Lower Emotion Dysregulation Research Articles

Emotion dysregulation and reward responsiveness as predictors of autonomic reactivity to an infant cry task among substance-using pregnant and postpartum women.

Maternal substance use may interfere with optimal parenting, lowering maternal responsiveness during interactions with their children. Previous work has identified maternal autonomic nervous system (ANS) reactivity to parenting-relevant stressors as a promising indicator of real-world parenting behaviors. However, less is known about the extent to which individual differences in emotion dysregulation and reward processing, two mechanisms of substance use, relate to maternal ANS reactivity in substance-using populations. The current study examined associations among emotion dysregulation, reward responsiveness, and ANS reactivity to an infant cry task among 77 low-income and substance-using women who were either pregnant (n=63) or postpartum (n=14). Two indicators of ANS functioning were collected during a 9min computerized infant cry task (Crybaby task): respiratory sinus arrhythmia (RSA) and pre-ejection period. Mothers also completed self-reported measures of emotion dysregulation and reward responsiveness. Analyses revealed that trait emotion regulation was associated with RSA reactivity to the Crybaby task, such that greater emotion dysregulation was associated with greater RSA reduction during the infant cry task than lower emotion dysregulation. Reward responsiveness was not significantly associated with either indicator of ANS reactivity to the task. Findings revealed distinct patterns of associations linking emotion dysregulation with ANS reactivity during a parenting-related computerized task, suggesting that emotion regulation may be a key intervention target for substance-using mothers.

Mentalization, emotional dysregulation and attachment to alternative attachment figures in retrospectively defined earned secure adults.

Researchers have tried to identify mechanisms through which an individual overcomes negative life experiences, proposing earning security as one of them. Retrospectively defined earned secures are recognized as individuals exhibiting secure attachments to their parents while evaluating the quality of their childhood care as low. This study aimed to examine attachment, mentalization, and emotional dysregulation in this group. We hypothesized that earned secures will report better mentalizing, lower emotion dysregulation, and more secure attachment to figures other than parents than insecure individuals. female adult sample (N = 272) completed the Experiences in Close Relationships-Relationship Structures questionnaire, Parental Bonding Instrument, Difficulties in Emotion Regulation Scale, and Mental State Task. The time devoted to psychotherapy and demographics were also controlled as contextual variables. We identified an 'earned secure' group (14% of the sample), exhibiting secure attachment to mothers in adulthood despite reported inadequate care during childhood, along with the continuously secure, insecure, and 'lost secure' groups. People from the earned secure and secure groups reported better emotional regulation and some aspects of mentalization than those in the insecure and lost secure groups. They equally frequently reported the presence of an adult other than parents who were important to them in childhood, but the attachment to them was more secure. We did not find evidence of differences between the groups in the duration of psychotherapy. Secure attachment to alternative attachment figures, along with some mentalization and emotional regulation aspects, may be considered significant factors for earning security.

Exploring the relationship between dispositional mindfulness and hoarding behavior: A moderated multi-mediation model.

Hoarding behavior may not only interfere with hoarders’ daily lives but may also endanger the community. However, few studies have investigated the role of personality characteristics in hoarding behavior. We hypothesized that dispositional mindfulness would be negatively associated with hoarding behavior, and tested mechanisms and gender differences in this association. An online survey was conducted in a sample of 533 Chinese adults (262 women, Mage = 26.82; SD = 6.30). Regression-based analyses showed that mindfulness was associated with less hoarding behavior through higher self-esteem and lower emotion dysregulation. Moreover, gender moderated the mediating effect of emotion dysregulation in the association between mindfulness and hoarding behavior. Specifically, the indirect association was only significant for women. These findings provide a deeper understanding of how, why, and for whom dispositional mindfulness is negatively associated with hoarding behavior, they provide support for self-completion theory and the cognitive-behavioral model of hoarding, and they have heuristic value for future research.

