scholarly journals The impact of the COVID-19 pandemic on individuals with eating disorders: the role of emotion regulation and exploration of online treatment experiences

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
L. Vuillier ◽  
L. May ◽  
M. Greville-Harris ◽  
R. Surman ◽  
R. L. Moseley
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Coping Strategies ◽  
Psychological Intervention ◽  
Negative Emotion ◽  
Emotional States ◽  
Symptom Change ◽  
Factors Affecting ◽  
Online Treatment ◽  
The Impact

Abstract Objective The Covid-19 pandemic has wrought disruption to everyday life and services, and emerging evidence suggests that those with eating disorders (EDs) are likely to experience marked distress and exacerbation of their symptoms. However, little is known around the most relevant factors to symptom change; whether certain emotion regulation and coping strategies are linked to better outcomes; and how people with EDs are adjusting to psychological interventions moving online. Method In a mixed-method design, we collected qualitative and quantitative data from 207 (76 males) self-selected UK residents with self-reported ED, who described and ranked impacts of the pandemic on their symptoms. Regression analysis examined whether emotion regulation strategies were associated with self-reported symptom change, ED symptomatology, and negative emotional states. Thematic analysis explored participants’ experiences of the pandemic, particularly factors affecting their ED, coping strategies used, and experiences of psychological intervention. Results Most participants (83.1%) reported worsening of ED symptomatology, though factors affecting symptom change differed between specific EDs. Emotion regulation, such as having fewer strategies, poorer emotional clarity, and non-acceptance of emotions, explained nearly half of the variance in emotional distress during the pandemic. Qualitative findings indicated that difficult emotions (such as fear and uncertainty), changes to routine, and unhelpful social messages were triggering for participants during the pandemic. While some participants described employing positive coping strategies (such as limiting social media exposure), many reported using ED behaviours (among other maladaptive strategies, like alcohol use) to cope with the pandemic. Finally, loss of treatment support, feeling underserving of support and experiencing a ‘detached connection’ online were further exacerbating factors for these participants. Discussion While our sample was self-selected and may not represent all people with EDs, our results suggest that people with EDs have been strongly affected by the pandemic. Some aspects of online treatment were found to be beneficial but our findings suggest it also needs some improvement. Our paper discusses implications for online treatment such as taking into account personal circumstances and, in a time where people have limited control over the antecedents of negative emotion, the need to develop skills to manage emotions when they arise.

scholarly journals The Impact of the COVID-19 Pandemic on Individuals With Eating Disorders: the Role of Emotion Regulation and Exploration of Online Treatment Experiences

2020 ◽  
Author(s):  
Laura Vuillier ◽  
L. May ◽  
M. Greville-Harris ◽  
R. Surman ◽  
Rachel L Moseley
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Coping Strategies ◽  
Psychological Intervention ◽  
Negative Emotion ◽  
Emotional States ◽  
Symptom Change ◽  
Factors Affecting ◽  
Online Treatment ◽  
The Impact

Abstract Objective: The Covid-19 pandemic has wrought disruption to everyday life and services, and emerging evidence suggests that those with eating disorders (EDs) are likely to experience marked distress and exacerbation of their symptoms. However, little is known around the most relevant factors to symptom change; whether certain emotion regulation and coping strategies are linked to better outcomes; and how people with EDs are adjusting to psychological interventions moving online. Method: In a mixed-method design, we collected qualitative and quantitative data from 207 (76 males) UK residents with self-reported ED, who described and ranked impacts of the pandemic on their symptoms. Regression analysis examined whether emotion regulation strategies were associated with self-reported symptom change, ED symptomatology, and negative emotional states. Thematic analysis explored participants’ experiences of the pandemic, particularly factors affecting their ED, coping strategies used, and experiences of psychological intervention. Results: Most participants (83.1%) reported worsening of ED symptomatology, though factors affecting symptom change differed between specific EDs. Emotion regulation, such as having fewer strategies, poorer emotional clarity, and non-acceptance of emotions, explained nearly half of the variance in emotional distress during the pandemic, and to a lesser extent also predicted ED symptomatology and symptom change. Qualitative findings indicated that difficult emotions (such as fear and uncertainty), changes to routine, confinement and unhelpful social messages were triggering for participants during the pandemic. While some participants described employing positive coping strategies (such as limiting social media exposure), many reported using ED behaviours (among other maladaptive strategies, like alcohol use) to cope with the pandemic. Finally, loss of treatment support, feeling underserving of support and experiencing a ‘detached connection’ online were further exacerbating factors for these participants. Discussion: Our results show that people with EDs have been strongly affected by the pandemic, and that while beneficial for some, online treatment may need some improvement. Our paper discusses implications for online treatment such as taking into account personal circumstances and, in a time where people have limited control over the antecedents of negative emotion, the need to develop skills to manage emotions when they arise.

