Pub Date : 2025-04-24Epub Date: 2025-04-30DOI: 10.55913/joep.v1i2.60
Elizabeth J Kiel, Sydney M Risley, Kim L Gratz
Overprotective parenting behavior warrants attention as a construct relevant to parents with young children. Little is known about parents' own evaluations of, or attitudes about, these behaviors. Ambivalent attitudes, reflecting a mix of positive and negative evaluations, may reflect different motivations than purely positive or negative attitudes for engaging in overprotective parenting. Understanding parent attitudes about overprotection in early childhood could augment theory on the development of overprotective parenting and the parent-child dynamics relevant to children's outcomes. In a sample of 140 mothers and their 2-year-old children (39% female), the current study used a person-centered approach to identify a group of mothers expressing ambivalence (n = 72) about overprotective parenting, as well as groups expressing uniformly positive (n = 34) and uniformly negative (n = 19) attitudes. Methods included a variety of observational, behavioral, and survey approaches. Mothers characterized by ambivalence about overprotective parenting demonstrated as much overprotective behavior as those with positive attitudes about protective parenting. The ambivalent group had toddlers showing the highest level of temperamental risk for anxiety, whereas the positive group showed some evidence of being highest on maternal anxiety. Maternal ambivalence about overprotective parenting has implications for both the development of and interventions for child anxiety, given its relevance to overprotective parenting and mother and child characteristics related to risk.
{"title":"Maternal Ambivalence about Overprotective Parenting during Early Childhood: Relations to Observed Parenting and Mother and Child Emotion-Based Characteristics.","authors":"Elizabeth J Kiel, Sydney M Risley, Kim L Gratz","doi":"10.55913/joep.v1i2.60","DOIUrl":"10.55913/joep.v1i2.60","url":null,"abstract":"<p><p>Overprotective parenting behavior warrants attention as a construct relevant to parents with young children. Little is known about parents' own evaluations of, or attitudes about, these behaviors. Ambivalent attitudes, reflecting a mix of positive and negative evaluations, may reflect different motivations than purely positive or negative attitudes for engaging in overprotective parenting. Understanding parent attitudes about overprotection in early childhood could augment theory on the development of overprotective parenting and the parent-child dynamics relevant to children's outcomes. In a sample of 140 mothers and their 2-year-old children (39% female), the current study used a person-centered approach to identify a group of mothers expressing ambivalence (<i>n</i> = 72) about overprotective parenting, as well as groups expressing uniformly positive (<i>n</i> = 34) and uniformly negative (<i>n</i> = 19) attitudes. Methods included a variety of observational, behavioral, and survey approaches. Mothers characterized by ambivalence about overprotective parenting demonstrated as much overprotective behavior as those with positive attitudes about protective parenting. The ambivalent group had toddlers showing the highest level of temperamental risk for anxiety, whereas the positive group showed some evidence of being highest on maternal anxiety. Maternal ambivalence about overprotective parenting has implications for both the development of and interventions for child anxiety, given its relevance to overprotective parenting and mother and child characteristics related to risk.</p>","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"1 2","pages":"545-568"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12782220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-24Epub Date: 2025-05-03DOI: 10.55913/joep.v1i2.82
Lucas J Hamilton, Prabhvir Lakhan, Lauren A Rutter
Background: Ecological momentary assessments (EMA) have contributed to an increase in research correlating affect dynamics to mental health and wellbeing. While many metrics can be calculated to characterize affect dynamics from EMA data, researchers often opt for a 'battle royale' approach whereby only the best individual predictor is kept. The present work addresses the possibility that shared variance across indicators, namely for affect variability, may be better captured using latent models that also could better predict psychopathology.
Methods: A 14-day EMA protocol was used to examine affect dynamics in 109 college-aged participants. Measures of psychopathology were collected on the first and last days. A minimum of 12 observations of the Positive and Negative Affect Schedule reports were needed for each participant. Measures of affect variability, granularity, and co-occurrence were derived.
Results: Depression, anxiety, stress, and neuroticism were positively associated with latent negative affect variability and negatively associated with latent positive affect variability. Granularity and co-occurrence were not significant predictors. Importantly, latent factors were significantly stronger predictors of depression than within-person mean and standard deviations.
