scholarly journals Adolescent Emotion Network Dynamics in Daily Life and Implications for Depression

2018 ◽  
Author(s):  
David M. Lydon-Staley ◽  
Mengya Xia ◽  
Hio Wa Mak ◽  
Gregory Fosco
Keyword(s):  
Emotion Regulation ◽  
Adolescent Depression ◽  
Daily Life ◽  
Short Form ◽  
Emotional Responses ◽  
Network Density ◽  
Regression Analyses ◽  
Symptoms Of Depression ◽  
Difficulties In Emotion Regulation

Objective. Emotion network density describes the degree of interdependence amongemotion states across time, such that higher density reflects self-perpetuating emotions orrigidity in emotion functioning. Higher density in emotion networks appears to be a riskfactor for depression in studies of adults. This paper extended research on emotionnetwork density to adolescents and examined: 1) associations between emotion networkdensity and a standard measure of emotion regulation and 2) associations betweenemotion network density and symptoms of depression. Method. Data from a daily diarystudy (t=21 days) of adolescents (N=151; 61.59% female; mean age=14.60 years) wereused to construct emotion network density scores. Emotion regulation was measuredusing The Difficulties in Emotion Regulation Scale Short Form (DERS-SF). Associationsbetween emotion network density and DERS-SF were examined through Pearsoncorrelations. Multiple regression analyses examined associations between emotionnetwork density and depression. Results. Emotion network density was not associatedwith the DERS-SF. Follow-up analyses showed that it was associated with nonacceptanceof emotions (a subscale of the DERS-SF). Emotion network density waspositively associated with depression. Discussion. Non-acceptance of emotions mayencourage the spread of emotion across time and emotion states given that a feature ofnon-acceptance is to have secondary emotional responses to one's emotions. Rigidity inemotion function in the form of context-insensitive, self-perpetuating emotion networksmay be a risk factor for adolescent depression.

scholarly journals Alexithymia predicts maladaptive but not adaptive emotion regulation strategies in adolescent girls with anorexia nervosa or depression

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Anca Sfärlea ◽  
Sandra Dehning ◽  
Lena Katharina Keller ◽  
Gerd Schulte-Körne
Keyword(s):  
Emotion Regulation ◽  
Anorexia Nervosa ◽  
Depressive Symptoms ◽  
Adolescent Girls ◽  
Mental Health Problems ◽  
Psychiatric Patients ◽  
Regression Analyses ◽  
Emotion Regulation Strategies ◽  
Difficulties In Emotion Regulation ◽  
Regulation Strategies

Abstract Background Among adolescent girls, anorexia nervosa (AN) and major depression (MD) are common and often comorbid mental health problems. Both disorders are characterised by difficulties in recognising and verbalising (alexithymia) as well as regulating one’s emotions, but research in adolescent patients is scarce and little is known about the relation between alexithymia and difficulties in emotion regulation. The aims of this study were to investigate alexithymia and emotion regulation skills in adolescents with AN, adolescents with MD, and healthy adolescents, and to determine whether alexithymia functions as a predictor for emotion regulation skills. Methods Emotion regulation strategies, alexithymia, and depressive symptoms were assessed by questionnaire measures in 12–18 year old girls with AN (n = 26), girls with MD (n = 25), and healthy girls (n = 35). Groups were compared with respect to the these variables and multiple regression analyses were calculated separately for adaptive and maladaptive emotion regulation strategies in order to examine if alexithymia predicted emotion regulation over and above age and depressive symptoms. Results Girls with AN or MD both reported using adaptive emotion regulation strategies less frequently and maladaptive emotion regulation skills more frequently as well as higher levels of alexithymia compared to healthy girls. Alexithymia positively predicted maladaptive emotion regulation strategies, while depressive symptoms negatively predicted adaptive emotion regulation strategies. Conclusions The results suggest that different mechanisms may underlie the lack of adaptive and the surplus of maladaptive emotion regulation strategies in adolescent psychiatric patients.

Measurement Invariance of Three Brief Emotion Regulation Questionnaires in People With and Without a History of Non-Suicidal Self-Injury

2019 ◽  
Vol 35 (6) ◽  
pp. 835-841 ◽  
Author(s):  
Glenn Kiekens ◽  
Penelope Hasking ◽  
Mark Boyes
Keyword(s):  
Emotion Regulation ◽  
Measurement Invariance ◽  
Factor Structure ◽  
Short Form ◽  
Psychometric Evaluation ◽  
Cognitive Emotion Regulation ◽  
Statistical Inferences ◽  
Self Injury ◽  
Difficulties In Emotion Regulation ◽  
History Of

