Cited by 262Child and Adolescent Psychosocial and Emotional DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNeural and Behavioral Psychology Studies

Emotional reactivity and cognitive regulation in anxious children

Carthy, Tal, Horesh, Netta, Apter, Alan, Edge, Michael D., Gross, James J.·2010·Behaviour Research and Therapy

Abstract

Recent models of anxiety disorders emphasize abnormalities in emotional reactivity and regulation. However, the empirical basis for this view is limited, particularly in children and adolescents. The present study examined whether anxious children suffer both negative emotional hyper-reactivity and deficits in cognitive emotion regulation. Participants were 49 children aged 10-17 with generalized anxiety disorder, social anxiety, or separation anxiety disorder as their primary diagnosis, as well as 42 age- and gender-matched non-anxious controls. After completing a diagnostic interview and self-report questionnaires, participants were presented with pictures of threatening scenes with the instructions either to simply view them or to use reappraisal, a cognitive emotion regulation strategy, to decrease their negative emotional response. Emotion ratings, content analysis of reappraisal responses, and reports of everyday use of reappraisal were used to assess negative emotional reactivity, reappraisal ability, efficacy and frequency. Relative to controls, children with anxiety disorders (1) experienced greater negative emotional responses to the images, (2) were less successful at applying reappraisals, but (3) showed intact ability to reduce their negative emotions following reappraisal. They also (4) reported less frequent use of reappraisal in everyday life. Implications for the assessment and treatment of childhood anxiety disorders are discussed.

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Crossref · 10.1016/j.brat.2009.12.013

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  • In trials where anxious adolescents successfully generated reappraisals, they were able to effectively reduce their negative affect to a similar degree as non-anxious counterparts.

    “However, in trials where they did successfully generate reappraisals, anxious adolescents were able to effectively reduce their negative affect to a similar degree as their non-anxious counterparts.”
  • Anxious adolescents have heightened emotional reactivity to negative images and impairments in generating reappraisals when cued.

    “Considering first anxiety, anxious adolescents were shown to have heightened emotional reactivity to negative images and impairments in generating reappraisals when cued [40,41].”

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Authors
Carthy, T., Horesh, N., Apter, A., Edge, M. D., & Gross, J. J.
Affiliations
  • Bar-Ilan University (IL)
  • Tel Aviv University (IL)
  • Stanford University (US)
Corresponding author
Gross, James J.
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2010-05
Volume
48
Issue
5
Pages
384-393
ISSN
0005-7967 (ISSN-L)
OpenAlex
W2079327439
Cited by
262
References
59
Citations by year
2026: 7 · 2025: 15 · 2024: 19 · 2023: 12 · 2022: 17 · 2021: 24 · 2020: 16 · 2019: 27 · 2018: 16 · 2017: 16 · 2016: 22 · 2015: 13 · 2014: 19 · 2013: 12 · 2012: 10
FWCI
12.50
Type
journal article
Language
en
Open access
closed
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords
emotional reactivity, cognitive emotion regulation, cognitive reappraisal, childhood anxiety disorders, generalized anxiety disorder, social anxiety, separation anxiety disorder, emotional dysregulation
MeSH terms
Adaptation, Psychological, Adolescent, Affective Symptoms, Anxiety Disorders, Arousal, Child, Cognition, Female, Humans, Male, Psychiatric Status Rating Scales, Reference Values, Case-Control Studies, Matched-Pair Analysis, Self Efficacy, Resilience, Psychological, Executive Function, Emotional Intelligence

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