Investigating the role of beliefs about emotions, emotional suppression and distress within a pain management programme for fibromyalgia

Bowers, Hannah; Pincus, Tamar; Jones, Gareth T.; Wroe, Abigail L.

doi:10.1177/2049463718820882

Cited by 5 publications

(5 citation statements)

References 32 publications

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“…The results related to difficulties in emotion regulation, which were measured through the subscales of DERS, appear to be statistically irrelevant to predict the attentional performance. Although the role of emotion regulation and its relationship with attentional processes have been reported and some researchers suggested the importance of the difficulties in emotion regulation among patients with chronic pain [64][65][66][67][68][69], these findings do not appear to be supported by our data. Hence we could not find that difficulties in emotion regulation are associated with an interference in executive attention, where sustained attention can be included.…”

Section: Plos Onecontrasting

confidence: 99%

“…Furthermore, the authors point out that it seems to be an indirect bidirectional relationship between emotion regulation strategies and pain outcomes in these patients. Other types of studies tended to lead to the same conclusion, they confirm that the difficulties in emotion regulation are linked to more intense pain, greater disability, and/or heightened emotional conflict in this population [64][65][66][67][68][69]. However, despite the reports on the relationship between these variables, its operating mechanisms are still unknown, although taking account of all available evidence, one might conclude that a deficit in this ability might modify both attentional processes and the experience of pain in these patients.…”

Section: Introductionmentioning

confidence: 64%

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Emotional affection on a sustained attention task: The importance the aging process and depression

et al. 2020

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Chronic pain is a complex experience that has now become a major public health issue. This has prompted many researchers to study attention, understanding it to be a crucial factor that allows altering the experience of pain, while attributing considerable importance to sustained attention. Accordingly, the main studies in this field stress the importance of emotion regulation processes and emotions on the perception of painful stimuli and attentional processes themselves. Nevertheless, only a handful of studies have been found that directly study the relationship between these variables. Within this context, this article sets out to analyse emotional regulation processes, emotional variables (depression and anxiety), the experience of pain, and age on the ability to maintain the vigilance response in a sample of patients with chronic pain. This involved selecting a sample of 49 patients with rheumatoid arthritis and examining their performance in an ad-hoc sustained attention test. With a view to complying with the study's main purpose, the participants were also assessed through the use of the following self-report measures: the Beck Depression Inventory (BDI-I); the Hospital Anxiety and Depression Scale (HADS); the McGill Pain Questionnaire, and the Difficulties in Emotion Regulation Scale (DERS). Linear regression analyses revealed a significant impact of the aging process on the performance times in the attention task. Likewise, age and depression recorded a significant correlation with the mistakes made during the task. These results suggest that higher depression levels and an older age might be related to a worse adaptation to pain management techniques based on attention processes, such as mindfulness.

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Section: Plos Onecontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 64%

Emotional affection on a sustained attention task: The importance the aging process and depression

et al. 2020

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“…As standardized treatment and pharmacotherapy in fibromyalgia are often unsuccessful [ 89 ], psychotherapeutic strategies are being used more frequently to treat pain as well as the emotional difficulties and psychiatric comorbidities. Some of these therapies emphasize emotional awareness and regulation [ 15 , 90 , 91 ]. Other therapeutic strategies include neuromodulation techniques [ 92 , 93 ].…”

Section: Discussionmentioning

confidence: 99%

“…It has been described that patients with fibromyalgia experience emotions with higher intensity and arousal than controls [ 13 , 14 ]. Additionally, fibromyalgia patients use expressive suppression more frequently as an emotion regulation strategy when compared to controls [ 14 , 15 ]. Expressive suppression is a strategy frequently associated with psychopathology [ 16 ], and it is considered to be maladaptive because when compared to reappraisal, it fails to effectively reduce negative affect and results in increased arousal [ 13 , 14 , 17 ], although findings are not fully consistent [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Abnormal functional neurocircuitry underpinning emotional processing in fibromyalgia

Balducci

Garza‐Villarreal

Valencia

et al. 2023

Eur Arch Psychiatry Clin Neurosci

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Fibromyalgia, a condition characterized by chronic pain, is frequently accompanied by emotional disturbances. Here we aimed to study brain activation and functional connectivity (FC) during processing of emotional stimuli in fibromyalgia. Thirty female patients with fibromyalgia and 31 female healthy controls (HC) were included. Psychometric tests were administered to measure alexithymia, affective state, and severity of depressive and anxiety symptoms. Next, participants performed an emotion processing and regulation task during functional magnetic resonance imaging (fMRI). We performed a 2 × 2 ANCOVA to analyze main effects and interactions of the stimuli valence (positive or negative) and group (fibromyalgia or HC) on brain activation. Generalized psychophysiological interaction analysis was used to assess task-dependent FC of brain regions previously associated with emotion processing and fibromyalgia (i.e., hippocampus, amygdala, anterior insula, and pregenual anterior cingulate cortex [pACC]). The left superior lateral occipital cortex showed more activation in fibromyalgia during emotion processing than in HC, irrespective of valence. Moreover, we found an interaction effect (valence x group) in the FC between the left pACC and the precentral and postcentral cortex, and central operculum, and premotor cortex. These results suggest abnormal brain activation and connectivity underlying emotion processing in fibromyalgia, which could help explain the high prevalence of psychopathological symptoms in this condition.

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“…The BES has been utilized in various studies exploring and intervening in individuals with chronic fatigue syndrome [5,[18][19][20], irritable bowel syndrome [6,14,21], anorexia and bulimia nervosa [4], perfectionism [22][23][24], depression [20,23,24], anxiety [20], and fibromyalgia [21,25].…”

Section: Introductionmentioning

confidence: 99%

Validation of the South Korean Version of the Beliefs about Emotions Scale

2022

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Background Beliefs about the unacceptability of experiencing or expressing negative emotions can contribute to diverse psychological symptoms and associated with poor treatment outcomes and low treatment attempts. The Beliefs about Emotions Scale (BES) was developed to assess such beliefs based on the cognitive-behavioral models; however, no study has reported on the psychometric properties of the BES in Korea. The present study aimed to cross-culturally adapt and validate the BES for the Korean population (BES-K). Methods The BES-K was administered to 592 Korean adults (323 men and 269 women) aged 20–59 years. Exploratory and confirmatory factor analysis were used to assess the factor model of the scale. Pearson correlation coefficients were used to evaluate the relationships between the BES-K and other psychological measures. Results The result showed a two-factor model of the BES-K, with Factor 1 relating to Interpersonal and Factor 2 representing Intrapersonal aspects. The scale had significant yet moderately low correlations with measures of depression, anxiety, and difficulties in emotion regulation. Conclusion The BES-K is a useful instrument in evaluating the beliefs about emotions in the Korean population.

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Investigating the role of beliefs about emotions, emotional suppression and distress within a pain management programme for fibromyalgia

Cited by 5 publications

References 32 publications

Emotional affection on a sustained attention task: The importance the aging process and depression

Emotional affection on a sustained attention task: The importance the aging process and depression

Abnormal functional neurocircuitry underpinning emotional processing in fibromyalgia

Validation of the South Korean Version of the Beliefs about Emotions Scale

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