Abstract. In this study, we investigated the factor structure and measurement invariance of three brief emotion regulation questionnaires in samples of young adults (17–30 years) with and without a history of non-suicidal self-injury (NSSI; n = 705–836). Results revealed configural, full metric, and full scalar invariance for the Difficulties in Emotion Regulation Scale – Short Form (DERS-SF) and the Cognitive Emotion Regulation Questionnaire – Short (CERQ-S). In addition, the CERQ-S also showed full residual error invariance. In contrast, the proposed factor structure of the Emotion Regulation Questionnaire (ERQ) was not confirmed in either sample. Further, we observed that some items function differently for people who self-injure and people who do not, which could result in artificial differences being reported in use of cognitive reappraisal. While the current findings offer confidence that observed differences using the DERS-SF and CERQ-S reflect reliable discrepancies in emotion regulation processes between people who self-injure and do not, the validity of statistical inferences using the ERQ could not be ensured and need further psychometric evaluation.

Onset And Burden of Lower Limb Lymphedema After Radical Prostatectomy: A Cross-Sectional Study

2021 ◽  
Author(s):  
Manuel Neuberger ◽  
Laura Schmidt ◽  
Frederik Wessels ◽  
Miriam Linke ◽  
Carina Müller ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Lower Limb ◽  
Daily Life ◽  
Short Form ◽  
Linear Regression Analysis ◽  
Complete Regression ◽  
Regression Analyses ◽  
Compression Stockings ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract ObjectivesTo explore men´s onset and burden of lower limb lymphedema (LLL) after radical prostatectomy (RP) with pelvic lymph node dissection.Patients and methodsA cross-sectional survey-based study was conducted nation-wide and web-based in Germany. Part 1 included 15 multidisciplinary compiled questions with three questions from Short Form 12 Health Survey (SF-12) and WHO activity recommendation, part 2 the validated German Lymph-ICF-Questionnaire (Lymph-ICF-LL). Subgroup comparisons and simple regression analyses were used to identify factors associated with therapy and burden of LLL, followed by multiple regression analyses to explain variance in impairment in the patients’ daily life.Results54 patients completed the survey. Median time of LLL-onset was reported with 2.0 (0.5-9.75) months after RP. 19 patients (35.2%) reported bilateral lymphedema, 28 (51.9%) the use of individually fitted compression stockings (CS), 25 (46.3%) of manual lymphatic drainage (LD) and 26 (48.1%) complete regression.The Lymph-ICF-LL revealed a higher total burden for patients with an active LLL compared to complete regression (total score: 25.5 vs. 11.9, p=0.01) specially for “physical function” (28.3 vs. 12.9, p=0.004) and “mental function” (26.2 vs. 6.7, p<0.001). In multiple linear regression analysis, a higher BMI (β=0.28), lower subjective general health (β=-0.48) and active lymphedema (β =0.28) were significant predictors of higher reported impairments in the Lymph-ICF-LL, accounting for 45.4% of variance.ConclusionMen with LLL after RP with PLND report a significant burden in daily life. Bbasic therapy needs to be offered early. Postoperative onset of LLL is variable, which should be considered when assessing complications after RP.

The Difficulties in Emotion Regulation Scale Short Form (DERS-SF): Validation and Replication in Adolescent and Adult Samples

2015 ◽  
Vol 38 (3) ◽  
pp. 443-455 ◽  
Author(s):  
Erin A. Kaufman ◽  
Mengya Xia ◽  
Gregory Fosco ◽  
Mona Yaptangco ◽  
Chloe R. Skidmore ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Short Form ◽  
Difficulties In Emotion Regulation

Turning Towards or Turning Away: A Comparison of Mindfulness Meditation and Guided Imagery Relaxation in Patients with Acute Depression

2015 ◽  
Vol 44 (4) ◽  
pp. 410-419 ◽  
Author(s):  
Ana Costa ◽  
Thorsten Barnhofer
Keyword(s):  
Emotion Regulation ◽  
Mindfulness Meditation ◽  
Guided Imagery ◽  
Maintenance Phase ◽  
Mindfulness Skills ◽  
Symptoms Of Depression ◽  
Brief Training ◽  
Initial Reduction ◽  
Maladaptive Thinking

