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Relationship between Emotion Regulation Strategies and Cognitive Reactivity: Focusing on the Implicit Relational Assessment Procedure

Abstract

Repeated failure in emotion regulation could lead to various psychopathologies. It has been reported that the expression inhibition strategy is related to the occurrence and relapse of depression. Although cognitive reactivity is the factor that predicts the relapse of depression, the reason for individual differences in reacting to sad mood is unclear. Congruent with the cognitive theory of depression, implicit measures often assess cognitive reactivity, which is usually hidden. To identify the relationship between cognitive reactivity and trait emotion regulation, the present study verified if trait emotion regulation strategies lead to differences in psychological states in the explicit level. Additionally, it measured cognitive reactivity using the IRAP program before/after mood induction at an implicit level. In the first phase, 494 undergraduate students completed the Emotion Regulation Questionnaire(ERQ), Beck's Depression Inventory(BDI), Depression, Anxiety, Stress Scale-Korean(DASSK), and Korean Leiden Depression Sensitivity-Revised(K-LEIDS-R). In the second phase, participants who agreed to participate and passed the practice criterion were divided into the cognitive reappraisal tendency group (N=22) and expression inhibition tendency group (N=18). Findings revealed that the inhibition group exhibit more depression, anxiety, stress, and cognitive reactivity than the reappraisal group did. In the implicit measure, the inhibition group exhibited a more sensitive cognitive structure to sad mood than the reappraisal group did. While the reappraisal group reacted positively to the negative situation, the inhibition group reacted negatively to the negative situation. Critically, the inhibition group exhibited lower positive emotional reaction bias, but the reappraisal group exhibited higher positive emotional reaction bias after mood induction. These results suggest that the habitual use of the expression inhibition strategy contributes more to reactivity to sad mood than the cognitive reappraisal strategy does.

keywords
depression, cognitive reactivity, emotion regulation, emotion regulation strategy, IRAP, mood induction, 우울, 인지적 반응성, 정서조절, 정서조절 전략, IRAP, 기분유도

Reference

1.

Abela, J. R. Z., & Hankin, B. L. (2008). Depression in children and adolescents: Causes, treatment, and prevention. In J. R. Z. Abela & B. L. Hankin (Eds.). Handbook of depression in children and adolescents (pp. 3-5). New York: Guilford Press.

2.

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotionregulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217-237.

3.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5 ®). Washington, DC. American Psychiatric Pub.

4.

Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55, 1247.

5.

Barnes-Holmes, D., Barnes-Holmes, Y., Power, P., Hayden, E., Milne, R., & Stewart, I. (2006). Do you really know what you believe? Developing the Implicit Relational Assessment Procedure (IRAP) as a direct measure of implicit beliefs. The Irish Psychologist, 32, 169-177.

6.

Barnes-Holmes, D., Barnes-Holmes, Y., Stewart, I., & Boles, S. (2010). A sketch of the Implicit Relational Assessment Procedure (IRAP) and the Relational Elaboration and Coherence (REC) model. The Psychological Record, 60, 527.

7.

Barnes-Holmes, Y., Barnes-Holmes, D., Smeets, P. M., & Luciano, C. (2004). A derived transfer of mood functions through equivalence relations. The Psychological Record, 54, 95.

8.

Beck, A. T. (2008). The evolution of the cognitive model of depression and its neurobiological correlates. American Journal of Psychiatry, 165, 969-977.

9.

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.

10.

Beevers, C. G., Wenzlaff, R. M., Hayes, A. M., & Scott, W. D. (1999). Depression and the ironic effects of thought suppression:Therapeutic strategies for improving mental control. Clinical Psychology: Science and Practice, 6, 133-148.

11.

Betts, J., Gullone, E., & Allen, J. S. (2009). An examination of emotion regulation, temperament, and parenting style as potential predictors of adolescent depression risk status: A correlational study. British Journal of Developmental Psychology, 27, 473-485.

12.

Butler, A. C., Hokanson, J. E., & Flynn, H. A. (1994). A comparison of self-esteem lability and low trait self-esteem as vulnerability factors for depression. Journal of Personality and Social Psychology, 66, 166.

13.

Butler, E. A., Egloff, B., Wihelm, F. H., Smith, N. C., Erickson, E. A., & Gross, J. J. (2003). The social consequences of expressive suppression. Emotion, 3, 48.

