed that Emotional suppression canceled the beneficial impact of Situation selection on negative experience, while significantly increasing the impact on cardiac activity. The use of both strategies together had a greater effect on respiratory function with an enhanced decrease in respiratory rate and amplitude.

Conclusions

The combinatorial effect of emotion regulation strategies is different according to the emotional response that the individual needs to regulate. The simultaneous use of Situation selection and Emotional suppression could be particularly beneficial to relieve physiological symptoms.

Emotion regulation during personal goal pursuit: Integration versus suppression of emotions

OBJECTIVE

Goal pursuit may involve setbacks likely to elicit negative emotions. To continue pursuing the goal, an individual may need to regulate those emotions. In this study, we compared the unique contributions of two emotion regulation styles, integrative emotion regulation (IER) and suppressive emotion regulation (SER), to goal pursuit processes. We tested the hypotheses that IER and SER would be differentially related to goal progress and goal-related effort and goal-related depressed mood would mediate those relations.

METHOD

255 Israeli participants completed five web questionnaires at two-week intervals. We examined the mediation hypothesis using multilevel structural equation modeling.

RESULTS

At the within-person level, increases in IER predicted increases in goal progress at a given time point through increases in goal-related effort, while increases in SER predicted decreases in goal progress through increases in goal-related depressed mood. At the between-persons level, participants with higher IER reported more goal progress; this effect was mediated by goal-related effort. Participants with higher SER reported lower goal progress; this effect was mediated by higher goal-related depressed mood. The findings held after controlling for such factors as participants' perceived goal competence, goal stress, sex, and age.

CONCLUSIONS

IER promotes goal pursuit, but SER impedes it.

Emotion regulation by implementation intention is generalizable to unspecified situations: The nature of the underlying goal matters

Implementation intentions (II), which specify how to respond in a given situation based on the goal, is known for its automaticity of regulating emotion to the specified situation. However, it is unknown whether such regulatory effects can be generalized to unspecified situations. For this purpose, we performed four experiments, each consisting of specified (bloody) and unspecified (non-bloody) stimuli with the goal of disgust (Exp.1-2) or unpleasant (Exp.3) regulation. Results showed that II reduced negative feelings for both bloody and non-bloody situations (Exp.1). This generalization effect was absent for goal-unrelated, frightening situations (Exp.2). However, broadening the goal extended the generalization effect to the frightening situation, an effect further amplified when a flexible response was used (Exp.3). Moreover, the II buildup did not disrupt feelings for pleasant situations (Exp.4). These results provide the first evidence that II-based emotion regulation is generalizable to unspecified, goal-related situations and that increasing goal coverage expands the generalization.

Long-term modulation of cardiac activity induced by inhibitory control over emotional memories

Efforts to exclude past experiences from conscious awareness can lead to forgetting. Memory suppression is central to affective disorders, but we still do not really know whether emotions, including their physiological causes, are also impacted by this process in normal functioning individuals. In two studies, we measured the after-effects of suppressing negative memories on cardiac response in healthy participants. Results of Study 1 revealed that efficient control of memories was associated with long-term inhibition of the cardiac deceleration that is normally induced by disgusting stimuli. Attempts to suppress sad memories, by contrast, aggravated the cardiac response, an effect that was closely related to the inability to forget this specific material. In Study 2, electroencephalography revealed a reduction in power in the theta (3-8 Hz), alpha (8-12 Hz) and low-beta (13-20 Hz) bands during the suppression of unwanted memories, compared with their voluntary recall. Interestingly, however, the reduction of power in the theta frequency band during memory control was related to a subsequent inhibition of the cardiac response. These results provide a neurophysiological basis for the influence of memory control mechanisms on the cardiac system, opening up new avenues and questions for treating intrusive memories using motivated forgetting.

Disgust regulation between menstrual cycle phases: Differential effects of emotional suppression and reappraisal

BACKGROUND AND OBJECTIVE

Immunosuppression is characteristic of the luteal phase of the menstrual cycle and is accompanied by an adaptive disgust response to reduce contact with pathogens. However, research has not examined the effects of emotion regulation on disgust during the menstrual cycle. Accordingly, the present study examines the effect of suppression and reappraisal on disgust during the luteal and follicular phases of the menstrual cycle.