High Artistic Achievements and Low Emotion Dysregulation: The Moderating and Mediating Role of Self-compassion

ABSTRACT Relatively little research has addressed the positive outcomes of everyday creative achievements. Based on the Honing Theory of Creativity, the present research aimed to analyze the relation between artistic achievements and low emotion dysregulation. The second aim was to examine the mediating and moderating role of self-compassion in this relation, as a factor which has previously been associated both with creativity and low emotion dysregulation. A cross-sectional research was conducted among 168 participants, who were recruited in academic and non-academic settings. The participants mostly presented everyday levels of creative achievements. They completed questionnaires about their creative achievements in the arts, along with their difficulties in emotion regulation and their levels of self-compassion. The results showed that artistic achievements were negatively associated with emotion dysregulation, and positively associated with- self-compassion. Mediation analyses showed that the significant relation between high artistic achievements and low emotion dysregulation was mediated by self-compassion. Moderation analyses indicated that individuals with the lowest-to-moderate levels of self-compassion reported the highest associations between high artistic achievements and low emotion dysregulation. No significant moderation effect was found for individuals with high levels of self-compassion. Overall, this research found positive associations between artistic creativity and indices of positive psychological functioning.

Gene × Environment Interactions in the Development of Preschool Effortful Control, and Its Implications for Childhood Externalizing Behavior.

This study examined the role of gene × environment interaction (G × E) in the development of effortful control (EC) and externalizing symptoms (EXT). Participants included 361 adopted children, and their Adoptive Parents (APs) and Birth Mothers (BMs), drawn from the Early Growth and Development Study. The primary adoptive caregivers' (AP1) laxness and overreactivity were assessed when children were 27-months-old, and used as indices of environmental influences on EC. Heritable influences on child EC were assessed by the BMs' personality characteristics (emotion dysregulation, agreeableness). Secondary adoptive caregivers (AP2) reported on children's EC at 54months, and EXT at 7years. Interactions between BM characteristics and AP1 laxness were related to EC and indirectly predicted EXT via EC. Parental laxness and EC were positively associated if children had high heritable risk for poor EC (BM high emotion dysregulation or low agreeableness), but negatively associated if children had low heritable risk for poor EC (BM low emotion dysregulation or high agreeableness). BM agreeableness also moderated associations between AP1 overreactivity and effortful control, and yielded a similar pattern of results. Our findings suggest that G × E is an important first step in the development of EXT via its effect on EC. Consistent with "goodness of fit" models, heritable tendencies can affect which parenting practices best support EC development.

The Influence of Emotion Dysregulation on the Relationship between Emotional Abuse and Self-concealment among Romantic Partners

ABSTRACT The current study investigated the impact of emotional abuse on self-concealment in a sample of 126 college students currently in a romantic heterosexual relationship. This study also examined whether emotion dysregulation moderated the relationship between emotional abuse and self-concealment. Results showed emotion dysregulation moderated the relationship between emotional abuse and self-concealment. When emotion dysregulation was low, being in an emotionally abusive relationship was positively associated with self-concealment. When emotion dysregulation was high, emotional abuse was not associated with self-concealment. In the context of intimate partner emotional abuse, this study suggests self-concealment is an attempt to cope with unwanted internal events, which may be especially salient among people with low emotion dysregulation.

The role of emotion dysregulation in adolescents’ problematic smartphone use: A study on adolescent/parents triads

The pervasive use of mobile phones among adolescents has led researchers to evaluate the role of parental characteristics in connection with their children's problematic smartphone use (PSU). The present study involved mother/father/adolescent triads and aimed to test a model examining the role of both parents' and adolescents' emotion dysregulation (ED) in predicting children's PSU. Two hundred and fifty-two adolescent (57.5% females; M age = 13.54, SD = 0.73)/mother (M age = 43.92, SD = 4.46)/father (M age = 47.60, SD = 5.10) triads provided measures of PSU and ED. Results from path model showed that, after controlling for adolescents' age and gender as well as for parents' age and low well-being, both adolescents' and parents' ED was related to their own PSU (intra-individual level). Contrary to hypotheses, no direct relation was found between either parents' and adolescent's PSU (inter-individual level). However, adolescents' ED mediated the relationship between mothers' emotion dysregulation and adolescents' PSU. The results demonstrate the importance of considering parents' level of ED when examining the link between PSU and ED among adolescents.

Identifying specific insomnia components in borderline personality disorder and their influence on emotion dysregulation.

