Emotion Regulation Strategies Research Articles

How do “words poorly expressed emotion” affect mental health? The mediating role of affect labelling effect

ABSTRACT Previous studies have found that people with high negative emotional granularity(NEG) tend to have better health levels. It is generally believed that this is due to the selection and application of explicit emotion regulation strategies that affect mental health. However, no research has yet examined a more fundamental process, the role of affect labelling, an implicit emotion regulation strategy. This study focuses on the aforementioned issues and uses the experience sampling method to categorise participants into groups with high and low NEG. Using an affect labelling paradigm with ERP(event-related potential) technology, the study measures the effects of affect labelling in participants. Furthermore, it assesses the mental health levels of the participants through questionnaires to explore whether the affect labelling effect serves as a mediator between NEG and mental health. The results show that: (1) The high-NEG group exhibited significantly lower LPP wave amplitudes under affect labelling compared to under non-affect labelling, whereas the low-NEG group did not show significant differences. The results indicate that only the high-NEG group can produce the affect labelling effect. (2) The affect labelling effect mediates the relationship between NEG and mental health, meaning that NEG predicts mental health through the affect labelling effect.

Enhancing Emotion Regulation Skills in High-Risk Adolescents Due to the Existence of Psychopathology in the Family: Feasibility and Uncontrolled Pilot Study of a Group Intervention in a Naturalistic School Setting.

Emotion regulation skills form part of many interventions for youth with internalizing and externalizing difficulties. This pilot study examines a prevention program delivered at school to improve adolescents' emotion regulation skills, focusing on those at risk for mental health problems. Adolescents 12-18 years old were referred to a six-session group program by their school counselors, based on inclusion criteria related to family sociodemographic and mental health characteristics. Group sessions took place during school hours to facilitate participation and reduce dropout. The intervention targeted emotion regulation skills, drawing from central components of different cognitive behavioral approaches. To assess clinical outcomes, participants answered questionnaires before and after the program, which covered emotion regulation strategies, addictive behaviors, and internalizing and externalizing symptoms. The acceptability of the program was also assessed. Emotion regulation skills improved after the program, and there was a significant reduction in internalizing and externalizing problems. The program was evaluated as useful by participants. Counsellors reported satisfaction with the program. Targeted emotion regulation skills training is a potentially useful transdiagnostic intervention to prevent mental health problems in youth. Bringing the intervention to the school setting and involving counsellors in referring at-risk students can facilitate uptake and reduce dropout.

Changes in emotion regulation strategies during the pandemic: prospective pathways to adolescent depressive symptoms.

Emotion regulation (ER) is considered central in adolescent psychopathology, and ER strategies may change during challenging times, such as a global pandemic. Despite this, there remains a limited understanding of individual differences in ER mechanisms and their associations with psychopathology. This study examined whether and how cognitive reappraisal, expressive suppression, and self-compassion changed over COVID-19 and how these changes uniquely predicted adolescents' depressive symptoms. A total of 2,411 adolescents (58.6% females; Mage = 18.51, SD = 0.80) completed the Emotional Regulation Questionnaire, the Self-compassion Scale, and the Symptom Checklist-90 before COVID-19 (in 2019) and during COVID-19 (in 2020). The predictive associations between each ER strategy and depressive symptoms were tested with latent change score models. Adolescents' use of expressive suppression and self-compassion strategies both increased during COVID-19. More increases in expressive suppression predicted more depressive symptoms, whereas more increases in self-compassion predicted fewer depressive symptoms. Although, on average, cognitive reappraisal did not change, it did show significant variations within the sample - increases (vs. decreases) in cognitive appraisal predicted fewer depressive symptoms. The study indicates how adolescents' ER strategies changed during the unprecedented global pandemic. It underscores protective roles of increased cognitive reappraisal and self-compassion, as well as the adverse consequence of heightened expressive suppression on adolescents' depressive symptoms. Findings offer insights for targeted interventions aimed at addressing specific ER strategies.

