Reappraising suppression: subjective and physiological correlates of experiential suppression in healthy adults

Which emotion regulation strategy is efficient for whom? Reappraisal and suppression efficiency for adaptive and maladaptive personality profiles

OBJECTIVE

This study aimed to explore the efficiency of different emotion regulation strategies, specifically reappraisal and suppression, in relation to adaptive and maladaptive personality profiles.

BACKGROUND

Personality conditions emotions and influences emotion regulation. Of the available regulation strategies, reappraisal (reinterpreting the situation) is described as an efficient strategy, whereas suppression (not displaying the experienced emotion) carries higher physiological and cognitive costs. Little is known, however, about the influence of personality on these efficiencies.

METHOD

We tested the personality structure of 102 participants (Meanage = 20.75, SDage = 2.15), based on the Five-Factor Model and the Maladaptive Personality Trait Model. Experience, expressivity, and physiological arousal were recorded during the viewing of emotionally charged positive and negative images while participants reappraised, suppressed, or viewed the images without regulating their emotions.

RESULTS

We identified two clusters for adaptive personality ("Adaptive Resilient" and "Anti-resilient") and two for maladaptive personality ("Maladaptive Resilient" and "Under-controlled"). The major finding was for emotional experience in maladaptive personalities, where reappraisal was efficient in the Maladaptive Resilient profile, while none of the strategies brought relief in the Under-controlled profile.

CONCLUSION

This study, which systematically contrasts personality and efficiency of emotion regulation strategies, is one of the first attempts to refine the understanding of how personality influences the emotional regulation process.

Transcranial magnetic stimulation and transcranial direct current stimulation affect explicit but not implicit emotion regulation: a meta-analysis

Emotion regulation (ER) refers to the process through which people influence the occurrence, experience, and expression of emotions. It can be established in an explicit (voluntary) or implicit (automatic) way, both of which are essential for mental and physical well-being. Recent evidence has highlighted the potential of transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) targeting the prefrontal cortex (PFC) to modulate ER. However, previous studies have only evaluated the effects of TMS and tDCS on explicit ER, leaving implicit ER relatively unexplored. In this review and meta-analysis, we systematically evaluated the effects of TMS and tDCS over the PFC on the two forms of ER, using both subjective and physiological response as outcome indicators. Twenty-seven studies were included in our study. Both subjective (Hedges' g = - 0.20) and physiological (Hedges' g = - 0.65) results indicated a significant effect of TMS and tDCS targeting PFC on down-regulation of explicit ER, but not implicit ER (Hedges' g = - 0.04). Moreover, moderation analysis indicated that the effect of TMS and tDCS on the down-regulating of subjective experience was moderated by several factors, including stimulation method, target area, target hemisphere, and stimulation timing. Specifically, our results showed that applying TMS or targeting the right PFC, particularly the right ventrolateral prefrontal cortex, or using offline TMS and tDCS produced a larger stimulation effect on ER. In summary, these findings suggest that TMS and tDCS has a positive effect on explicit, but not implicit ER. The distinct TMS and tDCS effect on the two forms of ER help deepen our understanding of TMS and tDCS use and provide valuable insights for the development of tailored TMS and tDCS protocols for explicit and implicit regulation.

Catching the audience in a job interview: Effects of emotion regulation strategies on subjective, physiological, and behavioural responses

In the emotion regulation process more than one strategy is often used, though studies continue to rely on the manipulation of one strategy alone. This study compares the effects of Combined Cognitive Reappraisal (CCR: acceptance and reappraise via perspective-taking) and suppression using the Trier Social Stress Test (TSST). One hundred participants were randomly assigned to one of the two groups and subjective, physiological, and behavioural data were recorded. Continuous electrocardiography was recorded to measure heart rate variability (HRV) and stress levels. Affective ratings were provided before and after the TSST. Behavioural expressions were videotaped and analysed independently. Trait social anxiety/fear, age and gender entered as covariates. Although no group differences were found on affective ratings, the CCR group presented less physiological stress, higher HRV, their speech was better perceived, displayed more affiliative smile and hand gestures. Results suggested that CCR is more appropriate than suppression for managing social stress situations.