Limitations: As with any latent variable study, the factorization is sample-specific and may have limited generalizability. Replication with a clinical sample and larger battery of psychopathology assessments is recommended.
Conclusions: Latent factors coalesce the strengths of several EMA-derived indicators while maintaining statistical and construct validity. Clinical implications are discussed regarding short-burst daily affect assessments to track potential risk for depression onset.
{"title":"A Latent Variable Approach to Affect Variability in Daily Life Accurately Predicts Psychopathology, Especially Depression Symptoms in a Non-Clinical Sample.","authors":"Lucas J Hamilton, Prabhvir Lakhan, Lauren A Rutter","doi":"10.55913/joep.v1i2.82","DOIUrl":"https://doi.org/10.55913/joep.v1i2.82","url":null,"abstract":"<p><strong>Background: </strong>Ecological momentary assessments (EMA) have contributed to an increase in research correlating affect dynamics to mental health and wellbeing. While many metrics can be calculated to characterize affect dynamics from EMA data, researchers often opt for a 'battle royale' approach whereby only the best individual predictor is kept. The present work addresses the possibility that shared variance across indicators, namely for affect variability, may be better captured using latent models that also could better predict psychopathology.</p><p><strong>Methods: </strong>A 14-day EMA protocol was used to examine affect dynamics in 109 college-aged participants. Measures of psychopathology were collected on the first and last days. A minimum of 12 observations of the Positive and Negative Affect Schedule reports were needed for each participant. Measures of affect variability, granularity, and co-occurrence were derived.</p><p><strong>Results: </strong>Depression, anxiety, stress, and neuroticism were positively associated with latent negative affect variability and negatively associated with latent positive affect variability. Granularity and co-occurrence were not significant predictors. Importantly, latent factors were significantly stronger predictors of depression than within-person mean and standard deviations.</p><p><strong>Limitations: </strong>As with any latent variable study, the factorization is sample-specific and may have limited generalizability. Replication with a clinical sample and larger battery of psychopathology assessments is recommended.</p><p><strong>Conclusions: </strong>Latent factors coalesce the strengths of several EMA-derived indicators while maintaining statistical and construct validity. Clinical implications are discussed regarding short-burst daily affect assessments to track potential risk for depression onset.</p>","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"1 2","pages":"569-588"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dominique Maciejewski, E. van Roekel, Thao Ha, Kalee DeFrance, Lauren Lin, H. Lennarz, Hester Trompetter, Wim Meeus, Anna Lichtwarck-Aschoff, Susan J T Branje, Tom Hollenstein, M. Verhagen
The current study examined the role of mean levels of affect in the relation between affect dynamics and depressive symptoms. We analyzed data from seven studies that measured affect in daily life in adolescents and young adults (N = 1,448, age range = 11.7-29.9 years, 64.8% females). We tested main and interaction effects of affect dynamics (variability and inertia) and affect level on depressive symptoms, separately for positive affect (PA) and negative affect (NA). For PA, we found mostly main, but no interaction effects. Depressive symptoms were associated with more PA variability and less PA inertia, indicating that depressive symptoms in young people may be characterized by more variable and less lingering PA, independent of PA mean levels. For NA, we found a significant moderation effect between NA variability and NA levels for depressive symptoms at baseline. For individuals with low NA levels, high NA variability was associated with more depressive symptoms. In contrast, for individuals with high NA levels, high NA variability was associated with fewer depressive symptoms. These results suggest that the relative adaptiveness of NA variability depends on overall NA levels and underscores the need for a more nuanced understanding of affect variability in depression.
