Purpose: The systematic review aimed to review and evaluate constructs and measures of emotion regulation (ER) in the psychosis spectrum population literature. The empirical study aimed to examine the feasibility and acceptability of a trans-diagnostic emotion regulation (ER) group developed for an acute inpatient setting. Methods: The literature was systematically searched for research related to the measurement of emotion regulation (ER) in a psychosis spectrum population. A mixed method design was employed to assess acceptability and feasibility of a six session ER skills group delivered in an acute mental health inpatient setting. The group intervention was developed and piloted over a 5 month period. The mixed method design included a multiple single case series design and qualitative exit interviews, conducted with eight participants. Results: 24 papers met criteria for inclusion in the systematic review. 15 different self-report tools were identified as measures of ER strategies in this review. Descriptive data from the empirical study indicated high attendance and low attrition rates. Group level analysis identified large effect sizes for change in ER skills. Case series data indicated that sustained change, on at least one measured variable, occurred for four participants. Qualitative themes triangulate findings related to acceptability of the group, change in ER strategies and increased emotional acceptance. Conclusions: ER conceptualisation is variable in the literature reviewed, where the understanding of how ER and psychosis are linked is limited. The emphasis on the literature reviewed is on cognitive strategies of ER. The pilot study indicates that the intervention is feasible and acceptable, with preliminary evidence identifying potential clinical benefits. The challenges in evaluating interventions in an acute inpatient environment are discussed.

Personality disorders (PD) are among the most complex aspects of human behaviour to understand and manage. Stability is thought to be one of the major distinguishing features between PD’s and other forms of psychopathology, however, recent studies have challenged this notion. Borderline personality disorder (BPD) is the focus of this review and is characterised by interpersonal and emotion regulation difficulties. This thesis aimed to first examine the naturalistic course of BPD, through systematic review of the current literature. Following screening, 12 studies, that met all inclusion/exclusion criteria, were critically evaluated. The results, from studies rated as methodologically sound, suggested that the categorical diagnosis of BPD has poor stability over time, with only 3%-35% of participants retaining a diagnosis of BPD over time. However, the studies reviewed were limited by the population they examined: mainly working age adults with mental health problems. Therefore, studies need to be continued and replicated to increase our understanding of the lifespan course of BPD. PD’s within older adults with mental health problems is a highly debated topic. Clinicians have highlighted the presence of PD symptoms within this group and the need for appropriate therapies. Schema therapy is one intervention that has shown to be effective in the treatment of PD symptoms within a working adult population. A recent Delphi-study led to the consensus that existing therapies for PD, such as schema therapy, that have shown to be effective in working aged adults are applicable to older adults. Therefore, the empirical project focused on exploring the theoretical underpinnings of schema therapy in older adults with mental health problems. 3 self-report questionnaires were administered to 62 participants (aged 65- 85 years); Young’s Schema Questionnaire – Short Form (YSQ-S3), Coolidge Axis-II Inventory (Short) (SCATI-II) and The Regulation of Emotions Questionnaire (REQ- 2). Analysis highlighted that YSQ-S3 and REQ-2 scores significantly predicted 69% of the variance in SCATI-II scores. To the author’s knowledge, this study is the first of its kind to find support for the relationships between early maladaptive schemas (EMS), PD symptoms and the use of dysfunctional emotion regulation (ER) strategies, consistent with the schema therapy model, in older adults with mental health problems.

abstract: Previous studies have established a link between parenting style (e.g. authoritarian, authoritative, permissive) and depression in children and adolescents. Parenting factors are also implicated in the development of emotion regulation. There is a gap in the literature, however, concerning perceptions of parenting in relation to adult depression. The current study examined the effect of parenting on reported adult depressive symptoms. Of interest was the role of emotion regulation strategies in this relationship. Participants were recruited through Amazon Mechanical Turk, and the sample consisted of 302 adults (125 males, 177 females) ranging in age from 18 to 65. Measures of how participants were parented by their mothers and fathers, emotion regulation strategies most frequently utilized, and current depressive symptoms were collected using an online survey. The emotion regulation strategy, positive reappraisal, was found to moderate the relation between maternal authoritative parenting and depression. Permissive parenting was also significantly predictive of depression, but catastrophizing fully mediated only the relation between maternal permissive parenting and depressive symptoms. Authoritarian parenting was unrelated to depression and emotion regulation in this study. The findings of this study indicate that the effects of how an individual was parented may persist into adulthood. Implications of these findings and future directions for further research are discussed. / Dissertation/Thesis / M.S. Psychology 2013

