Emotional Awareness Predicts Specific Cognitive-Behavioral Therapy Outcomes for Anxious Youth

School-aged children with higher anxiety symptoms show greater correspondence between subjective negative emotions and autonomic arousal

Individuals exhibit variability in the degree of correspondence between autonomic and subjective indicators of emotional experience. The current study examined whether convergence between autonomic arousal and negative emotions during emotion-inducing story vignettes is associated with internalizing symptoms in school-aged children. A diverse sample of 97 children aged 8 to 12 years participated in this study in which they reported on their anxiety and depression. Children's electrodermal activity was assessed while they read vignettes depicting children experiencing sadness and fear. Participants also reported on their emotional reaction to the vignettes. Children's anxiety and electrodermal activity to fear vignettes were associated only at high levels, but not mean or low levels, of self-reported negative emotions to fear vignettes. These findings suggest that hyperawareness, in which self-reported negative emotionality is high when physiological reactivity is also high, is associated with greater risk for anxiety, but not depression, during middle childhood.

Meta-mood knowledge moderates the relationship between neuroticism and depression but not between neuroticism and anxiety in a sample of nonclinical adolescents

Research shows a strong link between neuroticism and internalizing psychopathology, such as depression and anxiety. However, it is unclear to what extent meta-mood knowledge (i.e., attention to emotion and emotional clarity) plays a role as a moderator in this relationship. To investigate this, we collected data on meta-mood knowledge, personality traits, depression, and anxiety in a sample of adolescents (N = 244; 53.7% girls) aged 12 to 18 years (M = 14.6, SD = 1.7) from Catalonia, Spain. Regarding the relationship between neuroticism and depression, results showed that emotional clarity buffered this relationship. Although attention to emotion did not, the joint moderating effect of attention to emotion and emotional clarity was significant. The results on the four different combinations of attention to emotion and emotional clarity showed that the relationship between neuroticism and depression was strongest for high attention and low clarity, less strong for low attention and low clarity, and even lower for high attention and high clarity. And importantly, these similar patterns of association disappeared at low attention and high clarity. In contrast to the relationship between neuroticism and depression, we found no statistically significant moderating effects for the relationship between neuroticism and anxiety. Based on these results, we argue the importance of examining individual differences in emotion-based cognition and understanding when the benefits of emotional clarity are associated with fewer disadvantages of excessive attention. These results provide preliminary evidence that the combination of low attention and high clarity may be an adaptive version of emotional self-awareness in relation to neuroticism and depression.

Self and Other Mentalizing Polarities and Dimensions of Mental Health: Association With Types of Symptoms, Functioning and Well-Being

Research suggests that the ability to understand one's own and others' minds, or mentalizing, is a key factor for mental health. Most studies have focused the attention on the association between global measures of mentalizing and specific disorders. In contrast, very few studies have analyzed the association between specific mentalizing polarities and global measures of mental health. This study aimed to evaluate whether self and other polarities of mentalizing are associated with a multidimensional notion of mental health, which considers symptoms, functioning, and well-being. Additionally, the level or depth of mentalizing within each polarity was also analyzed. A sample of 214 adolescents (12-18 years old, M = 14.7, and SD = 1.7; 53.3% female) was evaluated on measures of self- (Trait Meta-Mood Scale or TMMS-24) and other- mentalizing (Adolescent Mentalizing Interview or AMI), multi-informed measures of psychopathology and functioning based on Achenbach's system, and measures of psychological well-being (self-esteem, happiness, and motivation to life goals). Results revealed no association between mentalizing polarities and higher-order symptom factors (internalizing, externalizing, and global symptoms or "p" factor). Self-mentalizing was associated with self-esteem (B = 0.076, p < 0.0005) and motivation to life goals (B = 0.209, p = 0.002), and other-mentalizing was associated to general, social and role functioning (B = 0.475, p < 0.0005; B = 0.380, p = 0.005; and B = 0.364, p = 0.004). This association between aspects of self-other mentalizing and self-other function has important implications for treatment and prevention. Deeper mentalizing within each polarity (i.e., comprehension beyond simple attention to one's own mental states, and mentalizing referred to attachment figures vs. mentalizing referred to the characters of a story) revealed stronger associations with functioning and well-being. Because mentalizing polarities are associated with functioning and well-being but not with symptoms, a new hypothesis is developed: mentalizing does not contribute to resiliency by preventing symptoms, but by helping to deal with them, thus improving functioning and well-being independently of psychopathology. These findings support that promoting mentalizing across development may improve mental health, even in non-clinical population.