本研究探讨了情感的平均水平在情感动态与抑郁症状之间关系中的作用。我们分析了七项研究的数据，这些研究测量了青少年和年轻成年人（人数 = 1,448 人，年龄范围 = 11.7-29.9 岁，64.8% 为女性）日常生活中的情感。我们分别就积极情感（PA）和消极情感（NA）测试了情感动态（可变性和惯性）和情感水平对抑郁症状的主要效应和交互效应。对于积极情感，我们发现主要是主效应，但没有交互效应。抑郁症状与较高的 PA 变异性和较低的 PA 惯性相关，这表明年轻人的抑郁症状可能表现为较高的 PA 变异性和较低的 PA 惯性，与 PA 平均水平无关。在 NA 方面，我们发现 NA 变异性和 NA 水平对基线抑郁症状有显著的调节作用。对于 NA 水平较低的人来说，NA 变异性高与抑郁症状较多有关。相反，对于 NA 水平高的人，NA 变异性高则抑郁症状较少。这些结果表明，NA变异性的相对适应性取决于整体的NA水平，并强调了对抑郁症中情感变异性进行更细致理解的必要性。
{"title":"Beyond Main Effects? Affect Level as a Moderator in the Relation Between Affect Dynamics and Depressive Symptoms","authors":"Dominique Maciejewski, E. van Roekel, Thao Ha, Kalee DeFrance, Lauren Lin, H. Lennarz, Hester Trompetter, Wim Meeus, Anna Lichtwarck-Aschoff, Susan J T Branje, Tom Hollenstein, M. Verhagen","doi":"10.55913/joep.v1i1.52","DOIUrl":"https://doi.org/10.55913/joep.v1i1.52","url":null,"abstract":"The current study examined the role of mean levels of affect in the relation between affect dynamics and depressive symptoms. We analyzed data from seven studies that measured affect in daily life in adolescents and young adults (N = 1,448, age range = 11.7-29.9 years, 64.8% females). We tested main and interaction effects of affect dynamics (variability and inertia) and affect level on depressive symptoms, separately for positive affect (PA) and negative affect (NA). For PA, we found mostly main, but no interaction effects. Depressive symptoms were associated with more PA variability and less PA inertia, indicating that depressive symptoms in young people may be characterized by more variable and less lingering PA, independent of PA mean levels. For NA, we found a significant moderation effect between NA variability and NA levels for depressive symptoms at baseline. For individuals with low NA levels, high NA variability was associated with more depressive symptoms. In contrast, for individuals with high NA levels, high NA variability was associated with fewer depressive symptoms. These results suggest that the relative adaptiveness of NA variability depends on overall NA levels and underscores the need for a more nuanced understanding of affect variability in depression.","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"121 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139132837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tyler B. Mason, Diana Zhang, Diana Castillo, Rachel Dayag, Kathy Lam, Jeremy C Morales, Kathryn E. Smith
Introduction: Binge eating and compensatory behaviors have significant adverse health implications and are understudied among children. Studies have shown overlap between depressive symptoms and binge eating and compensatory behaviors, but little research has examined sex differences in depressive symptom specificity and binge eating and compensatory behaviors. The present study examined the associations between depressive symptoms and binge eating and compensatory behaviors among male and female children. Methods: Population-based data of 6,975 children ages 9 – 10 years and their caregivers from the multisite Adolescent Brain Cognitive Development (ABCD) study were analyzed. The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) was utilized to measure binge eating, compensatory behavior, and depressive symptoms. Results: There was an association between presence of anhedonia with increased likelihood of binge eating among females and males. There were no significant associations between individual depressive symptoms and compensatory symptoms among females or males. Lifetime DSM-5 major depressive disorder was associated with binge eating in males and females and compensatory behaviors in females. Discussion: This study provides new knowledge of the specificity of the association between depressive symptoms and binge eating in female compared to male children. Anhedonia may be a key clinical target to reducing binge eating in female and male children.
