Is emotion regulation associated with cancer-related psychological symptoms?
Abstract
OBJECTIVES: This study examined the cross-sectional and prospective relationships between subjective (cognitive reappraisal, expressive suppression and experiential avoidance) and objective (high-frequency heart rate variability [HF-HRV]) measures of emotion regulation (ER) and a set of psychological symptoms (anxiety, depression, fear of cancer recurrence [FCR], insomnia, fatigue, pain, and cognitive impairments) among women receiving radiation therapy for non-metastatic breast cancer. DESIGN: Eighty-one participants completed a battery of self-report scales within 10 days before the start of radiotherapy (T1) and within 10 days after its end (T2; approximately 6 weeks after T1). HF-HRV at rest was measured at T1. RESULTS: Canonical correlation analyses revealed that higher levels of experiential avoidance and expressive suppression were cross-sectionally associated with higher levels of all symptoms, except pain, at T1 and at T2 (both p's < 0.0001). Higher levels of suppression and reappraisal at T1 were marginally associated with reduced FCR and with increased depression and fatigue between T1 and T2 (p = 0.07). HF-HRV was not associated with symptoms cross-sectionally or prospectively. CONCLUSIONS: Although preliminary, these results are consistent with the hypothesis that maladaptive ER strategies, assessed subjectively, may cross-sectionally act as a transdiagnostic mechanism underlying several cancer-related psychological symptoms.
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Experiential avoidance is associated with negative outcomes in cancer patients with curable disease.
“This pattern is also shown in cancer patients with curable disease [11, 12].”
Studies show experiential avoidance and fatigue are associated with one another.
“studies showing EA and fatigue are associated with one another, 39”
From Mindfulness and Psychosocial Symptoms in People with Cancer: Testing Rumination and Experiential Avoidance as Mediators, and Sex as a Moderator. (2025) · cites this paper as [39]
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- Authors
- Guimond, A.-J., Ivers, H., & Savard, J.
- Affiliations
- School of Psychology, Université Laval, Québec, Canada;
- Université Laval (CA)
- Corresponding author
- Savard, Josée
- Venue
- Psychology & Health
- Publisher
- Informa UK Limited
- Published
- 2018-12-05
- Volume
- 34
- Issue
- 1
- Pages
- 44-63
- ISSN
- 0887-0446 (ISSN-L)
- 1476-8321
- OpenAlex
- W2902712684
- Cited by
- 51
- References
- 84
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 10 · 2023: 7 · 2022: 9 · 2021: 1 · 2020: 5 · 2019: 1
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology and Health (publishedVersion)
- PubMed (publishedVersion)
- Corpus Université Laval (Université Laval) (submittedVersion)
- Funders
- Fonds de recherche du Québec - Santé
- Psychosocial Oncology Research Training Program
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- emotion regulation, breast cancer, radiotherapy, cognitive reappraisal, expressive suppression, experiential avoidance, heart rate variability, anxiety, depression, fear of cancer recurrence, fatigue, insomnia, women
- MeSH terms
- Adult, Anxiety, Cross-Sectional Studies, Emotions, Female, Humans, Male, Middle Aged, Neoplasms, Prospective Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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