Emotional Reactivity, Emotion Regulation, and Regulatory Choice in Somatic Symptom Disorder
- Publikationstyp:
- Zeitschriftenaufsatz
- Metadaten:
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- Abstract
- <jats:title>ABSTRACT</jats:title> <jats:sec> <jats:title>Objective</jats:title> <jats:p>Despite the transdiagnostic importance of emotional dysregulation in psychopathology, the exact nature of emotional dysregulation in somatic symptom disorders (SSDs) is still unclear. The present study compared measures of emotional reactivity, emotion regulation (ER), and regulatory choice between <jats:italic toggle="yes">n</jats:italic> = 62 individuals with SSD (<jats:italic toggle="yes">Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition</jats:italic>) and <jats:italic toggle="yes">n</jats:italic> = 61 healthy participants.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>Participants underwent two ER tasks, assessing a) efficacy of reappraisal and suppression, and 2) regulatory choice, while electrodermal activity and heart rate variability were recorded. In addition, self-reports (Emotion Reactivity Scale, Emotion Regulation Questionnaire, Difficulties in Emotion Regulation Scale) regarding habitual emotional reactions and regulation strategies were assessed.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Individuals with SSD reported significantly higher trait emotional reactivity (Emotion Reactivity Scale; <jats:italic toggle="yes">p</jats:italic> < .001, <jats:italic toggle="yes">d</jats:italic> = 1.61), significantly more trait ER difficulties (Difficulties in Emotion Regulation Scale; <jats:italic toggle="yes">p</jats:italic> < .001, <jats:italic toggle="yes">d</jats:italic> = 1.62), and significantly lower reappraisal use in daily life (Emotion Regulation Questionnaire; <jats:italic toggle="yes">p</jats:italic> < .001, <jats:italic toggle="yes">d</jats:italic> = −0.75). On a behavioral and physiological levels, no significant group differences were found regarding emotional reactivity (subjective ratings of emotional stimuli in task 1, <jats:italic toggle="yes">p</jats:italic> values = .653–.667; electrodermal activity: <jats:italic toggle="yes">p</jats:italic> values = .224–.837), ER (task 1: <jats:italic toggle="yes">p</jats:italic> values = .077–.731; heart rate variability: <jats:italic toggle="yes">p</jats:italic> values = .522–.832), or regulatory choice (task 2: <jats:italic toggle="yes">p</jats:italic> = .380). Although individuals with SSD were equally effective in state ER (task 1), they perceived ER during the task as significantly more effortful (<jats:italic toggle="yes">p</jats:italic> = .038, <jats:italic toggle="yes">d</jats:italic> = −0.38).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Results suggest that dysregulated emotions might not result from lacking abilities in implementing ER effectively, but rather could arise from less frequent ER initiation because ER is perceived as more effortful.</jats:p> </jats:sec>
- Autoren
- Katharina Schnabel
- Stefan M Schulz
- Michael Witthöft
- DOI
- 10.1097/psy.0000000000001118
- eISSN
- 1534-7796
- ISSN
- 0033-3174
- Ausgabe der Veröffentlichung
- 9
- Zeitschrift
- Psychosomatic Medicine
- Sprache
- en
- Online publication date
- 2022
- Paginierung
- 1077 - 1086
- Datum der Veröffentlichung
- 2022
- Status
- Published
- Herausgeber
- Ovid Technologies (Wolters Kluwer Health)
- Herausgeber URL
- http://dx.doi.org/10.1097/psy.0000000000001118
- Datum der Datenerfassung
- 2024
- Titel
- Emotional Reactivity, Emotion Regulation, and Regulatory Choice in Somatic Symptom Disorder
- Ausgabe der Zeitschrift
- 84
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