Effects Of Cognitive Emotion Regulation Research Articles

The effect of cognitive emotion regulation on direct-acting antivirals adherence in patients with hepatitis C

IntroductionAdherence to direct-acting antivirals (DAAs) could be a predictor of chronic viral hepatitis C (HCV) therapeutic failure. We examined the perceptions of patients receiving DAAs to determine how cognitive factors influence their decision to maintain adherence. Also, we explored the threshold of DAAs adherence for obtaining sustained virologic response (SVR) among patients with HCV, in order to better implement a strategy that improves the DAAs adherence in the future clinical practice.MethodsA single-arm prospective study was performed. Patients with HCV that started and completed DAAs treatment in the County Hospital of Craiova, Dolj, Romania, were enrolled. Patients’ medication adherence was assessed using the HCV-AD10 questionnaire, and the cognitive emotion regulation was measured with CERQ questionnaire (five positive/adaptive cognitive emotion-regulation domains and four negative/maladaptive domains). Spearman correlation analysis was conducted to explore the relationships between adherence and different factors. ROC-curves were used to evaluate the adherence threshold to achieve SVR. A linear regression model was performed to analyze the primary outcome (DAAs adherence) to be the target variable based on given independent variables (age, treatment duration, severity of HCV, the nine adaptive and maladaptive strategies).Results368 patients (mean age: 61 years) with HCV diagnosed 4.05 ± 6.38 (average) years ago were enrolled. Mean (±SD) adherence via HCV-AD10 was 91.51 ± 8.34, and the proportion of the participants achieving SVR was 96%. Patients with an adherence less than 84% (5 patients, 1.36%) was considered nonadherent and they have a high probability of not achieving response (sensitivity and specificity of 83% and 80%, respectively). We obtained significantly higher values of three adaptive strategies between adherent and nonadherent patients following DAAs treatment: in positive refocusing (p-value = 0.044), refocus on planning (p-value = 0.037), and positive reappraisal (p-value = 0.047).DiscussionThe interplay between the three adaptive strategies of the cognitive emotion regulation and the enhancement of DAAs adherence contributes to a more holistic comprehension of patient behavior in the context of HCV treatment. Increasing refocusing and planning using goal setting and assisting patients in establishing specific, achievable goals can be crucial strategies for clinicians aiming to improve adherence among their patients.

The association between perceived stigma and quality of life among parents of people with developmental disabilities: Multiple mediating effects of Cognitive emotion regulation and caregiving burden

The association between perceived stigma and quality of life among parents of people with developmental disabilities: Multiple mediating effects of Cognitive emotion regulation and caregiving burden

Relationship between pain resilience and pain catastrophizing in older patients after total knee arthroplasty: Chain-mediating effects of cognitive emotion regulation and pain management self-efficacy

This study aimed to determine whether the relationship between pain resilience and pain catastrophizing in older patients after total knee arthroplasty (TKA) was mediated by cognitive emotion regulation strategies (CERS) and pain management self-efficacy (PMSE). Convenience cluster sampling was used in this cross-sectional study to recruit 382 older adults. The results revealed that pain catastrophizing was negatively correlated with pain resilience, adaptive CERS, and PMSE; however, it was positively correlated with maladaptive CERS (all p < 0.01). Mediation analysis revealed that both CERS (adaptive and maladaptive) and self-management independently and sequentially mediated the relationship between pain resilience and pain catastrophizing in older patients who underwent TKA. These findings demonstrate that CERS (adaptive and maladaptive) and PMSE play chain-mediating roles in the correlation between pain resilience and pain catastrophizing in older patients after TKA.

Effect of Sleep Quality on Anxiety and Depression Symptoms among College Students in China's Xizang Region: The Mediating Effect of Cognitive Emotion Regulation.