METHOD

Menstrual cycle phase was estimated in a sample of naturally cycling women (n = 73), and those in the follicular or luteal phase were assigned to suppress or reappraise disgust while watching a disgust-inducing video. Physiological arousal during the video and avoidance of disgust cues in a public restroom after the video were also assessed.

RESULTS

No differences were observed in self-reported disgust to the video between those who suppressed and those who reappraised in the luteal phase. However, women in the follicular phase who suppressed reported less disgust than those who reappraised. The emotion regulation strategies did not influence physiology during the video or avoidance after the video as a function of menstrual cycle phase.

LIMITATIONS

Hormone assay data was not collected to confirm menstrual cycle phase and a relatively small sample of naturally cycling women was used.

CONCLUSIONS

Suppression may be a more effective strategy than reappraisal for reducing verbal disgust in the follicular phase but not in the luteal phase. The implications of these findings for the treatment of disgust-based disorders among women are discussed.

Investigating cultural differences in the effects of expressive suppression when processing traumatic distressing material

BACKGROUND

While suppression is associated with detrimental post-traumatic psychological adjustment, research has not considered the effect of culture on this relationship.

AIMS

This study investigated cultural differences in the effects of expressive suppression, whilst watching a traumatic film, on subjective distress, psychophysiological responses and intrusive memory.

METHOD

Australians of European heritage or East Asian Australian participants (n = 82) were randomly assigned to either a suppression group (instructed to suppress their emotions during the film) or a control group (no instructions regarding emotion management). Electrodermal activity, heart rate and heart rate variability (root mean square of the successive differences; RMSSD) were measured pre-, during and post-film. Participants reported the number of film-related intrusions in the 5 min and 7 days post-viewing.

RESULTS

While the European Australian group did not differ significantly on RMSSD, the East Asian suppression group scored significantly higher on RMSSD during the film than the East Asian control group. Second, those in the suppression groups, regardless of cultural background, reported significantly fewer intrusions immediately post-film than controls. Third, we found that for the European Australian group, change in heart rate interacted with group (control versus suppression) when predicting weekly intrusions. However, for the East Asian group change in heart rate did not interact with group when predicting weekly intrusions.

CONCLUSIONS

The findings are discussed in the context of current research on culture and emotion regulation and implications for post-traumatic stress disorder.

Acceptance-Based Emotion Regulation Reduces Subjective and Physiological Pain Responses

Acceptance-based regulation of pain, which focuses on the allowing of pain and pain related thoughts and emotions, was found to modulate pain. However, results so far are inconsistent regarding different pain modalities and indices. Moreover, studies so far often lack a suitable control condition, focus on behavioral pain measures rather than physiological correlates, and often use between-subject designs, which potentially impede the evaluation of the effectiveness of the strategies. Therefore, we investigated whether acceptance-based strategies can reduce subjective and physiological markers of acute pain in comparison to a control condition in a within-subject design. To this end, participants (N = 30) completed 24 trials comprising 10 s of heat pain stimulation. Each trial started with a cue instructing participants to welcome and experience pain (acceptance trials) or to react to the pain as it is without employing any regulation strategies (control trials). In addition to pain intensity and unpleasantness ratings, heart rate (HR) and skin conductance (SC) were recorded. Results showed significantly decreased pain intensity and unpleasantness ratings for acceptance compared to control trials. Additionally, HR was significantly lower during acceptance compared to control trials, whereas SC revealed no significant differences. These results demonstrate the effectiveness of acceptance-based strategies in reducing subjective and physiological pain responses relative to a control condition, even after short training. Therefore, the systematic investigation of acceptance in different pain modalities in healthy and chronic pain patients is warranted.

