Emotion Regulation in Chronic Disease Populations: An Integrative Review

Wierenga, Kelly L.; Lehto, Rebecca H.; Given, Barbara

doi:10.1891/1541-6577.31.3.247

Cited by 62 publications

(51 citation statements)

References 40 publications

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“…Our metasynthesis showed that important themes raised by the participants, namely acceptance of the condition, increased emotion-regulation skills and reduced feelings of isolation, were only marginally represented in the quantitative outcome measures. Being diagnosed with a long-term physical condition does indeed entail an increased risk for higher depression and anxiety (Clarke & Currie, 2009;Patten, 2001), but it can also involve acceptance of and coping with the condition (Ambrosio et al, 2015), isolation (Ohman, Soderberg, & Lundman, 2003), self-blame (Callebaut, Molyneux, & Alexander, 2017) and emotion-regulation (Wierenga, Lehto, & Given, 2017) and it may be important to measure these outcomes. Furthermore, compassion-based interventions target both mental health difficulties and mental health resources (Bohlmeijer & Westerhof, in press), yet resources such as mental well-being (e.g.…”

Section: Discussionmentioning

confidence: 99%

Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review

Austin

Drossaert

Schroevers

et al. 2020

Psychology & Health

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Objective: Compassion-based interventions show promise in enhancing well-being and reducing distress, but little is known about their applications for people with long-term physical conditions. This study explores compassion-based interventions for this population: what are their differing elements (content, structure, tailoring, use of technology), feasibility and acceptability, effects and experienced benefits? Design: A mixed-methods systematic review was conducted. Four bibliographic databases were searched without study design restrictions. Meta-synthesis was used to integrate quantitative results of effects and qualitative results of experienced benefits. Results: Twenty studies met the inclusion criteria. Most studies targeted people with cancer or persistent pain. Interventions were either comprehensive with 6-12 face-to-face sessions, or brief based on a single compassion exercise. Feasibility and accessibility were highly rated by participants. Amongst a plethora of outcomes, reductions in depression and anxiety were the most common findings. Our qualitative synthesis yielded experienced benefits of (1) acceptance of the condition; (2) improved emotion regulation skills; (3) reduced feelings of isolation. There was minimal overlap between quantitative and qualitative outcomes. Conclusion: While the field is still in its infancy, this review highlights the potential benefits of compassion-based interventions for people with long-term physical conditions and discusses recommendations for further intervention research and development.

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Section: Discussionmentioning

confidence: 99%

Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review

Austin

Drossaert

Schroevers

et al. 2020

Psychology & Health

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“…The studies on the ER in chronical illness are still at the beginning and scarce in number. Among these studies, only a few are assessing the role of expressive suppression and cognitive reappraisal mechanisms (Wierenga et al, 2017). As far as we know, the present study is the first to investigate, in a multidimensional assessment, the expressive suppression mechanism in psoriasis.…”

Section: Discussionmentioning

confidence: 99%

Expressive Suppression and Negative Affect, Pathways of Emotional Dysregulation in Psoriasis Patients

2019

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The main goal of this study was to assess the emotion regulation (ER) mechanisms, such as expressive suppression and cognitive reappraisal, in patients with psoriasis, as compared with healthy persons not afflicted by dermatological diseases. Moreover, the study intended to carry on a multidimensional assessment of emotional mechanisms in persons with psoriasis, highlighting the differences between psoriasis patients and healthy participants, in order to identify the specific patterns of emotion dysregulation (ED) in psoriasis. Another goal of the study was to investigate the predictors of ED among different emotional patterns. We presumed that the maladaptive ER mechanisms are higher in psoriasis patients than in the control group and there are specific dysregulation patterns in psoriasis patients as negative emotions tendency. This cross-sectional study was performed on 192 individuals aged between 35 and 75 years (mean age 59). The sample was divided in two groups: the clinical group including 91 patients with a diagnosis of psoriasis vulgaris and the control group including 101 healthy persons. The results of the present study suggest that psoriasis patients more frequently used emotional suppression – a maladaptive ER mechanism – as well as ED patterns – i.e., impulse control difficulties, and nonacceptance of emotional responses. They also displayed trait tendency to a negative emotional response. In fact, in people with psoriasis, the presence of suppression mechanism and negative affect of trait could predict that 35% of patients will show emotional dysregulated patterns, while living with higher levels of ED. The results of our study are important in the clinical practice, helping clinicians to better understand the emotional vulnerability of people that live with psoriatic disease, and to optimize the disease management and patient care in an interdisciplinary approach.

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“…Participants expressed intense demands on emotional support. [39][40][41] Health professionals are expected more to value empathy, understanding, and reassurance on what patients are suffering because they are trained to be so. 42,43 Offered with peers' experiences, patients could absorb practical knowledge from peers to meet their own self-management needs.…”

Section: Discussionmentioning

confidence: 99%

<p>Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study</p>

Qiu¹,

Schick‐Makaroff²,

Tang³

et al. 2020

PPA

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Purpose: This study is aiming to investigate cardiovascular patients' attitudes towards selfmanagement during hospitalization in China. Patients and Methods: Twenty-nine individuals living with cardiovascular disease from one designated Cardiology Department in Hangzhou, China, were recruited through a purposive sampling procedure. A qualitative descriptive methodology was used. Semi-structured interviews were also used to gain attitudes toward self-management. The interviews were audiorecorded, transcribed and analyzed by thematic analysis to develop the results. Results: Four themes were identified from the qualitative data: (1): Responsibilities of selfmanagement; (2): Reflections on self-management; (3): Acknowledgement of self-management support; (4): Challenges in implementing and adherence to self-management. Additionally, interview data were also given to illustrate these main themes emerging during the analysis. Patients gradually took their responsibilities to manage chronic symptoms. During their self-management process, they did reflections to help correct their regiments through supportive interactions. Health system responsiveness, health disparities, social capital, and cultural setting were the main external factors influencing better self-management implementation and adherence. Conclusion: This study revealed the hospitalized cardiovascular patients' attitudes towards self-management in China. These findings emphasized the importance of patients' responsibility, reflections, and various social support receiving and pointed out specific external factors influencing the health outcomes and their quality of life. This study also proves the guide for the policymakers and health system better instructions to develop individually and culturally tailored advanced self-management interventions and programs.

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Emotion Regulation in Chronic Disease Populations: An Integrative Review

Cited by 62 publications

References 40 publications

Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review

Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review

Expressive Suppression and Negative Affect, Pathways of Emotional Dysregulation in Psoriasis Patients

<p>Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study</p>

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