简介暴饮暴食和补偿行为对健康有重大不利影响，但对儿童的研究却不足。研究表明，抑郁症状与暴饮暴食和补偿行为之间存在重叠，但很少有研究探讨抑郁症状特异性与暴饮暴食和补偿行为的性别差异。本研究探讨了男女儿童抑郁症状与暴食和补偿行为之间的关联。研究方法分析了多地点青少年大脑认知发展（ABCD）研究中 6,975 名 9-10 岁儿童及其照顾者的人群数据。采用情绪障碍和精神分裂症儿童时间表（Kiddie Schedule for Affective Disorders and Schizophrenia，K-SADS）来测量暴饮暴食、补偿行为和抑郁症状。结果显示女性和男性出现厌食症与暴饮暴食的可能性增加之间存在关联。女性和男性的个体抑郁症状与代偿症状之间没有明显关联。在男性和女性中，DSM-5重度抑郁障碍与暴饮暴食有关，而在女性中则与代偿行为有关。讨论：与男性儿童相比，本研究为女性儿童抑郁症状与暴食之间关系的特异性提供了新的知识。厌食症可能是减少男女儿童暴食的关键临床目标。
{"title":"Depressive Symptoms and Binge Eating in Children: Examining Symptom Specificity in a Population-based Sample of Male and Female Children","authors":"Tyler B. Mason, Diana Zhang, Diana Castillo, Rachel Dayag, Kathy Lam, Jeremy C Morales, Kathryn E. Smith","doi":"10.55913/joep.v1i1.25","DOIUrl":"https://doi.org/10.55913/joep.v1i1.25","url":null,"abstract":"Introduction: Binge eating and compensatory behaviors have significant adverse health implications and are understudied among children. Studies have shown overlap between depressive symptoms and binge eating and compensatory behaviors, but little research has examined sex differences in depressive symptom specificity and binge eating and compensatory behaviors. The present study examined the associations between depressive symptoms and binge eating and compensatory behaviors among male and female children. Methods: Population-based data of 6,975 children ages 9 – 10 years and their caregivers from the multisite Adolescent Brain Cognitive Development (ABCD) study were analyzed. The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) was utilized to measure binge eating, compensatory behavior, and depressive symptoms. Results: There was an association between presence of anhedonia with increased likelihood of binge eating among females and males. There were no significant associations between individual depressive symptoms and compensatory symptoms among females or males. Lifetime DSM-5 major depressive disorder was associated with binge eating in males and females and compensatory behaviors in females. Discussion: This study provides new knowledge of the specificity of the association between depressive symptoms and binge eating in female compared to male children. Anhedonia may be a key clinical target to reducing binge eating in female and male children.","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"124 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katelyn M. Garcia, Corinne N. Carlton, Mara Villalongo Andino, T. Ollendick, J. Richey
Background: This study sought to evaluate the relations among expressive suppression (ES), cognitive reappraisal (CR), and stress during COVID-19 in young adults with self-reported social anxiety. We hypothesized that social anxiety would positively relate to ES but negatively relate to CR. Furthermore, we predicted that stress severity would moderate the relation between social anxiety and emotion regulation, where higher reports of stress and social anxiety would predict greater ES and lower CR. Methods: Participants were young adults (N = 84; 18-24 years old) who completed self-report measures of social anxiety, stress, and emotion regulation amid COVID-19. Zero-order correlations assessed relations among these variables. Moderation analyses assessed stress as a moderator of the relation between social anxiety and emotion regulation. Results: Results indicated that social anxiety was significantly correlated with ES but not CR. The relation between social anxiety and ES was moderated by stress severity, such that as stress increased, individuals with higher social anxiety engaged in less ES. Stress did not moderate the relation between social anxiety and CR. Conclusions: The current study suggests that self-reported social anxiety is positively associated with ES (but not CR) during COVID-19; however, individuals with high social anxiety and perceived stress engaged in less ES.
研究背景本研究旨在评估表达性抑制（ES）、认知再评价（CR）和 COVID-19 期间压力之间的关系。我们假设社交焦虑与 ES 呈正相关，而与 CR 呈负相关。此外，我们还预测压力的严重程度将缓和社交焦虑与情绪调节之间的关系，即较高的压力和社交焦虑报告将预测较高的ES和较低的CR。研究方法参与者为年轻人（N = 84；18-24 岁），他们在 COVID-19 中完成了社交焦虑、压力和情绪调节的自我报告测量。零阶相关分析评估了这些变量之间的关系。调节分析评估了压力对社交焦虑和情绪调节之间关系的调节作用。结果结果表明，社交焦虑与 ES 显著相关，但与 CR 无关。社交焦虑与情绪调节之间的关系受压力严重程度的调节，即随着压力的增加，社交焦虑程度越高的人情绪调节越少。压力并不能调节社交焦虑与 CR 之间的关系。结论目前的研究表明，在 COVID-19 期间，自我报告的社交焦虑与 ES（而非 CR）呈正相关；然而，社交焦虑和感知压力较高的个体参与 ES 的程度较低。
{"title":"Impact of Psychological Stress on Emotion Regulation Strategies during COVID-19 in Young Adults with Self-Reported Social Anxiety","authors":"Katelyn M. Garcia, Corinne N. Carlton, Mara Villalongo Andino, T. Ollendick, J. Richey","doi":"10.55913/joep.v1i1.38","DOIUrl":"https://doi.org/10.55913/joep.v1i1.38","url":null,"abstract":"Background: This study sought to evaluate the relations among expressive suppression (ES), cognitive reappraisal (CR), and stress during COVID-19 in young adults with self-reported social anxiety. We hypothesized that social anxiety would positively relate to ES but negatively relate to CR. Furthermore, we predicted that stress severity would moderate the relation between social anxiety and emotion regulation, where higher reports of stress and social anxiety would predict greater ES and lower CR. Methods: Participants were young adults (N = 84; 18-24 