Recharge: a preliminary evaluation of an emotion regulation enhanced CBT-i intervention for insomnia in early adolescence

2019 ◽  
Vol 48 (1) ◽  
pp. 121-126
Author(s):  
Luka Byrne ◽  
Caroline Donovan ◽  
Amy Shiels
Keyword(s):  
Quality Of Life ◽  
Emotion Regulation ◽  
Early Adolescence ◽  
Individual Therapy ◽  
Preliminary Evaluation ◽  
Sleep Onset Latency ◽  
Emotion Regulation Strategies ◽  
Regulation Strategies

AbstractBackground:Insomnia disorder in adolescence is prevalent, persistent and associated with adverse outcomes, including reduced quality of life. Cognitive behavioural therapy for insomnia (CBT-i) has shown promise as an effective treatment for adolescents. Recent research has highlighted the role of emotion regulation in insomnia, suggesting that the inclusion of emotion regulation techniques may enhance CBT-i.Aims:To evaluate the feasibility and preliminary effectiveness of a CBT-i treatment program for insomnia in early adolescence, augmented with emotion regulation strategies, using a case-series design.Method:Three participants (mean 11.67 years) completed the program that consisted of seven, weekly individual therapy sessions and parental participation. Participants monitored their sleep daily during the intervention, and insomnia diagnostic status and severity, use of emotion regulation strategies and quality of life were assessed at baseline, post-intervention and at 6-week follow-up.Results:At post-treatment, none of the participants met criteria for insomnia and all reported statistically reliable reductions in symptoms. Improvements were maintained at follow-up for two participants. Sleep onset latency was reduced and improvements in quality of life were evident. There were no changes in the use of emotion regulation strategies following treatment. Adolescents and parents reported high program satisfaction.Conclusions:This preliminary evaluation provides support for the effectiveness of the CBT-i program tested. However, given that emotion regulation did not change and yet improvements in sleep were evident, the usefulness of augmenting the program with emotion regulation strategies requires further evaluation.

The interplay between emotion regulation, emotional well-being and cognitive functioning in brain tumor patients and their caregivers

2019 ◽  
Author(s):  
Hannelore Aerts ◽  
Tineke Van Vrekhem ◽  
Lara Stas ◽  
Daniele Marinazzo
Keyword(s):  
Quality Of Life ◽  
Emotion Regulation ◽  
Brain Tumor ◽  
Cognitive Functioning ◽  
Tumor Resection ◽  
Well Being ◽  
Emotion Regulation Strategies ◽  
Tumor Patients ◽  
Regulation Strategies

Objective: Brain tumor patients may suffer from a range of health-impairing problems reducing their quality of life. To identify potential targets for interventions, we examined the influence of different emotion regulation strategies on emotional well-being and cognitive functioning as indices of quality of life in patients and their caregivers in the early phase of treatment. Methods: To this end, we conducted a longitudinal study, measuring emotion regulation, emotional well-being and cognitive functioning on the day before each patient’s tumor resection (28 patients and 11 caregivers) and several months after neurosurgery (22 patients and 10 caregivers).Results: Results showed emotion regulation strategies are relatively stable from pre- to post-operative assessment. Nevertheless, several associations between emotion regulation strategies and quality of life indices were evident after tumor resection. In particular, our results were largely in line with previous research findings in healthy and other patient populations, corroborating the adaptive character of cognitive reappraisal, whereas suppression and expression of emotions were related to reduced cognitive and affective functioning, respectively.Conclusions: Based on these results, we suggest that further intervention or qualitative studies explore whether therapeutic interventions directed towards mastery of cognitive reappraisal techniques and appropriate expression of emotions could lead to improved long-term adjustment among brain tumor patients and their caregivers.

scholarly journals The role of cognitive emotion regulation strategies in health related quality of life of breast cancer patients

2020 ◽  
Vol 77 (10) ◽  
pp. 1032-1040
Author(s):  
Aleksandra Kovac ◽  
Snezana Tovilovic ◽  
Vojislava Bugarski-Ignjatovic ◽  
Svetlana Popovic-Petrovic ◽  
Milanka Tatic
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Emotion Regulation ◽  
Health Related Quality ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Related Quality ◽  
Health Related ◽  
Regulation Strategies