Background: Disengaging from maladaptive thinking is an important imperative in the treatment of depression. Mindfulness training is aimed at helping patients acquire relevant skills for this purpose. It remains unclear, however, whether this practice is helpful when patients are acutely depressed. Aims: In order to investigate effects of mindfulness on symptoms and self-regulatory capacities in this group, the current study compared a brief training in mindfulness (n = 19) to guided imagery relaxation (n = 18). Method: Participants were introduced to the respective techniques in a single session, and practised daily over one week. Self-reported severity of symptoms, difficulties in emotion-regulation, attentional control, the ability to decentre, and mindfulness were assessed pre and postintervention, and at a one-week follow-up. Results: Symptoms of depression significantly decreased and self-regulatory functioning significantly increased in both groups, with changes being maintained during follow-up. When controlling for change in depressive symptoms, results showed significantly higher improvements in emotion regulation at follow-up in the mindfulness group. The ability to decentre predicted changes in symptoms from pre to postintervention, while mindfulness skills predicted changes in symptoms during the maintenance phase. Conclusions: The findings suggest that both practices can help to instigate reductions in symptoms and enhance self-regulatory functioning in depression. However, in order to improve emotion regulation above levels explained by reductions in symptoms more intentional mental training seems necessary. Furthermore, while the ability to disengage from negative patterns of thinking seems crucial for initial reduction of symptoms, maintenance of gains might require broader skills in mindfulness.

scholarly journals Affect-Focused Psychodynamic Internet-Based Therapy for Adolescent Depression: Randomized Controlled Trial

10.2196/18047 ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. e18047 ◽  
Author(s):  
Karin Lindqvist ◽  
Jakob Mechler ◽  
Per Carlbring ◽  
Peter Lilliengren ◽  
Fredrik Falkenström ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Adolescent Depression ◽  
Primary Outcome ◽  
Depressive Symptomatology ◽  
Controlled Trial ◽  
Primary Outcome Measure ◽  
Control Group ◽  
Self Compassion ◽  
Randomised Controlled

Background Adolescent depression is one of the largest health issues in the world and there is a pressing need for effective and accessible treatments. Objective This trial examines whether affect-focused internet-based psychodynamic therapy (IPDT) with therapist support is more effective than an internet-based supportive control condition on reducing depression in adolescents. Methods The trial included 76 adolescents (61/76, 80% female; mean age 16.6 years), self-referred via an open access website and fulfilling criteria for major depressive disorder. Adolescents were randomized to 8 weeks of IPDT (38/76, 50%) or supportive control (38/76, 50%). The primary outcome was self-reported depressive symptoms, measured with the Quick Inventory of Depressive Symptomatology for Adolescents (QIDS-A17-SR). Secondary outcomes were anxiety severity, emotion regulation, self-compassion, and an additional depression measure. Assessments were made at baseline, postassessment, and at 6 months follow-up, in addition to weekly assessments of the primary outcome measure as well as emotion regulation during treatment. Results IPDT was significantly more effective than the control condition in reducing depression (d=0.82, P=.01), the result of which was corroborated by the second depression measure (d=0.80, P<.001). IPDT was also significantly more effective in reducing anxiety (d=0.78, P<.001) and increasing emotion regulation (d=0.97, P<.001) and self-compassion (d=0.65, P=.003). Significantly more patients in the IPDT group compared to the control group met criteria for response (56% vs 21%, respectively) and remission (35% vs 8%, respectively). Results on depression and anxiety symptoms were stable at 6 months follow-up. On average, participants completed 5.8 (SD 2.4) of the 8 modules. Conclusions IPDT may be an effective intervention to reduce adolescent depression. Further research is needed, including comparisons with other treatments. Trial Registration International Standard Randomised Controlled Trial Number (ISRCTN) 16206254; http://www.isrctn.com/ISRCTN16206254

scholarly journals A Single-Session, Web-Based Parenting Intervention to Prevent Adolescent Depression and Anxiety Disorders: Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Mairead C Cardamone-Breen ◽  
Anthony F Jorm ◽  
Katherine A Lawrence ◽  
Ronald M Rapee ◽  
Andrew J Mackinnon ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Parenting Practices ◽  
Adolescent Depression ◽  
Controlled Trial ◽  
Depression And Anxiety ◽  
Single Session ◽  
Self Assessment ◽  
Web Based ◽  
Symptoms Of Depression

