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12-11-2022 | Original Article

The Impact of Emotion Regulation on the Relationship Between Momentary Negative Affect and End-of-Day Worry and Rumination

Auteurs: Michal Clayton, Megan E. Renna, David H. Klemanski, Caroline Kerns, Katie A. McLaughlin, Douglas S. Mennin

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2023

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Abstract

Background

Negative self-referential processing (NSRP), including worry and rumination, is a hallmark feature of generalized anxiety disorder (GAD). Negative affect relates to NSRP, and emotion regulation skills (e.g., reappraisal and acceptance) may attenuate this relationship. This ecological momentary assessment study explored whether increased emotion regulation skills use would alter associations between daily fluctuations of negative affect and end-of-day NSRP.

Methods

Participants were 99 young adults (Mage = 19.94; SD = 1.81), diagnosed with GAD (n = 48) and healthy controls (n = 51). They provided twice daily ratings of negative affect, reappraisal, and acceptance over 14 days, and end-of-day ratings of NSRP. Mixed linear models adjusted for covariates, including state-level worry and rumination.

Results

Individuals with GAD reported higher levels of negative than controls, and high negative affect corresponded to greater end-of-day NSRP across all participants. Increased emotion regulation skills altered the relationship between increased negative affect and higher NSRP, though this did not differ by group. Acceptance and reappraisal differentially affected associations between negative affect and NSRP.

Conclusions

Findings suggest that emotion regulation skills moderate the relationship between negative affect and end-of-day NSRP, highlighting the utility of using reappraisal and acceptance in daily life. This could eventually lead to improvements in treating GAD.
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Voetnoten
1
Positive affect (PA), though it was not related to major hypotheses, was also examined using the same data analysis procedure. Results have been included as Supplemental Data.
 
2
Although not related to study hypotheses about momentary ER skill use moderating the relationship between momentary NA and end-of-day NSRP, questions about the reverse relationship between end-of-day NSRP and momentary NA and ER skills were also examined. Bidirectional analyses indicated significant associations between increased end-of-day worry (b = 0.25, SE = 0.04, p < 0.001) and rumination (b = 0.69, SE = 0.06, p < 0.001) and higher momentary NA. Results from models testing the relationships between end-of-day NSRP and momentary ER skills were non-significant (ps > 0.05), except for increased end-of-day worry significantly corresponding to higher momentary reappraisal (b = 0.01, SE = 0.01, p < 0.01).
 
