Journal articles on the topic 'Emotion in the clinic'

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1

Kim, Minseong, Dong-Woo Koo, Dong-Jin Shin, and Sae-Mi Lee. "From Servicescape to Loyalty in the Medical Tourism Industry: A Medical Clinic’s Service Perspective." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 54 (January 1, 2017): 004695801774654. http://dx.doi.org/10.1177/0046958017746546.

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Medical tourism organizations have increasingly recognized that loyalty makes a medical clinic a marketing success. To increase understanding of the importance of medical clinics, this study examined the roles of servicescapes, emotions, and satisfaction in the development of customer loyalty toward medical clinics and destination. Data were collected among international medical tourists visiting Korea. Results identified that dimensions of medical clinics’ servicescape (ie, medical clinic environment, medical treatment, staff, and doctor) influenced emotions and satisfaction among international medical tourists. Also, positive emotions and the 2 dimensions of satisfaction with a medical clinic and doctor mediate the influence of medical clinics’ servicescapes on 2 types of loyalty (the medical clinic and Korea for medical care). Overall, these findings indicate that the interrelationship of servicescapes, positive emotion, and satisfaction is essential in influencing international medical tourists’ loyalty to a medical clinic.
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Kuchuk, Andrii M., Bohdan I. Andrusyshyn, Yevhen V. Bilozorov, Olha V. Minchenko, and Liudmyla A. Filianina. "Lawyer’s emotional intelligence and professional ethics development: aspects of the widespread introduction of legal clinic." Linguistics and Culture Review 5, S2 (August 1, 2021): 608–18. http://dx.doi.org/10.21744/lingcure.v5ns2.1395.

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Legal clinic is an innovative form of legal education. There is the need to critically reflect on functioning of a legal clinic in order to determine the possibility of clinical education to be a factor in the development of students’ emotional intelligence and professional ethics. The article covers possible positive and negative aspects of the widespread introduction of legal clinic as a means of individual students’ qualities development into law education. The study is based on the method of systematic analysis, allowing comprehensively cover legal clinics functions and critically evaluate the impact of legal clinics on emotional intelligence and professional ethics of future lawyers’ development. The article shows that legal clinic, being an innovative form of legal education aimed at developing practical skills of future lawyers, performs both educational and social functions. Legal clinic promotes the development of emotional intelligence (allowing students to better understand and control their emotion, as well as to adequately perceive the client's psychological state, choosing appropriate tactics of behavior) and professional ethics (understanding the importance of the principle of the rule of law, the priority of human rights, awareness of the role of a lawyer in society and the importance of pro bono activities).
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Homorogan, C., R. Adam, R. Barboianu, Z. Popovici, C. Bredicean, and M. Ienciu. "Emotional Face Recognition in Bipolar Disorder." European Psychiatry 41, S1 (April 2017): S117. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1904.

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IntroductionEmotional face recognition is significant for social communication. This is impaired in mood disorders, such as bipolar disorder. Individuals with bipolar disorder lack the ability to perceive facial expressions.ObjectivesTo analyse the capacity of emotional face recognition in subjects diagnosed with bipolar disorder.AimsTo establish a correlation between emotion recognition ability and the evolution of bipolar disease.MethodsA sample of 24 subjects were analysed in this trial, diagnosed with bipolar disorder (according to ICD-10 criteria), who were hospitalised in the Psychiatry Clinic of Timisoara and monitored in outpatients clinic. Subjects were introduced in the trial based on inclusion/exclusion criteria. The analysed parameters were: socio-demographic (age, gender, education level), the number of relapses, the predominance of manic or depressive episodes, and the ability of identifying emotions (Reading the Mind in the Eyes Test).ResultsMost of the subjects (79.16%) had a low ability to identify emotions, 20.83% had a normal capacity to recognise emotions, and none of them had a high emotion recognition capacity. The positive emotions (love, joy, surprise) were easier recognised, by 75% of the subjects, than the negative ones (anger, sadness, fear). There was no evident difference in emotional face recognition between the individuals with predominance of manic episodes than the ones who had mostly depressive episodes, and between the number of relapses.ConclusionsThe individuals with bipolar disorder have difficulties in identifying facial emotions, but with no obvious correlation between the analysed parameters.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Holmqvist Larsson, Kristina, Gerhard Andersson, Heléne Stern, and Maria Zetterqvist. "Emotion regulation group skills training for adolescents and parents: A pilot study of an add-on treatment in a clinical setting." Clinical Child Psychology and Psychiatry 25, no. 1 (August 16, 2019): 141–55. http://dx.doi.org/10.1177/1359104519869782.

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Difficulties with emotion regulation have been identified as an underlying mechanism in mental health. This pilot study aimed at examining whether group skills training in emotion regulation for adolescents and parents as an add-on intervention was feasible in an outpatient child and adolescent psychiatric clinic. We also investigated if the treatment increased knowledge and awareness of emotions and their functions, increased emotion regulation skills and decreased self-reported symptoms of anxiety and depression. Six skills training groups were piloted with a total of 20 adolescents and 21 adults. The treatment consisted of five sessions dealing with psychoeducation about emotions and emotion regulation skills training. Paired-samples t test was used to compare differences between before-and-after measures for adolescents and parents separately. The primary outcome measure, Difficulties in Emotion Regulation Scale, showed significant improvement after treatment for both adolescents and parents. For adolescents, measures of alexithymia were significantly reduced. Also, emotional awareness was significantly increased. Measures of depression and anxiety did not change. In conclusion, group skills training as an add-on treatment can be feasible and effective but further studies are needed.
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Zhang, Zhihui, Josep Maria Fort Mir, and Lluis Gimenez Mateu. "The Effects of White versus Coloured Light in Waiting Rooms on People’s Emotions." Buildings 12, no. 9 (September 1, 2022): 1356. http://dx.doi.org/10.3390/buildings12091356.

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Lighting ambience in architecture is one of the important factors affecting the emotions of people, and the study of the psychological needs of architectural lighting may provide more rational guidelines for architectural design. There are many previous studies on the emotional impact of lighting in architecture, but most of them use a dimensional model of emotion to analyse emotions, which is difficult for the reader to understand. In this study, we used the dimensional model of emotion to analyse emotions and converted it into easily understood basic emotions through the PAD model. Participants (n = 32) were divided into three groups and subjected to three scenes with different colour combinations. The analysis showed that the arousal and dominance of the participants were significantly affected from white to coloured light. No effect on comfort was observed between white and coloured light. Our study suggests that the use of coloured lighting instead of white lights in a non-clinic windowless waiting room may not improve negative mood.
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Corrêa, Raphaela Espanha, Paulo Eduardo Neves Ferreira Velho, Maria Imaculada de Lima Montebello, and Rute Estanislava Tolocka. "Emotions, Quality of Life and Games in Oncology Outpatient Clinic." European Journal of Medical and Health Sciences 3, no. 1 (January 22, 2021): 73–78. http://dx.doi.org/10.24018/ejmed.2021.3.1.611.

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A cancer diagnoses and treatment can trigger unpleasant emotions, which may affect the Quality of Life (QoL). Games are known to promote wellness. The aim of this study was to evaluate emotions and QoL of adult cancer patients in medical care waiting rooms and to identify changes in patient emotions after playing board games. A total of 150 patients were included. Emotions were assessed using emojis and QoL with WHOOL-BREF. The mean age was 64.8 ± 9.6 years. QoL was measured as ‘good’ just in the social domain (score 72.38 ± 13.24). The most frequently reported emotion before playing was joy (58.0%), followed by neutral (21.3%), sadness (8.7%) and fear (6.7%); 34.0% of the patients accepted to play a board game. Emotions of neutrality and sadness in these patients significantly changed to joy after playing the game (p<0.05). We conclude that participation in games might positively change emotions in waiting rooms.
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Endtner, K., M. Hänni, and W. Tschacher. "Emotion regulation - a transdiagnostic approach." European Psychiatry 26, S2 (March 2011): 1305. http://dx.doi.org/10.1016/s0924-9338(11)73010-3.