scholarly journals COVID-19 Pandemic and Eating Disorders: What Can We Learn About Psychopathology and Treatment? A Systematic Review

2021 ◽  
Vol 23 (12) ◽  
Author(s):  
Alessio Maria Monteleone ◽  
Giammarco Cascino ◽  
Eugenia Barone ◽  
Marco Carfagno ◽  
Palmiero Monteleone
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Internalizing Symptoms ◽  
Mental Healthcare ◽  
Stressful Events ◽  
Risk And Resilience ◽  
Factors Affecting ◽  
Online Treatment ◽  
The Face ◽  
The Impact

Abstract Purpose of Review This systematic review aims to collect evidence regarding the impact of the SarsCov-2 pandemic on people affected by eating disorders (EDs) targeting the following variables: psychopathology changes, mechanisms of vulnerability or resilience, and perception of treatment modifications during the pandemic. Recent Findings Since the beginning of the pandemic, a mental health deterioration has been detected in the general population and especially in people affected by pre-existing psychiatric conditions. Furthermore, mental healthcare has moved toward online treatment. Summary ED people showed a trend toward worsening of ED-specific psychopathology and impairment in general psychopathology. The most common vulnerability mechanisms were social isolation and feelings of uncertainty, while heightened self-care and reduced social pressure were resilience factors. The online treatment, although raising many concerns related to its quality, was considered the best alternative to the face-to-face approach. These findings may support the idea that stressful events contribute to the exacerbation of ED psychopathology and highlight the relevance of internalizing symptoms in EDs. The identification of putative risk and resilience variables as well as of subjective factors affecting online treatment perception may inform healthcare professionals and may promote more personalized approaches.

scholarly journals Identification of Personal Factors in Motor Neurone Disease: A Pilot Study

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Louisa Ng ◽  
Fary Khan
Keyword(s):  
Coping Strategies ◽  
Motor Neurone ◽  
Motor Neurone Disease ◽  
International Classification Of Functioning ◽  
Emotional States ◽  
Personal Factors ◽  
Cross Sectional Survey ◽  
Optimal Care ◽  
Cross Sectional ◽  
Factors Affecting

Motor neurone disease (MND) is a devastating condition. This preliminary study aims to identify relevant personal factors affecting the experience of living with MND from the perspective of persons with MND (pwMND) in an Australian cohort. A prospective cross-sectional survey of pwMND () using an open-ended questionnaire identified personal factors that were categorised thematically. Standardised questionnaires assessed disease severity: depression, anxiety, and stress and coping strategies. Personal factors identified included demographic factors (socioeconomic status), emotional states (depression, anxiety, and fear), coping strategies (problem-based coping and denial), personality, beliefs (religious and personal values), attitudes (of the patient), and others (such as perceived support). An understanding of personal factors by treating clinicians is essential in the provision of optimal care in MND. This study may assist in the development of personal factors within the International Classification of Functioning, Disability, and Health for improved consensus of care and communication amongst treating clinicians.

scholarly journals Revisiting the Postulates of Etiological Models of Eating Disorders: Questioning Body Checking as a Longer-Term Maintaining Factor

2022 ◽  
Vol 12 ◽  
Author(s):  
Vanessa Opladen ◽  
Maj-Britt Vivell ◽  
Silja Vocks ◽  
Andrea S. Hartmann
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Negative Affect ◽  
Negative Emotion ◽  
Body Checking ◽  
Eating Disorder Symptoms ◽  
Positive Effects ◽  
General Pathology ◽  
Before And After ◽  
The Impact

Body checking (BC) is not only inherent to the maintenance of eating disorders but is also widespread among healthy females. According to etiological models, while BC serves as an affect-regulating behavior in the short term, in the longer term it is assumed to be disorder-maintaining and also produces more negative affect. The present study therefore aimed to empirically examine the proposed longer-term consequences of increased BC. In an online study, N = 167 women tracked their daily amount of BC over a total of 7 days: Following a 1-day baseline assessment of typical BC, participants were asked to check their bodies in an typical manner for 3 days and with a 3-fold increased frequency for 3-days. Before and after each BC episode, the impact of BC on affect, eating disorder symptoms, general pathology and endorsement of different functions of BC was assessed. Participants showed longer-term consequences of increased BC in terms of increased negative affect and general pathology, while eating disorder symptoms remained unaffected. In the case of typical BC, participants showed decreased general pathology and anxiety. Furthermore, the endorsement of a higher number of BC functions led to increased negative affect and an increased amount of typical BC. The findings support the theoretically assumed role of maladaptive BC in maintaining negative emotion in the longer term. However, though requiring replication, our finding of positive effects of typical BC calls into question the overall dysfunctionality of BC among non-clinical women who are not at risk of developing an eating disorder.

