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Patterns of emotion regulation and psychopathology
Open accessAbstract
Emotion regulatory strategies such as higher expressive suppression and lower cognitive reappraisal may be associated with increased psychopathology (Gross & John, 2003). Yet, it is unclear whether these strategies represent distinct cognitive styles associated with psychopathology, such that there are individuals who are predominantly "suppressors" or "reappraisers." Using cluster analysis, we examined whether women with and without exposure to potentially traumatic events evidence distinct patterns of emotion regulation frequency, capacity, suppression, and cognitive reappraisal. Four patterns emerged: high regulators; high reappraisers/low suppressors; moderate reappraisers/low suppressors; and low regulators. Individuals who reported infrequently and ineffectively regulating their emotions (low regulators) also reported higher depression, anxiety, and posttraumatic stress disorder (PTSD). In contrast, individuals who reported frequently and effectively using reappraisal and low levels of suppression (high reappraisers/low suppressors) reported the lowest levels of these symptoms, suggesting that this specific combination of emotion regulation may be most adaptive. Our findings highlight that the capacity to regulate emotions and the ability to flexibly apply different strategies based on the context and timing may be associated with reduced psychopathology and more adaptive functioning.
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“while expressive suppression is a defense mechanism used to cope with negative emotions, but associated with longer-term depression and anxiety [26].”
From Effects of Mindfulness and Life-Skills Training on Emotion Regulation and Anxiety Symptoms in Chinese Migrant Children: A Randomized Controlled Trial. (2024) · cites this paper as [26]
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Citations
Cites
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032
Lazarus, R. S. (1991) · doi:10.1093/oso/9780195069945.001.0001 · Cited by 12,691
Gross, J. J., & John, O. P. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.2.348 · Cited by 11,929 · cited 10×
“Furthermore consistent with Gross and John (2003), when we correlated overall cognitive reappraisal, expressive suppression, PTSD severity, the pattern of findings was in this hypothesized direction.”
BackgroundResultInfluentialAssessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.56.2.267 · Cited by 11,507
Posttraumatic Stress Disorder in the National Comorbidity Survey
Kessler, R. C. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950240066012 · Cited by 10,379
The emerging field of emotion regulation: an integrative review
Gross, J. J. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.3.271 · Cited by 9,916
Psychological stress and the coping process
Lazarus, R. S. (1966) · Medical Entomology and Zoology · Cited by 7,164
Bonanno, G. A. (2004) · American Psychologist · doi:10.1037/0003-066x.59.1.20 · Cited by 6,851
A cognitive model of posttraumatic stress disorder
Ehlers, A., & Clark, D. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00123-0 · Cited by 6,147
Ego depletion: Is the active self a limited resource?
Baumeister, R. F., Bratslavsky, E., Muraven, M., & Tice, D. M. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.74.5.1252 · Cited by 5,312
Emotion regulation: affective, cognitive, and social consequences.
Gross, J. J. (2002) · Psychophysiology · doi:10.1017/s0048577201393198 · Cited by 4,890 · cited 1×
“Furthermore, it does not increase physiological arousal during emotionally charged events (Gross & Levenson, 1993, 1997) and has been viewed as adaptive for processing memories and integrating new experiences (Ehlers & Clark, 2000; Gross, 2002).”
BackgroundPredictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.1.52 · Cited by 3,322 · cited 1×
“Furthermore, two variants of suppression, dissociation and emotional numbing, are implicated in the prediction of chronic PTSD (Clohessy & Ehlers, 1999 ; Foa, Riggs, & Gershuny, 1995 ; Ozer, Best, Lipsey, & Weiss, 2003 ; Shalev, Tuvia, Canetti, & Schreiber, 1996 ).”
Nolen-Hoeksema, S., & Morrow, J. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.61.1.115 · Cited by 3,276
Anxiety, sensitivity, anxiety frequency, and the prediction of fearfulness
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90143-9 · Cited by 3,169
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997) · Psychological Assessment · doi:10.1037/1040-3590.9.4.445 · Cited by 2,709
Traumatic Events and Posttraumatic Stress Disorder in an Urban Population of Young Adults
Breslau, N. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810270028003 · Cited by 2,544
Aldenderfer, M. S. (1984) · Cited by 2,502
Manual for the state-trait anxiety inventory (form Y) : "self-evaluation questionnaire"
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970) · Consulting Psychologists Press eBooks · Cited by 2,352
Universals and cultural differences in facial expressions of emotion.