years old) who completed self-report measures of social anxiety, stress, and emotion regulation amid COVID-19. Zero-order correlations assessed relations among these variables. Moderation analyses assessed stress as a moderator of the relation between social anxiety and emotion regulation. Results: Results indicated that social anxiety was significantly correlated with ES but not CR. The relation between social anxiety and ES was moderated by stress severity, such that as stress increased, individuals with higher social anxiety engaged in less ES. Stress did not moderate the relation between social anxiety and CR. Conclusions: The current study suggests that self-reported social anxiety is positively associated with ES (but not CR) during COVID-19; however, individuals with high social anxiety and perceived stress engaged in less ES.","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"117 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin A. Swerdlow, Lesley Berk, Sheri L. Johnson
Most research on interpersonal emotion regulation (IER) has focused on nonclinical samples. On one hand, people with clinically significant emotion, mood, or interpersonal difficulties may encounter more challenges with IER. On the other hand, IER could potentially be a useful resource for addressing challenges related to intrapersonal emotion dysregulation. We analyzed data from two samples characterized by heightened emotionality: people who self-reported a history of bipolar disorder (N = 51) and people seeking treatment for aggression and emotional impulsivity (N = 199). For comparison, we analyzed data from two samples recruited without regard to clinical status: undergraduates (N = 389) and online respondents (N = 116). We assessed multiple aspects of participants’ experiences of intrinsic IER, including frequency of seeking and receiving IER, perceptions of provider responsiveness and provider hostility, perceptions of helpfulness, and reports of feeling ashamed due to receiving IER. We used two complementary methods: participants were first asked to report on their general experiences of seeking and receiving IER and were then asked to recall a rate a recent instance of receiving IER. Results were largely consistent across the two methods and the two comparison samples, providing a replication in-kind. Relative to the comparison samples, the aggression sample reported more negative experiences of IER, on average, including more difficulty obtaining IER, receiving less responsive support, encountering more hostility, and perceiving IER as less helpful. In contrast, the bipolar disorder sample appeared to be less distinct from the comparison samples. We discuss the implications of this apparent divergence.
{"title":"Experiences of Interpersonal Emotion Regulation for People with Heightened Emotions: An Examination in People with Bipolar Disorder and Those with High Aggression","authors":"Benjamin A. Swerdlow, Lesley Berk, Sheri L. Johnson","doi":"10.55913/joep.v1i1.30","DOIUrl":"https://doi.org/10.55913/joep.v1i1.30","url":null,"abstract":"Most research on interpersonal emotion regulation (IER) has focused on nonclinical samples. On one hand, people with clinically significant emotion, mood, or interpersonal difficulties may encounter more challenges with IER. On the other hand, IER could potentially be a useful resource for addressing challenges related to intrapersonal emotion dysregulation. We analyzed data from two samples characterized by heightened emotionality: people who self-reported a history of bipolar disorder (N = 51) and people seeking treatment for aggression and emotional impulsivity (N = 199). For comparison, we analyzed data from two samples recruited without regard to clinical status: undergraduates (N = 389) and online respondents (N = 116). We assessed multiple aspects of participants’ experiences of intrinsic IER, including frequency of seeking and receiving IER, perceptions of provider responsiveness and provider hostility, perceptions of helpfulness, and reports of feeling ashamed due to receiving IER. We used two complementary methods: participants were first asked to report on their general experiences of seeking and receiving IER and were then asked to recall a rate a recent instance of receiving IER. Results were largely consistent across the two methods and the two comparison samples, providing a replication in-kind. Relative to the comparison samples, the aggression sample reported more negative experiences of IER, on average, including more difficulty obtaining IER, receiving less responsive support, encountering more hostility, and perceiving IER as less helpful. In contrast, the bipolar disorder sample appeared to be less distinct from the comparison samples. We discuss the implications of this apparent divergence.","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"25 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139131483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Taylor R. Perry, Dominic M. Denning, Walter H. Kaye, C. Wierenga, Tiffany A. Brown