The simultaneous use of Emotional suppression and Situation selection to regulate emotions incrementally favors physiological responses

Background

Emotion regulation alters the trajectories of emotional responses and, when effective, transforms the emotional responses to help individuals adapt to their environment. Previous research has mainly focused on the efficiency of regulation strategies performed individually at a given time. Yet, in daily life, it is likely that several strategies are often combined. Thus, we question in this study the combinatorial efficiency of two emotion regulation strategies, Situation selection and Emotional suppression.

Methods

In a within-subject design, sixty-five participants were asked to implement either no strategy, Situation selection only, Emotional suppression only, or both strategies together (four conditions) while looking at various emotionally charged images. Experience, expressivity, and physiological arousal were recorded throughout the viewing. Repeated-measures ANOVAs and corrected post-hoc tests were used for analyzing the data.

Results

The results of the combined strategies showed that Emotional suppression canceled the beneficial impact of Situation selection on negative experience, while significantly increasing the impact on cardiac activity. The use of both strategies together had a greater effect on respiratory function with an enhanced decrease in respiratory rate and amplitude.

Conclusions

The combinatorial effect of emotion regulation strategies is different according to the emotional response that the individual needs to regulate. The simultaneous use of Situation selection and Emotional suppression could be particularly beneficial to relieve physiological symptoms.

Effects of Differential Strategies of Emotion Regulation

Patients suffering from mental disorders, especially anxiety disorders, are often impaired by inadequate emotional reactions. Specific aspects are the insufficient perception of their own emotional states and the use of dysfunctional emotion regulation strategies. Both aspects are interdependent. Thus, Cognitive Behavioral Therapy (CBT) comprises the development and training of adequate emotion regulation strategies. Traditionally, reappraisal is the most common strategy, but strategies of acceptance are becoming more important in the course of advancing CBT. Indeed, there is evidence that emotion regulation strategies differ in self-reported effectiveness, psychophysiological reactions, and underlying neural correlates. However, comprehensive comparisons of different emotion regulation strategies are sparse. The present study, therefore, compared the effect of three common emotion regulation strategies (reappraisal, acceptance, and suppression) on self-reported effectiveness, recollection, and psychophysiological as well as electroencephalographic dimensions. Twenty-nine healthy participants were instructed to either reappraise, accept, suppress, or passively observe their upcoming emotional reactions while anxiety- and sadness-inducing pictures were presented. Results showed a compelling effect of reappraisal on emotional experience, skin conductance response, and P300 amplitude. Acceptance was almost as effective as reappraisal, but led to increased emotional experience. Combining all results, suppression was shown to be the least effective but significantly decreased emotional experience when thoughts and feelings had to be suppressed. Moreover, results show that greater propensity for rumination differentially impairs strategies of emotion regulation.

Increased affective reactivity to neutral stimuli and decreased maintenance of affective responses in bipolar disorder

BACKGROUND

Affective dysregulation is a core feature of bipolar disorder (BD) and a significant predictor of clinical and functional outcome. Affective dysregulation can arise from abnormalities in multiple processes. This study addresses the knowledge gap regarding the precise nature of the processes that may be dysregulated in BD and their relationship to the clinical expression of the disorder.

METHODS

Patients with BD (n=45) who were either in remission or in a depressive or manic state and healthy individuals (n=101) were compared in terms of the intensity, duration and physiological response (measured using inter-beat intervals and skin conductance) to affective and neutral pictures during passive viewing and during experiential suppression.

RESULTS

Compared to healthy individuals, patients with BD evidenced increased affective reactivity to neutral pictures and reduced maintenance of subjective affective responses to all pictures. This pattern was present irrespective of clinical state but was more pronounced in symptomatic patients, regardless of polarity. Patients, regardless of symptomatic status, were comparable to healthy individuals in terms of physiological arousal and voluntary control of affective responses.

CONCLUSION

Our study demonstrates that increased affective reactivity to neutral stimuli and decreased maintenance of affective responses are key dimensions of affective dysregulation in BD.