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IntroductionPsychotherapy research shows that problems in emotion regulation are at the core of many different psychiatric disorders. Greenberg and colleagues distinguish between two categories of emotion regulation problems: emotional under- and overregulation. Whereas the first category is associated with diminished impulse control, the second is constituted of difficulties in perceiving and expressing emotions.ObjectiveIs it possible to validate the clinical concept of emotional underregulation and overregulation?AimsPatients of a psychotherapy day clinic attended a specific group therapy program aimed at improving emotion regulation. The program included interventions to control impulses as well as interventions focussing on a more appropriate perception and expression of emotions.MethodsThe evaluation of the program was based on pre-post comparisons of standard questionnaires and on repeated assessments of therapy processes using session reports.ResultsResults of about 50 patients attending the group therapy program will be presented. Different clusters depending on a patient's position on the two emotion regulation dimensions were found. Each cluster represented a unique pattern of emotion regulation.DiscussionIt was possible to validate the clinical construct of emotional underregulation and overregulation. The results contribute to a transdiagnostic approach to emotion regulation.
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Fassot, Eva-Maria, Brunna Tuschen-Caffier, and Julia Asbrand. "Association of parental characteristics and emotion regulation in children and adolescents with and without psychopathology: A case-control study." PLOS ONE 17, no. 7 (July 27, 2022): e0271486. http://dx.doi.org/10.1371/journal.pone.0271486.

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This study explores the difference in child emotion regulation (ER) and parenting between a heterogeneous clinical sample (ClinS) and a community sample (ComS). We hypothesized that parents of the ClinS would report more dysfunctional child ER and more dysfunctional parenting regarding the child’s negative emotions than parents of the ComS. Further, we aimed to predict child ER by parenting behavior, parents’ ER, and mental health. Parents of children and adolescents (aged 6–18 years) seeking treatment at an outpatient clinic were compared to a matched sample of parents in a ComS (n = 57 each group). As predicted, the children in the clinical group were reported to use less reappraisal and more suppression than ComS children. No difference was found in dysfunctional emotion parenting between the groups. Reappraisal in parents and supportive reactions to negative emotions predicted reappraisal in children. No predictor was found for child suppression. Child emotion regulation and parents’ psychopathology were not associated. These results could suggest new elements for prevention and intervention programs with parents concerning their own emotion regulation and their reaction to negative emotions in children.
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Power, Mick J., and Claire Fyvie. "The Role of Emotion in PTSD: Two Preliminary Studies." Behavioural and Cognitive Psychotherapy 41, no. 2 (March 27, 2012): 162–72. http://dx.doi.org/10.1017/s1352465812000148.

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Background: Two studies are presented that highlight the role of emotion in PTSD in which we examine what emotions in addition to anxiety may be present. Aims: The first aim was to assess the overall emotion profile across the five basic emotions of anxiety, sadness, anger, disgust, and happiness in clients attending a stress clinic. A small pilot study was also carried out to see how the emotion profiles impacted on outcome for CBT. Method: In Study 1, 75 consecutive attenders at a trauma service who were diagnosed with PTSD were assessed with a number of measures that included the Basic Emotions Scale. Results: The results showed that less than 50% of PTSD cases presented with anxiety as the primary emotion, with the remainder showing primary emotions of sadness, anger, or disgust rather than anxiety. A second pilot study involved the follow-up across exposure-based CBT of 20 of the participants from Study 1. Conclusions: The results suggest that anxiety-based PTSD is more likely to benefit from exposure than is non-anxiety based PTSD. Implications both for the classification and the treatment of PTSD are considered.
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Remmes, Cara S., and Jill Ehrenreich-May. "Parental Emotion Regulation Strategy Use and Responses to Youth Negative Affect." Journal of Cognitive Psychotherapy 28, no. 1 (2014): 34–47. http://dx.doi.org/10.1891/0889-8391.28.1.34.

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Parental responses to youth negative affect have been associated with social and emotional outcomes in youth. However, the association between such parenting behaviors and essential components of youth emotion regulation is not well studied, especially in youth with anxiety and depressive disorders. This investigation examined the influence of parents’ emotion regulation strategies and their responses to youth negative affect on adolescent-reported emotional awareness and emotional expression in a clinical sample of youth with anxiety disorders. In addition, this study examined the relationship between parent-reported use of emotion regulation strategies and parental reactions to youth negative affect. Questionnaires were completed by 67 adolescents (ages 12–18 years) and by one of their parents during an intake assessment at a university-based clinic. Adolescents had a primary anxiety or depressive disorder diagnosis. Results indicated a positive relationship between parent-reported use of suppression and youth report of poor emotional understanding in adolescents with a primary anxiety or depressive disorder. A positive relationship between parent-reported use of reappraisal and emotion-coaching responses to youth negative affect was also found. Clinical implications of these findings are discussed in the context of parental socialization of youth emotion regulation and in terms of prevention and intervention efforts.
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Austin, Tara, Shawneen Pazienza, and Crystal Lantrip. "A-133 Emotion Regulation Strategy Use in Veterans with Subjective Cognitive Complaints in a Neuropsychology Clinic." Archives of Clinical Neuropsychology 36, no. 6 (August 30, 2021): 1184. http://dx.doi.org/10.1093/arclin/acab062.151.

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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.
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12

Rammage, Linda. "Emotional Expression and Voice Dysfunction." Perspectives on Voice and Voice Disorders 21, no. 1 (March 2011): 8–16. http://dx.doi.org/10.1044/vvd21.1.8.

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In this article, the perceptual-motor theory of emotion is summarized and explained in the context of general and vocal emotional expression. A case example from our voice clinic is used to illustrate the usefulness of the theory for speech-language pathologists, and to highlight how collaborative work with a psychiatrist specializing in voice disorders enhances treatment outcomes.
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Sun, Mengru. "Study on Antidepressant Emotion Regulation Based on Feedback Analysis of Music Therapy with Brain-Computer Interface." Computational and Mathematical Methods in Medicine 2022 (October 5, 2022): 1–14. http://dx.doi.org/10.1155/2022/7200678.

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In today’s society, people with poor mental ability are prone to neuropsychiatric diseases such as anxiety, ADHD, and depression due to long-term negative emotions. Although conventional Western medicine has certain curative effect, these drugs have significant anticholinergic side effects central toxicity as well as cardiovascular and gastrointestinal side effects which limit their application in the elderly. At present, several antidepressants used in clinic have certain limitations. According to the symptoms of depression, this paper proposes a feedback emotion regulation method of brain-computer interface music therapy. This method uses special music stimulation to regulate the release of inhibiting sex hormones in the body, reduce the influence of negative emotions on the internal environment of the body, and maintain the steady state of the body. In this method, EEG is used as the emotional control signal of depressed patients, and this biological signal is transformed into music that depressed patients can understand, so as to clarify their physiological and psychological state and realize emotional self-regulation by feedback.
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Förster, Katharina, Marcel Kurtz, Annika Konrad, and Philipp Kanske. "Emotional Reactivity, Emotion Regulation, and Social Emotions in Affective Disorders." Zeitschrift für Klinische Psychologie und Psychotherapie 51, no. 1 (January 2022): 11–25. http://dx.doi.org/10.1026/1616-3443/a000648.