Establishing the validity of a novel passive stress task

Laboratory tasks used to elicit a cardiovascular stress response in the laboratory can involve either active or passive coping. However, in previous work, passive stress tasks often incorporate a distinct physical stress element, such as the handgrip or cold pressor task, meaning observed changes in cardiovascular parameters may be the result of the physical element of the stressor rather than truly reflecting psychological stress. The present study aimed to establish the validity of a psychological passive stressor; one more analogous to active tasks than those previously employed in laboratory studies. Twenty-six young, healthy adults completed a speech task in the laboratory following a resting baseline period. Twelve months later, they were invited back to the laboratory and watched the video recording of their speech. Analyses confirmed that while both tasks elicited significant SBP and DBP change (all ps < .001), only the active task was associated with HR and CO reactivity (both ps < .001), while only the passive task was associated with TPR reactivity (p = .028). Furthermore, the passive stressor was associated with a mixed hemodynamic profile, whereas the active stressor was associated with a clear myocardial profile. This study confirms that watching a video recording of oneself complete a speech task is associated with a more vascular response profile, a response associated with passive coping contexts.

The role of attentional deployment during distancing in adolescents with major depression

Individuals with major depression (MD) show deficits in cognitive reappraisal. It is yet unexplored how the act of directing visual attention away from/towards emotional aspects impacts on cognitive reappraisal in MD. Thus, we examined the role of attentional deployment during cognitive reappraisal (specifially during distancing) in adolescent MD. 36 MD adolescents and 37 healthy controls (12-18 years) performed a cognitive reappraisal task during which they a) down-regulated self-reported negative affective responses to negative pictures via distancing, or b) simply attended to the pictures. During the task, attentional focus was systematically varied by directing participants' gaze to emotional vs. non-emotional picture aspects. The validity of this experimental manipulation was checked by continuous eye-tracking during the task. Across groups and gaze focus conditions, distancing diminished negative affective responses to the pictures. Regulation success significantly differed between groups dependent on gaze focus: MD adolescents showed relatively less regulation success than controls in the emotional gaze focus condition, while the reverse was true for the non-emotional gaze focus condition. The results suggest that in MD adolescents, an emotional context might interfere with emotion regulatory aims. The findings can provide an important starting point for the development of innovative training regimes that target deficient reappraisal processes in adolescents suffering from MD.

The impact of focused attention on subsequent emotional recollection: A functional MRI investigation

In his seminal works, Endel Tulving argued that functionally distinct memory systems give rise to subjective experiences of remembering and knowing (i.e., recollection- vs. familiarity-based memory, respectively). Evidence shows that emotion specifically enhances recollection, and this effect is subserved by a synergistic mechanism involving the amygdala (AMY) and hippocampus (HC). In extreme circumstances, however, uncontrolled recollection of highly distressing memories may lead to symptoms of affective disorders. Therefore, it is important to understand the factors that can diminish such detrimental effects. Here, we investigated the effects of Focused Attention (FA) on emotional recollection. FA is an emotion regulation strategy that has been proven quite effective in reducing the impact of emotional responses associated with the recollection of distressing autobiographical memories, but its impact during emotional memory encoding is not known. Functional MRI and eye-tracking data were recorded while participants viewed a series of composite negative and neutral images with distinguishable foreground (FG) and background (BG) areas. Participants were instructed to focus either on the FG or BG content of the images and to rate their emotional responses. About 4 days later, participants' memory was assessed using the R/K procedure, to indicate whether they Recollected specific contextual details about the encoded images or the images were just familiar to them - i.e., participants only Knew that they saw the pictures without being able to remember specific contextual details. First, results revealed that FA was successful in decreasing memory for emotional pictures viewed in BG Focus condition, and this effect was driven by recollection-based retrieval. Second, the BG Focus condition was associated with decreased activity in the AMY, HC, and anterior parahippocampal gyrus for subsequently recollected emotional items. Moreover, correlation analyses also showed that reduced activity in these regions predicted greater reduction in emotional recollection following FA. These results demonstrate the effectiveness of FA in mitigating emotional experiences and emotional recollection associated with unpleasant emotional events.