Insomnia-related sleep problems are common in borderline personality disorder (BPD) and exacerbate the core of BPD, emotion dysregulation. Insomnia is elicited and maintained through behaviors that disrupt both the homeostatic and circadian sleep systems. However, it is unclear which homeostatic or circadian insomnia behaviors characterize BPD and exacerbate emotion dysregulation, thus warranting clinical attention in this population. This study therefore investigated whether homeostatic (i.e., abnormalities in time in bed and sleep efficiency [SE]) and circadian (i.e., abnormalities in risetime variability and chronotypes) behaviors characterize and exacerbate emotion dysregulation in BPD group relative to healthy control (HC) and generalized anxiety disorder (GAD) groups. Participants from the community who met criteria for BPD, GAD, or no psychological disorders (HCs) were recruited and completed measures of emotion dysregulation. They also completed measures of daily homeostatic and circadian insomnia behaviors for 14 days. Generalized estimating equations revealed that the GAD group exhibited lower SE than HCs, and there was a marginally significant effect wherein the BPD group exhibited delayed risetimes relative to the GAD group. Moreover, higher time in bed predicted elevated emotion dysregulation in HCs but lower emotion dysregulation in the GAD group. Higher SE predicted higher emotion dysregulation in BPD. These results suggest that the influence of insomnia behaviors on emotion dysregulation is heterogeneous. Idiographic assessments of the influence of insomnia behaviors on emotion dysregulation are advised. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Brain voxel-based morphometry correlates of emotion dysregulation in attention-deficit hyperactivity disorder

Attention-deficit hyperactivity disorder (ADHD) has a high prevalence of co-occurring with emotion dysregulation (ED). Youths with ADHD and ED are more likely to have increased functional impairment. There is accumulating research on defining the features, behavioral, and physiological manifestations of ED, but there are currently few studies elucidating neuroanatomical correlations of ED in ADHD. Structural magnetic resonance imaging data from 118 children (aged 7-18years) with ADHD (50 ADHD+high ED, 68 ADHD+low ED), and 104 typically developing controls (TDC) were processed using voxel-based morphometry. We used both dichotomous and continuous indices of ED to examine the possible correspondence between ED and ADHD. Relative to ADHD+high ED, ADHD+low ED had greater gray matter (GM) volumes over the left anterior prefrontal cortex (PFC). ADHD+low ED and ADHD+high ED shared a negative association of ED levels with the left middle temporal pole GM volume. TDC and ADHD+low ED also shared negative relationships of ED levels with the right temporal volume, and positive relationships with the left dorsolateral PFC volume. Besides, ED-by-group interactions were also noted. Specifically, medial PFC GM volumes increased and decreased with ED severity in ADHD+low ED and ADHD+high ED, respectively; and left cerebellum Crus GM volumes decreased and increased with ED severity in ADHD+low ED and ADHD+high ED, respectively. Our findings add to the evidence that some specific neural correlates are underpinning ED across ADHD and TDC. These findings suggest the importance of incorporating ED problems when considering heterogeneity in studies of ADHD.

Emotion dysregulation moderates the effect of cognitive behavior therapy with prolonged exposure for co-occurring PTSD and substance use disorders

A goal of clinical trials is to identify unique baseline characteristics that can inform treatment planning. One such target is emotion dysregulation (ED), which contributes to the maintenance of co-occurring posttraumatic stress disorder (PTSD) and substance use disorder (SUD) and may be a potential moderator of treatment response. We examined the moderating impact of ED severity on treatment outcomes in an urban, socioeconomically disadvantaged, and racially/ethnically diverse sample with complex trauma and severe SUDs. Participants with co-occurring PTSD and SUD (PTSD+SUD) were randomized to Concurrent Treatment with Prolonged Exposure (COPE, n=39), Relapse Prevention Therapy (RPT, n=43), or an active monitoring control group (AMCG, n=28). Baseline ED severity moderated treatment outcomes such that high ED was associated with greater reduction in PTSD severity among those who received COPE relative to RPT and AMCG. In contrast, low ED was associated with greater reduction in substance use among those in RPT relative to COPE and AMCG. Implications for individualizing and optimizing treatment selection for PTSD+SUD are discussed.

Dynamic longitudinal relations between emotion regulation difficulties and anorexia nervosa symptoms over the year following intensive treatment.