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Abstract. Affective disorders, specifically Major Depressive Disorder and Bipolar Disorders, show high prevalence, relapse rates, and a high likelihood to develop a chronic course. For the past two decades, research has investigated the neural correlates of emotion processing and emotion regulation in patients with affective disorders. Putative underlying causal mechanisms of dysregulated affect have been informed by knowledge from the intersection of neuroimaging and clinical psychology. More recent investigations also consider processing the role of mostly negative, self-blaming social emotions, which have been linked to treatment resistance and, hence, provide a prolific target for intervention. Several psychotherapeutic treatment approaches already focus on emotion, and here specific knowledge about the mechanisms underlying persistent changes in affect bears the potential to improve the treatment of affective disorders. In this narrative review, we delineate why and how our insights into the neural correlates of emotion processing and regulation can be applied to the treatment of patients with affective disorders.
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Matsuda, Ryo. "Multiple Emotion Regulation in Rorschach Color Responses." Rorschachiana 40, no. 2 (December 1, 2019): 112–30. http://dx.doi.org/10.1027/1192-5604/a000116.

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Abstract. While color-related responses to the Rorschach test have been interpreted as reflecting respondents’ emotional characteristics, their validity has been criticized. Since Rorschach validity should be confirmed by both unconscious and conscious processes, this study focused on implicit positive attitudes toward emotion regulation (considered an unconscious mechanism that motivates regulating emotions) and emotion-regulation strategy. In total, 39 undergraduates (two of whom were excluded from the analyses) completed the Rorschach test, the Implicit Association Test (IAT; measures implicit attitudes toward emotion regulation), and a questionnaire about emotion-regulation strategies. The results showed that positive attitudes toward emotion regulation increased participants’ form-chromatic color (FC) responses, and people who habitually used adaptive strategies to regulate emotions gave more FC responses with high form quality. These results support the interpretation of FC as a mature and controlled emotional response. Additionally, affective ratio (Afr) scores positively correlated with the behavioral suppression of emotions. This result suggests that high Afr, which activates reactivity to Rorschach color cards, can be interpreted as emotional excitement caused by the dysfunction of emotion regulation.
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Deng, Xinmei, and Xuechen Ding. "Contra-Hedonic Attitudes Toward Pleasant Emotions in China: Links to Hedonism, Emotion Expression, and Depression." Journal of Social and Clinical Psychology 38, no. 2 (February 2019): 140–59. http://dx.doi.org/10.1521/jscp.2019.38.2.140.

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Introduction: Contra-hedonic attitudes toward pleasant emotions are culturally dominant in Chinese culture, but less is known about its links with hedonism, emotion expression and depression. Method: We examined how attitudes toward pleasant emotions (measured by the Implicit Association Test) mediated the relation between hedonism and emotion expression (Study 1) and whether contra-hedonic attitudes toward pleasant emotions moderated the relation between emotion expression and depression (Study 2). Results: Chinese implicitly evaluated pleasant emotions as negative and valued hedonism less important in daily lives. As less important in Chinese culture, hedonism may shape individual emotion expression through the influence of implicit attitudes toward pleasant emotions. In line with prior research, emotion expression was associated with higher level of depression. However, this relation was moderated by the extent to which individual evaluated pleasant emotions as negative. Discussion: These findings highlight the importance of how people evaluate pleasant emotions to understand emotion expression and emotional states from a cultural perspective.
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Bonfiglio, Natale Salvatore, Roberta Renati, and Gabriella Bottini. "Decoding Emotion in Drug Abusers: Evidence for Face and Body Emotion Recognition and for Disgust Emotion." European Journal of Investigation in Health, Psychology and Education 12, no. 9 (September 17, 2022): 1427–40. http://dx.doi.org/10.3390/ejihpe12090099.

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Background: Different drugs damage the frontal cortices, particularly the prefrontal areas involved in both emotional and cognitive functions, with a consequence of decoding emotion deficits for people with substance abuse. The present study aimed to explore the cognitive impairments in drug abusers through facial, body and disgust emotion recognition, expanding the investigation of emotions processing, measuring accuracy and response velocity. Methods: We enrolled 13 addicted to cocaine and 12 alcohol patients attending treatment services in Italy, comparing them with 33 matched controls. Facial emotion and body posture recognition tasks, a disgust rating task and the Barrat Impulsivity Scale were included in the experimental assessment. Results: We found that emotional processes are differently influenced by cocaine and alcohol, suggesting that these substances impact diverse cerebral systems. Conclusions: Drug abusers seem to be less accurate on elaboration of facial, body and disgust emotions. Considering that the participants were not cognitively impaired, our data support the hypothesis that emotional impairments emerge independently from the damage of cognitive functions.
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Sebrant, Ulla. "Emotion, power and identity. Emotional display of envy when taking on management roles in a professional hierarchy." Journal of Health Organization and Management 28, no. 4 (August 18, 2014): 548–61. http://dx.doi.org/10.1108/jhom-11-2012-0220.

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Purpose – Drawing on a previous study of organising processes and the construction of identity in a Swedish geriatric clinic, the impact of emotions is brought to the fore in the interpretation of power relations among professional groups. The purpose of this paper is to find a way to interpret emotions as discursively constructed in organising processes. Design/methodology/approach – A sequence of critical events is described where leading positions were negotiated at the clinic. Senior physicians and head nurses are highlighted as opposing forces in a struggle where envious emotions seemed to be a driving force in the political interplay. The empirical material in this paper comes from the previous study. It is a set of participant observations and parts of interviews that took place before and after the implementation of a new organisational plan for the clinic. Findings – The envious and regressive undertone in the relationships between the actors made them act for egocentric reasons instead of creating new ways of collaborating and learning new leading roles. The power relations of the medical hierarchy were reproduced, which made new ways of relating threatening and difficult to achieve. Originality/value – The results of the study confirm that people involved and perhaps in conflict with each other have to be able to, or get help to, make sense of their emotional experiences to employ them constructively. Otherwise they fall back into well-known patterns in order to feel secure. A vital part of learning in change processes is the support to individuals and groups in gaining emotional understanding of themselves and others. Leaders and managers who often are initiators of change ought to be aware of the importance of emotional support in change processes. If they are not, they are destined to be a part of the confusion and unable to lead or support their staff in change processes.
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Di Bartolomeo, Alyssa A., Sonya Varma, Lindsay Fulham, and Skye Fitzpatrick. "The moderating role of interpersonal problems on baseline emotional intensity and emotional reactivity in individuals with borderline personality disorder and healthy controls." Journal of Experimental Psychopathology 13, no. 4 (October 2022): 204380872211424. http://dx.doi.org/10.1177/20438087221142481.

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Emotion dysregulation, including higher baseline emotional intensity and emotional reactivity (i.e., increased magnitude of change in emotional responding) is theoretically central to Borderline Personality Disorder (BPD). However, little research has examined which specific emotions individuals with BPD experience emotion dysregulation in. Interpersonal problems also theoretically drive emotion dysregulation in BPD. However, whether interpersonal problems elicit emotion dysregulation for some specific emotions but not others is unclear. This study aimed to assess whether interpersonal problems moderate the relationship between (1) baseline emotional intensity and (2) emotional reactivity in BPD across six specific emotions (i.e., sadness, disgust, fear, shame, guilt, and anger). Borderline Personality Disorder ( n = 30) and healthy control (HC; n = 30) groups reported their interpersonal problems at baseline and their emotions before and after listening to a laboratory stressor. For the BPD (but not HC) group, higher interpersonal problems were associated with greater baseline sadness, disgust, fear, shame, and guilt. Across groups, higher interpersonal problems were associated with greater sadness, fear, guilt, and anger, but not disgust, reactivity. Higher interpersonal problems were associated with higher shame reactivity specifically for those with BPD. Targeting interpersonal problems may reduce heightened baseline emotional intensity and emotional reactivity for those with BPD, particularly for shame reactivity in BPD.
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Léveillé, Edith, Samuel Guay, Caroline Blais, Peter Scherzer, and Louis De Beaumont. "Sex-Related Differences in Emotion Recognition in Multi-concussed Athletes." Journal of the International Neuropsychological Society 23, no. 1 (December 15, 2016): 65–77. http://dx.doi.org/10.1017/s1355617716001004.

