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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

10-12-2019

Emotion Regulation Flexibility in Generalized Anxiety Disorder

Auteurs: Kristina Conroy, Joshua E. Curtiss, Abigail L. Barthel, Rebecca Lubin, Sarah Wieman, Eric Bui, Naomi M. Simon, Stefan G. Hofmann

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 1/2020

Abstract

People differ in their affective styles, which refers to habitual use of emotion regulation (ER) strategies. Previous research has shown that mental health is associated with an individual’s adaptive flexibility of emotion regulation strategies rather than any one particular ER strategy. Methods: The present study employed a person-centered approach using latent profile analyses to distinguish patients with generalized anxiety disorder (GAD) based on their responses on an affective styles measure. Results: Results of the latent profile analysis supported a three-class solution. Class 1 (26% of participants) identified individuals with the lowest scores of each affective style; class 2 (10%) included individuals with the highest scores of each style; and class 3 (64%) consisted of individuals who scored in the mid-range of each affective style. Greater ER flexibility was associated with better emotional functioning and quality of life. Conclusions: Patients with GAD differ in ER flexibility. The vast majority of patients appear to have only moderate or low ER flexibility. Those individuals with high ER flexibility show a greater quality of life and less emotional distress.

vorige artikel The Impact of Self-Reported Depression Severity and Age on Facial Emotion Recognition in Outpatients with Anxiety and Mood Disorders

volgende artikel Relationships Between Emotion Regulation and Depression in High and Low Worriers

Diagnostic criteria of GAD is identical in the SCID-IV and ADIS-5.

Akaike, H. (1973). Information theory and an extension of the maximum likelihood principle. In B. N. Petrov & F. Casaki (Eds.), Second international symposium on information theory (pp. 267–281). Academiai Kiado: Budapest.

Akaike, H. (1974). A new look at the statistical model identification. Automatic Control, IEEE Transactions on Automatic Control, 19, 716–723.CrossRef

Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy, 48(10), 974–983.PubMedCrossRef

Aldao, A., & Nolen-Hoeksema, S. (2012). The influence of context on the implementation of adaptive emotion regulation strategies. Behaviour Research and Therapy, 50, 493.PubMedCrossRef

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion regulation strategies across psychopathology: A meta-analysis. Clinical Psychology Review, 30, 217–237.PubMedCrossRef

Aldao, A., Jazaieri, H., Goldin, P. R., & Gross, J. J. (2014). Adaptive and maladaptive emotion regulation strategies: Interactive effects during CBT for social anxiety disorder. Journal of Anxiety Disorders, 28(4), 382–389.PubMedPubMedCentralCrossRef

Aldao, A., Sheppes, G., & Gross, J. J. (2015). Emotion regulation flexibility. Cognitive Therapy and Research, 39(3), 263–278.CrossRef

Barthel, A. L., Hay, A., Doan, S. N., & Hofmann, S. G. (2018). Interpersonal emotion regulation: A review of social and developmental components. Behaviour Change, 1–14.

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897.PubMedCrossRef

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio, TX: Psychological Corporation.

Bonanno, G. A., & Burton, C. L. (2013). Regulatory flexibility: An individual differences perspective on coping and emotion regulation. Perspectives on Psychological Science, 8(6), 591–612.PubMedCrossRef

Bonanno, G. A., Papa, A., O’Neill, K., Westphal, M., & Coifman, K. (2004). The importance of being flexible: The ability to both enhance and suppress emotional expression predicts long-term adjustment. Psychological Science, 15, 482e487.CrossRef

Bradley, M. M., & Lang, P. J. (2000). Emotion and motivation. Handbook of Psychophysiology, 2, 602–642.

Brawman-Mintzer, O., Lydiard, R. B., Emmanuel, N., Payeur, R., Johnson, M., Roberts, J., Jarrell, M. P., & Ballenger, J. C. (1993). Psychiatric comorbidity in patients with generalized anxiety disorder. The American Journal of Psychiatry, 150(8), 1216–1218.PubMedCrossRef

Brown, T. A., & Barlow, D. H. (2014). Anxiety and related disorders interview schedule for DSM-5 (ADIS-5L) - adult and lifetime version. Oxford: Oxford University Press.

Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110(4), 585–599.PubMedCrossRef

Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., Shea, M. T., & Keller, M. B. (2005). Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study. American Journal of Psychiatry, 162(6), 1179–1187.CrossRef

Buhle, J. T., Silvers, J. A., Wager, T. D., Lopez, R., Onyemekwu, C., Kober, H., Weber, J., & Ochsner, K. N. (2014). Cognitive reappraisal of emotion: A meta-analysis of human neuroimaging studies. Cerebral Cortex, 24(11), 2981–2990.PubMedCrossRef

Cisler, J. M., Olatunji, B. O., Feldner, M. T., & Forsyth, J. P. (2010). Emotion regulation and the anxiety disorders: An integrative review. Journal of Psychopathology and Behavioral Assessment, 32(1), 68–82.PubMedPubMedCentralCrossRef

Clark, S. L., & Muthén, B. (2009). Relating latent class analysis results to variables not included in the analysis.

Cloitre, M., Miranda, R., Stovall-McClough, K. C., & Han, H. (2005). Beyond PTSD: Emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behavior Therapy, 36(2), 119–124.CrossRef

Comer, J. S., Blanco, C., Hasin, D. S., Liu, S. M., Grant, B. F., Turner, J. B., & Olfson, M. (2011). Health-related quality of life across the anxiety disorders. The Journal of Clinical Psychiatry, 72(1), 43–50.PubMedCrossRef

Craske, M. G., & Waters, A. M. (2005). Panic disorder, phobias, and generalized anxiety disorder. Annual Review of Clinical Psychology, 1(1), 197–225.PubMedCrossRef

Curtiss, J., & Klemanski, D. H. (2015). Identifying individuals with generalised anxiety disorder: A receiver operator characteristic analysis of theoretically relevant measures. Behaviour Change, 32(4), 255–272.CrossRef

Curtiss, J., & Klemanski, D. H. (2016). Taxonicity and network structure of generalized anxiety disorder and major depressive disorder: An admixture analysis and complex network analysis. Journal of Affective Disorders, 199, 99–105.PubMedCrossRef

Dingle, G. A., Neves, D. D. C., Alhadad, S. S., & Hides, L. (2018). Individual and interpersonal emotion regulation among adults with substance use disorders and matched controls. British Journal of Clinical Psychology, 57(2), 186–202.CrossRef

Dixon-Gordon, K. L., Haliczer, L. A., Conkey, L. C., & Whalen, D. J. (2018). Difficulties in interpersonal emotion regulation: Initial development and validation of a self-report measure. Journal of Psychopathology and Behavioral Assessment, 40(3), 528–549.CrossRef

Dugas, M. J., & Charette, C. A. (2018). Generalized anxiety disorder. In J. Hunsley & E. J. Mash (Eds.), A guide to assessments that work (Second ed., pp. 293–310). New York, NY, US: Oxford University Press.

Dziak, J. J., Bray, B. C., Zhang, J., Zhang, M., & Lanza, S. T. (2016). Comparing the performance of improved classify-analyze approaches for distal outcomes in latent profile analysis. Methodology.

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR Axis I disorders, research version, patient edition with psychotic Screen (SCID-I/PW/PSY SCREEN). New York: Biometrics Research, New York State Psychiatric Institute.

Fisher, A. J. (2015). Toward a dynamic model of psychological assessment: Implications for personalized care. Journal of Consulting and Clinical Psychology, 83(4), 825–836.PubMedCrossRef

Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Ruan, W. J., Goldstein, R. B., et al. (2005). Prevalence, correlates, co-morbidity, and comparative disability of DSM-IV generalized anxiety disorder in the USA: Results from the National Epidemiologic Survey on alcohol and related conditions. Psychological Medicine, 35(12), 1747–1759.PubMedCrossRef

Gross, J. J. (2015). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26(1), 1–26.CrossRef

Gupta, S., & Bonanno, G. A. (2011). Complicated grief and deficits in emotional expressive flexibility. Journal of Abnormal Psychology, 120(3), 635–643.PubMedCrossRef

Hofmann, S. G. (2014). Interpersonal emotion regulation model of mood and anxiety disorders. Cognitive Therapy and Research, 38(5), 483–492.PubMedPubMedCentralCrossRef

Hofmann, S. G., & Kashdan, T. B. (2010). The affective style questionnaire: Development and psychometric properties. Journal of Psychopathology and Behavioral Assessment, 32(2), 255–263.PubMedPubMedCentralCrossRef

Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012). Emotion dysregulation model of mood and anxiety disorders. Depression and Anxiety, 29(5), 409–416.PubMedCrossRef

