2013
DOI: 10.1073/pnas.1305706110
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Cognitive emotion regulation fails the stress test

Abstract: Cognitive emotion regulation has been widely shown in the laboratory to be an effective way to alter the nature of emotional responses. Despite its success in experimental contexts, however, we often fail to use these strategies in everyday life where stress is pervasive. The successful execution of cognitive regulation relies on intact executive functioning and engagement of the prefrontal cortex, both of which are rapidly impaired by the deleterious effects of stress. Because it is specifically under stressf… Show more

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Cited by 239 publications
(218 citation statements)
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References 65 publications
(101 reference statements)
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“…However, a limitation of many cognitive emotion regulation strategies is that they depend on attentional, linguistic, and working memory systems supported by lateral prefrontal regions. Lateral prefrontal regions are not fully developed until late adolescence (37) and can be disrupted under severe stress (38). Thus, the finding that perspective-based regulation of the amygdala relies on anterior medial rather than lateral prefrontal regions may suggest a new pathway for effective emotion regulation.…”
Section: Discussionmentioning
confidence: 99%
“…However, a limitation of many cognitive emotion regulation strategies is that they depend on attentional, linguistic, and working memory systems supported by lateral prefrontal regions. Lateral prefrontal regions are not fully developed until late adolescence (37) and can be disrupted under severe stress (38). Thus, the finding that perspective-based regulation of the amygdala relies on anterior medial rather than lateral prefrontal regions may suggest a new pathway for effective emotion regulation.…”
Section: Discussionmentioning
confidence: 99%
“…They repeatedly noted an increased ability to "be with" clients in an immediate and present manner. Although cognitive models of change can be helpful in working with clients' overwhelming emotions, creating change solely through such higher cortical regions is limiting because clients often lose their abilities to apply such learning in daily life when stress levels get elevated (Raio, Orederu, Palazzolo, Shurick, & Phelps, 2013).…”
Section: Person Of the Instructormentioning
confidence: 99%
“…Creating change solely through higher cortical regions is limiting because clients can lose their abilities to apply such learning in daily life when stress levels start to impede executive functioning (Raio, Orederu, Palazzolo, Shurick, & Phelps, 2013). Attending to subcortical experiences in counseling is likely to help clients identify and regulate those subcortical experiences outside of counseling, opening the possibility for deep and sustained change.…”
Section: Therapeutic Practicementioning
confidence: 99%
“…For example, interventions utilizing reappraisal result in decreased activation of the amygdala, the site of negative emotional valuation, as well as increased activation in prefrontal cortex, the site of executive control processes (Hartley and Phelps 2010). While these studies provide evidence supporting the efficacy of cognitive approaches, there is also empirical evidence that during times of stress or dysregulation, individuals are less likely to benefit from cognitive approaches to regulation (Raio et al 2013; Van der Kolk and Fisler 1994).…”
mentioning
confidence: 99%