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AbstractObjectives:Concussion is defined as a complex pathophysiological process affecting the brain. Although the cumulative and long-term effects of multiple concussions are now well documented on cognitive and motor function, little is known about their effects on emotion recognition. Recent studies have suggested that concussion can result in emotional sequelae, particularly in females and multi-concussed athletes. The objective of this study was to investigate sex-related differences in emotion recognition in asymptomatic male and female multi-concussed athletes.Methods:We tested 28 control athletes (15 males) and 22 multi-concussed athletes (10 males) more than a year since the last concussion. Participants completed the Post-Concussion Symptom Scale, the Beck Depression Inventory-II, the Beck Anxiety Inventory, a neuropsychological test battery and a morphed emotion recognition task. Pictures of a male face expressing basic emotions (anger, disgust, fear, happiness, sadness, surprise) morphed with another emotion were randomly presented. After each face presentation, participants were asked to indicate the emotion expressed by the face.Results:Results revealed significant sex by group interactions in accuracy and intensity threshold for negative emotions, together with significant main effects of emotion and group.Conclusions:Male concussed athletes were significantly impaired in recognizing negative emotions and needed more emotional intensity to correctly identify these emotions, compared to same-sex controls. In contrast, female concussed athletes performed similarly to same-sex controls. These findings suggest that sex significantly modulates concussion effects on emotional facial expression recognition. (JINS, 2017,23, 65–77)
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Southward, Matthew W., Jane E. Heiy, and Jennifer S. Cheavens. "Emotions as Context: Do the Naturalistic Effects of Emotion Regulation Strategies Depend on the Regulated Emotion?" Journal of Social and Clinical Psychology 38, no. 6 (June 2019): 451–74. http://dx.doi.org/10.1521/jscp.2019.38.6.451.

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Introduction: Researchers have examined how several contexts impact the effectiveness of emotion regulation strategies. However, few have considered the emotion-to-be-regulated as a context of interest. Specific emotions are important contexts because they may require particular responses to internal and external stimuli for optimal regulation. Method: Ninety-two undergraduates completed 10 days of ecological momentary assessment, reporting their current mood, recent emotions, and emotion regulation strategies three times per day. Results: The frequency with which certain emotion regulation strategies were used (i.e., acceptance, positive refocusing, reappraisal, problem-solving, and other-blame) differed by the specific emotion experienced. Acceptance and positive refocusing were associated with better mood regardless of emotion, while substance use was associated with worse mood regardless of emotion. Reappraisal was associated with better mood in response to anger than anxiety or sadness, while emotional suppression and other-blame were associated with worse mood in response to anger. Discussion: These results suggest some emotion regulation strategies exhibit emotion-invariant effects while others depend on the emotion-to-be-regulated.
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Goldblatt, Hadass, Anat Freund, Anat Drach-Zahavy, Guy Enosh, Ilana Peterfreund, and Neomi Edlis. "Providing Health Care in the Shadow of Violence: Does Emotion Regulation Vary Among Hospital Workers From Different Professions?" Journal of Interpersonal Violence 35, no. 9-10 (March 28, 2017): 1908–33. http://dx.doi.org/10.1177/0886260517700620.

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Research into violence against health care staff by patients and their families within the health care services shows a rising frequency of incidents. The potentially damaging effects on health care staff are extensive, including diverse negative psychological and physical symptoms. The aim of this qualitative study was to examine how hospital workers from different professions reacted to patients’ and visitors’ violence against them or their colleagues, and how they regulated their emotional reactions during those incidents. The research question was as follows: How do different types of hospital workers regulate the range of their emotional reactions during and after violent events? Participants were 34 hospital workers, representing several professional sectors. Data were collected through in-depth semistructured interviews, which were later transcribed and thematically content analyzed. Five themes were revealed, demonstrating several tactics that hospital workers used to regulate their emotions during incidents of violent outbursts by patients or visitors: (1) Inability to Manage Emotion Regulation, (2) Emotion Regulation by Distancing and Disengagement Tactics, (3) Emotion Regulation Using Rationalization and Splitting Tactics, (4) Emotion Regulation via the Use of Organizational Resources, and (5) Controlling Emotions by Suppression. Hospital workers who experienced dissonance between their professional expectations and their emotional reactions to patients’ violence reported using various emotion regulation tactics, consequently managing to fulfill their duty competently. Workers who did not experience such dissonance felt in full control of their emotions and did not manifest responses of emotion regulation. Others, however, experienced intense emotional flooding and failed to regulate their emotions. We recommend developing health care staff’s awareness of possible emotional implications of violent incidents, for themselves as people and for their intact functioning at work. In addition, we recommend further development of health care staff training programs for coping with violent patients and enhancement of formal and informal organizational support.
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Rindstedt, Camilla. "Pain and nurses' emotion work in a paediatric clinic: Treatment procedures and nurse-child alignments." Communication and Medicine 10, no. 1 (February 16, 2014): 51–61. http://dx.doi.org/10.1558/cam.v10i1.51.

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In the treatment of cancer in children, treatment procedures have been reported to be one of the most feared elements, as more painful than the illness as such. This study draws on a video ethnography of routine needle procedure events, as part of fieldwork at a paediatric oncology clinic documenting everyday treatment negotiations between nurses and young children. On the basis of detailed transcriptions of verbal and nonverbal staff–child interaction, the analyses focus on ways in which pain and anxiety can be seen as phenomena that are partly contingent on nurses’ emotion work. The school-age children did not display fear. In the preschool group, though, pain and fear seemed to be phenomena that were greatly reduced through nurses’ emotion work. This study focuses on three preschoolers facing potentially painful treatment, showing how the nurses engaged in massive emotion work with the children, through online commentaries, interactive formats (delegation of tasks, consent sequences, collaborative ‘we’-formats), as well as solidarity-oriented moves (such as praise and endearment terms). Even a young toddler would handle the distress of needle procedures, when interacting with an inventive nurse who mobilized child participation through skilful emotion work.
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Mu, Wenting, and Howard Berenbaum. "Negative Self-Conscious Emotions: Appraisals, Action Tendencies, and Labels." Journal of Social and Clinical Psychology 38, no. 2 (February 2019): 113—S7. http://dx.doi.org/10.1521/jscp.2019.38.2.113.

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Introduction: The present research focused on negative self-conscious emotions, examining the predictive utility of a set of appraisals and action tendencies as compared to emotion labels. Method: In two studies, participants were asked to recall multiple negative self-conscious emotional experiences, and rate each experience using the appraisals and action tendencies, as well as a set of emotion labels. Results: The data revealed that in each emotional experience, participants are likely to experience multiple appraisals, action tendencies, and negative self-conscious emotions simultaneously. Further, the use of appraisals and action tendencies (as opposed to emotion labels) demonstrated excellent utility in predicting a variety of outcomes indicative of psychopathology and psychological well-being (i.e., depression, social anxiety, meanness, relationship quality). Discussion: Implications for the conceptualization and assessment of negative self-conscious emotions are discussed.
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Varkovitzky, Ruth L., Andrew M. Sherrill, and Greg M. Reger. "Effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders Among Veterans With Posttraumatic Stress Disorder: A Pilot Study." Behavior Modification 42, no. 2 (August 27, 2017): 210–30. http://dx.doi.org/10.1177/0145445517724539.

