The alexithymia, emotion regulation, emotion regulation difficulties, positive and negative affects, and suicidal risk in alcohol-dependent outpatients

Ghorbani, Fatemeh; Khosravani, Vahid; Bastan, Farangis Sharifi; Ardakani, Razieh Jamaati

doi:10.1016/j.psychres.2017.03.005

Cited by 95 publications

(61 citation statements)

References 55 publications

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“…This appears to be supported by multiple evidence of a significant predictive role played by alexithymia (a condition characterised by pervasive deficits of emotional awareness; Lane et al, 2000) in emotion recognition impairments both when it manifests alone (Lane et al, 2000(Lane et al, , 1996, as well as when it is part of other clinical conditions, such as autism (Cook et al, 2013) and eating disorders (Brewer et al, 2015). Moreover, alexithymia measures often show high correlation levels with many of the DERS subscales, including the AWARE one (Ghorbani et al, 2017;Stasiewicz et al, 2012). In contrast, current evidence on alexithymia in HD is extremely limited, as a recent systematic review identified only one study that reported no significant impairment in symptomatic individuals (Ricciardi et al, 2015).…”

Section: Discussionmentioning

confidence: 90%

Exploring emotion regulation and emotion recognition in people with presymptomatic Huntington's disease: The role of emotional awareness

et al. 2018

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Interest in the role of both emotion regulation and recognition in our understanding of mental health has been steadily increasing, especially in people with chronic illness who also have psychological difficulties. One illness which belongs to this category is Huntington's disease. Huntington's disease (HD) is a chronic neurodegenerative disorder that can cause a number of cognitive and psychological difficulties, including emotion recognition deficits, even before the onset of the symptoms required to make a formal diagnosis. Despite the lack of definite evidence, recent studies have suggested that deficits of emotion regulation and recognition may be expected to play a pivotal role in the early cognitive manifestations of HD. In this study, we hypothesised that the ability to regulate emotions can be impaired in people with presymptomatic HD, and that such impairment may be associated with a deficit of emotion recognition. To test this, an online survey was carried out with 117 English and Italian-speaking people with presymptomatic HD, compared to 217 controls matched for age and education. The results suggest that, in presymptomatic participants, emotion regulation and emotion recognition are generally not significantly impaired, and no significant relationships between performances on the two constructs were observed. However, a specific impairment in emotional awareness (a subscale on the Difficulties in Emotion Regulation Scale, DERS) was observed, which appears to be enhanced by the co-occurrence of depressive symptoms, even at a subclinical level. Consequently, it is suggested that difficulties in emotional awareness may represent a precursor of more general emotion recognition impairments, which only become apparent as the disease reaches a more symptomatic level. Clinical implications of the findings are discussed and directions for future research are proposed.

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Section: Discussionmentioning

confidence: 90%

Exploring emotion regulation and emotion recognition in people with presymptomatic Huntington's disease: The role of emotional awareness

et al. 2018

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“…Previous research has demonstrated support for the validity of the DERS. The DERS and its subscales has shown correlations with other scales measuring related aspects of emotion regulation, such as alexithymia, levels of positive and negative affect, experiential avoidance and suppression, in other populations including individuals with alcohol dependence, chronic pain, and aggression as well in psychiatric inpatient adolescents (e.g., Ghorbani et al 2017;Kökönyei et al 2014;Velotti et al 2016;Venta et al 2012). Levels of emotion regulation difficulties as measured by the DERS have also been found to be associated with different kinds of psychopathology such as personality disorders, posttraumatic stress disorders, depression and anxiety (e.g., Gratz et al 2006;Sloan et al 2017;Tull and Roemer 2007;Villalta et al 2018;Visted et al 2018).…”

mentioning

confidence: 99%

Factor Structure of the Difficulties in Emotion Regulation Scale in Treatment Seeking Adults with Eating Disorders

Nordgren

Monell

Birgegård

et al. 2019

J Psychopathol Behav Assess

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The Difficulties in Emotion Regulation Scale (DERS) is extensively used as a measure of emotion (dys-)regulation ability in both clinical and nonclinical populations. This is the first study to examine the factor structure of both the original 36-item and short 16-item version of the DERS in adults with eating disorders and to test measurement invariance across diagnostic subgroups. The factor structure of the scale was examined using confirmatory factor analysis in a psychiatric sample of adults with eating disorders (N = 857). Four primary factor structures were fitted to the data: (1) a unidimensional model, (2) a six-factor correlated-traits model, (3) a higher-order factor solution, and (4) a bifactor model. Measurement invariance was tested for diagnostic subgroups of anorexia nervosa and bulimia nervosa and associations between factors and eating pathology were examined in each diagnostic group. Results indicated that a modified bifactor solution fitted the data adequately for both the 36-item and 16item version of the DERS. A general factor explained most of the variance (86%) and reliability was high for the general factor of DERS (total) but lower for the subscales. Measurement invariance of the bifactor model was supported across diagnostic subgroups and test of factor means reveled that bulimia nervosa had a higher factor mean than anorexia nervosa on the general factor. The general factor accounted for a significant proportion of variance in eating pathology. Our results support the use of the total scale of both the 36-item and 16-item version among adults with eating disorders.