Effect of Whole Interventional Psychological Intervention Combined with Action-oriented Teaching on the Incidence of Postooerative Comolications and Negative Emotion in Patients with Malignant Glioma

2021 ◽  
Vol 7 (5) ◽  
pp. 4341-4348
Author(s):  
Qi Chen ◽  
Ling Xu ◽  
Hui Liang
Keyword(s):  
Postoperative Complications ◽  
Malignant Glioma ◽  
Psychological Intervention ◽  
Negative Emotion ◽  
Short Form ◽  
Psychological State ◽  
Control Group ◽  
Self Rating ◽  
The Impact ◽  
Nursing Quality

Objective. To explore the impact of whole interventional psychological intervention combined with action-oriented teaching on the incidence of postoperative complications and negative emotion in patients with malignant glioma (MG). Methods. 96 MG patients admitted to our hospital (January 2020 - January 2021) were selected, and equally split into the control group (CG) treated with routine nursing and the study group (SG) treated with whole interventional psychological intervention combined with action-oriented approach on the basis of routine nursing. The impact of the two nursing patterns on the incidence of postoperative complications and negative emotion of patients was scientifically evaluated. Results. The patients of CG and SG showed no statistical difference in general data (P>0.05). Compared with CG, the proportion of patients with severe and extreme pain, and the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in SG were notably lower (P<0.05). According to statistics, intracranial hemorrhage occurred in 4 cases of CG and 0 case of SG, diarrhea occurred in 5 cases of CG and 1 case of SG, hyperpyrexia occurred in 4 cases of CG and 1 case of SG, and nausea and vomiting occurred in 2 cases of CG and 2 cases of SG, so it could be seen that the incidence of adverse reactions in SG was notably lower compared with CG (P<0.05). The scores of 36-item short-form health survey scale (SF-36) and nursing quality in SG were notably higher compared with CG (P<0.05). Conclusion. The combination of whole interventional psychological intervention and action-oriented teaching can effectively reduce the incidence of postoperative complications, relieve postoperative pain, improve psychological state and further improve quality of life of MG patients. Therefore, it is an effective intervention program that can improve nursing Quality.

A-133 Emotion Regulation Strategy Use in Veterans with Subjective Cognitive Complaints in a Neuropsychology Clinic

2021 ◽  
Vol 36 (6) ◽  
pp. 1184-1184
Author(s):  
Tara Austin ◽  
Shawneen Pazienza ◽  
Crystal Lantrip
Keyword(s):  
Emotion Regulation ◽  
Cognitive Rehabilitation ◽  
Psychological Intervention ◽  
Cognitive Strategies ◽  
Cognitive Complaints ◽  
Modifiable Factors ◽  
Regulation Strategies ◽  
Participant Understanding ◽  
The Impact ◽  
Subjective Cognitive Complaints

Abstract Objective Neuropsychological evaluations reveal individuals with both objective and subjective cognitive complaints. Subjective cognitive complaints (SCC) are often related to potentially modifiable factors, such as mood. One proposed treatment for cognitive complaints is to focus on emotion regulation rather than cognitive rehabilitation. This project examines acceptability and feasibility from the perspective of participants, and determines participant understanding of the relationship between mood and cognition following a brief, one session emotion regulation intervention. Method Two study authors interviewed a subgroup of participants enrolled in a larger longitudinal intervention study about their understanding of the impact of mood on cognitive functioning, the acceptability of the intervention, and ease of using the provided strategies. Study authors then used inductive coding to identify common themes in participants’ responses. Results Preliminary results reveal the following themes: 1. Participant understanding that current cognitive concerns are related to modifiable factors (e.g., sleep, pain, emotional distress) rather than damage to brain structures or a neurodegenerative process. 2. Participants’ need for attentional and memory strategies to consistently use emotional regulation strategies day to day as well as participate fully in adjunctive psychological treatment. 3. Post-intervention awareness of high levels of everyday rumination. Conclusion Individuals with SCCs are amenable to psychological intervention, particularly when delivered with a brain-behavior explanation of how modifiable factors contribute to cognitive difficulties. In order to most successfully apply these strategies, participants may also benefit from targeted cognitive strategies to improve their use of emotion regulation strategies.

