Emotion regulation in delusion-proneness: deficits in cognitive reappraisal, but not in expressive suppression
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Emotion regulation in delusion-proneness: deficits in cognitive reappraisal, but not in expressive suppression. / Westermann, Stefan; Rief, Winfried; Lincoln, Tania Marie.
in: PSYCHOL PSYCHOTHER-T, Jahrgang 87, Nr. 1, 03.2014, S. 1-14.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Emotion regulation in delusion-proneness: deficits in cognitive reappraisal, but not in expressive suppression
AU - Westermann, Stefan
AU - Rief, Winfried
AU - Lincoln, Tania Marie
N1 - © 2012 The British Psychological Society.
PY - 2014/3
Y1 - 2014/3
N2 - OBJECTIVES: Although anxiety plays a key role in delusions, its downregulation using specific emotion regulation (ER) strategies has not been investigated. Reappraisal has been shown to be one of the most effective strategies for healthy individuals. However, individuals with delusions might have difficulties in successfully applying reappraisal. This study therefore tests the effectiveness of reappraisal compared to expressive suppression in individuals with varying levels of delusion-proneness.DESIGN: An experimental design with the independent variables ER strategy (within subject) and delusion-proneness (between subject; quasi-experimental) was used. The dependent variables were subjective ER success and physiological arousal, as well as state delusional ideation.METHODS: Eighty-six healthy participants with different levels of delusion-proneness were instructed to respond to anxiety-inducing stimuli by either using reappraisal or expressive suppression.RESULTS: Overall, reappraisal was more effective than expressive suppression in regulating anxiety. However, delusion-prone individuals were less successful in applying reappraisal (interaction effect: F(2,158) = 3.70, p = .027). In addition, lower success in reappraising threat was accompanied by higher state delusional ideation (r = -0.20, p = .013).CONCLUSIONS: Delusion-proneness is accompanied by difficulties in reappraising threat that might contribute to the formation and maintenance of clinically relevant delusions. Preliminary implications for the improvement of cognitive behaviour therapy for delusions are discussed.
AB - OBJECTIVES: Although anxiety plays a key role in delusions, its downregulation using specific emotion regulation (ER) strategies has not been investigated. Reappraisal has been shown to be one of the most effective strategies for healthy individuals. However, individuals with delusions might have difficulties in successfully applying reappraisal. This study therefore tests the effectiveness of reappraisal compared to expressive suppression in individuals with varying levels of delusion-proneness.DESIGN: An experimental design with the independent variables ER strategy (within subject) and delusion-proneness (between subject; quasi-experimental) was used. The dependent variables were subjective ER success and physiological arousal, as well as state delusional ideation.METHODS: Eighty-six healthy participants with different levels of delusion-proneness were instructed to respond to anxiety-inducing stimuli by either using reappraisal or expressive suppression.RESULTS: Overall, reappraisal was more effective than expressive suppression in regulating anxiety. However, delusion-prone individuals were less successful in applying reappraisal (interaction effect: F(2,158) = 3.70, p = .027). In addition, lower success in reappraising threat was accompanied by higher state delusional ideation (r = -0.20, p = .013).CONCLUSIONS: Delusion-proneness is accompanied by difficulties in reappraising threat that might contribute to the formation and maintenance of clinically relevant delusions. Preliminary implications for the improvement of cognitive behaviour therapy for delusions are discussed.
KW - Adaptation, Psychological
KW - Adult
KW - Analysis of Variance
KW - Anxiety/complications
KW - Arousal/physiology
KW - Cognition/physiology
KW - Cognitive Behavioral Therapy/methods
KW - Delusions/complications
KW - Disease Susceptibility/psychology
KW - Emotional Intelligence
KW - Emotions/physiology
KW - Female
KW - Galvanic Skin Response/physiology
KW - Heart Rate/physiology
KW - Humans
KW - Inhibition (Psychology)
KW - Male
KW - Models, Psychological
KW - Multilevel Analysis
KW - Photic Stimulation/methods
KW - Young Adult
U2 - 10.1111/papt.12000
DO - 10.1111/papt.12000
M3 - SCORING: Journal article
C2 - 24497395
VL - 87
SP - 1
EP - 14
JO - PSYCHOL PSYCHOTHER-T
JF - PSYCHOL PSYCHOTHER-T
SN - 1476-0835
IS - 1
ER -