Deconstructing emotion regulation in schizophrenia: The nature and consequences of abnormalities in monitoring dynamics

Prior studies implicate abnormalities at the identification, selection, and implementation stages of Gross’ extended process model of emotion regulation in schizophrenia. However, it is unclear whether monitoring dynamics (i.e., emotion regulation maintenance, switching, and stopping), another criti...

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Bibliographic Details
Published in:Schizophrenia research Vol. 240; pp. 135 - 142
Main Authors: Bartolomeo, Lisa A., Raugh, Ian M., Strauss, Gregory P.
Format: Journal Article
Language:English
Published: Netherlands Elsevier B.V 01.02.2022
Subjects:
Ecological Momentary Assessment
Emotion regulation
Emotional Regulation
Emotions - physiology
Humans
Outpatients
Psychiatric/Mental Health
Psychotic Disorders
Schizophrenia
Schizophrenia
Ecological momentary assessment
Emotion regulation
ISSN:0920-9964, 1573-2509, 1573-2509
Online Access:Get full text
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Summary:Prior studies implicate abnormalities at the identification, selection, and implementation stages of Gross’ extended process model of emotion regulation in schizophrenia. However, it is unclear whether monitoring dynamics (i.e., emotion regulation maintenance, switching, and stopping), another critical component of the model, are also abnormal or what predicts those abnormalities. The current study evaluated switching (i.e., switching to a different emotion regulation strategy because the initial strategy was not effective) and stopping dynamics (i.e., terminating the implementation of an emotion regulation strategy) and their associated mechanisms using 6 days of ecological momentary assessment in 47 outpatients with schizophrenia or schizoaffective disorder (SZ) and 52 healthy controls (CN). Results indicated that individuals with SZ exhibited excessive switching between emotion regulation strategies and delayed stopping compared to CN, self-efficacy moderated group differences in stopping abnormalities, and switching and stopping abnormalities were associated with different patterns of state-level positive and negative symptoms in SZ. Findings may inform psychosocial emotion regulation therapies for SZ that could incorporate elements for monitoring dynamics and associated mechanisms.
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ISSN:0920-9964
1573-2509
1573-2509
DOI:10.1016/j.schres.2021.12.043