14.

Cahill, J., Barnes-Holmes, Y., Barnes-Holmes, D., & Rodriguez- Valverde, M. (2007). The derived transfer and reversal of mood functions through equivalence relations: II. The Psychological Record, 57, 373.

15.

Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behaviour Research and Therapy, 44, 1251-1263.

16.

Clark, D. A., Beck, A. T., & Alford, B. A. (1999). Scientific foundations of cognitive theory and therapy of depression. New York: Wiley.

17.

Clark, D. M., & Teasdale, J. D. (1985). Constraints on the effects of mood on memory. Journal of Personality and Social Psychology, 48, 1595.

18.

Cole, P. M., Michel, M. K., & Teti, L. O. D. (1994). The development of emotion regulation and dysregulation: A clinical perspective. Monographs of the Society for Research in Child Development, 59, 73-102.

19.

De Houwer, J. (2002). The Implicit Association Test as a tool for studying dysfunctional associations in psychopathology:Strengths and limitations. Journal of Behavior Therapy and Experimental Psychiatry, 33, 115-133.

20.

Dennis, T. A. (2007). Interactions between emotion regulation strategies and affective style: Implications for trait anxiety versus depressed mood. Motivation and Emotion, 31, 200-207.

21.

Egloff, B., Schmukle, S. C., Burns, L. R., & Schwerdtfeger, A. (2006). Spontaneous emotion regulation during evaluated speaking tasks: Associations with negative affect, anxiety expression, memory, and physiological responding. Emotion, 6, 356-366.

22.

Ehring, T., Fischer, S., Schnülle, J., Bösterling, A., & Tuschen-Caffier, B. (2008). Characteristics of emotion regulation in recovered depressed versus never depressed individuals. Personality and Individual Differences, 44, 1574-1584.

23.

Ehring, T., Tuschen-Caffier, B., Schnülle, J., Fischer, S., & Gross, J. J. (2010). Emotion regulation and vulnerability to depression:Spontaneous versus instructed use of emotion suppression and reappraisal. Emotion, 10, 563.

24.

Fiedler, K., & Bluemke, M. (2005). Faking the IAT: Aided and unaided response control on the Implicit Association Tests. Basic and Applied Social Psychology, 27, 307-316.

25.

Greenwald, A. G., McGhee, D. E., & Schwartz, J. L. (1998). Measuring individual differences in implicit cognition: The implicit association test. Journal of Personality and Social Psychology, 74, 1464.

26.

Greenwald, A. G., Nosek, B. A., & Banaji, M. R. (2003). Understanding and using the implicit association test: I. An improved scoring algorithm. Journal of Personality and Social Psychology, 85, 197.

27.

Gross, J. J. (1998). Antecedent-and response-focused emotion regulation:Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74, 224.

28.

Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271.

29.

Gross, J. J. (2001). Emotion regulation in adulthood: Timing is everything. Current Directions in Psychological Science, 10, 214-219.

30.

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

31.

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348.

32.

Gross, J. J., & Levenson, R. W. (1997). Hiding feelings: The acute effects of inhibiting negative and positive emotion. Journal of Abnormal Psychology, 106, 95.

33.

Hamilton, E. W., & Abramson, L. Y. (1983). Cognitive patterns and major depressive disorder: A longitudinal study in a hospital setting. Journal of Abnormal Psychology, 92, 173.

34.

Harkness, K. L., & Lumley, M. N. (2008). Child abuse and neglect and the development of depression in children and adolescents. In K. L. Harkness, & M. N. Lumley (Ed.). Handbook of Depression in Children and Adolescents (pp. 466-488). New York: Guilford Press.

35.

Harris, C. R. (2001). Cardiovascular responses of embarrassment and effects of emotional suppression in a social setting. Journal of Personality and Social Psychology, 81, 886.

36.

Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. New York: Springer Science & Business Media.

37.

Hollon, S. D., Kendall, P. C., & Lumry, A. (1986). Specificity of depressotypic cognitions in clinical depression. Journal of Abnormal Psychology, 95, 52.

38.

Hughes, S., & Barnes-Holmes, D. (2011). On the formation and persistence of implicit attitudes: New evidence from the Implicit Relational Assessment Procedure (IRAP). The Psychological Record, 61, 391.

39.