BACKGROUND Depression and anxiety disorders are significant contributors to burden of disease in young people, highlighting the need to focus preventive efforts early in life. Despite substantial evidence for the role of parents in the prevention of adolescent depression and anxiety disorders, there remains a need for translation of this evidence into preventive parenting interventions. To address this gap, we developed a single-session, Web-based, tailored psychoeducation intervention that aims to improve parenting practices known to influence the development of adolescent depression and anxiety disorders. OBJECTIVE The aim of this study was to evaluate the short-term effects of the intervention on parenting risk and protective factors and symptoms of depression and anxiety in adolescent participants. METHODS We conducted a single-blind, parallel group, superiority randomized controlled trial comparing the intervention with a 3-month waitlist control. The intervention is fully automated and consists of two components: (1) completion of an online self-assessment of current parenting practices against evidence-based parenting recommendations for the prevention of adolescent depression and anxiety disorders and (2) an individually tailored feedback report highlighting each parent’s strengths and areas for improvement based on responses to the self-assessment. A community sample of 349 parents, together with 327 adolescents (aged 12-15 years), were randomized to either the intervention or waitlist control condition. Parents and adolescents completed online self-reported assessments of parenting and adolescent symptoms of depression and anxiety at baseline, 1-month (parent-report of parenting only), and 3-month follow-up. RESULTS Compared with controls, intervention group parents showed significantly greater improvement in parenting risk and protective factors from baseline to 1-month and 3-month follow-up (F2,331.22=16.36, P<.001), with a small to medium effect size at 3-month follow-up (d=0.33). There were no significant effects of the intervention on adolescent-report of parenting or symptoms of depression or anxiety in the adolescents (all P>.05). CONCLUSIONS Findings suggest that a single-session, individually tailored, Web-based parenting intervention can improve parenting factors that are known to influence the development of depression and anxiety in adolescents. However, our results do not support the effectiveness of the intervention in improving adolescent depression or anxiety symptoms in the short-term. Long-term studies are required to adequately assess the relationship between improving parenting factors and adolescent depression and anxiety outcomes. Nonetheless, this is a promising avenue for the translation of research into a low-cost, sustainable, universal prevention approach. CLINICALTRIAL Australian New Zealand Clinical Trials Registry: ACTRN12615000247572; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12615000247572 (Archived by WebCite at http://www.webcitation.org/6v1ha19XG)

scholarly journals Relationship between Difficulty in Emotion Regulation and Internet Addiction in College Students: A One-Year Prospective Study

2020 ◽  
Vol 17 (13) ◽  
pp. 4766
Author(s):  
Jui-Kang Tsai ◽  
Wei-Hsin Lu ◽  
Ray C. Hsiao ◽  
Huei-Fan Hu ◽  
Cheng-Fang Yen
Keyword(s):  
College Students ◽  
Emotion Regulation ◽  
Early Intervention ◽  
Prospective Study ◽  
Internet Addiction ◽  
Impulse Control ◽  
Difficulties In Emotion Regulation ◽  
One Year ◽  
Predictive Effect

This prospective study evaluated the predictive effect of difficulty in emotion regulation on the occurrence and remission of Internet addiction (IA) and determined whether IA has a role in changing emotion regulation among college students during a follow-up period of 1 year. A total of 500 college students (262 women and 238 men) were recruited. In baseline and follow-up investigations, the levels of IA and difficulty in emotion regulation were evaluated using the Chen Internet Addiction Scale and the Difficulties in Emotion Regulation Scale (DERS), respectively. The results indicated that the subscale of impulse control difficulties on the DERS predicted the incidence of IA during the follow-up period of 1 year in male participants (t = −2.875, p = 0.005), whereas no subscale on the DERS predicted the remission of IA. IA did not predict the change in difficulties in emotion regulation. The subscale of impulse control difficulties on the DERS predicted the occurrence of IA in the college students and warrants early intervention.

scholarly journals EMOTION REGULATION DIFFICULTIES IN DEPRESSION

2020 ◽  
Vol 7 ◽  
pp. 145
Author(s):  
Inese Paiča ◽  
Kristīne Mārtinsone ◽  
Māris Taube
Keyword(s):  
Emotion Regulation ◽  
Psychological Treatment ◽  
Self Report ◽  
Clinical Group ◽  
Symptoms Of Depression ◽  
Regulatory Strategies ◽  
Difficulties In Emotion Regulation ◽  
Avoidance Suppression ◽  
Regulation Strategies ◽  
Experience Difficulty

Patients diagnosed with depression often experience difficulty in regulating their emotions due to non-adaptive regulatory strategies (e.g., avoidance, suppression, rumination). Adaptive emotion regulation skills (e.g., awareness, acceptance, self-support) can be trained and improved through psychological treatment. The objective of this study was to identify differences in emotion regulation skills between a clinical group of patients with depression (n=56) and a non-clinical group (n=56), adults without symptoms of depression. Methods. The study was based on socio-demographic survey and three self-report questionnaires adapted for use in Latvia: Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004), Emotion Regulation Skills Questionnaire (ERSQ; Berking & Znoj, 2008) and Emotion Regulation Questionnaire (ERQ; Gross & John, 2003). Results. Compared to the non-clinical group, the clinical group presented significantly decreased scores in several scales of ERSQ: Understanding, Self-support, Tolerance, Acceptance, Modification (p<.001) and increased scores in four scales of DERS: Lack of emotional clarity, Difficulty engaging in goal-directed behaviour, Non-acceptance of emotional responses and Limited access to effective emotion regulation strategies (p<.001). Conclusions. This study helps to identify the main emotion regulation difficulties for depression patients in Latvia – the ability to understand, accept, tolerate and modify emotions.  

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