Recent developments in social neuroscience have stirred up increased interest within the bioethical debate (for a review see: Specker et al. 2014). Moral enhancement is a concept that directly embodies the idea of making brain science work for the social and moral good. In recent ethical discussions about biomedical means of moral enhancement, scholars have focused on so called ‘direct means of moral enhancement,’ discussing the ethical permissibility of modifying the emotional underpinnings of moral behaviour (Douglas, 2008; 2013; Persson and Savulescu, 2008; Savulescu and Persson, 2012). However, critics have argued that such modification only seems like moral enhancement, that behavioural modification is not ‘true’ moral enhancement, for the reason that it changes behaviours without making agents better moral agents. Critics have also noted that it can undermine freedom (e.g. Harris, 2011; see also: Douglas, 2014). This thesis addresses the ethical issues relating to enhancement. In the first part of this work I consider conceptual issues surrounding the concept of moral enhancement and argue that moral enhancement is plausible if we adjust our expectations to match those we have of cognitive enhancement. I examine the difference between pro-sociality and morality, and argue that an increase in empathy and reduction in anger cannot be seen as straightforward moral enhancements. The second part examines the objections related to moral disagreement, medicalization and narrative identity. The third part of this work focuses of the issues related to freedom and agency. I argue that voluntary direct emotion modulation, if embedded in appropriate reflection, is a prima facie desirable way of moral enhancement.

Emotion Regulation Group Therapy (ERGT) är en transdiagnostisk gruppbehandling för personer med svårigheter med känsloreglering och självskadebeteende. Nationella självskadeprojektet, som fört behandlingsmetoden till Sverige, rekommenderar att genusspecifika förhållningssätt utvecklas för att göra vården mer jämlik. Syftet med denna studie var att beskriva behandlarnas kliniska erfarenhet av ERGT och manliga patienter. Sex behandlare blev intervjuade. Metod för analys av intervjuerna var systematisk textkondensering. Resultat visade att behov av genusperspektiv i ERGT var störst i början av vårdkontakten då bedömning av svårigheter med känsloreglering och bedömning av förekomst av självskada sker. Det som kräver särskild medvetenhet är att män kan ha svårt att beskriva känslor och hur självskadebeteendet ofta är mer indirekt. Erfarenheten hos behandlare var att upplevelsen av olikheter minskade med tiden, då gruppen kunnat se bortom föreställningar och normer, att det svårighet med känsloreglering och självskadebeteendets funktion istället var det gemensamma.

There has recently been increased interest in the study of transdiagnostic mechanisms and therapies. Targeting transdiagnostic mechanisms rather than using a single disorder approach should increase efficiency of therapeutic interventions, but only if the proper mechanisms can be identified. Low distress tolerance and difficulties with emotion regulation are hypothesized as transdiagnostic mechanisms associated with anxiety disorders and worry. Due to the high comorbidity and prevalence of anxiety disorders and their shared symptoms of pathological worry, understanding these transdiagnostic mechanisms is important to the development of more effective and efficient treatments. This study used a multiple baseline, single-case experimental design to evaluate the efficacy of emotion regulation skills training for pathological worry and low distress tolerance in outpatients with anxiety disorders. Eight participants (6 women, 2 men) with at least one diagnosed anxiety disorder were randomized into a 2- or 4-week baseline period. The average age of participants was 29.1 (SD = 8.2; range 19 to 42). Participants completed weekly and daily assessments throughout the study, attended 7 sessions of treatment, and underwent a final diagnostic assessment 4 weeks after completing treatment. Emotion regulation skills training was hypothesized to increase distress tolerance, reduce worry, and lead to a remission in anxiety disorder diagnoses. Overall, the hypotheses were partially supported. Six participants displayed a reliable reduction in worry and 5 experienced an increase in distress tolerance at the follow-up assessment. Most participants still met criteria for at least one anxiety disorder after completing the study, indicating continued functional impairment from symptoms. Only 2 participants experienced complete remission of all clinical diagnoses. The results failed to show a consistent pattern of improvement, indicating that emotion regulation skills training alone may not be sufficient for robust, sustained reductions in anxiety disorder symptoms. However, results do support that worry and emotional distress tolerance can be changed through emotion regulation skills training. The small sample size limits the test of hypotheses. Suggestions for future research based on this study include incorporating interpersonal emotion regulation strategies with this treatment approach, repeating the treatment module to facilitate mastery of skills, or utilizing a group format for skills development.

