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Baziliansky S, Cohen M. Emotion regulation and psychological distress in cancer survivors: A systematic review and meta-analysis. Stress Health 2021; 37:3-18. [PMID: 32720741 DOI: 10.1002/smi.2972] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Revised: 04/26/2020] [Accepted: 06/29/2020] [Indexed: 01/04/2023]
Abstract
Emotion regulation may affect the levels of psychological distress of cancer survivors, but inconsistencies exist among studies regarding the direction of this effect. The systematic review and meta-analysis sought to estimate the associations between emotion regulation patterns (repression, suppression, experiential avoidance and cognitive reappraisal) and psychological distress among cancer survivors. Fifteen studies met inclusion criteria for systematic review, and seven studies focussing on suppression were included in the meta-analysis. The systematic review pointed to a marked variability in associations among the emotion regulation patterns and psychological distress. The three meta-regressions of the relationships between suppression and psychological distress found significant fixed- and random-effect sizes (except marginal significance of a random-effect model for partial correlation). Subgroup analysis showed no moderation effect of time since diagnosis or study quality, but a significant difference (fixed-effect model only, p = 0.005) was found between correlative studies and those controlling for confounders. The current study suggests that suppression is related to elevated levels of psychological distress among cancer survivors, although large inconsistencies exist among studies and publication bias could not be ruled out. Further studies with large samples and a consistent approach are thus required to evaluate the associations of emotion regulation patterns and psychological distress.
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Affiliation(s)
| | - Miri Cohen
- School of Social Work, University of Haifa, Haifa, Israel
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Bruns D, Disorbio JM. The Psychological Evaluation of Patients with Chronic Pain: a Review of BHI 2 Clinical and Forensic Interpretive Considerations. PSYCHOLOGICAL INJURY & LAW 2014; 7:335-361. [PMID: 25478059 PMCID: PMC4242977 DOI: 10.1007/s12207-014-9206-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Accepted: 10/14/2014] [Indexed: 01/23/2023]
Abstract
Pain is the most common reason why patients see a physician. Within the USA, it has been estimated that at least 116 million US adults suffer from chronic pain, with an estimated annual national economic cost of $560-635 billion. While pain is in part a sensory process, like sight, touch, or smell, pain is also in part an emotional experience, like depression, anxiety, or anger. Thus, chronic pain is arguably the quintessential biopsychosocial condition. Due to the overwhelming evidence of the biopsychosocial nature of pain and the value of psychological assessments, the majority of chronic pain guidelines recommend a psychological evaluation as an integral part of the diagnostic workup. One biopsychosocial inventory designed for the assessment of patients with chronic pain is the Battery for Health Improvement 2 (BHI 2). The BHI 2 is a standardized psychometric measure, with three validity measures, 16 clinical scales, and a multidimensional assessment of pain. This article will review how the BHI 2 was developed, BHI 2 concepts, validation research, and an overview of the description and interpretation of its scales. Like all measures, the BHI 2 has strengths and weaknesses of which the forensic psychologist should be aware, and particular purposes for which it is best suited. Guided by that knowledge, the BHI 2 can play a useful role in the forensic psychologist's toolbox.
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Affiliation(s)
- Daniel Bruns
- Health Psychology Associates, 1610 29th Avenue Place Suite 200, Greeley, CO 80634 USA
| | - John Mark Disorbio
- Health Psychology Associates, 1610 29th Avenue Place Suite 200, Greeley, CO 80634 USA
- 113 Blue Grouse Road, Evergreen, CO 80634 USA
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Wei D, Du X, Li W, Chen Q, Li H, Hao X, Zhang L, Hitchman G, Zhang Q, Qiu J. Regional gray matter volume and anxiety-related traits interact to predict somatic complaints in a non-clinical sample. Soc Cogn Affect Neurosci 2014; 10:122-8. [PMID: 24622213 DOI: 10.1093/scan/nsu033] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Somatic complaints can be important features of an individual's expression of anxiety. Anxiety-related traits are also risk factors for somatic symptoms. However, it is not known which neuroanatomical mechanisms may be responsible for this relationship. In this study, our first step was to use voxel-based morphometry (VBM) approaches to investigate the neuroanatomical basis underlying somatic complaints in a large sample of healthy subjects. We found a significant positive correlation between somatic complaints and parahippocampal gyrus (PHG) volume adjacent to the entorhinal cortex. Further analysis revealed that the interaction between PHG volume/entorhinal cortex and neuroticism-anxiety (N-Anx) predicted somatic complaints. Specifically, somatic complaints were associated with higher N-Anx for individuals with increased PHG volume. These findings suggest that increased PHG volume and higher trait anxiety can predict vulnerability to somatic complaints in the general population.
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Affiliation(s)
- Dongtao Wei
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Xue Du
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Wenfu Li
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Qunlin Chen
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Haijiang Li
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Xin Hao
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Lei Zhang
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Glenn Hitchman
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Qinglin Zhang
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
| | - Jiang Qiu
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing 400715, China and Department of Psychology, Southwest University, Chongqing 400715, China
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