Literatuur
go back to reference Aldao, A., & Mennin, D. S. (2012). Paradoxical cardiovascular effects of implementing adaptive emotion regulation strategies in generalized anxiety disorder. Behaviour Research & Therapy, 50(2), 122–130.CrossRef Aldao, A., & Mennin, D. S. (2012). Paradoxical cardiovascular effects of implementing adaptive emotion regulation strategies in generalized anxiety disorder. Behaviour Research & Therapy, 50(2), 122–130.CrossRef
go back to reference Armey, M. F., Fresco, D. M., Moore, M. T., Mennin, D. S., Turk, C. L., Heimberg, R. G., Spasojevic, J., & Alloy, L. B. (2009). Brooding and pondering: Isolating the active ingredients of depressive rumination with exploratory factor analysis and structural equation modeling. Assessment, 16(4), 315–327. https://doi.org/10.1177/1073191109340388CrossRef Armey, M. F., Fresco, D. M., Moore, M. T., Mennin, D. S., Turk, C. L., Heimberg, R. G., Spasojevic, J., & Alloy, L. B. (2009). Brooding and pondering: Isolating the active ingredients of depressive rumination with exploratory factor analysis and structural equation modeling. Assessment, 16(4), 315–327. https://​doi.​org/​10.​1177/​1073191109340388​CrossRef
go back to reference Badre, D., & D’Esposito, M. (2007). Functional magnetic resonance imaging evidence for a hierarchical organization of the prefrontal cortex. Journal of Cognitive Neuroscience, 19(12), 2082–2099.CrossRef Badre, D., & D’Esposito, M. (2007). Functional magnetic resonance imaging evidence for a hierarchical organization of the prefrontal cortex. Journal of Cognitive Neuroscience, 19(12), 2082–2099.CrossRef
go back to reference Bogdan, R., & Pizzagalli, D. A. (2006). Acute stress reduces reward responsiveness: Implications for depression. Biological Psychiatry, 60(10), 1147–1154.CrossRef Bogdan, R., & Pizzagalli, D. A. (2006). Acute stress reduces reward responsiveness: Implications for depression. Biological Psychiatry, 60(10), 1147–1154.CrossRef
go back to reference Borkovec, T. D., Alcaine, O. M., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. Generalized anxiety disorder: Advances in research and practice (pp. 77–108). The Guilford Press. Borkovec, T. D., Alcaine, O. M., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. Generalized anxiety disorder: Advances in research and practice (pp. 77–108). The Guilford Press.
go back to reference Brauer, M., & Curtin, J. J. (2018). Linear mixed-effects models and the analysis of nonindependent data: A unified framework to analyze categorical and continuous independent variables that vary within-subjects and/or within-items. Psychological Methods, 23(3), 389–411.CrossRef Brauer, M., & Curtin, J. J. (2018). Linear mixed-effects models and the analysis of nonindependent data: A unified framework to analyze categorical and continuous independent variables that vary within-subjects and/or within-items. Psychological Methods, 23(3), 389–411.CrossRef
go back to reference Colombo, D., Fernández-Álvarez, J., Patané, A., Semonella, M., Kwiatkowska, M., García-Palacios, A., & Botella, C. (2019). Current state and future directions of technology-based ecological momentary assessment and intervention for major depressive disorder: A systematic review. Journal of Clinical Medicine, 8(4), 465.CrossRef Colombo, D., Fernández-Álvarez, J., Patané, A., Semonella, M., Kwiatkowska, M., García-Palacios, A., & Botella, C. (2019). Current state and future directions of technology-based ecological momentary assessment and intervention for major depressive disorder: A systematic review. Journal of Clinical Medicine, 8(4), 465.CrossRef
go back to reference Colombo, D., Fernández-Álvarez, J., Suso-Ribera, C., Cipresso, P., Valev, H., Leufkens, T., Sas, C., Garcia-Palacios, A., Riva, G., & Botella, C. (2020). The need for change: Understanding emotion regulation antecedents and consequences using ecological momentary assessment. Emotion, 20(1), 30–36. https://doi.org/10.1037/emo0000671CrossRef Colombo, D., Fernández-Álvarez, J., Suso-Ribera, C., Cipresso, P., Valev, H., Leufkens, T., Sas, C., Garcia-Palacios, A., Riva, G., & Botella, C. (2020). The need for change: Understanding emotion regulation antecedents and consequences using ecological momentary assessment. Emotion, 20(1), 30–36. https://​doi.​org/​10.​1037/​emo0000671CrossRef
go back to reference Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28(10), 857–870.CrossRef Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28(10), 857–870.CrossRef
go back to reference Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219–239.CrossRef Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219–239.CrossRef
go back to reference Fresco, D. M., & Mennin, D. S. (2019). All together now: Utilizing common functional change principles to unify cognitive behavioral and mindfulness-based therapies. Current Opinion in Psychology, 28, 65–70.CrossRef Fresco, D. M., & Mennin, D. S. (2019). All together now: Utilizing common functional change principles to unify cognitive behavioral and mindfulness-based therapies. Current Opinion in Psychology, 28, 65–70.CrossRef
go back to reference Gross, J. J. (2014). Emotion regulation: Conceptual and empirical foundations. Gross, J. J. (2014). Emotion regulation: Conceptual and empirical foundations.