Reining in regret: emotion regulation modulates regret in decision making

ABSTRACT Whereas the influence of regret on decision making is well-established, it remains unclear whether emotion regulation may modulate both the affective experience of regret and its influence on decisions. To examine this question, participants made decisions about options involving uncertainty using two different, instructed emotion regulation strategies. In one case, they were instructed to treat each choice individually, while in the other they were encouraged to treat a series of decisions as a portfolio. The present experiment demonstrates that approaching a series of decisions as a portfolio led to less extreme affective reactions to outcomes and lowered physiological arousal levels compared to focusing on each decision in isolation. However, the different emotion regulation strategies did not alter the influence of anticipatory regret on choices. The results indicate that these different emotion regulation strategies can be used to alter the experience of regret. These findings support a role for cognitive strategies in mitigating the affective experience of regret and suggest a means to encourage consumer welfare.

Changes in emotion regulation difficulties and PTSD symptom severity in an intensive treatment program for PTSD

BackgroundGreater difficulties in emotion regulation (ER) and decreased use of adaptive ER strategies have been associated with higher levels of posttraumatic stress disorder (PTSD) symptoms. To date, limited research has explored whether ER improves with PTSD treatment or whether such improvements are linked with improvements in PTSD symptoms. MethodsVeterans and service members with PTSD (N = 223) participated in a 2-week intensive treatment program (ITP) based in Cognitive Processing Therapy (CPT). ER was measured using the Difficulties in Emotion Regulation Short Form (DERS-SF) at baseline and on days 4 and 9 of treatment. PTSD symptoms were reported on the PTSD Symptom Checklist for DSM-5 (PCL-5) at baseline, on days 3, 5, 6, and 8 of treatment, and at post-treatment. ResultsDERS-SF scores decreased during treatment (Mchange = 5.12, d = 0.38). Baseline DERS-SF did not predict overall PCL-5 scores across timepoints (p = .377). However, scores on the DERS-SF over time were significantly associated with PCL-5 improvement over the course of treatment (p < .001, R2b = 0.07). Finally, improvements in all subscales of the DERS-SF across time except clarity were significantly associated with improvement in PCL-5 over time. LimitationsAdditional treatment components in the ITP beyond CPT may have contributed to ER improvements. Conclusions are also limited by the use of self-report data. ConclusionsAn intensive CPT-based treatment program for veterans and service members can lead to improved ER in two weeks. ER improvements are associated with PTSD symptom severity during the ITP.

The development of a novel scale to assess intra- and interpersonal emotion regulation strategies: The Emotion Regulation Strategy Scale (ERSS).

Existing emotion regulation research focuses on how individuals use different strategies to manage their own emotions-also called intra-personal emotion regulation. However, people often leverage connections with others to regulate their own emotions-interpersonal emotion regulation. The goal of the present studies was to develop a comprehensive and efficient scale-the Emotion Regulation Strategies Scale (ERSS)-to assess nine specific emotion regulation strategies that individuals use both intra-personally and interpersonally. These emotion regulation strategies were cognitive reappraisal, distraction, situation selection, problem solving, acceptance, calming, savoring, rumination, and expressive suppression. Data were collected between 2020 and 2022. Study 1 adopted a qualitative approach to establish original scale items. Results of the confirmatory factor analysis in Study 2 confirmed a nine-factor solution for both the intra- and the interpersonal scales and finalized scale items. A second confirmatory factor analysis in Study 3 found the ERSS for both the intra-personal and interpersonal scale models to possess good model fit. Correlations from Study 3 showed the ERSS subscales to be related in expected ways to existing emotion regulation scales, yet not redundant with these scales. The degree to which individuals used the range of intra- and interpersonal emotion regulation strategies assessed on the ERSS also related to the levels of clinical symptoms. The ERSS represents a comprehensive novel scale that can flexibly assess a range of specific emotion regulation strategies used both intra- and interpersonally. Future work should be conducted using the ERSS cross culturally and in clinical samples. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Cross-Cultural Differences in Emotional Regulation Strategies in United States

Purpose: The aim of the study was to analyze the cross-cultural differences in emotional regulation strategies in United States. Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries. Findings: Cross-cultural differences in emotional regulation strategies in the United States show variations across cultural groups, with collectivist cultures leaning towards socially-oriented strategies like seeking social support. Cultural norms influence these strategies, emphasizing interpersonal harmony. Individual differences, including acculturation, also play a role. Understanding these dynamics sheds light on how cultural context shapes emotional regulation in diverse U.S. populations. Unique Contribution to Theory, Practice and Policy: Cultural models of emotion, cultural syndromes theory &amp; acculturation theory may be used to anchor future studies on the cross-cultural differences in emotional regulation strategies in United States. Mental health practitioners and educators should incorporate cultural sensitivity training into their programs to better support individuals from diverse cultural backgrounds in managing their emotions. Governments and organizations should prioritize the development of culturally sensitive mental health policies and programs that recognize and address the diverse emotional regulation needs of multicultural societies.