One Size Does Not Fit All: Tailoring Cognitive Reappraisal to Different Emotions

Emotion regulation strategies have been typically studied independently of the specific emotions people try to change by using them. However, to the extent that negative emotions are inherently different from one another, people may choose different means to change them. Focusing on fear and sadness, we first mapped emotion-related content to theoretically matched reappraisal tactics. We then tested how frequently people choose such reappraisal tactics when regulating fear and sadness (Studies 1, 2, and 4a). As predicted, people were most likely to select reappraisal tactics that targeted content that was particularly relevant to the specific emotion they tried to regulate. Next, we tested whether such choices were driven by differences in the efficacy (Study 3), perceived efficacy (Study 4b), and anticipated effort (Study 4c) of regulation. Our findings demonstrate that the means people select to regulate their emotions depend on which emotions they try to regulate.

Regulatory effect of implicit acceptance during outcome evaluation: The temporal dynamics in an event-related potential study

The acceptance of emotion is important for humans' wellbeing and social functioning. Despite its regulatory advantages, the temporal dynamics of acceptance for regulating decision-related emotion remains unclear. For this purpose, Event-related potentials were recorded for outcome presentation, when participants either in explicit or implicit acceptance condition performed a Gambling Task. Results showed that acceptance effectively regulated emotional experiences, irrespective of how it was realized (explicit/implicit). Compared to viewing condition, explicit acceptance increased overall amplitudes of feedback-related negativity (FRN,180-240 ms) at the early stage and reduced P3 amplitude (240-440 ms) in general at the late stage, regardless of feedback valence or magnitude. By contrast, implicit acceptance did not influence the FRN amplitudes but increased the P3 amplitudes globally, an effect unaffected by feedback valence and magnitude. In addition, the P3 amplitude for explicit acceptance was negatively correlated with the ratio of risky choices, regardless of outcome valence. These results suggest that explicit acceptance is associated with cognitive conflict and resource depletion, while these adverse effects are not engendered during implicit acceptance. These regulatory effects are independent of specific feedback valence and magnitude. These findings highlight the role of implicit acceptance in cognitive demanding context, such as decision-making.

The sensitive prosecutor: Emotional experiences of prosecutors in managing criminal proceedings

For over three decades, therapeutic jurisprudence (TJ) has produced rich scholarship highlighting the inseparable connection between law and personal wellbeing. Only recently, however, have TJ scholars begun to explore the influence that the law has on those practicing it. The current research aims to contribute to this developing area of study. It explores the "emotional map" of public prosecutors in relation to defendants and crime victims, their awareness to these emotions and the impact that these emotions have on their professional decisions. The research involves in-depth interviews with 14 public prosecutors handling criminal cases in Israeli courts. The qualitative, phenomenological analysis of the documented interviews revealed three exposure levels in which interviewees discussed the emotional aspects of their work. The tension between resisting emotions and accepting them was lurking upon each one of the subjects. Their descriptions of specific raw emotions emerged at the deepest level of exposure, and at that level, anger was the most prominent emotion. Our findings raise some skepticism regarding the prosecutor image as a completely rational and provide the insight that prosecutors' emotional world is boiling underneath the surface. Moreover, the exposure of the continuous tension between acceptance and rejection of emotions provides an explanation for the prosecutors' difficulty in acknowledging their emotions in full. This tension negatively impacts the prosecutors' personal and professional lives in ways that resemble psychological symptoms of secondary trauma. The findings may contribute to the development of a "knowledge base" of emotional experiences of prosecutors that could enable the creation of models for regulating and managing emotions of legal agents, for the benefit of litigants, legal agents, and the legal process more broadly.

Can mindfulness be too much of a good thing? The value of a middle way

Previous research has found that very few, if any, psychological or physiological processes are universally beneficial. Instead, positive phenomena tend to follow a non-monotonic or inverted U-shaped trajectory where their typically positive effects eventually turn negative. This review investigates mindfulness-related processes for signs of non-monotonicity. A number of mindfulness-related processes-including, mindful attention (observing awareness, interoception), mindfulness qualities, mindful emotion regulation (prefrontal control, decentering, exposure, acceptance), and meditation practice-show signs of non-monotonicity, boundary conditions, or negative effects under certain conditions. A research agenda that investigates the possibility of mindfulness as non-monotonic may be able to provide an explanatory framework for the mix of positive, null, and negative effects that could maximize the efficacy of mindfulness-based interventions.