scholarly journals Research on the Influence of Visual Factors on Emotion Regulation Interaction

2022 ◽  
Vol 12 ◽  
Author(s):  
Zhiyong Xiong ◽  
Xinyu Weng ◽  
Yu Wei
Keyword(s):  
Emotion Regulation ◽  
Positive Emotion ◽  
Positive Emotions ◽  
Negative Emotion ◽  
Influencing Factor ◽  
Key Factors ◽  
Factors Affecting ◽  
Complex Emotions ◽  
Specific Emotion ◽  
Emotional Value

To guide the design direction of emotion regulation products that improve the positive emotions of users, investigation into the correlation between relevant visual factors and multi-dimensional complex emotions is needed. In the present study, an extended product emotion measurement method was adopted to describe the multi-dimensional emotional set of each influencing factor and calculate their weight according to the order. The positive and negative emotion indicators of all influencing factors were compared and the evaluation and ranking factors that affect users’ emotional value of emotion regulation products were analyzed. The experimental results reveal that specific emotion mapping scenes on positive emotion are the most significant among the key factors affecting user emotion. Further, the influence of emotional stickers, interactive data visualization, and text on positive emotions decreased in turn. The influence of emotional text on positive emotion was the lowest. Through investigating the visual factors that affect the psychological emotions of users, the development of emotion regulating products could be guided in a more scientific and reasonable manner.

scholarly journals Exploring “Sledging” and Interpersonal Emotion-Regulation Strategies in Professional Cricket

2018 ◽  
Vol 32 (2) ◽  
pp. 136-145 ◽  
Author(s):  
Paul A. Davis ◽  
Louise Davis ◽  
Samuel Wills ◽  
Ralph Appleby ◽  
Arne Nieuwenhuys
Keyword(s):  
Emotion Regulation ◽  
Emotional Reaction ◽  
Emotional States ◽  
Emotion Regulation Strategies ◽  
Verbal Interactions ◽  
Semistructured Interviews ◽  
Interpersonal Emotion Regulation ◽  
Regulation Strategies ◽  
Linguistic Analyses ◽  
The Impact

The present study examines cricketers’ perceptions of emotional interactions between competitors. Semistructured interviews with 12 male professional cricketers explored experiences (i.e., emotions, cognitions, behaviors) relating to incidents during competition where they or an opponent attempted to evoke an emotional reaction (e.g., sledging). Cricketers described their use of sledging as aggressive actions and verbal interactions with the aim of disrupting concentration and altering the emotional states of opponents. They described experiencing a variety of emotions (e.g., anxiety, anger) in response to opponents’ attempts at interpersonal emotion regulation; linguistic analyses indicated that both positive than negative emotions were experienced. A range of strategies in response to competitors’ deliberate attempts at interpersonal emotion regulation were outlined. The present study extends previous research investigating interpersonal emotion regulation within teams by indicating that professional cricketers are aware of the impact of cognitions and emotions on performance and attempt to negatively influence these factors in competitors.

Mathematically Modeling Emotion Regulation Abnormalities During Psychotic Experiences in Schizophrenia

2019 ◽  
Vol 7 (2) ◽  
pp. 216-233 ◽  
Author(s):  
Gregory P. Strauss ◽  
Farnaz Zamani Esfahlani ◽  
Katherine Frost Visser ◽  
Elizabeth K. Dickinson ◽  
June Gruber ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Emotional Reactivity ◽  
Negative Emotion ◽  
Stochastic Dynamic ◽  
Emotional States ◽  
Psychotic Experiences ◽  
Chain Analysis ◽  
Regulation Strategies ◽  
Ecological Momentary ◽  
Ema Data

Ecological momentary assessment (EMA) was used to examine emotional reactivity and regulation abnormalities during the presence and absence of psychosis. Participants included 28 outpatients with schizophrenia or schizoaffective disorder (SZ) who completed 6 days of EMA. Mathematical models were applied to the EMA data to evaluate stochastic dynamic changes in emotional state and determine how the presence of psychosis influenced the interaction between emotional reactivity and regulation processes across time. Markov chain analysis indicated that although SZ tried to implement emotion regulation strategies frequently during psychotic experiences, those attempts were ineffective at reducing negative emotion from one time point to the next. Network analysis indicated that patients who were less effective at regulating their emotions during psychotic experiences had more dense connections among individual emotions. Findings indicate that psychotic experiences are associated with abnormally strong connections among discrete emotional states that are difficult to regulate despite efforts to do so.

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