While the exact mechanisms are not fully understood, there are significant links between sleep quality, anxiety, depressive symptoms, and cognitive emotion regulation. This research examines how sleep quality affects anxiety and depressive symptoms, as well as the potential of cognitive emotion regulation strategies (CERS) to moderate the impact of sleep quality on these symptoms. The Chinese version of the Pittsburgh Sleep Quality Index (CPSQI), the Cognitive Emotion Regulation Questionnaire (CERQ), the Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder Scale-7 (GAD-7) were all completed online by students from two colleges in China's Xizang region. The study included 4325 subjects. The prevalence of poor sleep quality, anxiety symptoms, and depression symptoms was 45.69%, 36.81%, and 51.86%, respectively. We observed significant direct effects on poor sleep and severity of anxiety/depression: c'1 = 0.586 (0. 544-0.628), and c'2 = 0.728 (0.683-0.773). Adaptive CERS only had a mediating effect on the relationship between sleep quality and depression symptoms, with a1b3 = -0.005 (-0.011--0.001). The link between poor sleep quality and the intensity of anxiety and depression was significantly affected by the indirect effects of maladaptive CERS: effect a2b2 = 0.126 (0.106-0.147), and effect a2b4 = 0.145 (0.123-0.167). Individuals who experience poor sleep quality are more likely to have increased levels of anxiety and depression. However, enhancing sleep quality led to a decrease in anxiety and depression levels. Adaptive CERS did not predict anxiety, but they did predict depression. Multiple maladaptive CERS could increase levels of anxiety and depression. To prevent mental stress, it is crucial to examine sleep problems among college students, understand their cognitive strategies, promote the adoption of adaptive CERS, and reduce the reliance on maladaptive CERS.

A Structural Model Explaining the Effect of Cognitive Emotion Regulation on the Fear of Cancer Recurrence in Breast Cancer Survivors: the Mediating Roles of Illness Perception and Psychological Well-being

Background: Fear of cancer recurrence (FCR) in cancer patients, including those with breast cancer is a special and highly conscious experience having bearing on emotional, cognitive and behavioral domains. This study examines the effect of cognitive emotion regulation on FCR with the mediation of illness perception and psychological well-being in breast cancer survivors in a structural model. Methods: The population of this study included all women with breast cancer who were referred to Cancer Institute of Iran for their regular checkups in the spring and summer of 2022. 300 patients were recruited based on convenience sampling. They completed the validated questionnaires online for FCR, cognitive emotion regulation, illness perception and psychological well-being. Data were analyzed by using Pearson's correlation coefficient and structural equation modeling analysis. Results: The findings indicated the model did fit the data. In addition to the direct effect of adaptive and maladaptive strategies of cognitive emotion regulation on FCR, the indirect effect of adaptive strategies on FCR through psychological well-being (β=0.148, p=0.001) and illness perception (β=0.233, p=0.001) was negative and significant. Furthermore, the indirect effect of maladaptive strategies on FCR through psychological well-being (β=0.109, p=0.001) and illness perception (β=0.212, p=0.001) was positive and significant. Therefore Psychological well-being and illness perception negatively and significantly mediated the effect of adaptive strategies on FCR and positively and significantly mediated the effect of maladaptive strategies on FCR. Conclusion: Patients who possess adaptive strategies of cognitive emotion regulation, less-threatening perception of illness and higher psychological well-being were exposed less to FCR. Psychological interventions for strengthening these factors in breast cancer survivors are suggested.

정서표현 양가성이 외로움에 미치는 영향

Objectives The purpose of this study was to examine the mediating effects of cognitive emotion regulation and emotional expressiveness on the relationship between ambivalence over emotional expressiveness and loneliness.&#x0D; Methods A sample of 704 undergraduate students completed the survey including Ambivalence over Emotional Expressiveness Questionnaire (AEQ-K), Cognitive Emotion Regulation Questionnaire(CERO), The Emotional Expressiveness Questionnaire(EEQ), The Revised UCLA Loneliness Scale. The collected data were analyzed with SPSS 21.0 and AMOS 21.0.&#x0D; Results Emotional expression ambivalence showed a significant positive correlation with cognitive emotion regulation and loneliness, and a significant negative correlation with emotional expression. Cognitive emotion regulation showed a significant positive correlation with emotional expression, but sub-factors showed opposite correlations with emotional expression. On the other hand, there was no significant correlation between the cognitive emotion regulation and loneliness, but the sub-factors showed a significant correlation with loneliness. Emotional expressiveness showed a significant negative correlation with loneliness. As a result of structural equation model validation, Cognitive emotion regulation and emotional expressiveness mediated the relationship between ambivalence over emotional expressiveness and loneliness.&#x0D; Conclusions The results of this study suggests that the counselor's intervention in emotional expression is necessary, such as helping clients who use maladaptive cognitive emotion regulation strategies to use adaptive cognitive emotion regulation strategies or to express emotions in counseling.

