Systematic review and meta-analysis of age-related differences in instructed emotion regulation success

The Role of Autobiographical Resilience Memories in Emotion Regulation: An Account of Age Differences in Mnemonic and Positive Reappraisal

A lifetime of resilience through emotionally challenging experiences may benefit older adults, lending to emotion regulation mastery with time. Yet the influence of autobiographical experiences on momentary reappraisal, the reinterpretation of negative stimuli as more positive, has never been empirically tested. This online study examined the extent to which associating life memories of resilience with novel negative scenarios enhanced reappraisal efficacy and reduced difficulty to reappraise. Younger and older adults reappraised negative images by associating reappraisals to freely selected autobiographical resilience memories, cued autobiographical resilience memories, or by finding situational silver linings without mnemonic association (control). Changes in image emotional intensity ratings revealed no difference across reappraisal conditions for younger adults, while older adults most effectively down-regulated emotional intensity using the control reappraisal strategy. Older adults found autobiographical memories more helpful for mood regulation and less difficult to implement, and identified greater similarities between novel negative scenarios and their memories than younger adults. Surprisingly, greater similarity between resilience memories and negative images was associated with lower reappraisal efficacy for both age groups. Findings demonstrate the age-equivalent benefits of utilizing reappraisals associated with past narratives of resilience and suggest a sacrifice of immediate hedonic benefit for disproportionately greater subjective benefits with age.

Falling hard, but recovering resoundingly: Age differences in stressor reactivity and recovery

Strength and vulnerability integration (SAVI) theory (Charles, 2010) posits that age differences in emotional experiences vary based on the distance from an emotionally eliciting event. Before and after a stressor, SAVI predicts that older age is related to motivational strivings that often result in higher levels of well-being. However, during stressor exposure, age differences are predicted to be attenuated or disappear completely. The present study examined how younger (n = 85; Mage = 22.56 years) and older (n = 85; Mage = 71.05 years) adults reacted to and recovered from a cognitive stressor using repeated positive and negative emotion probes. Results showed that both age groups were negatively impacted by the stressor, and both reported an initial boost in recovery afterward. However, older adults continued to improve across the recovery period compared with younger adults. This work elucidates that older adults are significantly impacted by stress but exhibit a resounding recovery. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Age, Resources, and Emotion Regulation Need in Daily-Life Emotional Contexts

OBJECTIVES

The Strengths and Vulnerabilities Integration model (Charles, 2010) suggests older adults experience difficulty regulating emotions with high-arousal negative stimuli due to decreases in resources. We investigate relationships among age, physical and cognitive resources, emotional experience, and perceived emotion regulation (ER) needs.

METHODS

Participants aged 25-85 (N = 290) completed assessments of cognitive ability and physical health. In an experience sampling procedure (6x per day for 10 days), participants reported their momentary emotion experience and perceived need to regulate their emotions.

RESULTS

Regardless of arousal level, negative emotion was associated with higher ER need and positive emotion was associated with lower ER need. This pro-hedonic orientation was stronger among older adults and individuals with more cognitive resources. In contrast to predictions, older adults in poor physical health who experience high levels of high-arousal negative emotion on average reported lower ER need compared with younger adults in poor physical health. However, older adults with lower cognitive resources who experience high levels of high-arousal negative emotion on average reported higher ER need.

DISCUSSION

Findings suggest that younger age and lower levels of cognitive ability are linked to less perceived need to regulate negative emotional states. Physical vulnerabilities also may dampen the perceived need for regulating high-arousal negative emotions, but only among older adults. Age-related shifts in resources and emotional goals may influence the likelihood that individuals are motivated to engage in ER, as well as the effectiveness of those efforts.

Implicit emotion regulation improves arithmetic performance: An ERP study

Available evidence suggests that emotions influence arithmetic, and explicit emotion regulation modulates the effect of anxiety on arithmetic performance. However, neural mechanisms by which implicit emotion regulation affects these phenomena remain unclear, particularly under distinct affective priming contexts. Twenty-two college students were required to perform multiple tasks in sequence, including an idioms matching task, a multiplication computational estimation task (MCE task), an emotion judgement task (EJ task), and an emotion assessment task (EA task). Behavioral performance was measured via accuracy and response time during the MCE task, and ratings of the EA task, while eletrophysiological response was measured via the contingent negative variation (CNV) elicited by completing the MCE task. Decreased response time and emotional intensity ratings were observed for priming emotion regulation idioms compared to priming neutral idioms. Priming emotion regulation idioms attenuated early CNV amplitudes under happiness priming, and attenuated both early and late CNV amplitudes under fear priming. These results suggested that implicit reappraisal and suppression are promising strategies to enhance arithmetic performance and alleviate the adverse effects of affective priming, especially under fear priming.

