Emotion malleability beliefs, emotion regulation, and psychopathology: Integrating affective and clinical science

Implicit theories of emotion and mental health during adolescence: the mediating role of emotion regulation

Despite strong evidence of the influence of implicit theories of emotion (ITE) on mental health symptoms among adult samples, scant attention has been paid to this important relation during adolescence. Moreover, it remains unclear which proximal processes may help to explain the link between ITE and mental health. As such, the current study had two objectives: (1) to assess the association of ITE and later anxiety and depressive symptoms within an adolescent sample, and (2) evaluate the mediating role of real-world emotion regulation strategies on the association between ITE and mental health. A sample of 13-15-year-old adolescents (n = 183, mean age = 13.9, SD = 0.91, 50% female) completed a measure of ITE (Time 1), and subsequently reported on their emotion regulation strategy use via an ESM smart-phone app for two weeks (Time 2). Youth then reported on their anxiety and depressive symptoms six months later (Time 3). Mediational analyses revealed that the proportion to which adolescents used reappraisal and suppression mediated the association between ITE and depressive symptoms: higher levels of incremental theories of emotion were associated with more reappraisal, and less suppression, use, which in turn predicted fewer depressive symptoms six months later. None of the strategies measured, however, mediated the association between ITE and anxiety symptoms.

Emotion Beliefs, Emotion Regulation, and Emotional Experiences in Daily Life

One potential factor that could influence how individuals with at least moderate symptoms of depression cope with upsetting events in their daily lives is the beliefs that these individuals hold about whether emotions are malleable or fixed. The current study adopted an experience sampling approach to examine how the beliefs about emotion's malleability related to daily positive and negative affect and daily emotion regulation efforts among individuals with at least moderate symptoms of depression (N = 84). Results demonstrated that individuals having at least moderate symptoms of depression who held more malleable beliefs about emotions reported decreased negative affect both overall during the day and specifically in response to daily upsetting events. Additionally, these individuals who held more malleable beliefs about their emotions also reported more daily use of cognitive reappraisal to regulate their emotions in response to upsetting daily events. Results from the current study extend previous work examining the relationship between emotion malleability beliefs, emotional experiences, and emotion regulation to examine these relationships in people who are moderately depressed as they navigate the emotional landscape of their daily lives.

Cognition malleability belief, emotion regulation and adolescent well-being: examining a mediation model among migrant youth

Objective: The well-being of migrant youth is a major global public health concern. This developmental stage is fraught with many challenges, with migrant youth suffering additional challenges as a result of migration. One avenue to better understand the psychological mechanisms that underpin the well-being of migrant youth is examining how mindsets - or implicit theories about the malleability of human characteristics - affect well-being. The aim of the current study was to test a conceptual model in which cognition malleability belief on well-being would be mediated by emotion regulation styles in two samples of migrant youth using two different measures of well-being. Methods: In Study 1, mainland China migrant youth (N = 735, Mean age = 13.89, SD = 1.23) completed a survey measuring demographics and cognition malleability belief, emotion regulation style (cognitive reappraisal, expressive suppression), and well-being (holistic well-being). In Study 2, Hong Kong migrant youth (N = 285, Mean age = 15.09, SD = 2.75) completed the same measures; however, well-being was assessed by the Life Satisfaction Scale. As different measures of the dependent variable (well-being) were used, two separate models were specified. Computations were performed with SPSS 22 and with the PROCESS macro. Results: Both studies demonstrated support for the conceptual model. As predicted, cognition malleability belief was associated with cognitive reappraisal, expressive suppression, and well-being of migrant youth from mainland China and Hong Kong. Cognitive reappraisal was positively associated with well-being, while expressive suppression was not significantly associated with well-being. The association between cognition malleability belief and well-being was mediated by cognitive reappraisal. Conclusion: Current findings provide avenues for future longitudinal and experimental research to test the efficacy of these mechanisms in changing beliefs about cognition malleability to promote the well-being of migrant youth.