Emotion regulation is processes by which individuals influence which emotions they have, when they have them, and how they experience and express those emotions. In the field of developmental psychology, there is a large literature on affect regulation focused almost exclusively on infants and young children with a focus on temperamental differences in reactivity, both affective and physiological, and accompanying regulatory strategies. The purpose of the current study was to examine the role of two dimensions of temperament, negative affect (NA) and effortful control (EC), and how these dimensions relate to physiology, self-report of emotion, and behavior during resting and stressor tasks (Stroop, video game, hand cold pressor, and delayed gratification), the latter in which emotion suppression instructions were given. Using the Adult Temperament Questionnaire (ATQ) to screen 656 subjects, 24 males and 53 females were recruited to take part in the second phase of the study, creating four groups with their screening ATQ scores: high NA/high EC, low NA/low EC, high NA/low EC, low NA/high EC. Physiological measures derived from electrocardiogram (ECG) and impedance cardiography were recorded during each task and behaviors were coded using the Emotion Expressive Behavior Coding System. EC Group and NA Group were not significant for the majority of the physiological, self-report, and behavioral variables. However, the EC subscale inhibitory control was predictive of lower resting HRV for females only, and the Extraversion/Surgency subscale Sociability was a significant predictor of cardiac sympathetic activity during the tasks, with low sociability subjects showing a stronger sympathetic response. Neither self-report of emotion nor behavioral variables show a clear group difference in response to the tasks. Future studies will examine the use of other types of regulatory tasks, such as social interactions, as well as the need for a balance between emotion expressivity and emotion regulation. / Ph. D.

Indiana University-Purdue University Indianapolis (IUPUI) / Background: People with schizophrenia experience significant deficits in empathic skills, which are important for effective interpersonal relationships. Researchers have speculated about the roles of personal distress, emotion regulation, and metacognition in empathic interaction, but the impact of these constructs on empathy has yet to be empirically investigated. This study examines the relationships among these constructs in a sample of people with schizophrenia receiving community-based treatment (N = 58). It was hypothesized that better emotion regulation and metacognition, as well as reduced personal distress, would predict empathy. Further, emotion regulation was expected to mediate the relationship between personal distress and empathy, and metacognition was expected to moderate the relationship between personal distress and empathy. Method: Participants with schizophrenia or schizoaffective disorder completed self-report questionnaires of emotion regulation and personal distress, a performance-based measure of empathy, and an observer-rated interview to assess metacognition. Results: Metacognition, but not emotion regulation or personal distress, significantly predicted cognitive empathy performance, with a trend-level association for affective empathy performance. Mediation analyses revealed that emotion regulation mediates the relationship between personal distress and affective empathy performance, and moderation analyses revealed that metacognition moderates the same relationship. Moderation results suggest the relationship between personal distress and affective empathy performance is significant for those with low metacognition, but that the relationship is the opposite of hypotheses – increased personal distress is associated with better performance. Conclusions: This study is the first of its kind to examine performance-based empathy with personal distress, emotion regulation, and metacognition. Results suggest interventions targeted to improve metacognition may be useful in enhancing empathic skills. Future work is needed to improve existing measures of empathy and personal distress, and to parse apart the intricacies of the relationships among personal distress, emotion regulation, and empathy.

No description available.

No description available.