The Effect of Long-Term Learning of BaduanJin on Emotion Regulation: Evidence from Resting-State Frontal EEG Asymmetry.

Baduanjin, as a Chinese traditional fitness exercise, can help people regulate emotions and promote their physical and psychological health. However, the underlying neural mechanisms have not been thoroughly explored. This study aimed to examine the effects of differences in the level of Baduanjin learning on individuals' brain and psychological response related to emotion regulation. Twenty-two participants with long-term Baduanjin learning (for more than one year), and 21 participants with short-term Baduanjin learning (for approximately three months) were recruited. All participants were asked to do a complete 12-minute set of Baduanjin. Before and after doing Baduanjin, their resting-state EEG signals were collected, besides, the Emotion Regulation Questionnaire (ERQ) and the Profile of Mood States-Short Form (POMS-SF) were used to assess participants' emotion regulation strategies and abilities. The results of psychological measurement indicated that participants in the long-term group were more likely to use cognitive reappraisal as an emotion regulation strategy compared to participants in the short-term group (p<0.05). Moreover, the analysis of the frontal alpha asymmetry (FAA) showed that participants in the long-term group rather than the short-term group exhibited significant left lateralization after doing Baduanjin (p<0.05). The findings provide preliminary evidence for the neural mechanism underlying how long-term Baduanjin learning promotes individuals' emotion regulation indexed by FAA. The study provides a new paradigm for research on how Baduanjin affects emotional regulation.

Life satisfaction and emotional regulation in aging: temporal perspective and effect of gender

Few studies have examined the relationship between life satisfaction, emotional regulation and perception of future time in the elderly. Thirty-one women and 28 men (age M =70,51 ±3,98) were questioned using the Gross and John's Emotion Regulation Questionnaire (2003), the Blais et al.'s Life Satisfaction Scale (1989) and the Castersen and Lang's Future Time Perception Scale (1996). The results show that there is no gender effect, and do not support the motivational theory of Carstensen, Isaacowitch and Charles (1999), which postulates a link between temporal perspective and the selection of the most efficient emotional regulation strategies. This research shows that it is the use of compensatory strategies that enables people to continue to be satisfied with their lives despite advancing age. Nor do these strategies influence the effect of gender or perception of future time on life satisfaction. Against a backdrop of an aging population, this study is helping to better define the features of well-being in the advancing age.

Emotion dysregulation and family functioning moderate family caregiving burden during the pandemic.

Since the onset of COVID-19 pandemic, additional risk factors affecting family caregivers' mental health have arisen. Therefore, personal stress coping strategies and family dynamics became important factors in reducing the impact of the pandemic on family caregivers' mental health. The present research aimed to estimate the association between COVID-19 stressors and family caregiving burden. Moreover, moderating effects of emotion dysregulation and family functioning on this association were investigated. This study analyzed data collected in April 2021 from 154 family caregivers (Mage=38.79, SDage=9.36, range=22-64) recruited through Amazon's Mechanical Turk (MTurk). The impact of COVID-19 stressors on family caregiving burden was tested, and moderating impacts of emotion dysregulation and family functioning were also investigated. Both COVID-19 stress exposure and stress appraisal were positively associated with family caregiving burden. Emotion dysregulation and problematic family functioning were also positively associated with family caregiving burden. A significant moderating effect of emotion dysregulation was found, such that family caregivers with higher emotion dysregulation were likely to feel more caregiving burden when they experienced more COVID-19 stressors. The current research highlighted the role of emotion regulation in reducing the negative impact of COVID-19 stressors on family caregiving burden. The research also emphasizes the need for intervention programs to improve emotion regulation strategies to decrease family caregiving burden during the pandemic.