Ekman, P. (1972) · Medical Entomology and Zoology · Cited by 2,273
Coping as a mediator of emotion
Folkman, S., & Lazarus, R. S. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.3.466 · Cited by 2,103
Hiding feelings: The acute effects of inhibiting negative and positive emotion
Gross, J. J., & Levenson, R. W. (1997) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.106.1.95 · Cited by 1,834
The Posttraumatic Cognitions Inventory (PTCI): development and validation
Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999) · Psychological Assessment · doi:10.1037/1040-3590.11.3.303 · Cited by 1,727
Emotion regulation and mental health
Gross, J. J., & Muñoz, R. F. (1995) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.1995.tb00036.x · Cited by 1,595 · cited 4×
“…(Gross, 1998) that was developed from the work of several key emotion theorists such as Ekman (1972), James (1884, 1894), Levenson (1994), and Plutchik (1990), and focuses on the role of appraisal of both external and internal events that then result in emotions (Gross, 1998; Gross & Muñoz, 1995).”
BackgroundInfluentialEmotion regulation and memory: the cognitive costs of keeping one's cool
Richards, J. M., & Gross, J. J. (2000) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.79.3.410 · Cited by 1,472
Emotion Regulation in Adulthood: Timing Is Everything
Gross, J. (2001) · Current Directions in Psychological Science · doi:10.1111/1467-8721.00152 · Cited by 1,430
Lazarus, R. S. (1984) · American Psychologist · doi:10.1037/0003-066x.39.2.124 · Cited by 1,402
Emotional suppression: Physiology, self-report, and expressive behavior.
Gross, J. J., & LEVENSON, R. W. (1993) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.64.6.970 · Cited by 1,386
Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis.
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2008) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/1942-9681.s.1.3 · Cited by 1,252
(1992) · Cited by 1,154
Cloître, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.5.1067 · Cited by 1,099
Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.5.1067 · Cited by 1,097
Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents.
Ehlers, A., Mayou, R. A., & Bryant, B. (1998) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.107.3.508 · Cited by 1,059
Disclosure of traumas and immune function: Health implications for psychotherapy.
Pennebaker, J. W., Kiecolt‐Glaser, J. K., & Glaser, R. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.56.2.239 · Cited by 1,041
Bonanno, G. A., Papa, A., Lalande, K., Westphal, M., & Coifman, K. (2004) · Psychological Science · doi:10.1111/j.0956-7976.2004.00705.x · Cited by 969
Sexual Revictimization: A Review of the Empirical Literature
Classen, C. C., Palesh, O. G., & Aggarwal, R. (2005) · Trauma, Violence, & Abuse · doi:10.1177/1524838005275087 · Cited by 813
Sex differences in posttraumatic stress disorder
Breslau, N. (1997) · Archives of General Psychiatry · doi:10.1001/archpsyc.1997.01830230082012 · Cited by 783
Emergent themes in the study of emotional development and emotion regulation.
Campos, J. J., Campos, R. G., & Barrett, K. C. (1989) · Developmental Psychology · doi:10.1037/0012-1649.25.3.394 · Cited by 711
Gender differences in negative affect and well-being: The case for emotional intensity.
Fujita, F., Diener, E., & Sandvik, E. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.61.3.427 · Cited by 695
Gender differences in negative affect and well-being: The case for emotional intensity.
Fujita, F., Diener, E., & Sandvik, E. (1991) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.61.3.427 · Cited by 682
James, W. (1977) · Williams & Wilkins eBooks · doi:10.1037/10735-001 · Cited by 661
Mechanisms of change in dialectical behavior therapy: theoretical and empirical observations
Lynch, T. R., Chapman, A. L., Rosenthal, M. Z., Kuo, J. R., & Linehan, M. M. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20243 · Cited by 628
Ego Depletion: A Resource Model of Volition, Self-Regulation, and Controlled Processing
Baumeister, R. F., Muraven, M., & Tice, D. M. (2000) · Social Cognition · doi:10.1521/soco.2000.18.2.130 · Cited by 625
Predictors of PTSD in injured trauma survivors: a prospective study
Shalev, A. Y., Peri, T., Canetti, L., & Schreiber, S. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.2.219 · Cited by 613
Catanzaro, S. J., & Mearns, J. (1990) · Journal of Personality Assessment · doi:10.1080/00223891.1990.9674019 · Cited by 609 · cited 1×
“22) as assessed by the Negative Mood Regulation scale (Cantanzaro & Mearns, 1990 ); rumination (s=.”