Hofmann, S. G., Carpenter, J. K., & Curtiss, J. (2016). Interpersonal emotion regulation questionnaire (IERQ): Scale development and psychometric characteristics. Cognitive Therapy and Research, 40(3), 341–356.PubMedPubMedCentralCrossRef

Hunt, C., Issakidis, C., & Andrews, G. (2002). DSM-IV generalized anxiety disorder in the Australian National Survey of mental health and well-being. Psychological Medicine, 32(4), 649–659.PubMedCrossRef

Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–878.PubMedPubMedCentralCrossRef

Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976.PubMedCrossRef

Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169–184.PubMedPubMedCentralCrossRef

Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88, 767–778.CrossRef

Marroquín, B. (2011). Interpersonal emotion regulation as a mechanism of social support in depression. Clinical Psychology Review, 31(8), 1276–1290.PubMedCrossRef

McLaughlin, K. A., Mennin, D. S., & Farach, F. J. (2007). The contributory role of worry in emotion generation and dysregulation in generalized anxiety disorder. Behaviour Research and Therapy, 45(8), 1735–1752.PubMedCrossRef

Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005). Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour Research and Therapy, 43(10), 1281–1310.PubMedCrossRef

Mennin, D. S., Holaway, R. M., Fresco, D. M., Moore, M. T., & Heimberg, R. G. (2007). Delineating components of emotion and its dysregulation in anxiety and mood psychopathology. Behavior Therapy, 38(3), 284–302.PubMedCrossRef

Muthén, L. K., & Muthén, B. O. (1998-2017). Mplus User’s Guide. Eighth Edition. Los Angeles, CA: Muthén & Muthén.

Schneider, R. L., Arch, J. J., & Wolitzky-Taylor, K. B. (2015). The state of personalized treatment for anxiety disorders: A systematic review of treatment moderators. Clinical Psychology Review, 38, 39–54.PubMedCrossRef

Schwarz, G. (1978). Estimating the dimension of a model. The Annals of Statistics, 6(2), 461–464.CrossRef

Sclove, S. L. (1987). Application of model-selection criteria to some problems in multivariate analysis. Psychometrika, 52(3), 333–343.CrossRef

Seedat, S., Scott, K. M., Angermeyer, M. C., Berglund, P., Bromet, E. J., Brugha, T. S., et al. (2009). Cross-national associations between gender and mental disorders in the World Health Organization world mental health surveys. Archives of General Psychiatry, 66(7), 785–795.PubMedPubMedCentralCrossRef

Totzeck, C., Teismann, T., Hofmann, S. G., von Brachel, R., Zhang, X. C., Pflug, V., & Margraf, J. (2018). Affective styles in mood and anxiety disorders– Clinical validation of the “affective style questionnaire” (ASQ). Journal of Affective Disorders, 238, 392–398.PubMedCrossRef

Turpyn, C. C., Chaplin, T. M., Cook, E. C., & Martelli, A. M. (2015). A person-centered approach to adolescent emotion regulation: Associations with psychopathology and parenting. Journal of Experimental Child Psychology, 136, 1–16.PubMedPubMedCentralCrossRef

Vesga-López, O., Schneier, F., Wang, S., Heimberg, R., Liu, S. M., Hasin, D. S., & Blanco, C. (2008). Gender differences in generalized anxiety disorder: Results from the National Epidemiologic Survey on alcohol and related conditions (NESARC). The Journal of Clinical Psychiatry, 69(10), 1606–1616.PubMedPubMedCentralCrossRef

Vuong, Q. H. (1989). Likelihood ratio tests for model selection and non-nested hypotheses (pp. 307–333). Econometrica: Journal of the Econometric Society.

Westphal, M., Seivert, N. H., & Bonanno, G. A. (2010). Expressive flexibility. Emotion, 10(1), 92–100.PubMedCrossRef

WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558.CrossRef

Yonkers, K. A., Bruce, S. E., Dyck, I. R., & Keller, M. B. (2003). Chronicity, relapse, and illness—Course of panic disorder, social phobia, and generalized anxiety disorder: Findings in men and women from 8 years of follow-up. Depression and Anxiety, 17(3), 173–117.PubMedCrossRef

Titel: Emotion Regulation Flexibility in Generalized Anxiety Disorder
Auteurs: Kristina Conroy
Joshua E. Curtiss
Abigail L. Barthel
Rebecca Lubin
Sarah Wieman
Eric Bui
Naomi M. Simon
Stefan G. Hofmann
Publicatiedatum: 10-12-2019
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 1/2020
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-019-09773-8

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