scholarly journals AN EMOTION REGULATION THERAPY FOR LATER-LIFE PAIN: EVIDENCE OF EARLY TREATMENT EFFECTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S622-S622
Author(s):  
Emily Petti ◽  
Dimitris Kiosses ◽  
Lisa Ravdin ◽  
Charles Henderson ◽  
Lauren Meador ◽  
...  
Keyword(s):  
Older Adults ◽  
Emotion Regulation ◽  
Repeated Measures ◽  
Treatment Effects ◽  
Treatment Time ◽  
Negative Emotions ◽  
Cognitively Impaired ◽  
Emotional Suppression ◽  
Wide Range ◽  
Cognitively Intact

Abstract Chronic pain (CP) is a common, morbid, and costly disorder in older adults. Guidelines encourage clinicians to employ non-pharmacologic therapies for its management, but current psychological interventions (e.g., CBT for pain) have modest treatment benefits and their effects are largely unknown in older cognitively impaired adults. We developed PATH-Pain, an emotion regulation therapy focused on reducing negative emotions and augmenting positive emotions. PATH-Pain is appropriate for use by older adults with CP, negative emotions, and a wide range of cognitive functioning. Treatment consists of 8 weekly individual sessions followed by 4 monthly booster sessions. One hundred older adults (ages 60+) with CP (≥ 3 months) and at least mild-to-moderate levels of negative emotions (per the Positive and Negative Affect Schedule) were randomized to receive PATH-Pain versus Usual Care (UC). Cognitive screening revealed that 44 participants were cognitively intact (Montreal Cognitive Assessment (MoCA) score ≥26), while 56 evidenced mild-to-moderate cognitive impairment (MoCA=16-25). Participants completed follow-ups at 5 (n=89) and 10 weeks (n=84), while 24-week assessments are ongoing. Examination of the treatment × time interaction in a repeated-measures mixed model indicate the presence of treatment effects. PATH-Pain (vs. UC) participants experienced significant reductions in pain intensity (p<0.044) and pain-related disability (p<0.003). Reductions in pain-related disability score were more pronounced among cognitively impaired individuals. The PATH-Pain group also demonstrated significant reductions in emotional suppression (p<0.019) and depression (p<0.009) scores. These results suggest that PATH-Pain is an effective treatment for the management of pain in cognitively intact and cognitively impaired older adults.

On the Outside Looking In: Distress and Sympathy for Ethnic Victims of Violence by Out-Group Members

2017 ◽  
Vol 17 (3-4) ◽  
pp. 199-217
Author(s):  
Nakia S. Gordon ◽  
Samantha A. Chesney
Keyword(s):  
Emotion Regulation ◽  
Emotional Reactivity ◽  
Negative Emotions ◽  
Emotional Suppression ◽  
Group Evaluation ◽  
Before And After ◽  
Group Members ◽  
Victims Of Violence ◽  
The Individual ◽  
Abu Ghraib Prison

Abstract It is well documented that individuals respond with negative emotions to racial and ethnic out-groups. Yet, it is unknown whether the responses are a measure of simple emotional reactivity or if they are also influenced by emotion regulation. Given the importance of emotions in out-group evaluation (see Intergroup Emotion Theory; Smith and Mackie, 2008), we investigated emotional reactivity and regulation in response to out-group victimization. Forty-one undergraduates completed the Emotion Regulation Questionnaire and viewed three sets of images: lynching of African-Americans, torture of Abu Ghraib prison detainees, and iaps images depicting graphic violence. Participants rated 13 emotions before and after viewing the images. A factor analysis identified four emotional response categories: Distress, Sympathy, Arousal and Avoidance. Analyses at both the individual emotion level and factor level indicated that negative emotions (e.g., anger, disgust, and guilt) were greater in response to violence against ethnic groups relative to violence depicted in the iaps images. Emotional suppression predicted blunted distress and arousal to ethnic victimization. These findings highlight that emotional responses to out-group victimization are complex and tempered by emotional suppression. Individuals’ emotion regulation may provide further insight into responses to ethnic and racial out-groups.

scholarly journals The simultaneous use of Emotional suppression and Situation selection to regulate emotions incrementally favors physiological responses

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Simon Thuillard ◽  
Elise S. Dan-Glauser
Keyword(s):  
Emotion Regulation ◽  
Repeated Measures ◽  
Emotional Responses ◽  
Cardiac Activity ◽  
Emotion Regulation Strategies ◽  
Emotional Suppression ◽  
Negative Experience ◽  
Regulation Strategies ◽  
Simultaneous Use ◽  
The Impact

Abstract Background Emotion regulation alters the trajectories of emotional responses and, when effective, transforms the emotional responses to help individuals adapt to their environment. Previous research has mainly focused on the efficiency of regulation strategies performed individually at a given time. Yet, in daily life, it is likely that several strategies are often combined. Thus, we question in this study the combinatorial efficiency of two emotion regulation strategies, Situation selection and Emotional suppression. Methods In a within-subject design, sixty-five participants were asked to implement either no strategy, Situation selection only, Emotional suppression only, or both strategies together (four conditions) while looking at various emotionally charged images. Experience, expressivity, and physiological arousal were recorded throughout the viewing. Repeated-measures ANOVAs and corrected post-hoc tests were used for analyzing the data. Results The results of the combined strategies showed that Emotional suppression canceled the beneficial impact of Situation selection on negative experience, while significantly increasing the impact on cardiac activity. The use of both strategies together had a greater effect on respiratory function with an enhanced decrease in respiratory rate and amplitude. Conclusions The combinatorial effect of emotion regulation strategies is different according to the emotional response that the individual needs to regulate. The simultaneous use of Situation selection and Emotional suppression could be particularly beneficial to relieve physiological symptoms.

