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Brain Imaging Investigation of the Neural Correlates of Emotion Regulation
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Emotion regulation across the psychosis continuum
Hannah C Chapman1, Katherine F Visser1, Vijay A Mittal2
1Department of Psychology, University of Georgia, Athens, GA, USA.
Development and Psychopathology
|February 12, 2019
Summary
Emotion regulation strategies like reappraisal are less used in psychosis vulnerability. Lower reappraisal use correlates with poorer outcomes, suggesting it
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Emotion regulation dysfunction is a hallmark of psychotic disorders.
- Understanding strategy differences across psychosis phases is crucial for treatment development.
Purpose of the Study:
- To investigate emotion regulation strategy use across the psychosis continuum.
- To examine the relationship between emotion regulation and clinical outcomes.
Main Methods:
- Three studies assessed emotion regulation (using the Emotion Regulation Questionnaire) in adolescents with psychotic-like experiences, adolescents at clinical high-risk, and adults with schizophrenia/schizoaffective disorder.
- Control groups of healthy adolescents and adults were included.
- Measures of psychiatric symptoms and functional outcomes were administered.
Main Results:
- No significant differences in suppression use were found across psychosis groups.
- A dose-dependent decrease in reappraisal use was observed with increasing psychosis vulnerability.
- Lower reappraisal use was consistently associated with poorer clinical outcomes across all samples.
Conclusions:
- Emotion regulation abnormalities are present across a continuum of psychosis vulnerability.
- Reduced reappraisal is linked to adverse clinical outcomes in psychosis.
- Emotion regulation strategies, particularly reappraisal, are important targets for intervention in psychosis.
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