Emotion regulation difficulties in depression and anxiety: Evidence from the dynamics of strategy use and daily affect

Anxiety and depression are believed to be associated with increased use of maladaptive emotion regulation (ER) strategies and decreased use of adaptive strategies; nonetheless, most work on this topic has been approached using static perspectives on measuring ER, which may overlook the dynamic interplay between ER and emotional experiences. We combined ecological momentary assessment and dynamic structural equation modeling in two independent college-student samples (N1 = 202; N2 = 213) to investigate bidirectional relationships between ER and daily affect. In Study 1, we examined reciprocal associations between negative affect and two ER strategies characterized by repetitive negative thinking (rumination and worry), while in Study 2, we explored reciprocal relationships between both negative and positive affect and two context-dependent and cognitively demanding ER strategies (reappraisal and distraction). We then explored associations of these reciprocal relations with laboratory questionnaires of anxiety and depression. Results indicated both anxiety and depression were associated with greater average negative affect in daily life, greater use of worry, and greater variability in positive affect. However, anxiety was related specifically to difficulties in maintenance of distraction, whereas depression showed unique associations with negative affect inertia, average use of rumination, and difficulties in maintenance of cognitive reappraisal. Findings collectively reveal commonalities and differences in dynamics of ER and daily affect experience related to depression and anxiety. These insights can inform future research into targeted interventions for these negative emotions.

Relationship between postpartum psychological disorders and emotion regulation strategies: A cross-sectional study.

To explore the relationship between postpartum psychological disorders and emotion regulation strategies and analyze the influencing factors of postpartum psychological disorders. This study was conducted using a cross-sectional design. A total of 230 postpartum women hospitalized in the Second Affiliated Hospital of Xuzhou Medical University from October 2022 to March 2023 were selected as the investigation objects. A general data questionnaire, Hamilton Anxiety Scale, Hamilton Depression Scale, Pittsburgh Sleep Quality Index, and Emotion Regulation Questionnaire were administered to the enrolled women. Pearson correlation analysis was used to assess the association between the Hamilton Anxiety Scale, Hamilton Depression Scale, Pittsburgh Sleep Quality Index, and Emotion Regulation Questionnaire. Furthermore, logistic regression was employed to assess the influencing factors of postpartum psychological disorders. Pearson correlation analysis showed that cognitive reappraisal was negatively correlated and expression inhibition was positively associated with anxiety, depression, and sleep quality symptoms (all P < .05). Logistic regression results demonstrated that the mode of delivery, number of births, feeding method, and pressure to breastfeed were risk factors affecting postpartum psychological disorders (P < .05). Cognitive reappraisal is an effective emotion regulation strategy that can relieve postpartum psycho-neurological symptoms by reducing the symptoms of anxiety, depression, and sleep disorders. Along with encouraging pregnant women to adopt positive emotional regulation strategies, medical personnel should focus on the stress associated with cesarean section, artificial feeding, and pressure to breastfeed and adopt required intervention measures to decrease the occurrence of postpartum psychological and neurological symptoms.

The effects of an online positive psychology intervention on pre‐service teachers' efficacy, ability to cope and emotional regulation

AbstractPre‐service teachers have been identified as a risk group for developing burnout syndromes over the course of their careers due to increased perceived psychological distress and, in particular, if there is a lack of coping strategies. To provide pre‐service teachers with appropriate techniques and concepts that can be successfully applied in educational and work contexts, an online positive psychology intervention was designed to improve participants' resilience, in particular their self‐efficacy, emotion regulation and ability to cope. Linear mixed models that simultaneously analyse variability between subjects and over time revealed that pre‐service teachers who participated in the intervention benefited from the programme with respect to an increase of their emotion regulation strategies, self‐efficacy and ability to cope compared to the control group—although at baseline, they exhibited less beneficial emotion regulation, self‐efficacy and ability to cope. The findings suggest that such positive psychology interventions could help pre‐service teachers build their resilience.