Problematic exercise is common in eating disorders (EDs) and is associated with poor treatment prognosis; thus, understanding factors associated with problematic exercise may help improve treatment outcomes. In non-clinical samples, emotion dysregulation has been associated with problematic exercise; however, longitudinal associations between emotion dysregulation and problematic exercise have not been examined in clinical ED samples. This study examined if (1) emotion dysregulating was associated with problematic exercise symptom severity and frequency of problematic exercise, and (2) early changes in emotion dysregulation during treatment predicted problematic exercise symptom severity and frequency of problematic exercise in a clinical ED sample. ED patients (N = 207) completed the Difficulties in Emotion Regulation Scale (DERS), the Eating Disorder Examination-Questionnaire, and the Excessive Exercise subscale of Eating Pathology Symptoms Inventory at admission, 1-month post-admission, and discharge. DERS total score was correlated with symptom severity and frequency of problematic exercise at admission. Furthermore, early changes in DERS total score from admission to 1-month predicted problematic exercise symptom severity but not frequency of problematic exercise at discharge. Thus, emotion dysregulation may maintain symptoms of problematic exercise but not frequency in EDs, providing initial evidence that targeting emotion dysregulation may help reduce symptom severity of problematic exercise.
有问题的运动在进食障碍（ED）中很常见，并且与不良的治疗预后有关；因此，了解与有问题的运动相关的因素可能有助于改善治疗效果。在非临床样本中，情绪失调与问题性运动有关；然而，在临床 ED 样本中，情绪失调与问题性运动之间的纵向关联尚未得到研究。本研究考察了临床 ED 样本中：（1）情绪失调是否与问题性运动症状严重程度和问题性运动频率相关；（2）治疗期间情绪失调的早期变化是否可预测问题性运动症状严重程度和问题性运动频率。ED患者（207人）在入院、入院后1个月和出院时填写了情绪调节困难量表（DERS）、进食障碍检查问卷和进食病理症状量表的过度运动分量表。DERS 总分与入院时的症状严重程度和问题运动频率相关。此外，从入院到出院1个月期间，DERS总分的早期变化可预测问题运动症状的严重程度，但不能预测出院时问题运动的频率。因此，在急诊室中，情绪失调可能会维持问题运动的症状，但不会维持问题运动的频率，这为针对情绪失调可能有助于减轻问题运动的症状严重程度提供了初步证据。
{"title":"The Role of Emotion Dysregulation in Problematic Exercise in those with Eating Disorders","authors":"Taylor R. Perry, Dominic M. Denning, Walter H. Kaye, C. Wierenga, Tiffany A. Brown","doi":"10.55913/joep.v1i1.24","DOIUrl":"https://doi.org/10.55913/joep.v1i1.24","url":null,"abstract":"Problematic exercise is common in eating disorders (EDs) and is associated with poor treatment prognosis; thus, understanding factors associated with problematic exercise may help improve treatment outcomes. In non-clinical samples, emotion dysregulation has been associated with problematic exercise; however, longitudinal associations between emotion dysregulation and problematic exercise have not been examined in clinical ED samples. This study examined if (1) emotion dysregulating was associated with problematic exercise symptom severity and frequency of problematic exercise, and (2) early changes in emotion dysregulation during treatment predicted problematic exercise symptom severity and frequency of problematic exercise in a clinical ED sample. ED patients (N = 207) completed the Difficulties in Emotion Regulation Scale (DERS), the Eating Disorder Examination-Questionnaire, and the Excessive Exercise subscale of Eating Pathology Symptoms Inventory at admission, 1-month post-admission, and discharge. DERS total score was correlated with symptom severity and frequency of problematic exercise at admission. Furthermore, early changes in DERS total score from admission to 1-month predicted problematic exercise symptom severity but not frequency of problematic exercise at discharge. Thus, emotion dysregulation may maintain symptoms of problematic exercise but not frequency in EDs, providing initial evidence that targeting emotion dysregulation may help reduce symptom severity of problematic exercise.","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138981556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michal Clayton, Megan Renna, Leah Weingast, Aliza Panjwani, Phillip Spaeth, Richard Heimberg, David Fresco, Douglas Mennin
Both intolerance of uncertainty (IU) and impoverished emotion regulation repertoires characterize generalized anxiety disorder (GAD). Across two treatment studies, we explored relationships between two emotion regulation skills, decentering and reappraisal, and IU during emotion regulation therapy (ERT). Participants were treatment-seeking individuals diagnosed with GAD. Study 1 included data from two open trials of ERT (N = 52), and Study 2 examined data from a randomized controlled trial of ERT (n = 28) versus a minimal attention control (n = 25). IU and emotion regulation skills were measured at pre-, mid-, and post-treatment. Mediation models explored indirect effects of emotion regulation skills on the relationship between time (Study 1) or group (Study 2) and intolerance of uncertainty. Results demonstrated improvements in emotion regulation skills and reductions in IU during ERT. Greater use of reappraisal and decentering was associated with reduced IU over time. Tests of indirect effects suggested that observed between-group differences in IU can be explained by changes in emotion regulation skills. The findings from these studies highlight the utility of non-IU-specific interventions to help individuals tolerate uncertainty. Exploring the impact of emotion regulation skills on IU could lead to improvements in treating GAD.