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Effective treatment options are needed for veterans who do not participate in trauma-focused psychotherapy. Research has yet to examine the effectiveness of transdiagnostic psychotherapy in veterans with posttraumatic stress disorder (PTSD) and co-occurring psychological disorders. This pilot study examined the effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) delivered in a 16-week group format. We examined treatment outcomes in male and female veterans ( n = 52) in an outpatient specialty PTSD clinic at a large Veterans Affairs (VA) medical center. We hypothesized significant decreases in emotion regulation difficulty (Difficulties in Emotion Regulation Scale), PTSD symptom severity (PTSD Checklist for DSM-5), and depressive symptom severity (Patient Health Questionnaire–9). In addition, we hypothesized that reductions in emotion regulation difficulty across treatment would negatively predict PTSD and depressive symptoms at posttreatment. PTSD symptoms, depressive symptoms, and emotion regulation difficulty all evidenced significant improvements at the end of treatment relative to baseline ( ps < .001). In addition, reductions in emotion regulation across treatment were associated with lower PTSD and depressive symptoms at posttreatment ( ps < .001). This pilot study provides preliminary evidence supporting use of UP among veterans with PTSD and co-occurring disorders. Well-designed clinical trials evaluating efficacy of UP among veterans are needed.
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Kneeland, Elizabeth T., Fallon R. Goodman, and John F. Dovidio. "Emotion Beliefs, Emotion Regulation, and Emotional Experiences in Daily Life." Behavior Therapy 51, no. 5 (September 2020): 728–38. http://dx.doi.org/10.1016/j.beth.2019.10.007.

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Lavender, Jason M., Matthew T. Tull, David DiLillo, Terri Messman-Moore, and Kim L. Gratz. "Development and Validation of a State-Based Measure of Emotion Dysregulation." Assessment 24, no. 2 (July 27, 2016): 197–209. http://dx.doi.org/10.1177/1073191115601218.

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Existing measures of emotion dysregulation typically assess dispositional tendencies and are therefore not well suited for study designs that require repeated assessments over brief intervals. The aim of this study was to develop and validate a state-based multidimensional measure of emotion dysregulation. Psychometric properties of the State Difficulties in Emotion Regulation Scale (S-DERS) were examined in a large representative community sample of young adult women drawn from four sites ( N = 484). Exploratory factor analysis suggested a four-factor solution, with results supporting the internal consistency, construct validity, and predictive validity of the total scale and the four subscales: Nonacceptance (i.e., nonacceptance of current emotions), Modulate (i.e., difficulties modulating emotional and behavioral responses in the moment), Awareness (i.e., limited awareness of current emotions), and Clarity (i.e., limited clarity about current emotions). S-DERS scores were significantly associated with trait-based measures of emotion dysregulation, affect intensity/reactivity, experiential avoidance, and mindfulness, as well as measures of substance use problems. Moreover, significant associations were found between the S-DERS and state-based laboratory measures of emotional reactivity, even when controlling for the corresponding original DERS scales. Results provide preliminary support for the reliability and validity of the S-DERS as a state-based measure of emotion regulation difficulties.
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Bertrando, P., J. Beltz, C. Bressi, M. Clerici, T. Farma, G. Invernizzi, and C. L. Cazzullo. "Expressed Emotion and Schizophrenia in Italy." British Journal of Psychiatry 161, no. 2 (August 1992): 223–29. http://dx.doi.org/10.1192/bjp.161.2.223.

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Forty-two schizophrenic patients and their close relatives took part in an Italian replication study of expressed emotion (EE). The patients were selected from the psychiatric ward of a general hospital in Milan and were subsequently followed up for nine months. All patients attended a community service clinic as out-patients, and all but one were prescribed neuroleptics for the duration of the study. Relatives were assigned to the high-EE group if they scored 4 or 5 on the emotional overinvolvement (EOI) scale, or showed hostility, or made six or more critical comments. On this basis, 18 (42%) families were rated as low EE and 24 (57%) as high EE. At follow-up, the admission rate for the 9-month period was significantly higher for the high-EE group (P<0.05). Furthermore, significantly fewer patients were readmitted from families showing high warmth (P<0.05). The presence of high warmth appeared to be associated with a lower admission rate, even in high-EE families.
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Rinella, Sergio, Simona Massimino, Piero Giorgio Fallica, Alberto Giacobbe, Nicola Donato, Marinella Coco, Giovanni Neri, Rosalba Parenti, Vincenzo Perciavalle, and Sabrina Conoci. "Emotion Recognition: Photoplethysmography and Electrocardiography in Comparison." Biosensors 12, no. 10 (September 30, 2022): 811. http://dx.doi.org/10.3390/bios12100811.

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Automatically recognizing negative emotions, such as anger or stress, and also positive ones, such as euphoria, can contribute to improving well-being. In real-life, emotion recognition is a difficult task since many of the technologies used for this purpose in both laboratory and clinic environments, such as electroencephalography (EEG) and electrocardiography (ECG), cannot realistically be used. Photoplethysmography (PPG) is a non-invasive technology that can be easily integrated into wearable sensors. This paper focuses on the comparison between PPG and ECG concerning their efficacy in detecting the psychophysical and affective states of the subjects. It has been confirmed that the levels of accuracy in the recognition of affective variables obtained by PPG technology are comparable to those achievable with the more traditional ECG technology. Moreover, the affective psychological condition of the participants (anxiety and mood levels) may influence the psychophysiological responses recorded during the experimental tests.
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Sohn, Sunghwan, Manabu Torii, Dingcheng Li, Kavishwar Wagholikar, Stephen Wu, and Hongfang Liu. "A Hybrid Approach to Sentiment Sentence Classification in Suicide Notes." Biomedical Informatics Insights 5s1 (January 2012): BII.S8961. http://dx.doi.org/10.4137/bii.s8961.

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This paper describes the sentiment classification system developed by the Mayo Clinic team for the 2011 I2B2/VA/Cincinnati Natural Language Processing (NLP) Challenge. The sentiment classification task is to assign any pertinent emotion to each sentence in suicide notes. We have implemented three systems that have been trained on suicide notes provided by the I2B2 challenge organizer–-a machine learning system, a rule-based system, and a system consisting of a combination of both. Our machine learning system was trained on re-annotated data in which apparently inconsistent emotion assignment was adjusted. Then, the machine learning methods by RIPPER and multinomial Naïve Bayes classifiers, manual pattern matching rules, and the combination of the two systems were tested to determine the emotions within sentences. The combination of the machine learning and rule-based system performed best and produced a micro-average F-score of 0.5640.
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Bolton, Catherine, Christine Barrowclough, and Rachel Calam. "Parental Criticism and Adolescent Depression: Does Adolescent Self-Evaluation Act as a Mediator?" Behavioural and Cognitive Psychotherapy 37, no. 5 (August 25, 2009): 553–70. http://dx.doi.org/10.1017/s1352465809990221.

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Background: A better understanding of relationships between adolescent depression and family functioning may help in devising ways to prevent development of depression and design effective therapeutic interventions. Aims: This study explored the relationship of parental emotional attitudes, (perceived criticism and expressed emotion) to adolescent self-evaluation and depression. Methods: A sample of 28 clinic-referred adolescents and their mothers participated. The Five Minute Speech Sample was used to measure parental expressed emotion, and the adolescents completed the Children's Depression Inventory, Self-Perception Profile for Children global self-worth scale, a self-criticism scale and a perceived parental criticism scale. Results: There was partial support for a model of adolescent negative self-evaluation as a mediator in the relationship between parental emotional attitudes and adolescent depressive symptoms. The data also supported an alternative hypothesis whereby adolescent depressive symptoms are related to negative self-evaluation. Conclusions: The overall pattern of results emphasizes the significance of adolescents' perceptions of parental criticism, rather than actual levels, in understanding the relationship between parental emotional attitudes and adolescent depressive symptoms.
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Nurany, Putri Nabhani, Maria Goretti Adiyanti, and Zainudin Hassan. "Parental expressed emotions and depression among adolescents: The mediating role of emotion regulation." Psikohumaniora: Jurnal Penelitian Psikologi 7, no. 2 (October 24, 2022): 195–210. http://dx.doi.org/10.21580/pjpp.v7i2.12556.