MethodCatanzaro, S., & Mearns, J. (1990) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5403&4_11 · Cited by 609
Composure at Any Cost? The Cognitive Consequences of Emotion Suppression
Richards, J. M., & Gross, J. J. (1999) · Personality and Social Psychology Bulletin · doi:10.1177/01461672992511010 · Cited by 607
PTSD symptoms, response to intrusive memories and coping in ambulance service workers
Clohessy, S., & Ehlers, A. (1999) · British Journal of Clinical Psychology · doi:10.1348/014466599162836 · Cited by 598
Anxiety and Cognition: A Unified Theory
Eysenck, M. W. (2014) · Medical Entomology and Zoology · Cited by 531
Arousal, numbing, and intrusion: symptom structure of PTSD following assault
Foa, E. B., Riggs, D. S., & Gershuny, B. S. (1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.1.116 · Cited by 453
Emotion dysregulation in generalized anxiety disorder: A comparison with social anxiety disorder
Turk, C. L., Heimberg, R. G., Luterek, J. A., Mennin, D. S., & Fresco, D. M. (2005) · Cognitive Therapy and Research · doi:10.1007/s10608-005-1651-1 · Cited by 443
Banyard, V. L., Williams, L. M., & Siegel, J. A. (2001) · Journal of Traumatic Stress · doi:10.1023/a:1013085904337 · Cited by 400
The epidemiology of posttraumatic stress disorder: what is the extent of the problem?
Breslau, N. (2001) · PubMed · Cited by 370
The physical basis of emotion.
James, W. (1994) · Psychological Review · doi:10.1037/0033-295x.101.2.205 · Cited by 370
Emotion Regulation in Romantic Relationships: The Cognitive Consequences of Concealing Feelings
Richards, J. M., Butler, E. A., & Gross, J. J. (2003) · Journal of Social and Personal Relationships · doi:10.1177/02654075030205002 · Cited by 323
Trauma: prevalence, impairment, service use, and cost.
Solomon, S. D., & Davidson, J. R. T. (1997) · PubMed · Cited by 289
Bernat, J. A., Ronfeldt, H. M., Calhoun, K. S., & Arias, I. (1998) · Journal of Traumatic Stress · doi:10.1023/a:1024485130934 · Cited by 283
Ehlers, A., Maercker, A., & Boos, A. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.1.45 · Cited by 274
Emotion and emotion regulation.
Gross, J. J. (1999) · Cited by 242
Breslau, N., Peterson, E. L., Poisson, L., Schultz, L. R., & Lucia, V. C. (2004) · Psychological Medicine · doi:10.1017/s0033291703001612 · Cited by 230
Exploring the roles of emotional numbing, depression, and dissociation in PTSD
Feeny, N. C., Zoellner, L. A., Fitzgibbons, L. A., & Foa, E. B. (2000) · Journal of Traumatic Stress · doi:10.1023/a:1007789409330 · Cited by 229
Self-citationLitz, B. (1992) · Clinical Psychology Review · doi:10.1016/0272-7358(92)90125-r · Cited by 220
A preliminary investigation of the role of strategic withholding of emotions in PTSD
Roemer, L., Litz, B. T., Orsillo, S. M., & Wagner, A. W. (2001) · Journal of Traumatic Stress · doi:10.1023/a:1007895817502 · Cited by 217
Effects of suppressing thoughts about emotional material.
Roemer, L., & Borkovec, T. D. (1994) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.103.3.467 · Cited by 196
Emotional numbing in posttraumatic stress disorder: current and future research directions
Litz, B. T., Litz, B. T., & Gray, M. J. (2002) · Australian & New Zealand Journal of Psychiatry · doi:10.1046/j.1440-1614.2002.01002.x · Cited by 190
Shipherd, J. C., & Beck, J. G. (1999) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00136-3 · Cited by 168
The Cognitive Consequences of Concealing Feelings
Richards, J. M. (2004) · Current Directions in Psychological Science · doi:10.1111/j.0963-7214.2004.00291.x · Cited by 148
Age and gender differences in negative affect—Is there a role for emotion regulation?