Can't get it out of my mind: A systematic review of predictors of intrusive memories of distressing events

Intrusive memories, when persistent and distressing, are theorized to underlie a range of transdiagnostic psychological symptoms and associated impairment. However, little is known about factors predicting the development and persistence of intrusive memories. The aim of this systematic review is to evaluate the literature on pre-event, event-based, and post-event predictors of intrusive memories. A systematic review was conducted, searching for studies that examined intrusive, event-based memories. One hundred and six articles were identified from PsycInfo, PubMed, and Medline databases. Experimental and prospective studies with clinical (N = 14) and nonclinical (N = 92) samples were critically reviewed, provided the inclusion of an analogue stressor with nonclinical samples, and that intrusive memories frequency and/or distress were assessed as primary dependent variables. Pre-existing psychopathology and pre-event appraisal style appear to predict intrusive memories (small to medium effects), whereas trait dissociation did not predict intrusive memories. Of studies examining event-based predictors, higher data-driven processing appears to predict intrusive memories with generally large effects. Post-event negative appraisals consistently predicted intrusive memories (medium to large effects), and preliminary evidence suggests higher post-event conceptual processing predicting fewer intrusive memories. This review synthesizes findings regarding a broad range of pre-event, event-based, and post-event factors that may influence the development of intrusive memories. Methodological issues of current paradigms and the lack of emphasis on memory retrieval processes limit our understanding of what predicts intrusive memory persistence. These limitations are particularly important given that individuals typically seek treatment for distressing intrusive memories once a memory has been fully consolidated, where retrieval processes are of utmost importance. (PsycINFO Database Record

Conceptualizing gambling disorder with the process model of emotion regulation

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.

The role of emotion regulation in chronic pain: A systematic literature review

OBJECTIVE

Emotion regulation (ER) includes a set of cognitive and attentional processes used to change or maintain emotional state. A small but growing body of research suggests that maladaptive ER might be a risk factor for the development of chronic pain. This review aims to summarize existing literature on the association between ER and chronic pain, and to determine whether the construct of ER may further enhance our understanding of the risk and protective factors that may contribute to the onset and maintenance of chronic pain.

METHODS

A systematic search was conducted using the search terms "chronic pain" and "emotion regulation." Studies that measured both constructs across all age groups were included.

RESULTS

We found 15 studies that met our inclusion criteria. Nine studies were completed within the last five years, suggesting that the evaluation of ER as it relates to pain is a new line of research. Studies that measured "response-focused" ER found associations between maladaptive ER and pain. Studies that measured "antecedent-focused" ER strategies were less likely to show a direct association with pain.

CONCLUSION

Maladaptive response-focused ER may be an important risk factor in the development and maintenance of chronic pain, as it is associated with pain and psychological comorbidities. Adding ER to chronic pain investigations may help to further explain individual differences in the risk and protective mechanisms that are known to influence chronic pain. Importantly, this line of research has potential to directly inform future interventions for patients with chronic pain.

Reappraisal inventiveness: impact of appropriate brain activation during efforts to generate alternative appraisals on the perception of chronic stress in women

BACKGROUND AND OBJECTIVES

Previous research indicated that more left-lateralized prefrontal activation during cognitive reappraisal efforts was linked to a greater capacity for generating reappraisals, which is a prerequisite for the effective implementation of cognitive reappraisal in everyday life. The present study examined whether the supposedly appropriate brain activation is relevant in terms of more distal outcomes, i.e., chronic stress perception.

DESIGN AND METHODS

Prefrontal EEG alpha asymmetry was recorded while female participants were generating reappraisals for stressful events and was correlated with their self-reported chronic stress levels in everyday life (n = 80).

RESULTS

Women showing less left-lateralized brain activity in the ventrolateral prefrontal cortex during cognitive reappraisal efforts reported experiencing more stress in their daily lives. This effect was independent of self-efficacy beliefs in managing negative emotions.

CONCLUSION

These findings underline the practical relevance of individual differences in appropriate brain activation during emotion regulation efforts and the assumedly related basic capacity for the generation of cognitive reappraisals to the feeling of being stressed. Implications include the selection of interventions for the improvement of coping with stress in women in whom the capability for appropriate brain activation during reappraisal efforts may be impaired, e.g., due to depression or old age.