Social support serves emotion regulation function in death anxiety among people living with HIV/AIDS

2019 ◽  
Vol 50 (3) ◽  
pp. 395-410 ◽  
Author(s):  
JohnBosco Chika Chukwuorji ◽  
Charity Ngozi Uzuegbu ◽  
Comfort Victoria Chukwu ◽  
Chuka Mike Ifeagwazi ◽  
Chinedu Ugwu

Several studies have reported the independent roles of social support and emotion regulation in death anxiety. However, there is sparse literature on mediating role of emotion regulatory mechanisms in the link between social support and death anxiety. This study examined whether social support predicts multidimensional death anxiety as a function of emotion regulation strategies (cognitive reappraisal and expressive suppression) among people living with HIV/AIDS. Participants were 186 people living with HIV/AIDS (mean age = 34.16 years, standard deviation = 11.16; 56.5% women) drawn from the HIV/AIDS care unit of a tertiary health care institution in south-eastern Nigeria. Data were obtained by means of self-report measures of death anxiety, social support, and emotion regulation. A serial mediation analysis was conducted using Model 6 of the Hayes PROCESS macro for SPSS® which applies two mediators for each single analysis in a regression-based, path-analytical framework. The results showed that emotion regulation strategies, especially expressive suppression, was the indirect pathway through which social support from friends and significant others reduces death anxiety in aspects of death acceptance and death thoughts, but not for externally generated death anxiety and death finality. The mediation mechanism through family support was found for only death acceptance. Findings support existing mental health research and theories elucidating core social mechanisms of emotion regulation in relation to mental health and highlight the recognition of functional roles of multidimensional support in comprehensive case management services for helping people living with HIV/AIDS maintain their health. The study endorses improved social networks as part of the overall care for people living with HIV/AIDS.

Author(s):  
Laura Antonia Lucia Parolin ◽  
Ilaria Maria Antonietta Benzi ◽  
Erika Fanti ◽  
Alberto Milesi ◽  
Pietro Cipresso ◽  
...  

The onset of the coronavirus disease 2019 (COVID-19) pandemic impacted individuals’ psychological wellbeing resulting in heightened perceived stress, anxiety, and depression. However, a significant issue in accessing psychological care during a lockdown is the lack of access to in-person interventions. In this regard, research has shown the efficacy and utility of psychological app-based interventions. ‘Italia Ti Ascolto’ (ITA) has been developed as a population tailored internet-based intervention to offer an online professional solution for psychological support needs. The ITA app is available on iOS and Android systems. Users completed a baseline assessment on emotion regulation strategies (cognitive reappraisal and expressive suppression), psychological stress, anxiety, depression, and perceived social support. Participants could select among several one-hour long clinical groups held by expert psychotherapists. After every session, people were asked to complete a quick users’ satisfaction survey. Our contribution presents ITA’s intervention protocol and discusses preliminary data on psychological variables collected at baseline. Data showed significant associations between emotion regulation strategies, symptoms of depression and anxiety, and level of stress. Moreover, the role of perceived social support is considered. Future developments and implications for clinical practice and treatment are discussed.


2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Edita Kristofora ◽  
Agustina Hendriati