Implicit Theories of Emotion, Goals for Emotion Regulation, and Cognitive Responses to Negative Life Events

Why do some people routinely respond to emotional difficulty in ways that foster resilience, while others habitually engage in responses associated with deleterious consequences over time? This study examined relations between emotion controllability beliefs and goals for emotion regulation (ER) with peoples' multivariate profile of cognitive ER strategy use. Cluster analysis classified 481 university students (81% female) as adaptive, maladaptive, or low regulators based on their multivariate profile of engagement in five adaptive and four maladaptive cognitive ER strategies. A discriminant function analysis predicting the multivariate profiles supported that lower emotion controllability beliefs and lower performance-avoidance goals for ER significantly distinguished maladaptive regulators from adaptive regulators. Moreover, lower learning, performance-avoidance, and performance-approach goals for ER significantly distinguished low regulators from maladaptive and low regulators. Taken together, findings support that emotion-related beliefs and goals may help to clarify why some people habitually engage in more adaptive patterns of cognitive ER in response to negative life events than others.

A Meta-analysis and Systematic Review of Emotion-Regulation Strategies in Borderline Personality Disorder

Emotion dysregulation is often considered a core characteristic of individuals with borderline personality disorder (BPD). With the development and strength of a contemporary affective-science model that encompasses both healthy emotion regulation (ER) and emotion dysregulation, this model has increasingly been used to understand the affective experiences of people with BPD. In this meta-analysis and review, we systematically review six of the most commonly studied ER strategies and determine their relative endorsement in individuals with elevated symptoms of BPD compared to individuals with low symptoms of BPD and healthy controls, as well as to individuals with other mental disorders. Results from 93 unique studies and 213 different effect-size estimates indicated that symptoms of BPD were associated with less frequent use of ER strategies that would be considered more effective at reducing negative affect (i.e., cognitive reappraisal, problem solving, and acceptance) and more frequent use of ER strategies considered less effective at reducing negative affect (i.e., suppression, rumination, and avoidance). When compared to individuals with other mental disorders, people with BPD endorsed higher rates of rumination and avoidance, and lower rates of problem solving and acceptance. We also review important contributions from studies of ER in BPD that we were unable to incorporate into our meta-analysis. We conclude by discussing how the pattern of using ER strategies in BPD contributes to emotion dysregulation and also the potential reasons for this pattern, integrating both Gross's extended process model of ER and Linehan's updated theoretical account on the development of emotion dysregulation.

Growth mindsets and psychological distress: A meta-analysis

We investigated if growth mindsets-the belief in the malleable nature of human attributes-are negatively related to psychological distress and if they are positively related to treatment value and active coping. In the meta-analysis, we included articles published between 1988 and 2019, written in English, that reported on mindsets as well as a qualifying dependent variable and included information required to calculate an effect size. With a random effects approach, meta-analytic results (k = 72 samples, N = 17,692) demonstrated that mindsets relate, albeit with minimal effects, to distress, treatment and coping. Specifically, there is a negative relation between growth mindsets and psychological distress (r = -0.220), a positive relation between growth mindsets and treatment value (r = 0.137) and a positive relation between growth mindsets and active coping (r = 0.207). Differences in mindset domain, assessment method of mindsets and timing of assessments moderated effects. There were not differences based on operationalization of psychological distress outcome or sample characteristics (i.e., developmental stage, diagnostic status, ethnicity). We discuss theoretical and practical applications of the findings.

A Smart Toy Intervention to Promote Emotion Regulation in Middle Childhood: Feasibility Study

BACKGROUND

A common challenge with existing psycho-social prevention interventions for children is the lack of effective, engaging, and scalable delivery mechanisms, especially beyond in-person therapeutic or school-based contexts. Although digital technology has the potential to address these issues, existing research on technology-enabled interventions for families remains limited. This paper focuses on emotion regulation (ER) as an example of a core protective factor that is commonly targeted by prevention interventions.