Intolerance of uncertainty and anxiety among college students during the re-emergence of COVID-19: Mediation effects of cognitive emotion regulation and moderation effects of family function

ObjectiveIn June 2021, the COVID-19 spread again in the community, and residents had to face the impact of the outbreak again after 276 days, none of the local cases in Guangdong Province, China. The purpose of this study was to investigate the mechanisms underlying the relationship between intolerance of uncertainty (IU) and anxiety in college students in non-epidemic area during the periods of re-emergence of COVID-19. MethodsA survey was conducted among 86,767 college students in Guangdong Province, China from 10 to 18 June 2021, information on the Intolerance of Uncertainty Scale (IUS), General Anxiety Disorder-7 (GAD-7), Cognitive Emotion Regulation Questionnaire (CERQ) and Family APGAR Index were collected. Five moderation and mediation models were analyzed using latent moderated structural equations. ResultsThe results showed that IU was positively related to anxiety (r = 0.42, p < 0.000). After controlling for age and gender, latent moderated structural equations indicated that catastrophizing mediated the relationship between IU and anxiety, and family function acted as a moderator in this relationship. Further analyses indicated that IU directly affected anxiety and had indirect effects on anxiety by catastrophizing. This relationship was weaker among college students who reported lower family function. ConclusionThis study provides practical implications for designing intervention strategies to reduce anxiety in college students when the epidemic re-emerges.

Dual-mediation effect of cognitive emotion regulation and marital intimacy in the relationship between self-differentiation and positive parenting behaviors of mother

연구목적: 어머니의 자기 분화가 인지적 정서 조절과 부부친밀감을 매개로 어머니의 긍정적 양육 행동에 직, 간접적으로 미치는 영향을 분석하였다. 방법: 설문 조사로 얻어진 299부의 자료에 대하여 Hayes process 6번 모형을 이용하여회귀분석 및 부트스트랩 검정을 진행하였다. 결과: 어머니의 자기 분화는 긍정적인 양육 행동에 직접적인 영향을 미치고 있었으며, 적응적인 인지적 정서 조절과 부부친밀감을 이중 매개로 하여 간접적인 영향을 미치는것으로 나타났다. 결론: 긍정적 양육 행동을 증진시키기 위해서는 어머니의 자기 분화 수준이 높아질 수있도록 하며, 가족 내 다양한 역동이 어머니의 긍정적인 양육 행동을 이끌어내는 지지역할을 할 수 있도록 지원할 필요가 있다.Objectives: This study aims to verify the dual-mediation effect of cognitive emotion regulation and marital intimacy in the relationship between mothers’ self-differentiation and their positive parenting behaviors. Methods: The subjects were 229 mothers. Hayes process macro (Model 6) was used to demonstrate the correlation and dual-mediating effect among relevant variables. Results: The relationship between mothers’ self-differentiation and their positive parenting behaviors was mediated by cognitive emotion regulation and marital intimacy. Conclusions: The results suggest the need for intervention to promote mothers’ self-differentiation so that familysub-systems support mothers’ parenting behaviors.