Adolescents are prone to emotional turmoil. Feedback received from the environment, as a form of support, is required in the process of emotion regulation. Thus, it can be assumed that perceived social support will be associated with emotion regulation. However, research linking both variables has so far included only the relationship between quality social support and a single one of the emotion regulation strategies in late adolescence. This study fills the gap, and aims to examine the relationship between quantity and quality of perceived social support with emotion regulation strategies across the entire adolescent age range in Jakarta. The measuring tool used was the Social Support Questionnaire 6 (quantity of perceived social support and perceived social support satisfaction) and the Emotional Regulation Questionnaire (cognitive reappraisal and expressive suppression strategies). The sample comprised  adolescents in Jakarta who had achieved formal educational levels, and who came from families with middle to lower level Status Ekonomi Social (SES; Socio-Economic Status; N = 427). The authors used Pearson Product Correlation and linear regression data analysis techniques. The results showed that thequantity of perceived social support was not significantly associated witheither dimension of emotion regulation. Perceived social support satisfaction was significantly associated with both dimensions of emotional regulation.   Teenagers are prone to emotional turmoil. Feedback received from the environment as a form of support is required in the process of emotional regulation. Thus, it can be assumed that perceived social support will be associated to emotion regulation. But researches linking both variables so far only included the relationship of quality social support and one of the emotion regulation strategies in late adolescence. This study fills the gap and aims to examine the relationship between quantity and quality of perceived social support with emotion regulation strategies across the entire adolescence age range in Jakarta. The measuring tool used was Social Support Questionnaire 6 (number of perceived social support and perceived social support satisfaction) and Emotion Regulation Questionnaire (cognitive reappraisal and expressive suppression strategies). The sample was adolescents who have formal education in Jakarta and come from families with middle to lower Status Ekonomi Social (SES; Socio-Economic Status; N = 427). The authors used Pearson Product Correlation and linear regression data analysis techniques. The results showed that the number of perceived social support was not significantly associated with both dimensions of emotion regulation. Perceived social support satisfaction was significantly associated with both dimensions of emotional regulation.


AIDS Care ◽  
2014 ◽  
Vol 27 (2) ◽  
pp. 176-181 ◽  
Author(s):  
Alan Tai-Wai Li ◽  
Joshua Wales ◽  
Josephine Pui-Hing Wong ◽  
Maureen Owino ◽  
Yvette Perreault ◽  
...  

2021 ◽  
Author(s):  
Joao F Guassi Moreira ◽  
Razia S. Sahi ◽  
Maria D. Calderon Leon ◽  
Natalie Marie Saragosa-Harris ◽  
Yael Haya Waizman ◽  
...  

Typologies serve to organize knowledge and advance theory for many scientific disciplines, including more recently in the social and behavioral sciences. To date, however, no typology exists to categorize an individual’s use of emotion regulation strategies. This is surprising given that emotion regulation skills are used daily and that deficits in this area are robustly linked with mental health symptoms. Here we attempted to identify and validate a working typology of emotion regulation across six samples (collectively comprised of 1492 participants from multiple populations) by using a combination of computational techniques, psychometric models, and growth curve modeling. We uncovered evidence for three types of regulators: a type (Lo) that infrequently uses emotion regulation strategies, a type (Hi) that uses them frequently but indiscriminately, and a third type (Mix) that selectively uses some (cognitive reappraisal and situation selection), but not other (expressive suppression), emotion regulation strategies frequently. Results showed that membership in the Hi and Mix types is associated with better mental health, with the Mix type being the most adaptive of the three. These differences were stable over time and across different samples. These results carry important implications for both our basic understanding of emotion regulation behavior and for informing future interventions aimed at improving mental health.


2021 ◽  
Author(s):  
Lisanne Sarah Pauw ◽  
Hayley Medland ◽  
Sarah Paling ◽  
Ella Moeck ◽  
Katharine Helen Greenaway ◽  
...  

While emotion regulation often happens in the presence of others, little is known about how social context shapes regulatory efforts and outcomes. One key element of the social context is social support. In two experience sampling studies (Ns = 179 and 123), we examined how the use and affective consequences of two fundamentally social emotion regulation strategies—social sharing and expressive suppression—vary as a function of perceived social support. Across both studies, we found evidence that perceived social support predicted variation in people’s use of these strategies, such that higher levels of social support predicted more sharing and less suppression. However, we found only limited and inconsistent support for context-dependent affective outcomes of suppression and sharing: suppression was associated with better affective consequences in the context of higher perceived social support in Study 1, but this effect did not replicate in Study 2. Taken together, these findings suggest that the use of social emotion regulation strategies appears to depend on contextual variability in social support, whereas their effectiveness does not. Future research is needed to better understand the circumstances in which context-dependent use of emotion regulation may have emotional benefits, accounting for personal, situational, and cultural factors.