go back to reference Gruber, J., Hagerty, S., Mennin, D., & Gross, J. (under review). Mind the gap? Emotion regulation ability and achievement in psychological health disorders. Gruber, J., Hagerty, S., Mennin, D., & Gross, J. (under review). Mind the gap? Emotion regulation ability and achievement in psychological health disorders.
go back to reference Hayes, S. C., Bissett, R. T., Korn, Z., Zettle, R. D., Rosenfarb, I. S., Cooper, L. D., & Grundt, A. M. (1999). The impact of acceptance versus control rationales on pain tolerance. The Psychological Record, 49(1), 33–47.CrossRef Hayes, S. C., Bissett, R. T., Korn, Z., Zettle, R. D., Rosenfarb, I. S., Cooper, L. D., & Grundt, A. M. (1999). The impact of acceptance versus control rationales on pain tolerance. The Psychological Record, 49(1), 33–47.CrossRef
go back to reference Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21. https://doi.org/10.1207/s15324796abm3301_2CrossRef Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21. https://​doi.​org/​10.​1207/​s15324796abm3301​_​2CrossRef
go back to reference Jones, N. P., Siegle, G. J., & Thase, M. E. (2008). Effects of rumination and initial severity on remission to cognitive therapy for depression. Cognitive Therapy and Research, 32(4), 591.CrossRef Jones, N. P., Siegle, G. J., & Thase, M. E. (2008). Effects of rumination and initial severity on remission to cognitive therapy for depression. Cognitive Therapy and Research, 32(4), 591.CrossRef
go back to reference Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627.CrossRef Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627.CrossRef
go back to reference Lissek, S. (2012). Toward an account of clinical anxiety predicated on basic, neurally mapped mechanisms of pavlovian fear-learning: The case for condition overgeneralization. Depression and Anxiety, 29(4), 257–263.CrossRef Lissek, S. (2012). Toward an account of clinical anxiety predicated on basic, neurally mapped mechanisms of pavlovian fear-learning: The case for condition overgeneralization. Depression and Anxiety, 29(4), 257–263.CrossRef
go back to reference Mennin, D. S., Fresco, D. M., O’Toole, M. S., & Heimberg, R. G. (2018). A randomized controlled trial of emotion regulation therapy for generalized anxiety disorder with and without co-occurring depression. Journal of Consulting and Clinical Psychology, 86(3), 268–281. https://doi.org/10.1037/ccp0000289CrossRef Mennin, D. S., Fresco, D. M., O’Toole, M. S., & Heimberg, R. G. (2018). A randomized controlled trial of emotion regulation therapy for generalized anxiety disorder with and without co-occurring depression. Journal of Consulting and Clinical Psychology, 86(3), 268–281. https://​doi.​org/​10.​1037/​ccp0000289CrossRef
go back to reference Mennin, D. S., Fresco, D. M., Ritter, M., & Heimberg, R. G. (2015). An open trial of emotion regulation therapy for generalized anxiety disorder and cooccurring depression. Depression and Anxiety, 32(8), 614–623.CrossRef Mennin, D. S., Fresco, D. M., Ritter, M., & Heimberg, R. G. (2015). An open trial of emotion regulation therapy for generalized anxiety disorder and cooccurring depression. Depression and Anxiety, 32(8), 614–623.CrossRef
go back to reference Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the penn state worry questionnaire. Behaviour Research and Therapy, 28(6), 487–495.CrossRef Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the penn state worry questionnaire. Behaviour Research and Therapy, 28(6), 487–495.CrossRef
go back to reference Moodie, C. A., Suri, G., Goerlitz, D. S., Mateen, M. A., Sheppes, G., McRae, K., Lakhan-Pal, S., Thiruchselvam, R., & Gross, J. J. (2020). The neural bases of cognitive emotion regulation: The roles of strategy and intensity. Cognitive, Affective, & Behavioral Neuroscience, 20(2), 387–407. https://doi.org/10.3758/s13415-020-00775-8CrossRef Moodie, C. A., Suri, G., Goerlitz, D. S., Mateen, M. A., Sheppes, G., McRae, K., Lakhan-Pal, S., Thiruchselvam, R., & Gross, J. J. (2020). The neural bases of cognitive emotion regulation: The roles of strategy and intensity. Cognitive, Affective, & Behavioral Neuroscience, 20(2), 387–407. https://​doi.​org/​10.​3758/​s13415-020-00775-8CrossRef
go back to reference Moskowitz, D. S., & Young, S. N. (2006). Ecological momentary assessment: What it is and why it is a method of the future in clinical psychopharmacology. Journal of Psychiatry and Neuroscience, 31(1), 13–20. Moskowitz, D. S., & Young, S. N. (2006). Ecological momentary assessment: What it is and why it is a method of the future in clinical psychopharmacology. Journal of Psychiatry and Neuroscience, 31(1), 13–20.
go back to reference Newman, M. G., Jacobson, N. C., Zainal, N. H., Shin, K. E., Szkodny, L. E., & Sliwinski, M. J. (2019). The effects of worry in daily life: An ecological momentary assessment study supporting the tenets of the contrast avoidance model. Clinical Psychological Science, 7(4), 794–810. https://doi.org/10.1177/2167702619827019CrossRef Newman, M. G., Jacobson, N. C., Zainal, N. H., Shin, K. E., Szkodny, L. E., & Sliwinski, M. J. (2019). The effects of worry in daily life: An ecological momentary assessment study supporting the tenets of the contrast avoidance model. Clinical Psychological Science, 7(4), 794–810. https://​doi.​org/​10.​1177/​2167702619827019​CrossRef