The Influence of Caregiving Stress on Depression of Spouse Caregivers: The Moderating Effect of Cognitive Emotion Regulation

The Influence of Caregiving Stress on Depression of Spouse Caregivers: The Moderating Effect of Cognitive Emotion Regulation

Factors affecting postpartum depression in Turkish women

AimTo assess the effects of cognitive emotion regulation, emotional intelligence status and related factors on postpartum depression (PPD) in postpartum women. Design and methodsThis descriptive and cross-sectional study was conducted in 268 mothers with babies aged 1–12 months. The study was carried out between 01 November 2021 and 01 February 2022 in the pediatric outpatient clinic of the Medical Faculty Hospital of a province in the Central Anatolian Region of Turkey. Data were collected using the sociodemographic and obstetric data collection form, Edinburgh Postnatal Depression Scale (EPDS), Cognitive Emotion Regulation Questionnaire–Short Form (CERQ), and Trait Emotional Intelligence Questionnaire–Short Form (TEIQue-SF). ResultsSeventy-one (26.5 %) mothers received scores above the cut-off point (>13) in the depression scale. Experiencing emotional violence, having cognitive emotion regulation difficulties, and low emotional intelligence characteristics affected the risk of developing postpartum depression by 16 % (F = 13.757, p < 0.001). ConclusionExposure to emotional violence, cognitive emotion regulation, and emotional intelligence status reveal that they are important in identifying women at risk of PPD. These findings highlight the need for nurses to develop comprehensive cognitive emotion regulation and emotional intelligence traits assessment programs, including depression screening.

Pengaruh regulasi emosi kognitif terhadap depresi pada mahasiswa tingkat akhir dimasa pandemi covid-19

The COVID-19 pandemic has affected people’s mental health, especially in the education sector. One of the mental health problems that often occur in students who are completing their final assignments are symptoms of depression. Cognitive emotion regulation is one capacity to overcome depression with the use of adaptive approach. The purpose of this study was to determine the effect of cognitive emotion regulation on depression in final year students in Indonesia during the covid-19 pandemic. This study uses a quantitative approach. The research subjects were 349 final year students and their data were taken using an accidental sampling technique. Analysis of research data used the simple linear regression test. The results showed that there was a significant influence between cognitive emotion regulation and depression (p = 0.00). The effect of cognitive emotion regulation shown is 4.2% of the variance of depression. Keywords: Cognitive emotion regulation, college students, covid-19, depression, final assignment

Should we keep some distance from distancing? Regulatory and post-regulatory effects of emotion downregulation.

Emotion regulation is an indispensable part of mental health and adaptive behavior. Research into emotion regulation processes has largely focused on the concurrent effects of volitional emotion regulation. However, there is scarce evidence considering post-regulatory effects with regard to neural mechanisms and emotional experiences. Therefore, we compared concurrent effects of cognitive emotion regulation with effects at different (immediate, short- and long-term) time intervals. In an fMRI study with N = 46 (N = 30 at re-exposure) young healthy adults, we compared neuronal responses to negative and neutral pictures while participants had to distance themselves from or to actively permit emotions in response to these pictures. We investigated the temporal dynamics of activation changes related to regulation in cognitive control brain networks as well as in the amygdala during stimulation (concurrent effects, timepoint 1) and post-stimulation (immediate, timepoint 2), as well as during re-exposure with the same pictures after short (10 minutes, timepoint 3) and long (1 week, timepoint 4) time intervals. At timepoint 1, negative pictures (versus neutral pictures) elicited a strong response in regions of affective processing, including the amygdala. Distancing (as compared to permit) led to a decrease of this response, and to an increase of activation in the right middle frontal and inferior parietal cortex. We observed an interaction effect of time (stimulation vs. post-stimulation) and regulation (distance vs. permit), indicating a partial reversal of regulation effects during the post-stimulation phase (timepoint 2). Similarly, after 10 minutes (timepoint 3) and after 1 week (timepoint 4), activation in the amygdala was higher during pictures that participants were previously instructed to distance from as compared to permit. These results show that the temporal dynamics are highly variable both within experimental trials and across brain regions. This can even take the form of paradoxical aftereffects at immediate and persistent effects at prolonged time scales.