OBJECTIVE

The aim of this pilot study was to provide an initial validation of the logic model and feasibility of in situ deployment for a new technology-enabled intervention, designed to support children's in-the-moment ER efforts. The novelty of the proposed approach relies on delivering the intervention through an interactive object (a smart toy) sent home with the child, without any prior training necessary for either the child or their carer. This study examined (1) engagement and acceptability of the toy in the homes during 1-week deployments, and (2) qualitative indicators of ER effects, as reported by parents and children. In total, 10 families (altogether 11 children aged 6-10 years) were recruited from 3 predominantly underprivileged communities in the United Kingdom, as low SES populations have been shown to be particularly at risk for less developed ER competencies. Children were given the prototype, a discovery book, and a simple digital camera to keep at home for 7 to 8 days. Data were gathered through a number of channels: (1) semistructured interviews with parents and children prior to and right after the deployment, (2) photos children took during the deployment, and (3) touch interactions automatically logged by the prototype throughout the deployment.

RESULTS

Across all families, parents and children reported that the smart toy was incorporated into the children's ER practices and engaged with naturally in moments the children wanted to relax or calm down. Data suggested that the children interacted with the toy throughout the deployment, found the experience enjoyable, and all requested to keep the toy longer. Children's emotional connection to the toy appears to have driven this strong engagement. Parents reported satisfaction with and acceptability of the toy.

CONCLUSIONS

This is the first known study on the use of technology-enabled intervention delivery to support ER in situ. The strong engagement, incorporation into children's ER practices, and qualitative indications of effects are promising. Further efficacy research is needed to extend these indicative data by examining the psychological efficacy of the proposed intervention. More broadly, our findings argue for the potential of a technology-enabled shift in how future prevention interventions are designed and delivered: empowering children and parents through child-led, situated interventions, where participants learn through actionable support directly within family life, as opposed to didactic in-person workshops and a subsequent skills application.

The Fixed Mindset of Anxiety Predicts Future Distress: A Longitudinal Study

Mindsets, or beliefs about the malleability of self-attributes such as intelligence and personality, have been linked to a wide range of outcomes in educational and social psychology. There has been recent interest in exploring this construct in clinical psychological contexts. To that end, research has shown that the fixed mindset of anxiety-the belief that anxiety is fixed and unchangeable-is related to a variety of psychological distress symptoms, emotion regulation strategies, and treatment preferences. One outstanding question is whether the fixed mindset of anxiety predicts future psychological symptoms. To address this question, the current longitudinal study assessed weekly distress and anxiety mindset across 5 weeks. We found that fixed mindset of anxiety is predictive of future weekly distress, even after controlling for the previous week's distress, sex, socioeconomic status, baseline depression symptoms, and presence of psychiatric diagnosis. These findings add evidence to an emerging conceptual framework in which the fixed mindset of anxiety represents an important risk factor for the onset of future psychological problems.

Beliefs about the automaticity of positive mood regulation: examination of the BAMR-Positive Emotion Downregulation Scale in relation to emotion regulation strategies and mood symptoms

Emotion regulation is a topic of great interest due to its relevance to navigating everyday life, as well as its relevance to psychopathology. Recent research indicates that beliefs about the automaticity of mood regulation are critical to psychological health. In the present study we assessed beliefs about the automaticity of positive mood regulation in relationship to self-reported mood symptoms and explicit emotion regulation strategies. Participants (n = 200) completed an online survey including a scale assessing beliefs about automatic downregulation of positive emotions (i.e. BAMR-PED), beliefs about automatic mood regulation for negative emotions, mood symptoms, and emotion regulation strategies. Results suggested that beliefs about automatic positive emotion regulation were associated with unhelpful emotion regulation strategies and reduced negative affect as well as fewer depressive, manic, and anxiety symptoms. Test-retest of the novel BAMR-PED measure was tested with a further sample (n = 46) and found to be acceptable. Future research should explore how these automatic beliefs have relevance to clinical disorders characterised by positive emotion disturbance, such as bipolar disorder.

