A network approach to emotion regulation and symptom activation in depression and anxiety.

Autor: Rodrigues AR; University of Maia, Maia, Portugal.; Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal., Castro D; University of Maia, Maia, Portugal.; Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal., Cardoso J; University of Maia, Maia, Portugal.; Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal., Ferreira F; University of Maia, Maia, Portugal.; Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal., Serrão C; Instituto Politécnico do Porto, Escola Superior de Educação, Porto, Portugal.; Centro de Investigação e Inovação em Educação (inED), Porto, Portugal., Coelho CM; University Center for Research in Psychology (CUIP), University of the Azores, Ponta Delgada, Portugal., Meira L; University of Maia, Maia, Portugal.; Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal., Ferreira TB; University of Maia, Maia, Portugal.; Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal.
Jazyk: angličtina
Zdroj: Frontiers in public health [Front Public Health] 2024 Sep 10; Vol. 12, pp. 1362148. Date of Electronic Publication: 2024 Sep 10 (Print Publication: 2024).
DOI: 10.3389/fpubh.2024.1362148
Abstrakt: Background: Emotions can be regulated through several regulatory strategies that are involved in the development of psychopathological symptoms. Despite the well-established association between psychopathology and emotion dysregulation, little is known about the relationship between individual symptoms of depression and anxiety and emotion regulation strategies (ERS), as well as between ERS themselves.
Method: We conducted a cross-sectional study and examined the interactions between six ERS (reappraisal, engagement, rumination, suppression, arousal control, and distraction) and assessed their distinctive association with the activation of specific symptoms of depression and anxiety in a community sample of 376 adults (80.4% female; M age  = 32.70; SD age  = 11.80). The Regulation Emotion Systems Survey (RESS) was used to measure ERS. The Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) were used to assess psychological symptoms. An exploratory graph analysis was performed to examine the structural properties of the network of interactions between these behaviors. Additionally, to test the association of ERS with the activation of the depression symptoms network, an expected symptoms activity (ESA) was conducted.
Results: Six communities were found that correspond to the six ERS. Rumination and suppression have a significant association with symptom activation (particularly low self-esteem), whereas reappraisal reduces symptomatic activation. The effect of arousal control, engagement, and distraction appears to depend on the remaining ERS rather than having much influence on their own.
Conclusion: This study provides insight into how ERS interact with each other and with individual symptoms of depression and anxiety. Understanding the effects of these interactions on symptom activation and comorbidity can improve our understanding of psychopathology.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 Rodrigues, Castro, Cardoso, Ferreira, Serrão, Coelho, Meira and Ferreira.)
Databáze: MEDLINE
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