Worry about COVID-19 contagion and general anxiety: Moderation and mediation effects of cognitive emotion regulation

The global pandemic caused by coronavirus disease 2019 (COVID-19) occasioned that most of the population in Spain was confined to home to reduce the risk of contagion. This affected mental health, increasing anxiety and worry about COVID-19 contagion. The aim of this study was assessing the moderation and mediation effect of cognitive emotion regulation strategies (CERS) on general anxiety and whether the mediation effect was moderated by gender and/or age. A total of 1753 Spanish adults (78,6% female; M = 40.4 years, SD = 12.9) participated in an online survey that was available from March 26 to April 25 (2020) during the time period in which the population in Spain was confined. Participants completed measures of worry about COVID-19 contagion, the Cognitive Emotion Regulation Questionnaire-Short (CERQ-Short) and the Generalized Anxiety Disorder-7 (GAD-7). Several models were tested through structural equation modelling. Moderation analyses reported that maladaptive strategies moderated positively anxiety, whereas adaptive strategies moderated negatively anxiety. Also, the best fitted mediation model found that worry about COVID-19 contagion and general anxiety was mediated by CERS in different directions. Maladaptive CERS increased anxiety, whereas adaptive CERS reduced anxiety. Age (not gender) also moderated this mediation, were younger adults presented an indirect effect only through maladaptive CERS, but older adults through both adaptive and maladaptive. Limitations are related to the study design which was a convenience sample. CERS moderated and mediated between worry about COVID-19 contagion and general anxiety. Prevention programs for mental health problems during the pandemic must be provided, especially for younger adults.

The Mediating Effect of Cognitive Emotion Regulation on the Relationship Between Awareness of Imagination and Depression

The Mediating Effect of Cognitive Emotion Regulation on the Relationship Between Awareness of Imagination and Depression

Psychological problems in general population during covid-19 pandemic in Pakistan: role of cognitive emotion regulation

Objectives To explore psychological problems (Anxiety, Depression and Stress) in general population during Covid-19 pandemic. To find predictive effects of cognitive emotion regulation on psychological problems. Methodology Convenient sampling technique was used to obtain the sample of 500 participants (Male = 239, Female = 261). Research instrument consists of four parts. First part comprised of consent form, second part was about demographic profile, third part was Depression, Anxiety and Stress scale (DASS-21) while Cognitive Emotion Regulation Questionnaire was the last part of the instrument. Results SPSS 23.0 (Statistical Package for Social Sciences) version was used for study analysis. Descriptive statistics used to summarize the raw data. The inferential statistics such as regression, correlation and t-test were used to calculate the findings according to research objectives. Results indicated that 33%, 40% and 27% individuals were experiencing Depression, Anxiety and Stress respectively during Covid-19 pandemic. Among these participants, 48% (N = 242) were experiencing normal level of all these targeted psychological problems while remaining 52% (N = 258) respondents have mild to very severe level of all these disorders. Furthermore, findings of linear regression analysis illustrated that cognitive emotion regulation significantly predicts psychological problems [R 2=.216; F = 51.223, p < .01] and 21% variation in psychological problems is due to cognitive emotion regulation. Conclusion This study recommended that policy makers must develop and implement some necessary programmes to prevent and cure people from devastating psychological and mental health consequences of covid-19 on priority basis.

Self-Identity and Career Success of Nurses in Infectious Disease Department: The Chain-Mediating Effects of Cognitive Emotion Regulation and Social Support.

There has been some research conducted regarding nurses’ career success aimed at exploring its influencing factors, but there is no research on the mechanism of self-identity on the career success of infection control nurses. In order to further explore the formation mechanism of career success of nurses, we conducted our study using the Kaleidoscope Career Model to explore the chain-mediating effects of cognitive emotion regulation and social support between self-identity and career success. Five hundred forty-seven infection control nurses from nine different hospitals participated in the study and completed questionnaires on the self-identity, cognitive emotion regulation, social support, and career success scales. The results from structural equation modeling reveal that self-identity has a positive effect on positive emotion regulation and social support and a negative impact on negative emotion regulation. Positive (negative) emotion regulation has a positive (negative) effect on social support. All antecedents have a positive impact on career success except negative emotion regulation, which has a negative one. Bootstrap analysis shows that the relationship between self-identity and career success is partially mediated by the chain of cognitive emotion regulation and social support. Overall, our research sheds light on the mechanism of self-identity on career success of nurses. Theoretical and practical implications are discussed.

Lasting effects of cognitive emotion regulation: neural correlates of reinterpretation and distancing.