What Do We Know About Aging and Emotion Regulation?

Older adults report surprisingly positive affective experience. The idea that older adults are better at emotion regulation has emerged as an intuitively appealing explanation for why they report such high levels of affective well-being despite other age-related declines. In this article, I review key theories and current evidence on age differences in the use and effectiveness of emotion-regulation strategies from a range of studies, including laboratory-based and experience sampling. These studies do not yet provide consistent evidence for age differences in emotion regulation and thus do not clearly support the assertion that older adults are better at emotion regulation. However, current approaches may be limited in describing and testing possible age-related changes in emotion regulation. Future work will need to more directly investigate individual trajectories of stability and change in emotion-regulation strategy use and effectiveness over time and also consider the possible roles of context, physiological reactivity, neural changes, acceptance, and personality.

Emotion regulation and decision-making in persons with dementia: A scoping review

BACKGROUND AND OBJECTIVES

Emotion is integral to decision-making, and emotion regulation is associated with improved well-being in older age. Persons with dementia are likely to experience impairments in emotion regulation processes that can potentially contribute to differential decision-making and well-being outcomes. To promote the development of theoretical models of well-being in dementia, we review the quantitative evidence concerning the associations between emotion regulation and decision-making in dementia.

METHODS

Scoping review.

RESULTS

Seven studies of persons with dementia met our criteria. In persons with frontotemporal lobar degeneration, emotion regulation processes that precede the emotional experience were associated with decision-making in a moral (but not uncertainty) context. Independent of type of dementia, evidence concerning the associations between emotion regulation processes that occur after emotion is experienced and decision-making was mixed and drew on different methodologies. No studies relating to the associations between decision-making in dementia and several emotion regulation processes and strategies were found.

CONCLUSIONS

In this review, we sought to clarify the concept of everyday decision-making in dementia and map the current state of evidence concerning its associations with emotion regulation. Our findings show that emotion regulation processes are associated with decision-making in dementia, depending on type of decision-making assessment and emotional experience. We outline the gaps in the literature to set a research agenda for promoting our understanding of how emotion regulation processes can shape the various decisions that are made by persons with dementia on a daily basis.

Greater negative affect and mixed emotions during spontaneous reactions to sad films in older than younger adults

Older adults may be better able to regulate emotion responses to negative experiences than younger persons when provided instructions, but age group differences in spontaneous emotion responses are poorly understood. The current study determined age group differences in spontaneous reactivity and recovery in negative and positive affects, as well as the co-occurrence of negative and positive affects, following a laboratory mood induction. Younger (n = 71) and older adults (n = 44) rated negative and positive affects before and several times after a negative mood induction involving sad film clips. ANCOVA and multilevel longitudinal modeling in HLM were utilized to determine age group differences in spontaneous reactivity to and recovery from the mood induction, as well as age group differences in co-occurrence of negative and positive affects. Relative to younger adults, older adults reported greater negative affect reactivity to and recovery from the mood induction. Older adults also reported greater co-occurrence of negative and positive affects in response to the mood induction, as compared to younger adults. Thus, older adults reacted more strongly to sad film clips than younger persons, exhibited efficient recovery, and reported greater co-occurrence of negative and positive affects. A fruitful line of future research might determine whether affect co-occurrence facilitates effective emotion regulation.

Measuring inter-individual differences in stress sensitivity during MR-guided prostate biopsy

People often experience high level of distress during invasive interventions, which may exceed their coping abilities. This may be in particular evident when confronted with the suspicion of cancer. Taking the example of prostate biopsy sampling, we aimed at investigating the impact of an MRI guided prostate biopsy on the acute stress response and its mechanistic basis. We recruited 20 men with a clinical suspicion of prostate cancer. Immediately before an MRI guided biopsy procedure, we conducted fMRI in the same scanner to assess resting-state brain connectivity. Physiological and hormonal stress measures were taken during the procedure and associated with questionnaires, hair cortisol levels and brain measures to elucidate mechanistic factors for elevated stress. As expected, patients reported a stress-related change in affect. Decreased positive affect was associated with higher hair but not saliva cortisol concentration. Stronger use of maladaptive emotion regulation techniques, elevated depression scores and higher within-salience-network connectivity was associated with stronger increase in negative affect and/or decrease of positive affect during the procedure. While being limited in its generalization due to age, sample size and gender, our proof of concept study demonstrates the utility of real-life stressors and large-scale brain network measures in stress regulation research with potential impact in clinical practice.