Hussey, I., & Barnes-Holmes, D. (2012). The implicit relational assessment procedure as a measure of implicit depression and the role of psychological flexibility. Cognitive and Behavioral Practice, 19, 573-582.

40.

Ingram, R. E., Bernet, C. Z., & McLaughlin, S. C. (1994). Attentional allocation processes in individuals at risk for depression. Cognitive Therapy and Research, 18, 317-332.

41.

ISSP Research Group. (2013). International Social Survey Programme: Health and Health Care–ISSP 2011. [Data file]. Retrieved from https://dbk.gesis.org/dbksearch/sdesc2.asp?no=5800&search=&search2=&field=&field2=&DB=&tab=0&notabs=&nf=1&af=&ll=10

42.

Jeanne, M., Gross, J. J., Persons, J. B., & Hahn, J. (1998). Mood matters:Negative mood induction activates dysfunctional attitudes in women vulnerable to depression. Cognitive Therapy and Research, 22, 363-376.

43.

Kashdan, T. B., & Steger, M. F. (2006). Expanding the topography of social anxiety an experience-sampling assessment of positive emotions, positive events, and emotion suppression. Psychological Science, 17, 120-128.

44.

Kim, J. H., Cho, Y. R., Park, S. H., Kim, H. R., Kim, S. H., & Pyo, K. S. (2002). Factor structure of the Korean version of the Beck Depression Inventory (BDI): An application of confirmatory factor analysis in clinical samples. Korean Journal of Clinical Psychology, 21, 843-857.

45.

Kring, A. M., & Werner, K. H. (2004). Emotion regulation in psychopathology. In P. Philippot & R. S. Feldman (Eds.), The regulation of emotion (pp. 359–385). Mahwah, NJ: Erlbaum.

46.

Lau, M. A., Segal, Z. V., & Williams, J. M. G. (2004). Teasdale’s differential activation hypothesis: Implications for mechanisms of depressive relapse and suicidal behaviour. Behaviour Research and Therapy, 42, 1001-1017.

47.

Lee, D. H. Kwak, H. W., Lee, J. H., Chang, M. S., & Koo, B. H. (2016). Emotion Regulation and Trait anxiety: Spontaneous Versus Instructed Use of Emotion Suppression and Reappraisal strategy. The Korean Journal of Health Psychology. 21, 527-548.

48.

Lee, J. H., Kwak, H. W., Lee, S. I., & Chang, M. S. (2013). Emotional Regulation in Young Adults with Borderline Personality Traits:Focusing on Inhibitory Functions for Emotional Stimuli, Emotional Hyper-Reactivity, and Emotional Dysregulation. The Korean Journal of Clinical Psychology, 32, 543-565.

49.

Lee, J. Y., & Kwon, S. M. (2006). Relationship Between Emotion Regulation and Psychopathology: Recent Research Trends and Future Research Tasks. The Korean Journal of Counseling and Psychotherapy, 18, 461-493.

50.

Lee, K. W. (2007). Relations between depression, anxiety, stress and the concentration of urinary hydroxyproline and Proline (unpublished doctoral dissertation). Yonsei University, Seoul, Korea.

51.

Lee, Y. H., & Song, J. Y. (1991). A Study of the Reliability and the Validity of the BDI, SDS, and MMPI-D Scales. Korean Journal of Clinical Psychology, 10, 98-113.

52.

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335-343.

53.

Martin, M. (1990). On the induction of mood. Clinical Psychology Review, 10, 669-697.

54.

Mauss, I. B., Cook, C. L., Cheng, J. Y., & Gross, J. J. (2007). Individual differences in cognitive reappraisal: Experiential and physiological responses to an anger provocation. International Journal of Psychophysiology, 66, 116-124.

55.

Mauss, I. B., Levenson, R. W., McCarter, L., Wilhelm, F. H., & Gross, J. J. (2005). The tie that binds? Coherence among emotion experience, behavior, and physiology. Emotion, 5, 175.

56.

McConnell, A. R., & Leibold, J. M. (2001). Relations among the Implicit Association Test, discriminatory behavior, and explicit measures of racial attitudes. Journal of experimental Social psychology, 37, 435-442.

57.

Memedovic, S., Grisham, J. R., Denson, T. F., & Moulds, M. L. (2010). The effects of trait reappraisal and suppression on anger and blood pressure in response to provocation. Journal of Research in Personality, 44, 540-543.