Perceived ability to regulate love

Research has shown that romantic love can be regulated. We investigated perceptions about love regulation, because these perceptions may impact mental health and influence love regulation application. Two-hundred eighty-six participants completed a series of items online via Qualtrics that assessed perceived ability to up- and down-regulate, exaggerate and suppress the expression of, and start and stop different love types. We also tested individual differences in perceived love regulation ability. Participants thought that they could up- but not down-regulate love in general and that they could up-regulate love in general more than down-regulate it. Participants thought that they could up-regulate infatuation less than attachment and sexual desire. Participants also thought that they could exaggerate and suppress expressions of infatuation, attachment, and sexual desire, but that they could not start and stop infatuation and attachment, or start sexual desire. The more participants habitually used cognitive reappraisal, the more they thought that they could up- and down-regulate infatuation and attachment and up-regulate sexual desire. The more participants were infatuated with their beloved, the more they thought that they could up- but not down-regulate infatuation, attachment, and sexual desire. Finally, participants thought that they could up- and down-regulate happiness more than infatuation These findings are a first step toward the development of psychoeducation techniques to correct inaccurate love regulation perceptions, which may improve mental health and love regulation in daily life.

Affective vulnerability in substance use disorders

Substances of abuse are characterized by their rewarding effects and engagement of reward pathways in the brain. However, these substances also provide rapid relief of negative affect, and thus are highly negatively reinforcing. Accordingly, negative affectivity and other affective vulnerabilities (factors related to the experience of affect) are strongly linked to problematic substance use and substance use disorders. In this review, we provide a critical overview of the literature on affective vulnerabilities in substance use disorders. We discuss how both the experience of affect (e.g. negative affectivity, stress reactivity) and the interpretation of affect (e.g. distress intolerance, anxiety sensitivity) are pertinent to the development, maintenance, and treatment of substance use disorders.

Why Beliefs About Emotion Matter: An Emotion-Regulation Perspective

The world is complicated, and we hold a large number of beliefs about how it works. These beliefs are important because they shape how we interact with the world. One particularly impactful set of beliefs centers on emotion, and a small but growing literature has begun to document the links between emotion beliefs and a wide range of emotional, interpersonal, and clinical outcomes. Here, we review the literature that has begun to examine beliefs about emotion, focusing on two fundamental beliefs, namely whether emotions are good or bad and whether emotions are controllable or uncontrollable. We then consider one underlying mechanism that we think may link these emotion beliefs with downstream outcomes, namely emotion regulation. Finally, we highlight the role of beliefs about emotion across various psychological disciplines and outline several promising directions for future research.

Confiding Secrets and Well-Being

How does confiding secrets relate to well-being? The current work presents the first empirical examination of mechanisms by which confiding diverse real-world secrets to known others predicts well-being. We examined over 800 participants with more than 10,000 secrets in total, finding that confiding a secret does not predict reduced instances of concealment. Rather, confiding a secret predicts higher well-being through perceived coping efficacy. Correlational and experimental studies find that through confiding a secret, people feel they obtain social support and are more capable in coping with the secret. Additionally, through perceived coping efficacy, confiding a secret predicts less frequent mind wandering to the secret. Confiding predicts higher well-being through changing the way and how often people think about their secret.

Conceptualizing gambling disorder with the process model of emotion regulation

Introduction Nowadays, gambling disorder (GD) is a worldwide health issue and there is a growing need to both improve our understanding of this disorder and to tailor specific interventions for its treatment. Moreover, theoretical models and preliminary empirical results suggest that difficulty in regulating emotional states might be involved in GD. However, literature describing clinical and theoretical aspects of emotional dysregulation among pathological gamblers (PGs) shows a lack of systematic description. Objectives We aimed to provide, within an exhaustive theoretical framework of emotion regulation (ER) processing, empirical evidence supporting a conceptual model of GD as an ER affliction. Methods We commented on empirical evidence on the relationship between ER and GD in the light of two main conceptual models of emotion (dys)regulation. Results The results suggest there are actual deficits of ER processing among PGs, manifesting themselves through different ways and in different steps of the ER timeline. In addition, dysregulation of positive emotions may play a central role in GD. From a clinical point of view, we pointed out that deficits in ER might be multiple in nature and an assessment for GD should be accurate to identify the specific components accounting for the development and maintenance of the disorder. It should also orientate the clinician in selecting therapeutic objectives. Conclusions The nature of emotional states that are difficult to regulate might account for the GD severity and indicate the subtype of PGs the patient belongs to. Treatment programs should be tailored on the specificity of PGs.