예비유아교사의 공감능력이 적응적 정서조절전략에 미치는 영향

Objectives This study aimed to analyze the relationship between pre-service early childhood teachers' empathic ability, interpersonal relationship skills, and adaptive emotional regulation strategies. Additionally, it sought to in-vestigate the impact of pre-service early childhood teachers' empathic ability and interpersonal relationship skills on adaptive emotional regulation strategies. Furthermore, the purpose was to illuminate the mediating effect of interpersonal relationship skills in the relationship between empathic ability and adaptive emotional regulation strategies. Methods A total of 175 pre-service early childhood teachers enrolled in the Early Childhood Education Department of a 2-year college located in Seoul were surveyed regarding their empathic ability, interpersonal relationship skills, and adaptive emotional regulation strategies. The data collected were analyzed using SPSS 18.0 software to compute Pearson's r and conduct regression analysis. Results First, it was found that there were significant correlations among pre-service early childhood teachers' empathic ability, interpersonal relationship skills, and adaptive emotional regulation strategies. Second, empathic ability and interpersonal relationship skills emerged as predictors of adaptive emotional regulation strategies. Third, in terms of the impact of empathic ability on adaptive emotional regulation strategies, interpersonal rela-tionship skills were found to have a partial mediating effect. Conclusions The enhancement of empathic ability and interpersonal relationship skills suggests the potential to increase the utilization of adaptive emotional regulation strategies among pre-service early childhood teachers. This implies providing insights for the development of programs aimed at enhancing pre-service early childhood teachers' empathic ability and interpersonal relationship skills, ultimately enabling them to utilize adaptive emo-tional regulation strategies.

The mediating role of trait emotional intelligence in the relationship between parental neglect and cognitive emotion regulation strategies

BackgroundExamining children’s abilities to recognize and regulate their emotions in the context of parental neglect is of significant importance in order to comprehend the dynamics of and to support the development of emotional skills of children, particularly those at risk of neglect. From this point of view, the aim of the study was to examine the mediating role of trait emotional intelligence (trait EI) in the relationship between parental neglect and cognitive emotion regulation strategies (CERS) in children.MethodThe study group consisted of 265 children (135 girls and 130 boys) who were attending two separate primary schools in the city center of Antalya, Turkey. The mean age of the children was 10.27 ± 0.45. As the data gathering instruments, an “Individual Information Form” was administered to assess the socio-demographic information of the children, while the “Multidimensional Neglectful Behavior Scale-Child Report was administered to examine the level of neglect of children by the parents, the “Trait Emotional Intelligence Questionnaire-Child Form” was administered to assess the trait emotional intelligence level, and the “Cognitive Emotion Regulation Strategies for Children Scale” was administered to assess the CERS of the children.ResultIt was found that trait EI played a full mediator role in the relationship between CERS and both maternal and paternal neglect (p < .05), except for the relationship between paternal neglect and maladaptive CERS (p > .05).ConclusionsThe results may suggest that neglected children use all emotion regulation skills, including both adaptive and maladaptive, to cope with their negative emotional experience, but may use adaptive CERS more if their trait EI is higher.

The impact of negative cognitive bias on NSSI: mediating non-adaptive cognitive emotion regulation strategies

BackgroundIndividuals may be more likely to engage in NSSI due to negative cognitive bias, while the use of negative emotional regulation mechanisms may further contribute to NSSI. Currently, there is a dearth of studies regarding the correlation among the three variables.MethodThe study employed convenience sampling to collect data via online platforms from a total of 572 college students in Harbin, Heilongjiang Province, China, over the period of January 2024 to February 2024. The questionnaires comprise the Non-Adaptive Cognitive Emotion Srategy Regulation Subscale, the Negative Cognitive Processing Bias Questionnaire, and the NSSI Questionnaire.OutcomeNegative cognitive bias significantly and directly influences NSSI, as indicated by a beta coefficient of 0.3788 and a confidence interval of [0.2878, 0.4698]. The existence of negative cognitive bias significantly enhances the impact of non-adaptive cognitive emotion control approaches (β = 0.5613, CI [0.4808, 0.6418]). Non-adaptive cognitive emotion regulation strategies showed a significant effect on NSSI, as indicated by a beta coefficient of 0.2033 and a confidence interval of [0.0942, 0.3125]. The non-adaptive cognitive emotion control strategy serves as an intermediary between negative cognitive bias and NSSI, explaining 30.12% of the overall impact.In conclusionThe results demonstrate that non-adaptive cognitive emotion regulation strategies play a partially moderating role in the relationship between negative cognitive bias and NSSI among nursing students. We emphasize the importance of non-adaptive cognitive emotion regulation strategies, negative cognitive biases, and NSSI among nursing students. In order to reduce the occurrence of NSSI, it is important for schools, families, and teachers to work together closely and implement a well-organized and efficient intervention to protect the mental well-being of nursing students.