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Adolescence is a phase in life that is prone to depression. Depression in adolescents can be influenced by their family context, which can involve high parental expressed emotions and low emotion regulation among adolescents. This study aims to reveal the relationship between parental expressed emotion and adolescents’ depression, as mediated by emotional regulation in adolescents. The measuring instruments used are depression scales, the scale of adolescent emotional regulation and the scale of perceived parental expressed emotion. The participants were 212 adolescents who were identified using the purposive sampling technique. Analysis of the research data was made using simple mediation models with PROCESS. The results show a relationship between maternal expressed emotion and depression in adolescents, fully mediated by adolescent emotional regulation (BootLLCI = .030, BootULCI = .083, B = .055). There is also a relationship between fathers’ expressed emotion and depression in adolescents, partially mediated by adolescent emotional regulation (BootLLCI = .027, BootULCI = .073, B = .048). The results of the study could provide an alternative explanation of the dynamics of the relationships between fathers, mothers and adolescents. In addition, the findings emphasize the importance of adolescent emotion regulation.
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Powell, Suzanna, Joanne Bower, Dagny Deutchman, and Cara Palmer. "097 Subjective Sleep Quality is Associated with the Regulation of Positive Emotions." Sleep 44, Supplement_2 (May 1, 2021): A40. http://dx.doi.org/10.1093/sleep/zsab072.096.

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Abstract Introduction Sleep disturbances have been associated with emotion regulation difficulties, which in turn predicts the onset and maintenance of mental health disorders. However, research has primarily focused on the regulation of negative emotions. Associations between sleep and positive emotion regulation strategies are unknown. The current research examined relationships between subjective sleep disturbances (Study 1 and Study 2), objective sleep (Study 2), and positive emotion regulation strategies, including strategies that enhance or maintain positive emotions (i.e., savoring) and strategies that reduce positive emotion (i.e., dampening). Methods In Study 1, participants (N = 388, ages 18–64 years, 65% female) completed the Pittsburgh Sleep Quality Index and the Responses to Positive Affect questionnaire to assess their positive emotion regulation strategy use, which consists of three subscales (emotion-focused savoring, self-focused savoring, and dampening). Participants in Study 2 (N = 59, ages 18–30 years, 84% female) completed the Pittsburgh Sleep Quality Index, the Responses to Positive Affect questionnaire, and wore an actigraph for one week. Results In Study 1, greater subjective sleep disturbances were associated with increased dampening (β = .45, B = .45, SE = .05, 95% C.I. = .35, .55, p &lt;.001), less emotion-focused savoring (β = -.16, B = -.10, SE = .03, 95% C.I. = -.16, -.04, p &lt;.005) and less self-focused savoring (β = -.16, B = -.08, SE = .03, 95% C.I. = -.13, -.03, p &lt; .05). In Study 2, subjective sleep disturbances were associated with greater dampening (β = .31, B = .70, SE = .32, 95% C.I. = .07, 1.34, p &lt; .05), and marginally less self-focused savoring (β = -.28, B = -.82, SE = .42, 95% C.I. = -1.67, .02, p = .05). Actigraphy-measured sleep was unrelated to positive emotion regulation. All models adjusted for adjusted for age and gender. Conclusion Subjective sleep disturbances are associated with positive emotion regulation strategies, particularly strategies that dampen positive emotional experiences. These findings complement prior associations among sleep and the dysregulation of negative emotions, and suggest that sleep-related positive emotion dysregulation may be one mechanism by which sleep can lead to the development of emotional disorders. Support (if any):
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Watkins, Jean, and Elizabeth Armstrong. "Clinic Emotional Health." Practice Nursing 12, no. 6 (June 2001): 236. http://dx.doi.org/10.12968/pnur.2001.12.6.4418.

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Watkins, Jean, and Elizabeth Armstrong. "Clinic Emotional Health." Practice Nursing 12, no. 8 (August 2001): 336. http://dx.doi.org/10.12968/pnur.2001.12.8.4393.

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Strauss, Gregory P., Farnaz Zamani Esfahlani, Katherine Frost Visser, Elizabeth K. Dickinson, June Gruber, and Hiroki Sayama. "Mathematically Modeling Emotion Regulation Abnormalities During Psychotic Experiences in Schizophrenia." Clinical Psychological Science 7, no. 2 (January 11, 2019): 216–33. http://dx.doi.org/10.1177/2167702618810233.

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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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Denton, Wayne H., Brant R. Burleson, Thomas E. Clark, Christopher P. Rodriguez, and Barbara V. Hobbs. "A RANDOMIZED TRIAL OF EMOTION-FOCUSED THERAPY FOR COUPLES IN A TRAINING CLINIC." Journal of Marital and Family Therapy 26, no. 1 (January 2000): 65–78. http://dx.doi.org/10.1111/j.1752-0606.2000.tb00277.x.

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McDonald, Skye. "Are You Crying or Laughing? Emotion Recognition Deficits After Severe Traumatic Brain Injury." Brain Impairment 6, no. 1 (May 1, 2005): 56–67. http://dx.doi.org/10.1375/brim.6.1.56.65481.

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AbstractTo date there has been little research concerning the neuropsychological mechanisms of emotion perception deficits following traumatic brain injury (TBI), although such deficits are well documented. This paper considers two major issues. First, are emotion-processing deficits found regardless of the media of presentation? In a recent study examining this issue, adults with severe TBI were found to have particular problems identifying emotions from conversational tone, as well as difficulties when presented with still photographs and audiovisual dynamic displays (videoed vignettes). They were relatively normal when asked to classify emotions on the basis of moving visual displays without sound. This may reflect the fact that the parietal cortices, important for processing movement, are relatively unscathed in TBI. The second issue concerns whether emotion recognition is facilitated by empathic emotional responses and whether these are diminished in people with TBI. Evidence is presented for a relation between subjective reports of diminished emotional experience and emotion recognition accuracy. Finally, preliminary data suggests that people with TBI may fail to have empathic reactions when asked to passively view emotional expressions.
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Thompson, Renee J., Jutta Mata, Susanne M. Jaeggi, Martin Buschkuehl, John Jonides, and Ian H. Gotlib. "The Role of Attention to Emotion in Recovery from Major Depressive Disorder." Depression Research and Treatment 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/540726.

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Major Depressive Disorder (MDD) is characterized by several emotional disturbances. One possible but not well-examined disturbance is in attention to emotion, an important facet of emotional awareness. We examined whether attention to emotion predicted recovery from MDD. Fifty-three adults with current MDD completed a week of experience sampling (Time 1). At each prompt, participants reported attention to emotion, negative affect (NA), and positive affect (PA). Approximately one year later (Time 2), the depressive status of 27 participants was reassessed. Participants who had recovered from MDD (n=8) indicated paying less attention to their emotions at Time 1 than did participants who had not fully recovered (n=19). Attention to emotion was better predictor of recovery than was severity of MDD, NA, or PA at Time 1. Levels of attention to emotion at Time 1 in participants who recovered from MDD did not differ significantly from the levels reported by 53 never-depressed individuals who had participated in the experience sampling. Findings indicate that high levels of an otherwise adaptive emotional facet can adversely affect the course of MDD.
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Sheppard, Shannon M., Lynsey M. Keator, Bonnie L. Breining, Amy E. Wright, Sadhvi Saxena, Donna C. Tippett, and Argye E. Hillis. "Right hemisphere ventral stream for emotional prosody identification." Neurology 94, no. 10 (December 31, 2019): e1013-e1020. http://dx.doi.org/10.1212/wnl.0000000000008870.