Are emotions controllable? Maltreated and non-maltreated youth's implicit beliefs about emotion and aggressive tendencies

Although child maltreatment places youth at substantial risk for difficulties with emotion regulation and aggression, not all maltreated youth show these adverse effects, raising important questions about characteristics that discriminate those who do versus do not evidence long-term negative outcomes. The present investigation examined whether implicit beliefs about emotion moderated the association between maltreatment and aggression. Maltreated (n = 59) and community-matched (n = 66) youth were asked regarding their beliefs about emotion and aggressive behaviors. Beliefs about emotion were more strongly associated with aggression among maltreated youth, particularly physically abused youth. Maltreated youth who believed they had poor ability to control emotion reported significantly higher levels of aggression than comparison youth. However, maltreated youth who believed they had high ability to control emotion did not differ significantly in aggression from that of comparison youth. Findings offer unique insight into a factor that may increase or buffer maltreated youth's risk for aggression and thus highlight potential directions for interventions to reduce aggressive tendencies.

Associations between dental anxiety and postoperative pain following extraction of horizontally impacted wisdom teeth: A prospective observational study

The aim of the study is to identify associations between dental anxiety and postoperative pain in patients undergoing extraction of horizontally impacted wisdom teeth.A total of 119 volunteers provided demographic data, and completed questionnaires, the State-Trait Anxiety Inventory (STAI), Chinese Index of Dental Anxiety and Fear (C-IDAF)-4C, and the Numeric Rating Scale (NRS) for pain.Mean SAI, TAI, and C-IDAF-4C scores were 42.5 ± 8.7, 46.4 ± 10.9, and 16.9 ± 7.2, respectively. Mean postoperative pain level score was 3.0 ± 1.8 (range: 0.3-8.4). SAI scores increased as preoperative pain levels increased (β = 1.30, 95% confidence interval [CI]: 0.62-1.98, P < .001); females had higher SAI scores than males (5.34; 95% CI: 1.74-8.95, P = .004). Multivariable analysis revealed that females, bad exodontic experience, and higher predicted pain levels were associated with higher IDAF-4C scores. SAI scores (γ = 0.611, P < .001) and TAI scores (γ = 0.305, P < .001) increased as C-IDAF-4C scores increased. Higher C-IDAF-4C scores and longer operative time were significantly associated with higher levels of postoperative pain.Specific factors are associated with anxiety and stress, and postoperative pain in patients undergoing wisdom teeth extraction. Addressing these factors preoperatively may reduce stress and anxiety, and lead to more favorable treatment outcomes.

Exploring the East-West Divide in Prevalence of Affective Disorder: A Case for Cultural Differences in Coping With Negative Emotion

Lifetime rates of clinical depression and anxiety in the West tend to be approximately 4 to 10 times greater than rates in Asia. In this review, we explore one possible reason for this cross-cultural difference, that Asian cultures think differently about emotion than do Western cultures and that these different systems of thought help explain why negative affect does not escalate into clinical disorder at the same rate. We review research from multiple disciplines-including cross-cultural psychology, social cognition, clinical psychology, and psychiatry-to make the case that the Eastern holistic principles of contradiction (each experience is associated with its opposite), change (the world exists in a state of constant flux), and context (the interconnectedness of all things) fundamentally shape people's experience of emotions in different cultures. We then review evidence for how these cultural differences influence how successfully people use common emotion regulation strategies such as rumination and suppression.