Thomsen, D. K., Mehlsen, M. Y., Viidik, A., Sommerlund, B., & Zachariae, R. H. (2005) · Personality and Individual Differences · doi:10.1016/j.paid.2004.12.001 · Cited by 142
The role of emotional functioning in military-related PTSD and its treatment
Price, J. L., Monson, C. M., Callahan, K., & Rodriguez, B. F. (2006) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2005.04.004 · Cited by 111
Self-organising Cognitive Appraisals
Lewis, M. D. (1996) · Cognition & Emotion · doi:10.1080/026999396380367 · Cited by 99
Early vigilance and late avoidance of threat processing: Repressive coping versus low/high anxiety
Calvo, M. G., & Eysenck, M. W. (2000) · Cognition & Emotion · doi:10.1080/02699930050156627 · Cited by 75
Higgins, E. T. (2000) · European Journal of Personality · doi:10.1002/1099-0984(200009/10)14:5 · Cited by 70
EMOTIONS AND PSYCHOTHERAPY: A PSYCHOEVOLUTIONARY PERSPECTIVE
Plutchik, R. (1990) · Elsevier eBooks · doi:10.1016/b978-0-12-558705-1.50007-5 · Cited by 63
(1984) · Medical Entomology and Zoology
Research works printed but not linked: 10
- 10.4135/9781412983648 · DOI
- 10.1037/0022-3514.74.5.1252 · DOI · Paper page
- 10.1027/1016-9040.2.3.235 · DOI
- Ekman , P. 1984 . “ Expression and the nature if emotion ” . In Approaches to emotion , Edited by: Scherer , K. and Ekman , P. 319 – 344 . Hillsdale, NJ : Erlbaum .
- 10.1080/02699939308409193 · DOI
- 10.1037/0022-3514.64.6.970 · DOI · Paper page
- 10.1093/mind/os-IX.34.188 · DOI · Paper page
- Levenson , R.W. 1994 . “ Human emotion: A functional view ” . In The nature of emotion , Edited by: Ekman , P. and Davidson , R.J. 123 – 126 . New York : Oxford University Press .
- 10.1037/0022-006X.56.2.239 · DOI
- Salovey , P. , Mayer , J.D. , Golman , S.L. , Turvey , C. and Palfai , T.P. 1995 . “ Emotional attention, clarity, and return: Exploring emotional intelligence using the trait meta-mood scale ” . In Emotion, disclosure, and health , Edited by: Pennebaker , J.W. 125 – 154 . Washington, DC : American Psychological Association . · DOI · Paper page
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Kanske, P., Heissler, J., Schönfelder, S., Bongers, A., & Wessa, M. (2011) · Cerebral Cortex · doi:10.1093/cercor/bhq216 · Cited by 589
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Metadata
- Authors
- Eftekhari, A., Zoellner, L. A., & Vigil, S. A.
- Affiliations
- University of Washington (US)
- Corresponding author
- Eftekhari, Afsoon
- ORCID
- Zoellner, Lori A.
- Venue
- Anxiety, Stress, & Coping
- Publisher
- Informa UK Limited
- Published
- 2009-08-24
- Volume
- 22
- Issue
- 5
- Pages
- 571-586
- ISSN
- 1061-5806 (ISSN-L)
- 1477-2205
- PMC
- PMC3234115
- OpenAlex
- W2106521218
- Cited by
- 249
- References
- 70
- Citations by year
- 2026: 13 · 2025: 16 · 2024: 18 · 2023: 26 · 2022: 19 · 2021: 28 · 2020: 21 · 2019: 20 · 2018: 15 · 2017: 16 · 2016: 10 · 2015: 11 · 2014: 14 · 2013: 11 · 2012: 6
- FWCI
- 4.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Anxiety Stress & Coping (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Washington
- Case Western Reserve University
- National Institute of Mental Health (R01MH066347)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- emotion regulation, expressive suppression, cognitive reappraisal, psychopathology, depression, anxiety, post-traumatic stress disorder, potentially traumatic events, women, regulatory strategy, adaptive behavior
- MeSH terms
- Anxiety, Cognition, Depression, Emotions, Female, Homeostasis, Humans, Stress Disorders, Post-Traumatic, Cluster Analysis
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