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“…Moreover, evidence has identified depression as a critical factor in triggering a general decrease in coping skills and resilience (Penland, Masten, Zelhart, Fournet, & Callahan, 2000), especially in people affected by neurodegenerative disorders (Baquero, 2015). Considering the pivotal role played by emotion regulation strategies in the successful implementation of coping skills and resilience (Ghorbani et al, 2017;Gross & Muñoz, 1995;Hasking et al, 2010;van der Meer et al, 2015), it could be hypothesised that the combinations of these mechanisms may contribute to the development of a unhelpful circle of regulation difficulties and psychological difficulties. More specifically, suboptimal coping and resilience due to depression would lead to depleted emotion regulation skills, which would in turn contribute to higher levels of depression, in a mechanism that increases in severity along with disease progression.…”

Section: Implications For Clinical Practicementioning

confidence: 99%

“…As mentioned previously, emotion recognition (both facial and EBL) and emotion regulation are likely to influence each other (Ochsner, 2009) and play an essential role in the successful operation of social skills as well as psychological resilience (de Gelder & Hortensius, 2014;Ghorbani et al, 2017;Gross & Muñoz, 1995). Given the theoretical arguments for evidence of such deficits in individuals with HD, a deeper understanding of the extent to which the disease affects these cognitive components would allow for a refinement of current cognitive and behavioural approaches to care and treatment.…”

Section: Introductionmentioning

confidence: 99%

“…More specifically, it involves the processes of selecting and modifying potential emotional situations, deploying attention, changing one's perspectives on emotions, and modulating emotional responses (Gross, 1998;. In the last 20 years this area has seen a considerable increase in interest due to the recognition of its importance for psychological resilience and mental health (Aldao, Nolen-Hoeksema, & Schweizer, 2010;Ghorbani, Khosravani, Sharifi Bastan, & Jamaati Ardakani, 2017;Gross & Muñoz, 1995;van der Meer, van Duijn, Giltay, & Tibben, 2015).…”

Section: Introductionmentioning

confidence: 99%

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New Perspectives on Emotional Processing in People with Symptomatic Huntington’s Disease: Impaired Emotion Regulation and Recognition of Emotional Body Language†

Zarotti

Fletcher

Simpson

2018

Archives of Clinical Neuropsychology

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Objective Emotion regulation and emotional body language (EBL) recognition represent two fundamental components of emotional processing that have recently seen a considerable surge in research interest, in part due to the role they play in optimizing mental health. This appears to be particularly true for clinical conditions that can profoundly affect emotional functioning. Among these is Huntington’s disease (HD), a neurodegenerative disorder that is associated with several psychological difficulties and cognitive impairments, including well-established deficits in facial emotion recognition. However, although the theoretical case for impairments is strong, the current evidence in HD on other components such as emotion regulation and EBL recognition is sparse. Method In this study, it was hypothesized that emotion regulation and recognition of EBL are impaired in people with symptomatic HD, and that these impairments significantly and positively correlate with each other. A between-subjects design was adopted to compare 13 people with symptomatic HD with 12 non-affected controls matched for age and education. Results The results showed that emotion regulation and EBL recognition were significantly impaired in individuals with HD. Moreover, a significant positive correlation was observed between facial and EBL recognition impairments, whereas EBL performance was negatively related to the disease stage. However, emotion regulation and recognition performances were not significantly correlated. Conclusions This investigation represents the first evidence of a deficit of emotion regulation and EBL recognition in individuals with HD. The clinical implications of these findings are explored, and indications for future research are proposed.

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The alexithymia, emotion regulation, emotion regulation difficulties, positive and negative affects, and suicidal risk in alcohol-dependent outpatients

Cited by 95 publications

References 55 publications

Exploring emotion regulation and emotion recognition in people with presymptomatic Huntington's disease: The role of emotional awareness

Exploring emotion regulation and emotion recognition in people with presymptomatic Huntington's disease: The role of emotional awareness

Factor Structure of the Difficulties in Emotion Regulation Scale in Treatment Seeking Adults with Eating Disorders

New Perspectives on Emotional Processing in People with Symptomatic Huntington’s Disease: Impaired Emotion Regulation and Recognition of Emotional Body Language†

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