Acting as we feel: Which emotional responses to the climate crisis motivate climate action

The current study assessed emotional responses and emotion regulation strategies to the climate crisis, and their relationship to pro-environmental behaviour cross-sectionally using self-report online surveys. 1307 participants were recruited through convenience sampling from six European countries, alongside a distinct sample of 1040 participants representative of age, sex, and ethnicity in the United States. Our findings replicated the well-known association that stronger negative emotions to the climate crisis are associated with more pro-environmental behaviour. The relationship between climate emotions and pro-environmental behaviour was moderated by resignation in the US sample, by cognitive reappraisal and other-blame in the European sample and mediated by rumination in both samples. Furthermore, latent profiles of emotional responses were identified. In both samples, there was one distinct class demonstrating strong climate emotions, and a group with very low or no climate emotions (alongside with two/three groups with moderate emotional intensity in the European and the US samples, respectively). Findings also revealed that members of the emotional group were more likely to take climate action and tend to engage more in emotion regulation than the unemotional group. Our results highlight the crucial role of emotions and emotion regulation strategies in mitigating the climate crisis by taking pro-environmental action.

The Short Version of the Process-Oriented Emotion Regulation Measure for Children and Adolescents (POEM-CA)

Abstract: The development of appropriate emotion regulation (ER) strategies is crucial for the healthy development of children and adolescents. Therefore, the assessment of ER skills with economic and yet valid and reliable measures that help to identify ER problems at an early stage is desirable. In this study, the psychometric properties of the short version of the Process-Oriented Emotion Regulation Measure for Children and Adolescents (POEM-CA) were examined in a sample of children and adolescents aged 7 to 18 years in primary (Sample A: N = 362) and secondary school (Sample B: N = 472). The hypothesised factor structure was replicated in both samples and scale and item characteristics were appropriate. The criterion-related validity of the POEM-CA was examined regarding well-being in both samples. As expected, more functional and less dysfunctional ER was associated with higher well-being. Additionally, associations with psychosocial adjustment were tested in Sample B. Functional ER was negatively associated with externalizing problems and positively associated with prosocial behavior. Beyond, dysfunctional ER was associated with more internalizing and externalizing problems. The findings indicate that the POEM-CA is a valid and reliable, but also economic measure that can be useful in research and practice.

How SoTL can Inform Teaching Traumatic Histories

Educators charged with teaching histories marked by oppression and violence navigate a challenging duality: they must foster critical engagement and deep analysis of traumatic events without causing secondary trauma to their students, all within the context of growing political pressures on history curriculum in K-12 and higher education. This article, based on the results of a Scholarship of Teaching and Learning (SoTL) study in a college-level war and society course, explores student-identified challenges to learning about the Holocaust as well as their strategies for navigating emotional distress associated with that learning process. The article also considers SoTL-informed pedagogical interventions for teaching hard histories with a trauma-informed approach sharing student reactions to an oral history podcast assignment for supporting thoughtful and effective communication about sensitive topics. Among other results, this study found that students approached learning about the Holocaust with varied and self-aware strategies for emotional regulation, despite the common expectation that it would be difficult to hear about the tragic experiences of others. Students also expressed both general and specific benefits to learning this content, despite the significant challenge of navigating sensitive topics with careful language.

Hippocampal subfield volume in older adults with and without mild cognitive impairment: Effects of worry and cognitive reappraisal

Studies have confirmed that anxiety, especially worry and rumination, are associated with increased risk for cognitive decline, including Alzheimer’s disease and related dementias (ADRD). Hippocampal atrophy is a hallmark of ADRD. We investigated the association between hippocampus and its subfield volumes and late-life global anxiety, worry, and rumination, and emotion regulation strategies. We recruited 110 participants with varying worry severity who underwent magnetic resonance imaging and clinical interviews. We conducted cross-sectional regression analysis between each subfield and anxiety, worry, rumination, reappraisal, and suppression while adjusting for age, sex, race, education, cumulative illness burden, stress, neuroticism, and intracranial volume. We imputed missing data and corrected for multiple comparisons across regions. Greater worry was associated with smaller subiculum volume, whereas greater use of reappraisal was associated with larger subiculum and CA1 volume. Greater worry may be detrimental to the hippocampus and to subfields involved in early ADRD pathology. Use of reappraisal appears protective of hippocampal structure. Worry and reappraisal may be modifiable targets for ADRD prevention.