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ObjectiveTo determine whether right ventral stream and limbic structures (including posterior superior temporal gyrus [STG], STG, temporal pole, inferior frontal gyrus pars orbitalis, orbitofrontal cortex, amygdala, anterior cingulate, gyrus, and the sagittal stratum) are implicated in emotional prosody identification.MethodsPatients with MRI scans within 48 hours of unilateral right hemisphere ischemic stroke were enrolled. Participants were presented with 24 sentences with neutral semantic content spoken with happy, sad, angry, afraid, surprised, or bored prosody and chose which emotion the speaker was feeling based on tone of voice. Multivariable linear regression was used to identify individual predictors of emotional prosody identification accuracy from a model, including percent damage to proposed right hemisphere structures, age, education, and lesion volume across all emotions (overall emotion identification) and 6 individual emotions. Patterns of recovery were also examined at the chronic stage.ResultsThe overall emotion identification model was significant (adjusted r2 = 0.52; p = 0.043); greater damage to right posterior STG (p = 0.038) and older age (p = 0.009) were individual predictors of impairment. The model for recognition of fear was also significant (adjusted r2 = 0.77; p = 0.002), with greater damage to right amygdala (p = 0.047), older age (p < 0.001), and less education (p = 0.005) as individual predictors. Over half of patients with chronic stroke had residual impairments.ConclusionsRight posterior STG in the right hemisphere ventral stream is critical for emotion identification in speech. Patients with stroke with damage to this area should be assessed for emotion identification impairment.
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Gilbert, Kirsten, Susan Mineka, Richard E. Zinbarg, Michelle G. Craske, and Emma K. Adam. "Emotion Regulation Regulates More Than Emotion." Clinical Psychological Science 5, no. 1 (October 14, 2016): 37–51. http://dx.doi.org/10.1177/2167702616654437.

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Maladaptive emotion regulation and dysregulated hypothalamic-pituitary-adrenal (HPA) axis functioning are characteristic of depression and anxiety. However, little research examines whether and how emotion regulation affects HPA axis functioning. We utilized an experience sampling methodology to examine associations between three emotion regulation strategies (problem solving, disengagement, and emotional expression/support seeking) and diurnal cortisol rhythms and reactivity in everyday life. Participants were young adults with current, past, or no history of internalizing disorders (depression or anxiety; N = 182). Across participants, problem solving was associated with an elevated cortisol awakening response (CAR), whereas disengagement was associated with a steeper cortisol slope. Only for individuals with internalizing disorders was momentary problem solving and emotional expression/support seeking associated with higher cortisol reactivity and emotional expression/support seeking associated with a flatter diurnal slope and blunted CAR. Results provide insight into associations between emotion regulation and day-to-day HPA axis functioning.
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Compare, Angelo, Cristina Zarbo, Edo Shonin, William Van Gordon, and Chiara Marconi. "Emotional Regulation and Depression: A Potential Mediator between Heart and Mind." Cardiovascular Psychiatry and Neurology 2014 (June 22, 2014): 1–10. http://dx.doi.org/10.1155/2014/324374.

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A narrative review of the major evidence concerning the relationship between emotional regulation and depression was conducted. The literature demonstrates a mediating role of emotional regulation in the development of depression and physical illness. Literature suggests in fact that the employment of adaptive emotional regulation strategies (e.g., reappraisal) causes a reduction of stress-elicited emotions leading to physical disorders. Conversely, dysfunctional emotional regulation strategies and, in particular, rumination and emotion suppression appear to be influential in the pathogenesis of depression and physiological disease. More specifically, the evidence suggests that depression and rumination affect both cognitive (e.g., impaired ability to process negative information) and neurobiological mechanisms (e.g., hypothalamic pituitary adrenal axis overactivation and higher rates of cortisol production). Understanding the factors that govern the variety of health outcomes that different people experience following exposure to stress has important implications for the development of effective emotion-regulation interventional approaches (e.g., mindfulness-based therapy, emotion-focused therapy, and emotion regulation therapy).
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Schönenberg, Michael, Alexander Schneidt, Eva Wiedemann, and Aiste Jusyte. "Processing of Dynamic Affective Information in Adults With ADHD." Journal of Attention Disorders 23, no. 1 (March 30, 2015): 32–39. http://dx.doi.org/10.1177/1087054715577992.

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Objective: ADHD has been repeatedly linked to problems in social functioning. Although some theories assume that the emotion recognition deficits are explained by general attentional deficits, mounting evidence suggests that they may actually constitute a distinct impairment. However, it remains unclear whether the deficient processing affects specific emotional categories or may generalize to all basic emotions. The present study aims to investigate these questions by assessing the sensitivity to all six basic emotions in adults with ADHD. Method: The participants judged the emotion onset in animated morph clips displaying facial expressions that slowly changed from neutral to emotional. Results: ADHD participants exhibited an impaired recognition of sad and fearful facial expressions. Conclusion: The present findings indicate that ADHD is possibly associated with a specific deficit in the recognition of facial emotions signaling negative social feedback.
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HOPYAN, TALAR, SUZANNE LAUGHLIN, and MAUREEN DENNIS. "Emotions and Their Cognitive Control in Children With Cerebellar Tumors." Journal of the International Neuropsychological Society 16, no. 6 (October 4, 2010): 1027–38. http://dx.doi.org/10.1017/s1355617710000974.

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AbstractA constellation of deficits, termed the cerebellar cognitive affective syndrome (CCAS), has been reported following acquired cerebellar lesions. We studied emotion identification and the cognitive control of emotion in children treated for acquired tumors of the cerebellum. Participants were 37 children (7–16 years) treated for cerebellar tumors (19 benign astrocytomas (AST), 18 malignant medulloblastomas (MB), and 37 matched controls (CON). The Emotion Identification Task investigated recognition of happy and sad emotions in music. In two cognitive control tasks, we investigated whether children could identify emotion in situations in which the emotion in the music and the emotion in the lyrics was either congruent or incongruent. Children with cerebellar tumors identified emotion as accurately and quickly as controls (p > .05), although there was a significant interaction of emotions and group (p < .01), with the MB group performing less accurately identifying sad emotions, and both cerebellar tumor groups were impaired in the cognitive control of emotions (p < .01). The fact that childhood acquired cerebellar tumors disrupt cognitive control of emotion rather than emotion identification provides some support for a model of the CCAS as a disorder, not so much of emotion as of the regulation of emotion by cognition. (JINS, 2010, 16, 1027–1038.)
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Yu, Hong, Sean-Paul Tomer, Marcus Perla, and Yvett Yu. "Study of Classification of Human Emotion Features from EEG Signals at Minimum Free Energy Operated Effortlessly." European Journal of Engineering and Technology Research 6, no. 6 (October 14, 2021): 82–86. http://dx.doi.org/10.24018/ej-eng.2021.6.6.2604.

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With the rapid development of various EEG-based features, PC machine robots can apply their fast massive parallel electronic computing AI capability to BCI systems. However, the machines do not have the human-equivalent chemical macromolecular hormone signals to understand human emotions. Machines cannot test people who are home alone with their loneliness, depression, drowsiness, happiness or remark the real hints through human being communication. But a minimum free energy of EEG discrete wavelet transform can indicate human emotion features and human being trend action. In this paper, we focus on EEG discrete wavelet transform at minimum free energy compared to operating effortlessly in visualization algorithm. In addition, we discuss EEG-based brain activities with the discrete wavelet energy spectrum for clinic treatment.
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Yu, Hong, Sean-Paul Tomer, Marcus Perla, and Yvett Yu. "Study of Classification of Human Emotion Features from EEG Signals at Minimum Free Energy Operated Effortlessly." European Journal of Engineering and Technology Research 6, no. 6 (October 14, 2021): 82–86. http://dx.doi.org/10.24018/ejeng.2021.6.6.2604.