scholarly journals Assessing Capacity in the Elderly: Comparing the MoCA with a Novel Computerized Battery of Executive Function

2017 ◽  
Vol 7 (2) ◽  
pp. 249-256 ◽  
Author(s):  
Megan Brenkel ◽  
Kenneth Shulman ◽  
Elias Hazan ◽  
Nathan Herrmann ◽  
Adrian M. Owen
Keyword(s):  
Older Adults ◽  
Executive Function ◽  
Cognitive Assessment ◽  
Screening Tool ◽  
The Elderly ◽  
Cognitively Impaired ◽  
Cognitive Screening ◽  
Decision Making Capacity ◽  
Brain Sciences ◽  
Cognitively Intact

Background/Aims: Clinicians are increasingly being asked to provide their opinion on the decision-making capacity of older adults, while validated and widely available tools are lacking. We sought to identify an online cognitive screening tool for assessing mental capacity through the measurement of executive function. Methods: A mixed elderly sample of 45 individuals, aged 65 years and older, were screened with the Montreal Cognitive Assessment (MoCA) and the modified Cambridge Brain Sciences Battery. Results: Two computerized tests from the Cambridge Brain Sciences Battery were shown to provide information over and above that obtained with a standard cognitive screening tool, correctly sorting the majority of individuals with borderline MoCA scores. Conclusions: The brief computerized battery should be used in conjunction with standard tests such as the MoCA in order to differentiate cognitively intact from cognitively impaired older adults.

Cognitive screening of older adults: the utility of pentagon drawing

2012 ◽  
Vol 25 (3) ◽  
pp. 413-419 ◽  
Author(s):  
Edward Helmes
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Cognitively Impaired ◽  
Point System ◽  
Cognitive Screening ◽  
Verbal Tasks ◽  
Bender Gestalt Test ◽  
Cognitively Intact ◽  
State Examination

ABSTRACTBackground: Drawing tests have a long history in neuropsychological assessment. A popular geometric figure has been the two intersecting pentagons from the Bender Gestalt test. Reproducing the pentagons is the main visuospatial task on the original Mini-Mental State Examination (MMSE), remaining in use in revised versions of that widely used screening test. Scoring criteria on the MMSE are binary: perfect reproduction of the figure is required, while the Modified MMSE of Teng and Chui (1987) uses a more refined ten-point scoring for the elements of the figure.Methods: Here, I report on the use of pentagon drawing from 8,702 older community-dwelling Canadians (59.3% female), with a mean age of 75.5 years (SD = 6.99) and 10.1 years of education (SD = 3.89). Mean scores for the whole sample are reported, as well as for subsamples who underwent a full clinical assessment and were diagnosed as cognitively intact, with dementia, or cognitively impaired, but without dementia. Logistic regression was used to evaluate the utility of pentagon drawing as a diagnostic tool to diagnose cognitive impairment.Results: Binary scoring was less effective in discriminating groups than the ten-point system and showed weaker properties by other criteria.Conclusions: The discussion focuses on the role of simple, non-verbal tasks in the cognitive screening of older adults.

Semantic Intrusion Error Ratio Distinguishes Between Cognitively Impaired and Cognitively Intact African American Older Adults

2020 ◽  
Vol 73 (2) ◽  
pp. 785-790 ◽  
Author(s):  
Kimberly E. Capp ◽  
Rosie E. Curiel Cid ◽  
Elizabeth A. Crocco ◽  
Ashley Stripling ◽  
Marcela Kitaigorodsky ◽  
...  
Keyword(s):  
Older Adults ◽  
African American ◽  
Intrusion Error ◽  
Cognitively Impaired ◽  
Error Ratio ◽  
Cognitively Intact ◽  
African American Older Adults

The Influence of Age on Emotion Regulation Strategies and Psychological Distress

2013 ◽  
Vol 42 (6) ◽  
pp. 668-681 ◽  
Author(s):  
Laura Brummer ◽  
Lusia Stopa ◽  
Romola Bucks
Keyword(s):  
Older Adults ◽  
Emotion Regulation ◽  
Psychological Distress ◽  
Later Life ◽  
Self Report ◽  
Emotion Regulation Strategies ◽  
Cross Sectional ◽  
Emotional Suppression ◽  
Younger Adults ◽  
Regulation Strategies

Background: To date there is promising, yet limited, evidence to suggest that differences exist between older and younger adults’ emotion regulation styles. Aims: The study aimed to explore emotion regulation style across the adult lifespan by assessing whether self-reported reappraisal, or suppression, differs across age groups, and how these emotion regulation strategies may impact upon psychological distress. Method: Three hundred and seventeen younger, 175 middle-aged and 85 older adults’ emotion regulation styles and levels of psychological distress were measured using self-report questionnaires and examined using a cross-sectional design. Results: The findings suggest that, compared to younger adults, older adults make greater use of suppression, the emotion regulation strategy. This greater use of suppression by older adults was not related to increased levels of psychological distress. By contrast, younger adults who reported high levels of suppression reported higher levels of psychological distress. In addition, older adults reported less anxiety and stress than younger adults, with no age differences in depression. Conclusions: Findings suggest a possible decoupling of the use of emotional suppression and psychological distress with age. Suppression may be a useful form of emotion regulation for the stressors experienced in later life and, arguably, therefore may not be associated with the negative outcomes observed in younger adults.

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