Background/Aim. Breast cancer is often accompanied by patients? unpleasant emotional states, which can significantly affect both the undergoing treatment and the quality of life of patients. The aim of this study was to examine the mediating role of cognitive emotion regulation strategies in relation between emotional distress and various aspects of patients? quality of life, which would further indicate different psychotherapeutic interventions in psycho-oncological practice. Methods. The sample consisted of 97 breast cancer patients. Emotional distress was measured by the Depression Anxiety Stress Scale (DASS-21), cognitive emotion regulation strategies were measured using the Cognitive emotion Regulation Questionnaire (CERQ-36), while various aspects of health related quality of life were assessed using the Functional Assessment of Cancer Therapy-Breast (FACT-B) questionnaire. Multiple simultaneous mediations between variables were established using the process macro INDIRECT for SPSS. Results. Positive refocusing had positive effects both on physical [a = -0.83, b = 0.50, ab = - 0.42, standard error (SE) = 0.14; 95% confidence interval (CI) = 0.17 ? 0.83] and emotional well-being (a = -0.83, b = 0.29, ab = 0.24, SE = 0.13; 95% CI = -0.01 ? 0.58) of the patients. Rumination negatively affected emotional wellbeing (a = -0.75, b = -0.33, ab = -0.25, SE = 0.16; 95% CI = -0.71 ? -0.01) of the patients. Catastrophizing had a negative impact on social (a = 0.96, b = 0.12, ab = -0.12, SE = 0.13; 95% CI = -0.33 ? -0.13) and functional well-being of the patients (a = 0.96, b = -0.16, ab = -0.15, SE = 0.09; 95% CI = -0.32 ? -0.01). Conclusion. Positive refocusing, rumination and catastrophizing are significant cognitive coping strategies through which the intensity of emotional distress significantly changes, and this can be subsequently reflected in different aspects of patients? health related quality of life. The above mentioned implies potential benefits of implementation of cognitive-behavioral trainings and interventions directed towards acquiring adaptive cognitive emotion regulation strategies, in order to improve the quality of life of breast cancer patients.

Forgiveness and health-related quality of life in older people: Adaptive cognitive emotion regulation strategies as mediators

2016 ◽  
Vol 21 (12) ◽  
pp. 2944-2954 ◽  
Author(s):  
Lourdes Rey ◽  
Natalio Extremera
Keyword(s):  
Quality Of Life ◽  
Emotion Regulation ◽  
Health Related Quality ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Coping Process ◽  
Related Quality ◽  
Health Related ◽  
Regulation Strategies

This study examined whether adaptive cognitive emotion regulation strategies mediate the relationship between forgiveness and health-related quality of life in a sample of 350 Spanish people aged 55 years and older. Positive refocusing and positive reappraisal strategies partially mediated the relation between forgiveness and mental health. Thus, focusing on planning partially mediated the relation between forgiveness and physical health. Our findings contribute to an emerging understanding of the underlying coping process between forgiveness and health outcomes and might provide preliminary insight for potential intervention for increasing quality of life via the promotion of forgiveness and adaptive coping in the elderly.

Emotion regulation from early adolescence to emerging adulthood and middle adulthood

2014 ◽  
Vol 38 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Peter Zimmermann ◽  
Alexandra Iwanski
Keyword(s):  
Emotion Regulation ◽  
Early Adolescence ◽  
Methodological Approach ◽  
Developmental Changes ◽  
Middle Adulthood ◽  
Emotion Regulation Strategies ◽  
Age Related ◽  
Emotion Regulation Strategy ◽  
Regulation Strategies ◽  
Age Range

Despite the growing research on emotion regulation, the empirical evidence for normative age-related emotion regulation patterns is rather divergent. From a life-span perspective, normative age changes in emotion regulation may be more salient applying the same methodological approach on a broad age range examining both growth and decline during development. In addition, emotion-specific developmental patterns might show differential developmental trends. The present study examined age differences in seven emotion regulation strategies from early adolescence (age 11) to middle adulthood (age 50) for the three emotions of sadness, fear, and anger. The results showed specific developmental changes in the use of emotion regulation strategies for each of the three emotions. In addition, results suggest age-specific increases and decreases in many emotion regulation strategies, with a general trend to increasing adaptive emotion regulation. Specifically, middle adolescence shows the smallest emotion regulation strategy repertoire. Gender differences appeared for most emotion regulation strategies. The findings suggest that the development of emotion regulation should be studied in an emotion-specific manner, as a perspective solely on general emotion regulation either under- or overestimates existing emotion-specific developmental changes.

An evaluation of an emotion regulation programme for people with an intellectual disability

2014 ◽  
Vol 35 (3) ◽  
pp. 105-118 ◽  
Author(s):  
Jenna McWilliams ◽  
Ian de Terte ◽  
Janet Leathem ◽  
Sandra Malcolm
Keyword(s):  
Emotion Regulation ◽  
Intellectual Disability ◽  
Control Group ◽  
Emotion Regulation Strategies ◽  
Content Type ◽  
Regulation Strategies ◽  
Continued Use ◽  
Treatment Gains ◽  
Larger Sample