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With the rapid development of various EEG-based features, PC machine robots can apply their fast massive parallel electronic computing AI capability to BCI systems. However, the machines do not have the human-equivalent chemical macromolecular hormone signals to understand human emotions. Machines cannot test people who are home alone with their loneliness, depression, drowsiness, happiness or remark the real hints through human being communication. But a minimum free energy of EEG discrete wavelet transform can indicate human emotion features and human being trend action. In this paper, we focus on EEG discrete wavelet transform at minimum free energy compared to operating effortlessly in visualization algorithm. In addition, we discuss EEG-based brain activities with the discrete wavelet energy spectrum for clinic treatment.
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Moran, Erin K., Adam J. Culbreth, and Deanna M. Barch. "Emotion Regulation Predicts Everyday Emotion Experience and Social Function in Schizophrenia." Clinical Psychological Science 6, no. 2 (November 16, 2017): 271–79. http://dx.doi.org/10.1177/2167702617738827.

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While recent evidence has pointed to disturbances in emotion regulation strategy use in schizophrenia, few studies have examined how these regulation strategies relate to emotionality and social behavior in daily life. Using ecological momentary assessment (EMA), we investigated the relationship between emotion regulation, emotional experience, and social interaction in the daily lives of individuals with schizophrenia. Participants ( N = 30) used mobile phones to complete online questionnaires reporting their daily emotional experience and social interaction. Participants also completed self-report measures of habitual emotion regulation. Hierarchical linear modeling revealed that self-reported use of cognitive reappraisal and savoring of emotional experiences were related to greater positive emotion in daily life. In contrast, self-reported suppression was related to greater negative emotion, reduced positive emotion, and reduced social interaction in daily life. These findings suggest that individual differences in habitual emotion regulation strategy usage have important relationships to everyday emotional and social experiences in schizophrenia.
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Perez, Elliottnell, Sahar Sabet, Pablo Soto, and Joseph Dzierzewski. "0249 Sleeping In to Avoid Acting Out: The Association Between Sleep Regularity and Emotion Regulation." Sleep 45, Supplement_1 (May 25, 2022): A112. http://dx.doi.org/10.1093/sleep/zsac079.247.

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Abstract Introduction Sleep and emotions are closely intertwined facets of individuals’ mental health and well-being. Previous studies have consistently shown that sleep is critical in the maintenance of emotion regulation; however, few research studies have examined the association between sleep regularity and emotion regulation skills. The current study seeks to answer this question by examining whether sleep regularity is associated with individual facets of emotion regulation, as well as overall emotion regulation ability. Methods Secondary analysis was performed on data obtained from 999 individuals (M age=44.17, SD=16.23; 47.7% female) who participated in the Investigating Sleep Longitudinally Across Normal Development (ISLAND) online study. The Sleep Regularity Questionnaire was used to measure the degree to which individuals engage in consistent sleep behavior. The Difficulties in Emotion Regulation Scale was used to measure perceived overall emotion regulation ability, as well as individual facets of emotion regulation. Regression analyses were used to determine whether sleep regularity predicted difficulties in emotion regulation while controlling for age, race, gender, sleep quality, and total sleep time. Total sleep time and sleep quality information were obtained from item #4 and item #6 of the Pittsburgh Sleep Quality Index, respectively. Results Less sleep regularity significantly predicted greater overall emotion regulation difficulties (p=.021, B=-.13). Less sleep regularity was associated with greater difficulty in individual facets of emotion regulation including emotional clarity (p&lt;.001, B=-.05), impulse control (p&lt;.001, B=-.05), nonacceptance of emotional responses (p=.009, B=-.04), and access to emotion regulation strategies (p&lt;.001, B=-.06). Surprisingly, greater sleep regularity was associated with more difficulties with emotional awareness (p&lt;.001, B=.09). Sleep regularity was not associated with difficulty engaging in goal-direct behavior (p=.103, B=-.02). Conclusion Poorer sleep regularity significantly predicted greater overall emotion regulation difficulties. Findings from the current study add to the literature supporting the close links between sleep and emotion regulation, and suggest that the promotion and enhancement of consistent, regular sleep may be an important factor that leads to improved emotion regulatory skills beyond the sleep experience (i.e., sleep quality and duration). Additional research is needed to disentangle this association and identify additional factors or mechanisms that may further elucidate this association. Support (If Any) Research reported in this publication was supported by the National Institute on Aging of the National Institutes of Health under Award Number K23AG049955 (PI: Dzierzewski).
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Ruffman, Ted, Jamin Halberstadt, Janice Murray, Fiona Jack, and Tina Vater. "Empathic Accuracy: Worse Recognition by Older Adults and Less Transparency in Older Adult Expressions Compared With Young Adults." Journals of Gerontology: Series B 75, no. 8 (January 30, 2019): 1658–67. http://dx.doi.org/10.1093/geronb/gbz008.

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Abstract Objectives We examined empathic accuracy, comparing young versus older perceivers, and young versus older emoters. Empathic accuracy is related to but distinct from emotion recognition because perceiver judgments of emotion are based, not on what an emoter looks to be feeling, but on what an emoter says s/he is actually feeling. Method Young (≤30 years) and older (≥60 years) adults (“emoters”) were unobtrusively videotaped while watching movie clips designed to elicit specific emotional states. The emoter videos were then presented to young and older “perceivers,” who were instructed to infer what the emoters were feeling. Results As predicted, older perceivers’ empathic accuracy was less accurate relative to young perceivers. In addition, the emotions of young emoters were considerably easier to read than those of older emoters. There was also some evidence of an own-age advantage in emotion recognition in that older adults had particular difficulty assessing emotion in young faces. Discussion These findings have important implications for real-world social adjustment, with older adults experiencing a combination of less emotional transparency and worse understanding of emotional experience.
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SeyedAlinaghi, SeyedAhmad, Mehrzad MohsseniPour, Elahe Aghaei, Fariba Zarani, Jalil Fathabadi, and Mona Mohammadifirouzeh . "The Relationships Between Early Maladaptive Schemas, Quality of Life and Self-care Behaviors in a Sample of Persons Living with HIV: The Potential Mediating Role of Cognitive Emotion Regulation Strategies." Open AIDS Journal 14, no. 1 (December 16, 2020): 100–107. http://dx.doi.org/10.2174/1874613602014010100.

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Introduction: People who are living with HIV often experience physical as well as psychological challenges. Therefore, the aim of this descriptive, correlational study was to explore the potential mediating role of cognitive emotion regulation strategies in the relationships between early maladaptive schemas, quality of life, and self-care behavior in patients with HIV/AIDS. Methods: In the first half of 2017, patients with HIV/AIDS (N=240) were recruited from an HIV clinic in Tehran, Iran. A self-report questionnaire included the Young Schema Questionnaire-Short Form (YSQSF), Short Form Health Survey (SF-36), short form of Cognitive Emotion Regulation Questionnaire (CERQ), and a self-care behaviors questionnaire. The data analysis involved using advanced statistical techniques for structural equation modeling. Results: There were significant, inverse relationships between all five areas of early maladaptive schemas and positive cognitive emotional regulation strategies, self-care behaviors, and quality of life. Also, there were significant, positive relationships between all five areas of early maladaptive schemas and negative cognitive and emotional regulation strategies. Conclusion: The findings suggest that practical interventions to reduce maladaptive responses may result in healthier outcomes for persons living with HIV.
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