{"title":"The Impact of Emotion Regulation Improvements on Intolerance of Uncertainty During Emotion Regulation Therapy","authors":"Michal Clayton, Megan Renna, Leah Weingast, Aliza Panjwani, Phillip Spaeth, Richard Heimberg, David Fresco, Douglas Mennin","doi":"10.55913/joep.v1i1.36","DOIUrl":"https://doi.org/10.55913/joep.v1i1.36","url":null,"abstract":"Both intolerance of uncertainty (IU) and impoverished emotion regulation repertoires characterize generalized anxiety disorder (GAD). Across two treatment studies, we explored relationships between two emotion regulation skills, decentering and reappraisal, and IU during emotion regulation therapy (ERT). Participants were treatment-seeking individuals diagnosed with GAD. Study 1 included data from two open trials of ERT (N = 52), and Study 2 examined data from a randomized controlled trial of ERT (n = 28) versus a minimal attention control (n = 25). IU and emotion regulation skills were measured at pre-, mid-, and post-treatment. Mediation models explored indirect effects of emotion regulation skills on the relationship between time (Study 1) or group (Study 2) and intolerance of uncertainty. Results demonstrated improvements in emotion regulation skills and reductions in IU during ERT. Greater use of reappraisal and decentering was associated with reduced IU over time. Tests of indirect effects suggested that observed between-group differences in IU can be explained by changes in emotion regulation skills. The findings from these studies highlight the utility of non-IU-specific interventions to help individuals tolerate uncertainty. Exploring the impact of emotion regulation skills on IU could lead to improvements in treating GAD.","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135036616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kasey Stanton, Janan Mostajabi, Warner Myntti, Liana Willis, Juyoung Yun, Hanna Osborne, Kasidee L. Brewer
The optimal classification of mania symptoms within dimensional models of psychopathology remains unclear, due in part to most prior research using composite categorical ratings of mania/bipolar disorder rather than ratings of specific symptoms. We addressed this gap by examining the structure of self-reported symptom-level ratings of mania, internalizing, and thought disorder in adults (N = 1,112) recruited online who self-identified as having significant mental health histories. Although prior research suggests that mania symptoms overlap strongly with both internalizing and thought disorder, our results indicated much closer alignment with thought disorder than internalizing when examining a two-factor structure. Even when examining a three-factor structure, manic symptoms such as grandiosity loaded strongly onto a common factor with positive psychosis symptoms. However, symptoms such as racing thoughts and excessive energy loaded strongly onto a separate Agitation factor potentially representing a subspectrum within thought disorder. Agitation showed some unique correlates (e.g., with stimulant medication use), indicating heterogeneity within the broader thought disorder spectrum. Future directions extending this research include incorporating assessment of other psychopathology (e.g., externalizing), examining the cross-method consistency of results (e.g., when using interviews), and determining symptom course and interrelations using intensive longitudinal designs.