Reinterpretation and distancing are two cognitive reappraisal tactics, used to regulate one’s emotions in response to emotion-eliciting stimuli or situations. Relatively less is known about their (differential) lasting effects on emotional responding and related neural correlates. This functional magnetic resonance imaging study investigated 85 healthy females, participating in a 2-day cognitive emotion regulation experiment. On the first day, participants were instructed to passively look at, reinterpret or distance from repeatedly presented aversive pictures. One week later, they were re-exposed to the same stimuli without regulation instruction, in order to assess lasting effects. The main outcome measures comprised ratings of negative feelings and blood-oxygen-level-dependent responses. Lasting effects for reinterpretation compared with looking at aversive pictures during passive re-exposure 1 week later were reflected in stronger activation of the left amygdala, the ventromedial prefrontal cortex (vmPFC) and reduced negative feelings. Neither distancing compared with looking at aversive pictures nor reinterpretation compared with distancing did result in significant effects during re-exposure. These findings indicate that reinterpretation leads to reduced negative feelings 1 week later, which might be mediated by inhibitory vmPFC activation or stronger positive emotions during re-exposure. However, the missing difference compared with distancing questions the specificity of the results and the mechanisms underlying these two cognitive reappraisal tactics.

The Mediating Role of Cognitive Emotion Regulation in BIS/BAS Sensitivities, Depression, and Anxiety Among Community-Dwelling Older Adults in China.

BackgroundThe behavioral inhibition system (BIS) and behavioral activation system (BAS), which primarily underlie emotions and behaviors, are associated with depression and anxiety. However, the reasons behind these associations require further exploration.ObjectiveThis study aims to examine the mediating effects of cognitive emotion regulation between BIS/BAS and depression/anxiety among community-dwelling elderly Chinese.MethodsA cross-sectional survey was conducted with a sample of 836 elderly individuals. Structural equation modeling was used to determine relationships among BIS/BAS, cognitive emotion regulation, and depression/anxiety.ResultsParticipants reporting higher BIS sensitivity were more likely to use maladaptive cognitive emotion regulation strategies, which were in turn associated with higher rates of depression and anxiety. BAS sensitivity was more likely to lead to adaptive cognitive emotion regulation strategies, which resulted in lower levels of depression and anxiety.ConclusionOur findings suggest that incorporating emotional regulation in interventions targeting BIS/BAS sensitivities may enhance the accuracy and efficiency of these treatments for depression and anxiety.

Psychological Problems in General Population During COVID-19 Pandemic: Role of Cognitive Emotion Regulation

The objective of present research was two folds. First objective was to explore psychological problems (Anxiety, Depression and Stress) in general population during Covid-19 pandemic. Second purpose was to find predictive effects of cognitive emotion regulation on psychological problems. Convenient sampling technique was used to obtain the sample of 500 participants (Male=239, Female=261). Research instrument consists of four parts. First part comprised of consent form, second part was about demographic profile, third part was Depression, Anxiety and Stress scale (DASS-21) while Cognitive Emotion Regulation Questionnaire was the last part of the instrument. SPSS 23.0 (Statistical Package for Social Sciences) version was used for study analysis. Descriptive statistics used to summarize the raw data. The inferential statistics such as regression, correlation and t-test were used to calculate the findings according to research objectives. Results indicated that 33%, 40% and 27% individuals were experiencing Depression, Anxiety and Stress respectively during Covid-19 pandemic. Among these participants, 48% (N=242) were experiencing normal level of all these targeted psychological problems while remaining 52% (N=258) respondents have mild to very severe level of all these disorders. Furthermore, findings of linear regression analysis illustrated that cognitive emotion regulation significantly predicts psychological problems [R 2 =.216; F = 51.223, pFunding Statement:None to declare.Declaration of Interests: None to declare.Ethics Approval Statement: This study was approved by the ethical committee at the University of Gujrat, Department of Psychology.

The Effect of Cognitive Emotion Regulation and Cognitive Perfectionism on Mental Health of Chinese Students

The Effect of Cognitive Emotion Regulation and Cognitive Perfectionism on Mental Health of Chinese Students