go back to reference Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the generalized anxiety disorder questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33(2), 215–233. https://doi.org/10.1016/S0005-7894(02)80026-0CrossRef Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the generalized anxiety disorder questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33(2), 215–233. https://​doi.​org/​10.​1016/​S0005-7894(02)80026-0CrossRef
go back to reference Olatunji, B. O., Naragon-Gainey, K., & Wolitzky-Taylor, K. B. (2013). Specificity of rumination in anxiety and depression: A multimodal meta-analysis. Clinical Psychology: Science and Practice, 20(3), 225. Olatunji, B. O., Naragon-Gainey, K., & Wolitzky-Taylor, K. B. (2013). Specificity of rumination in anxiety and depression: A multimodal meta-analysis. Clinical Psychology: Science and Practice, 20(3), 225.
go back to reference Pavani, J.-B., Vigouroux, S. L., Kop, J.-L., Congard, A., & Dauvier, B. (2016). Affect and affect regulation strategies reciprocally influence each other in daily life: The case of positive reappraisal, problem-focused coping, appreciation and rumination. Journal of Happiness Studies, 17(5), 2077–2095. https://doi.org/10.1007/s10902-015-9686-9CrossRef Pavani, J.-B., Vigouroux, S. L., Kop, J.-L., Congard, A., & Dauvier, B. (2016). Affect and affect regulation strategies reciprocally influence each other in daily life: The case of positive reappraisal, problem-focused coping, appreciation and rumination. Journal of Happiness Studies, 17(5), 2077–2095. https://​doi.​org/​10.​1007/​s10902-015-9686-9CrossRef
go back to reference Plate, A. J., Aldao, A., Quintero, J. M., & Mennin, D. S. (2016). Interactions between reappraisal and emotional nonacceptance in psychopathology: Examining disability and depression symptoms in generalized anxiety disorder. Cognitive Therapy and Research, 40(6), 733–746. https://doi.org/10.1007/s10608-016-9793-xCrossRef Plate, A. J., Aldao, A., Quintero, J. M., & Mennin, D. S. (2016). Interactions between reappraisal and emotional nonacceptance in psychopathology: Examining disability and depression symptoms in generalized anxiety disorder. Cognitive Therapy and Research, 40(6), 733–746. https://​doi.​org/​10.​1007/​s10608-016-9793-xCrossRef
go back to reference Renna, M. E., Quintero, J. M., Soffer, A., Pino, M., Ader, L., Fresco, D. M., & Mennin, D. S. (2018). A pilot study of emotion regulation therapy for generalized anxiety and depression: Findings from a diverse sample of young adults. Behavior Therapy, 49, 403–418.CrossRef Renna, M. E., Quintero, J. M., Soffer, A., Pino, M., Ader, L., Fresco, D. M., & Mennin, D. S. (2018). A pilot study of emotion regulation therapy for generalized anxiety and depression: Findings from a diverse sample of young adults. Behavior Therapy, 49, 403–418.CrossRef
go back to reference Samtani, S., Moulds, M. L., Johnson, S. L., Ehring, T., Hyett, M. P., Anderson, R., & McEvoy, P. M. (2022). Higher order repetitive negative thinking is more robustly related to depression, anxiety, and mania than measures of rumination or worry. Cognitive Therapy and Research, 46(1), 161–170. https://doi.org/10.1007/s10608-021-10235-3CrossRef Samtani, S., Moulds, M. L., Johnson, S. L., Ehring, T., Hyett, M. P., Anderson, R., & McEvoy, P. M. (2022). Higher order repetitive negative thinking is more robustly related to depression, anxiety, and mania than measures of rumination or worry. Cognitive Therapy and Research, 46(1), 161–170. https://​doi.​org/​10.​1007/​s10608-021-10235-3CrossRef
go back to reference Shiffman, S., Stone, A. A., & Hufford, M. R. (2008). Ecological momentary assessment. Annual Review of Clinical Psychology, 4, 1–32.CrossRef Shiffman, S., Stone, A. A., & Hufford, M. R. (2008). Ecological momentary assessment. Annual Review of Clinical Psychology, 4, 1–32.CrossRef
go back to reference Spitzer, M., Robert, L., Gibbon, M., & Williams, J. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, non-patient edition (SCID-I/NP). Biometrics Research, New York State Psychiatric Institute. Spitzer, M., Robert, L., Gibbon, M., & Williams, J. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, non-patient edition (SCID-I/NP). Biometrics Research, New York State Psychiatric Institute.
go back to reference Unick, G. J., Snowden, L., & Hastings, J. (2009). Heterogeneity in comorbidity between major depressive disorder and generalized anxiety disorder and its clinical consequences. The Journal of Nervous and Mental Disease, 197(4), 215.CrossRef Unick, G. J., Snowden, L., & Hastings, J. (2009). Heterogeneity in comorbidity between major depressive disorder and generalized anxiety disorder and its clinical consequences. The Journal of Nervous and Mental Disease, 197(4), 215.CrossRef
go back to reference Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063.CrossRef Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063.CrossRef
Metagegevens
Titel
The Impact of Emotion Regulation on the Relationship Between Momentary Negative Affect and End-of-Day Worry and Rumination
Auteurs
Michal Clayton
Megan E. Renna
David H. Klemanski
Caroline Kerns
Katie A. McLaughlin
Douglas S. Mennin
Publicatiedatum
12-11-2022
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2023
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-022-10339-4