{"title":"Examining the Joint Factor Structure of Mania, Internalizing, and Thought Disorder Symptoms in a Large Online Sample","authors":"Kasey Stanton, Janan Mostajabi, Warner Myntti, Liana Willis, Juyoung Yun, Hanna Osborne, Kasidee L. Brewer","doi":"10.55913/joep.v1i1.41","DOIUrl":"https://doi.org/10.55913/joep.v1i1.41","url":null,"abstract":"The optimal classification of mania symptoms within dimensional models of psychopathology remains unclear, due in part to most prior research using composite categorical ratings of mania/bipolar disorder rather than ratings of specific symptoms. We addressed this gap by examining the structure of self-reported symptom-level ratings of mania, internalizing, and thought disorder in adults (N = 1,112) recruited online who self-identified as having significant mental health histories. Although prior research suggests that mania symptoms overlap strongly with both internalizing and thought disorder, our results indicated much closer alignment with thought disorder than internalizing when examining a two-factor structure. Even when examining a three-factor structure, manic symptoms such as grandiosity loaded strongly onto a common factor with positive psychosis symptoms. However, symptoms such as racing thoughts and excessive energy loaded strongly onto a separate Agitation factor potentially representing a subspectrum within thought disorder. Agitation showed some unique correlates (e.g., with stimulant medication use), indicating heterogeneity within the broader thought disorder spectrum. Future directions extending this research include incorporating assessment of other psychopathology (e.g., externalizing), examining the cross-method consistency of results (e.g., when using interviews), and determining symptom course and interrelations using intensive longitudinal designs.","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexis Moore, Michael G. Wheaton, C. Rodriguez, Hannah Raila, Hanyang Shen
Intolerance of uncertainty (IU), the dispositional tendency to fear the unknown, has clinical implications across a variety of disorders. While research has linked IU and OCD, relatively little is known about this association. Previous studies have focused on IU’s association with overall OCD severity and specific symptom dimensions, but we do not yet understand to what degree this cognitive vulnerability is associated with each of the two cardinal symptoms: obsessions and compulsions. Additionally, few studies have examined the established IU subtypes—prospective and inhibitory IU—as unique contributors to OCD severity. Given the ubiquity of uncertainty in daily life and the potential for IU to influence obsessive-compulsive processes, further investigation of this cognitive vulnerability in OCD is warranted. In a sample of patients diagnosed with OCD, partial correlations were conducted to determine the association between OCD severity (separately examining obsessions and compulsions) and IU (separately examining prospective and inhibitory IU). These analyses revealed positive correlations between IU and compulsion severity, specifically. And of the IU subtypes, this link was specifically associated with prospective IU. The results of this correlational study contribute to the literature on IU in OCD, suggesting prospective IU as a cognitive mechanism that may be involved in the maintenance of compulsions.
{"title":"Compulsively seeking certainty: Clarifying the association between intolerance of uncertainty and compulsion severity in OCD","authors":"Alexis Moore, Michael G. Wheaton, C. Rodriguez, Hannah Raila, Hanyang Shen","doi":"10.55913/joep.v1i1.19","DOIUrl":"https://doi.org/10.55913/joep.v1i1.19","url":null,"abstract":"Intolerance of uncertainty (IU), the dispositional tendency to fear the unknown, has clinical implications across a variety of disorders. While research has linked IU and OCD, relatively little is known about this association. Previous studies have focused on IU’s association with overall OCD severity and specific symptom dimensions, but we do not yet understand to what degree this cognitive vulnerability is associated with each of the two cardinal symptoms: obsessions and compulsions. Additionally, few studies have examined the established IU subtypes—prospective and inhibitory IU—as unique contributors to OCD severity. Given the ubiquity of uncertainty in daily life and the potential for IU to influence obsessive-compulsive processes, further investigation of this cognitive vulnerability in OCD is warranted. In a sample of patients diagnosed with OCD, partial correlations were conducted to determine the association between OCD severity (separately examining obsessions and compulsions) and IU (separately examining prospective and inhibitory IU). These analyses revealed positive correlations between IU and compulsion severity, specifically. And of the IU subtypes, this link was specifically associated with prospective IU. The results of this correlational study contribute to the literature on IU in OCD, suggesting prospective IU as a cognitive mechanism that may be involved in the maintenance of compulsions.","PeriodicalId":73729,"journal":{"name":"Journal of emotion and psychopathology","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81517925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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