Emotion regulation difficulties have been implicated in theoretical models of anorexia nervosa (AN) development/maintenance, and several treatments for AN have been designed to target emotion dysregulation. However, no research has used longitudinal methodology to examine whether emotion regulation difficulties predict the maintenance of AN symptoms, or vice versa. The current study evaluated dynamic longitudinal relations between emotion dysregulation and AN symptom severity over the year following discharge from intensive treatment in order to enhance theoretical models and treatments for AN. Participants were 191 patients with AN recruited during intensive treatment. Assessments including the Eating Disorders Examination and the Difficulties in Emotion Regulation Scale were completed at discharge from treatment and at 3-, 6-, and 12-month follow-ups. Bivariate latent change score models were used to examine the direction of associations between emotion dysregulation and AN symptom severity across time. Emotion dysregulation predicted change in AN symptom severity, but the reverse relationship did not occur. Individuals with high levels of emotion dysregulation experienced an increase and subsequent maintenance of AN psychopathology, whereas low emotion dysregulation predicted a decreasing AN symptom trajectory. Importantly, these dynamic temporal relationships could not be accounted for by body mass index or depressive symptoms and were present for patients with the restricting and binge-eating/purging subtypes of AN. Emotion regulation difficulties appear to be involved in the maintenance of AN symptom severity over time. Findings provide support for an increasing emphasis on emotion regulation in the development of novel treatments for AN.

The Mediational Role of Effortful Control and Emotional Dysregulation in the Link Between Maternal Responsiveness and Turkish Preschoolers' Social Competency and Externalizing Symptoms

This cross‐sectional study relied on circumscribed measures of emotion regulation and dysregulation to examine their role in mediating the associations of maternal responsiveness and effortful control with social competency and externalizing symptoms. We examined those associations in an understudied cultural context, Turkey, with 118 preschoolers. Emotion regulation and dysregulation showed differential associations with broad indices of self‐regulation such that emotion dysregulation predicted both low social competency and high externalizing symptoms but emotion regulation was only associated with high social competency. Effortful control was unrelated to emotion regulation but was associated with lower levels of emotion dysregulation. Effortful control had both direct and mediated associations with externalizing and social competency (mediated by lower emotion dysregulation). Findings also showed that maternal responsiveness was associated with better social competency and lower externalizing. Those associations were both singly (through effortful control) and doubly mediated (through effortful control and lower emotion dysregulation), similar to US samples. The study contributes to a better understanding of the factors and mechanisms that speak to children's self‐regulation. Copyright © 2013 John Wiley & Sons, Ltd.

Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder.

Differences in attachment style have been linked to both emotion regulation and psychological functioning, but the emotion regulatory mechanism through which attachment style might impact symptoms of depression and anxiety is unclear. The present study examined the explanatory role of emotion dysregulation in the relation between adult attachment style and symptoms of depression and generalized anxiety disorder (GAD) in a sample of 284 adults. Secure attachment was associated with lower depression and GAD symptoms and lower emotion dysregulation, whereas insecure attachment styles were generally associated with higher depression and GAD scores and higher emotion dysregulation. Perceived inability to generate effective emotion regulation strategies mediated the relation between insecure attachment and both depression and GAD symptoms. Nonacceptance of negative emotions and inability to control impulsive behaviors emerged as additional mediators of the relation between insecure attachment styles and GAD symptoms. The differential contribution of attachment style and emotion regulation to the prediction of depression and GAD symptoms may reflect differences in vulnerability to depression and GAD.

Emotion regulation profiles in psychogenic non-epileptic seizures

BackgroundPsychogenic non-epileptic seizures (PNES) are frequently encountered in epilepsy referral centers, yet there is limited understanding of the emotion processing style in this psychiatrically heterogeneous population. Understanding profiles of emotion regulation in PNES will provide further evidence of the psychogenic nature of the disorder and will potentially inform psychotherapeutic interventions. MethodsFifty-five patients with PNES underwent a neuropsychiatric evaluation and completed self-report questionnaires that measured difficulties in emotion regulation, psychopathology severity and quality of life. ResultsThrough the use of cluster analysis, two groups were identified; Cluster 1 represented a highly emotion dysregulated group while Cluster 2 represented a low emotion dysregulated group. Additional analyses revealed that each group significantly differed from normative data. Finally, Cluster 1 was significantly associated with several measures of psychiatric symptoms, higher rates of comorbid psychiatric diagnoses and impairment in quality of life. ConclusionsThese findings suggest that patients with PNES may be subject to high levels of emotion dysregulation, severe psychiatric symptomatology and impaired quality of life, or to low emotion dysregulation characterized by emotional unawareness or avoidance. These profiles clearly differ from normative data regarding emotion regulation and their identification may help tailor psychotherapeutic interventions.