58.

Nicholson, E., McCourt, A., & Barnes-Holmes, D. (2013). The Implicit Relational Assessment Procedure (IRAP) as a measure of obsessive beliefs in relation to disgust. Journal of Contextual Behavioral Science, 2, 23-30.

59.

Nisbett, R. E., & Wilson, T. D. (1977). Telling more than we can know: Verbal reports on mental processes. Psychological Review, 84, 231.

60.

Ochsner, K. N., & Gross, J. J. (2004). Thinking makes it so: A social cognitive neuroscience approach to emotion regulation. In R.oy F. Baumeister, Kathleen K. D. Vohs (Eds.). Handbook of self-regulation:Research, theory, and applications (pp. 229-255). New York: Guilford Press.

61.

Ochsner, K. N., & Gross, J. J. (2005). The cognitive control of emotion. Trends in Cognitive Sciences, 9, 242-249.

62.

Power, P., Barnes-Holmes, D., Barnes-Holmes, Y., & Stewart, I. (2009). The Implicit Relational Assessment Procedure (IRAP) as a measure of implicit relative preferences: A first study. The Psychological Record, 59, 621.

63.

Rude, S., & McCarthy, C. (2003). Brief report. Cognition & Emotion, 17, 799-806.

64.

Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005). Cognitive reactivity and vulnerability: Empirical evaluation of construct activation and cognitive diatheses in unipolar depression. Clinical Psychology Review, 25, 487-510.

65.

Segal, Z. V., Gemar, M., & Williams, S. (1999). Differential cognitive response to a mood challenge following successful cognitive therapy or pharmacotherapy for unipolar depression. Journal of Abnormal Psychology, 108, 3.

66.

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to relapse prevention. New York: Guilford.

67.

Segal, Z. V., Williams, J. M., Teasdale, J. D., & Gemar, M. (1996). A cognitive science perspective on kindling and episode sensitization in recurrent affective disorder. Psychological Medicine, 26, 371-380.

68.

Sheppes, G., Suri, G., & Gross, J. J. (2015). Emotion regulation and psychopathology. Annual Review of Clinical Psychology, 11, 379-405.

69.

Shim, J. A. (2014). The Validation of the Korean version of Leiden Index of Depression Sensitivity-Revised (Unpublished master’s thesis). Catholic University of Daegu, Daegu, Korea

70.

Shin, A. Y., & Chae, J. H. (2011). Emotion regulation Strategies in patients with depressive and anxiety disorders. Cognitive Behavior Therapy in Korea. 11, 41-52.

71.

Shon, J. M. (2005). Individual differences in two regulation strategies : cognitive reappraiser vs. emotion suppressior (Unpublished master’s thesis). Seoul National University, Seoul, Korea.

72.

Silk, J. S., Steinberg, L., & Morris, A. S. (2003). Adolescents' emotion regulation in daily life: Links to depressive symptoms and problem behavior. Child development, 74, 1869-1880.

73.

Teasdale, J. D. (1983). Negative thinking in depression: Cause, effect, or reciprocal relationship?. Advances in Behaviour Research and Therapy, 5, 3-25.

74.

Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition & Emotion, 2, 247-274.

75.

Thoits, P. A. (1985). Self-labeling processes in mental illness: The role of emotional deviance. American Journal of Sociology, 91, 221-249.

76.

Van der Does, A. J. W., & Williams, J. M. G. (2003). Leiden index of depression sensitivity-revised (LEIDS-R). Leiden: Leiden University.

77.

Van der Does, W. (2002). Cognitive reactivity to sad mood: structure and validity of a new measure. Behaviour research and therapy, 40, 105-119.

78.

Wiers, R. W., Teachman, B. A., & De Houwer, J. (2007). Implicit cognitive processes in psychopathology: An introduction. Journal of Behavior Therapy and Experimental Psychiatry, 38, 95-104.

79.

Ye, M. S., Oh, K. J. (2012). The relationship between negative affectivity, depression, and anxiety: Mediational role of experiential avoidance and cognitive reappraisal. Cognitive Behavior Therapy in Korea. 12, 77-95.

80.

Zeman, J., Shipman, K., & Suveg, C. (2002). Anger and sadness regulation: Predictions to internalizing and externalizing symptoms in children. Journal of Clinical Child and Adolescent Psychology, 31, 393-398.

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