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mehrdad Ghanbarpoor Ganjari ◽  
Zahra Khanmohammadzadeh ◽  
Hanieh Nobakht ◽  
Habib Eslami Kenarsari

Background: Death anxiety and its consequence are among the most important mental health issues that should be considered in hypertension patients. Some studies reported that cognitive emotion regulation strategies, cognitive flexibility, and distress tolerance, both influence and predict mental health. Objectives: This study aimed to investigate the role of these variables on death anxiety among women with hypertension. Methods: This is a descriptive correlational study that was conducted on 150 women with hypertension who were referred to hospitals in Rasht in 2018. Participants were selected using the convenience sampling method. Death Anxiety scale (DAS), the Distress Tolerance scale (DTS), the cognitive flexibility inventory (CFI), and the short version of the Cognitive Emotion Regulation questionnaire (CERQ) were used to collect the data. Data were analyzed using both descriptive (means and standard deviations) and inferential (the Pearson correlation coefficient and stepwise regression analysis) analyzes using SPSS. Results: Overall cognitive emotion regulation strategies (r = -0.20), refocus on planning (r = -0.28), acceptance (r = -0.35), positive reappraisal (r = -0.20), and putting into perspective (r = -0.42) had diverse significant relationships with death anxiety. In contrast, catastrophizing (r = 0.19), rumination (r = 0.19), and self-blame (r = 0.16) had direct significant correlations. Besides, overall cognitive flexibility (r = 0.61), controllability (r = -0.21), alternatives (r = -0.44), behavioral justification (r = -0.23), overall distress tolerance (r = -0.21), tolerance (r = -0.18), appraisal (r = -0.15), and regulation (r = -0.17) had diverse significant correlations with death anxiety; however, absorption (r = 0.52) had a direct significant relationship with death (P ≤ 0.05). The results of the stepwise regression analysis indicated that the research variables were could explain 71% of the variance in death anxiety (R2 = 0.71), and overall cognitive flexibility had the strongest role in explaining death anxiety (beta = -0.67), which was significant at the 1% level (P ≤ 0.0001). Conclusions: Based on the findings, cognitive emotion regulation strategies, cognitive flexibility, and distress tolerance were associated with death anxiety, and cognitive flexibility had the strongest role in predicting death anxiety.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Kenneth R. Katumba ◽  
Yoko V. Laurence ◽  
Patrick Tenywa ◽  
Joshua Ssebunnya ◽  
Agata Laszewska ◽  
...  

Abstract Background It is rare to find HIV/AIDS care providers in sub-Saharan Africa routinely providing mental health services, yet 8–30% of the people living with HIV have depression. In an ongoing trial to assess integration of collaborative care of depression into routine HIV services in Uganda, we will assess quality of life using the standard EQ-5D-5L, and the capability-based OxCAP-MH which has never been adapted nor used in a low-income setting. We present the results of the translation and validation process for cultural and linguistic appropriateness of the OxCAP-MH tool for people living with HIV/AIDS and depression in Uganda. Methods The translation process used the Concept Elaboration document, the source English version of OxCAP-MH, and the Back-Translation Review template as provided during the user registration process of the OxCAP-MH, and adhered to the Translation and Linguistic Validation process of the OxCAP-MH, which was developed following the international principles of good practice for translation as per the International Society for Pharmacoeconomics and Outcomes Research’s standards. Results The final official Luganda version of the OxCAP-MH was obtained following a systematic iterative process, and is equivalent to the English version in content, but key concepts were translated to ensure cultural acceptability, feasibility and comprehension by Luganda-speaking people. Conclusion The newly developed Luganda version of the OxCAP-MH can be used both as an alternative or as an addition to health-related quality of life patient-reported outcome measures in research about people living with HIV with comorbid depression, as well as more broadly for mental health research.


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