Emotion regulation and emotional distress: The mediating role of hope on reappraisal and anxiety/depression in newly diagnosed cancer patients

Peh, Chao Xu; Liu, Jianlin; Bishop, George D.; Chan, Howard; Chua, Shi Min; Kua, Ee Heok; Mahendran, Rathi

doi:10.1002/pon.4297

Cited by 75 publications

(79 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Of the DERS subscales, difficulties with emotional clarity and strategies were the only significant pathways between resilience and distress, suggesting that they may be important unique mechanisms between the two factors. The use of emotion regulation strategies has previously been demonstrated as important in determining how one adjusts to cancer, but have mostly focused on one or two strategies at a time . This study is the first to show that as a whole, difficulties in accessing strategies to manage one's emotional response was significantly associated with increased distress.…”

Section: Discussionmentioning

confidence: 59%

“…The use of emotion regulation strategies has previously been demonstrated as important in determining how one adjusts to cancer, but have mostly focused on one or two strategies at a time. [27][28][29][30] This study is the first to show that as a whole, difficulties in accessing strategies to manage one's emotional response was significantly associated with increased distress.…”

Section: Discussionmentioning

confidence: 67%

“…A limitation of using the DERS is that the scale does not look at specific emotion regulation strategies, but rather at the overarching theme of difficulties in accessing emotion regulation strategies. Most of the literature on emotion regulation in cancer has focused on specific emotion regulation strategies such as reappraisal, suppression, restraint, and acceptance . This meant that little comparisons could be done in terms of these specific strategies and this sample.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer

et al. 2019

View full text Add to dashboard Cite

Objectives Distress in patients with cancer is a significant problem that affects up to 32% of patients. Yet research indicates that 35% of cancer patients do maintain high levels of well‐being. Resilience is one psychological factor implicated as being protective against distress; however, the mechanisms for this relationship are currently unknown. The present study aimed to explore emotion regulation as a potential mediator of the relationship between resilience and distress. Methods A cross‐sectional survey examining emotional regulation, resilience, and distress was completed by 227 patients from two hospitals with heterogeneous cancer types. Measures included the Difficulties in Emotion Regulation Scale (DERS), the Connor Davidson Resilience Scale, and the Depression, Anxiety, Stress Scale. Results Difficulties in emotion regulation and resilience explained 33.2% of the variance in distress. Resilience had a significant direct effect on distress, accounting for 15.8% of the variance. However, this effect was no longer significant when difficulties in emotion regulation were controlled for. The indirect effect through difficulties in emotion regulation was significant, b = 0.009, 95% CI [−0.013,−0.007], suggesting that the effect of resilience on distress was fully mediated by emotion regulation. Parallel mediation analyses also examined the differential effects of the six DERS subscales on the relationship between resilience and distress. Conclusion These findings suggest that emotion regulation is an important mediator of resilience in cancer. Hence, in patients with cancer, difficulties in emotion regulation (and the DERS specifically) might be a useful focus for screening for patients at risk of distress.

show abstract

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Expressive suppression is regarded as a maladaptive strategy and is positively correlated with depression and anxiety (Campbell-Sills et al, 2006). Reappraisal, in contrast, is negatively associated with depression and anxiety (Martin and Dahlen, 2005; Desrosiers et al, 2013; Garland et al, 2011; Peh et al, 2017). Importantly, reappraisal is an essential component of mindfulness meditation and interventions (Goleman and Schwartz, 1976; Feldman et al, 2010; Jha et al, 2010), and has been highlighted as one of the mechanisms through which mindfulness works (Hölzel et al, 2011).…”

Section: Introductionmentioning

confidence: 98%

Mindfulness and Symptoms of Depression and Anxiety in the General Population: The Mediating Roles of Worry, Rumination, Reappraisal and Suppression

et al. 2019

View full text Add to dashboard Cite

The present study examined the effects of mindfulness on depression and anxiety, both direct and indirect through the mediation of four mechanisms of emotional regulation: worry, rumination, reappraisal and suppression. Path analysis was applied to data collected from an international and non-clinical sample of 1151 adults, including both meditators and non-meditators, who completed an online questionnaire battery. Our results show that mindfulness are related to lower levels of depression and anxiety both directly and indirectly. Suppression, reappraisal, worry and rumination all acted as significant mediators of the relationship between mindfulness and depression. A similar picture emerged for the relationship between mindfulness and anxiety, with the difference that suppression was not a mediator. Our data also revealed that the estimated number of hours of mindfulness meditation practice did not affect depression or anxiety directly but did reduce these indirectly by increasing mindfulness. Worry and rumination proved to be the most potent mediating variables. Altogether, our results confirm that emotional regulation plays a significant mediating role between mindfulness and symptoms of depression and anxiety in the general population and suggest that meditation focusing on reducing worry and rumination may be especially useful in reducing the risk of developing clinical depression.

show abstract

“…Erstere korreliert v. a. mit einer adaptiven Anpassungsleistung und reduziert außerdem das Erleben negativer Emotionen und deren Auswirkungen. Bei Brustkrebspatientinnen stand die Strategie der kognitiven Umbewertung in positivem Zusammenhang mit Lebenszufriedenheit und korrelierte negativ mit Angst-und Depressivität [29,33]. Unterdrückung hingegen erzeugt ein Gefühl der Inkongruenz zwischen dem inneren und äußeren Ausdruck [34].…”

Section: Introductionunclassified

Einfluss von Emotionsregulation und emotionaler Erregung auf Lebensqualität und Adhärenz bei Paaren nach Nierentransplantation

Peters

Franke

Tkachenko

et al. 2018

Psychother Psych Med

View full text Add to dashboard Cite

show abstract

Emotion regulation and emotional distress: The mediating role of hope on reappraisal and anxiety/depression in newly diagnosed cancer patients

Abstract: The study findings suggest that hope mediated the association between reappraisal and anxiety/depression outcomes. Moreover, the high prevalence of anxiety and depression implies a need for healthcare providers to attend to the psychoemotional needs of newly diagnosed cancer patients.

Cited by 75 publications

References 37 publications

Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer

Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer

Mindfulness and Symptoms of Depression and Anxiety in the General Population: The Mediating Roles of Worry, Rumination, Reappraisal and Suppression

Einfluss von Emotionsregulation und emotionaler Erregung auf Lebensqualität und Adhärenz bei Paaren nach Nierentransplantation

Contact Info

Product

Resources

About