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Updated: Jun 19, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Associations of Emotion Regulation Difficulties with Cardiac Autonomic Balance and Regulation
Cameron R Wiley1, Vida Pourmand2, Hugo Sanchez Hernandez3
1Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge 602, Boston, MA 02115 USA.
Difficulties in emotion regulation correlate with lower cardiac autonomic regulation (CAR), indicating less overall autonomic activity. Specific challenges like impulse control and emotional clarity are linked to distinct autonomic patterns.
Area of Science:
- Psychology
- Cardiovascular Health
- Autonomic Nervous System
Background:
- Emotion regulation is crucial for psychological well-being and cardiovascular health.
- Cardiac autonomic balance (CAB) and cardiac autonomic regulation (CAR) reflect autonomic nervous system activity.
- The relationship between emotion regulation difficulties and autonomic function is under-explored.
Purpose of the Study:
- To investigate the association between difficulties in emotion regulation and cardiac autonomic balance (CAB) and cardiac autonomic regulation (CAR).
Main Methods:
- 151 participants completed the Difficulties in Emotion Regulation Scale.
- Resting CAB and CAR were measured.
- Correlations and covariate-adjusted analyses were performed.
Main Results:
- Higher overall emotion regulation difficulties were linked with lower CAB and CAR.
- After adjustments, this association persisted only for CAR.
- Specific difficulties, such as impulse control and emotional clarity, were uniquely associated with CAR and CAB, respectively.
Conclusions:
- Emotion regulation difficulties are associated with reduced total autonomic activity (CAR), but not necessarily autonomic balance (CAB).
- Distinct facets of emotion regulation difficulties relate to specific autonomic nervous system dynamics.
- Findings offer nuanced, clinically relevant insights into emotion regulation and physiological health.
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