Purpose – The purpose of this paper is to examine the effectiveness of the Transformers programme on individual's use of appropriate emotion regulation strategies. Design/methodology/approach – Five people with an intellectual disability participated in the Transformers programme and took part in the current study. The intervention was evaluated using the Profile of Anger Coping Skills (PACS) and incident reports. The PACS was completed by participants and their caregivers. Findings – The majority of participants demonstrated increases in self- and caregiver-reported use of appropriate emotion regulation strategies following their involvement in the Transformers programme. However, treatment gains were not always maintained at follow-up. Three of the participants also exhibited fewer incidents of challenging behaviour after taking part in the programme. Originality/value – Overall, the results provide preliminary support for the continued use of the Transformers programme with people with an intellectual disability who have emotion regulation difficulties. It is recommended that further research be carried out with a larger sample size, a control group, and a longer follow-up period.

scholarly journals The Effectiveness of Acceptance-based Emotion Regulation Group Therapy on Diabetes Control Scale in Patients with Type 2 Diabetes: A Simple Randomized Controlled Study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Elnaz Hajati ◽  
Banafsheh Gharraee ◽  
Fahimeh Fathali Lavasani ◽  
Hojjatollah Farahani ◽  
Asadollah Rajab
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Emotion Regulation ◽  
Group Therapy ◽  
Self Care ◽  
Control Group ◽  
Post Test

Background: The prevalence of diabetes is on the rise, and the lack of regular self-care activities can exacerbate this disease. Therefore, finding effective and short-term treatments is needed for these patients. Objectives: The purpose of this study was to investigate the effectiveness of acceptance-based emotion regulation group therapy in controlling diabetes in patients with type 2 diabetes. Methods: This experimental study included the three stages of pre-test, post-test, and six-month after follow-up, as well as a control group. The statistical sample consisted of 33 patients with type 2 diabetes referred to the Iranian Diabetes Association, of whom 16 patients were allocated to the intervention group and 17 to the control group. The study was conducted in Tehran in 2019 - 2020. Acceptance-based emotion regulation group therapy lasted 14 weeks, during which some aspects of acceptance and commitment therapy, dialectical therapy, and emotion-focused treatment were combined and provided to the patients. The questionnaires used were the Summary of Diabetes Self-care activities (SDSCA) and Diabetes Dependent Quality of Life scale. Also, a structured DSM-V clinical interview was performed, and glycosylated hemoglobin (HbA1c) was measured. To analyze the data, mixed design ANOVA was run in SPSS version 21. Results: The findings revealed that the mean difference between pre-test and post-test in the experimental group was significant for the variables of HbA1c, quality of life, and self-care while the mean difference between the post-test and follow-up was not significant for HbA1c (P = 0.17) and quality of life (P = 0.27), indicating the stability of the therapeutic effect after six months of the intervention. Based on the present findings, acceptance-based emotion regulation group therapy led to a decrease in HbA1c and an increase in self-care and quality of life in patients with type 2 diabetes. Conclusions: Our results showed that acceptance-based emotion regulation group therapy improved self-care, quality of life, and HbA1c in type 2 diabetic patients, so it can be used as a complementary intervention along with medical treatments.

scholarly journals The Relationships Between Early Maladaptive Schemas, Quality of Life and Self-care Behaviors in a Sample of Persons Living with HIV: The Potential Mediating Role of Cognitive Emotion Regulation Strategies

2020 ◽  
Vol 14 (1) ◽  
pp. 100-107
Author(s):  
SeyedAhmad SeyedAlinaghi ◽  
Mehrzad MohsseniPour ◽  
Elahe Aghaei ◽  
Fariba Zarani ◽  
Jalil Fathabadi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emotion Regulation ◽  
Short Form ◽  
Self Care ◽  
Early Maladaptive Schemas ◽  
Maladaptive Schemas ◽  
Cognitive Emotion Regulation ◽  
Regulation Strategies ◽  
Living With Hiv

Introduction: People who are living with HIV often experience physical as well as psychological challenges. Therefore, the aim of this descriptive, correlational study was to explore the potential mediating role of cognitive emotion regulation strategies in the relationships between early maladaptive schemas, quality of life, and self-care behavior in patients with HIV/AIDS. Methods: In the first half of 2017, patients with HIV/AIDS (N=240) were recruited from an HIV clinic in Tehran, Iran. A self-report questionnaire included the Young Schema Questionnaire-Short Form (YSQSF), Short Form Health Survey (SF-36), short form of Cognitive Emotion Regulation Questionnaire (CERQ), and a self-care behaviors questionnaire. The data analysis involved using advanced statistical techniques for structural equation modeling. Results: There were significant, inverse relationships between all five areas of early maladaptive schemas and positive cognitive emotional regulation strategies, self-care behaviors, and quality of life. Also, there were significant, positive relationships between all five areas of early maladaptive schemas and negative cognitive and emotional regulation strategies. Conclusion: The findings suggest that practical interventions to reduce maladaptive responses may result in healthier outcomes for persons living with HIV.

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