Age Differences in Reappraisal of Negative Autobiographical Memories

Background: Past studies have been equivocal regarding age differences in reappraisal efficacy. Moreover, the use of laboratory-generated stimuli (e.g., images, film clips) may overestimate age differences. Instead, the use of self-relevant stimuli (e.g., autobiographical memory) may better represent the day-to-day implementation of reappraisal. Method: Younger and older adults generated 50 negative memories and provided negativity, positivity, and vividness ratings. One to two weeks later, participants underwent a reappraisal task during which physiological data were collected. Participants implemented one of the three instructions for 30 seconds: remember naturally, increase negative reactions, or decrease negative reactions via a "positivizing" tactic. Results: Prior to the regulation session, older adults rated all memories more positively than younger adults. No age differences in negativity or vividness ratings emerged. After regulation, older adults rated memories more positively, negatively, and vividly than younger adults. Physiological data suggest that reappraisal demands may have been more cognitively demanding for older adults. However, older adults reported higher negativity and positivity than younger adults. Conclusion: This challenges the existing theory regarding age and emotion regulation. We contend that reappraisal was achieved by younger and older adults; however, achievement may have emerged in slightly different ways.

Positive and Detached Reappraisal of Threatening Music in Younger and Older Adults

Past empirical studies have suggested that older adults preferentially use gaze-based mood regulation to lessen their negative experiences while watching an emotional scene. This preference for a low cognitively demanding regulatory strategy leaves open the question of whether the effortful processing of a more cognitively demanding reappraisal task is really spared from the general age-related decline. Because it does not allow perceptual attention to be redirected away from the emotional source, music provides an ideal way to address this question. The goal of our study was to examine the affective, behavioral, physiological, and cognitive outcomes of positive and detached reappraisal in response to negative musical emotion in younger and older adults. Participants first simply listened to a series of threatening musical excerpts and were then instructed to either positively reappraise or to detach themselves from the emotion elicited by music. Findings showed that, when instructed to simply listen to threatening music, older adults reported a more positive feeling associated with a smaller SCL in comparison with their younger counterparts. When implementing positive and detached reappraisal, participants showed more positive and more aroused emotional experiences, whatever the age group. We also found that the instruction to intentionally reappraise negative emotions results in a lesser cognitive cost for older adults in comparison with younger adults. Taken together, these data suggest that, compared to younger adults, older adults engage in spontaneous downregulation of negative affect and successfully implement downregulation instructions. This extends previous findings and brings compelling evidence that, even when auditory attention cannot be redirected away from the emotional source, older adults are still more effective at regulating emotions. Taking into account the age-associated decline in executive functioning, our results suggest that the working memory task could have distracted older adults from the reminiscences of the threat-evoking music, thus resulting in an emotional downregulation. Hence, even if they were instructed to implement reappraisal strategies, older adults might prefer distraction over engagement in reappraisal. This is congruent with the idea that, although getting older, people are more likely to be distracted from a negative source of emotion to maintain their well-being.

Providing Personal Care to Patients: the Role of Nursing Students' Emotional Labor

Background Providing personal care may be a source of emotional difficulties and negative feelings for students interacting with patients during their first clinical placement. This study was done to describe the role of emotional strategies for first year nursing students providing personal care to patients and the relationship of these strategies to students' emotional exhaustion, self-efficacy, and turnover intention. Method A self-reported questionnaire was administrated to a convenience sample of 226 first-year undergraduate nursing students attending their first clinical placement in one Italian University hospital. Results Results suggested a positive link between students' cognitive re-evaluation of their experiences and their self-perceived self-efficacy. Attentional deployment was the strongest antecedent of emotional exhaustion. Emotional dissonance was the primary contributor to students' turnover intention. Emotional exhaustion mediated the relationship between emotional dissonance and turnover intention. Conclusion This research suggested that there are emotional coping strategies useful for protecting student nurses from emotional exhaustion and turnover intention and that these strategies are positively related to students' self-perceived self-efficacy in providing personal care.