Emotion regulation strategies as transdiagnostic processes: A closer look at the invariance of their form and function

• Autores: Amelia Aldao
• Localización: Revista de psicopatología y psicología clínica, ISSN 1136-5420, Vol. 17, Nº. 3, 2012, págs. 261-277
• Idioma: inglés
• DOI: 10.5944/rppc.vol.17.num.3.2012.11843
• Títulos paralelos:
  • Estrategias de regulación emocional como procesos transdiagnósticos: Una visión más detenida sobre la invarianza de su forma y función
• Enlaces
  • Texto completo
• Dialnet Métricas: 11 Citas
• Resumen
  • español

    La investigación reciente sugiere que la regulación emocional puede ser conceptualizada como un proceso transdiagnóstico (Kring & Sloan, 2010). Específicamente, el uso habitual de estrategias de regulación emocional supuestamente desadaptativas (p.ej., rumiación, supresión), y el uso infrecuente de estrategias supuestamente adaptativas (p.ej., aceptación, reevaluación), se ha evidenciado que predicen varios síntomas de psicopatología (Aldao et al., 2010). Sin embargo, es escasamente conocido hasta qué punto pueden ser conceptualizadas como transdiagnóstico las diferentes facetas que constituyen los procesos de implementación de dichas estrategias. Propongo la adopción de un enfoque conductual funcional para delimitar qué aspectos de tal implementación (i.e., forma, función) son variantes y cuáles son invariantes a través de los trastornos. Este enfoque tiene el potencial de mejorar nuestra comprensión de los mecanismos transdiagnósticos y no transdiagnósticos (trastorno-específicos) mediante los cuales la regulación emocional se asocia con el desarrollo, mantenimiento, y tratamiento de los trastornos mentales.

  • English

    Recent investigations suggest that emotion regulation can be conceptualized as a transdiagnostic process (Kring & Sloan, 2010). Specifically, the habitual use of putatively maladaptive emotion regulation strategies (e.g., rumination, suppression), and the infrequent use of putatively adaptive strategies (e.g., acceptance, reappraisal) have been shown to predict various symptoms of psychopathology (Aldao et al., 2010). However, little is known about the extent to which the different facets that constitute the process of implementing such strategies can be conceptualized as transdiagnostic. I propose the adoption of a functional behavioral approach to delineate which aspects of such implementation (i.e., form, function) are variant and which are invariant across disorders. This approach has the potential to further our understanding of the transdiagnostic and disorder-specific mechanisms by which emotion regulation is associated with the development, maintenance, and treatment of mental disorders.

• Referencias bibliográficas
  • Aldao, A. (in press). The future of emotion regulation research: Capturing context. Perspectives on Psychological Science.
  • Aldao, A., & Nolen-Hoeksema, S. (2010). Specifi city of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour...
  • Aldao, A., & Nolen-Hoeksema, S. (2012). When are adaptive strategies most predictive of psychopathology? Journal of Abnormal Psychology,...
  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion regulation strategies across psychopathology: A meta-analysis. Clinical...
  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.). Washington, DC: Author.
  • Anestis, M. D., Selby, E. A., Fink, E. L., & Joiner, T. E. (2007). The multifaceted role of distress tolerance in dysregulated eating...
  • Arbuckle, J. (2007). Amos user’s guide. Chicago, Ill.: SPSS Inc.
  • Argus, G., & Thompson, M. (2008). Perceived social problem solving, perfectionism, and mindful awareness in clinical depression: An exploratory...
  • Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale: Item selection and cross-validation...
  • Barlow, D. H. (2002). Fear, anxiety, and theories of emotion. In D. H. Barlow (Ed.), Anxiety and its disorders: The nature and treatment of...
  • Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unifi ed treatment for emotional disorders. Behavior Therapy, 35, 205-230....
  • Bilek, E. L., & Ehrenreich-May, J. (in press). An open trial investigation of a transdiagnostic group treatment for children with anxiety...
  • Billings, A. G., & Moos, R. H. (1981). The role of coping responses and social responses in attenuating the stress of life events. Journal...
  • Boisseau, C. L., Farchione, T. J., Fairholme, C. P., Ellard, K. K., & Barlow, D. H. (2010). The development of the unifi ed protocol for...
  • Borkovec, T. D., Alcaine, O., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. G. Heimberg, C. L....
  • Bradley, M. M., & Lang, O. J. (2000). Measuring emotion: Behavior, feeling, and physiology. In R. D. Lane & L. Nadel (Eds.), Cognitive...
  • Brown, T. A. (2007). Temporal course and structural relationships among dimensions of temperament and DSM-IV anxiety and mood disorder constructs....
  • Brown, T.A., Campbell, L.A., Lehman, C.L., Grisham, J.R., & Mancill, R.B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety...
  • Butler, E. A., Egloff, B., Wilhelm, F. H., Smith, N. C., Erickson, E. A., & Gross, J. J. (2003). The social consequences of expressive...
  • Byrne, B. M. (2010). Structural equation modeling with AMOS. New York: Taylor & Francis.
  • Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Effects of suppression and acceptance on emotional responses...
  • Campos, J. J., Frankel, C. B., & Camras, L. (2004). On the nature of emotion regulation. Child Development, 75, 377-394. doi:10.1111/j.1467-8624.2004.00681.x
  • Cheetham, A., Allen, N. B., Yucel, M., & Lubman, D. I. (2010). The role of affective dysregulation in drug addition. Clinical Psychology...
  • Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fi t indices for testing measurement invariance. Structural Equation Modeling,...
  • Cicchetti, D., Ganiban, J., & Barnett, D. (1991). Contribu- tions from the study of high-risk populations to understanding the development...
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
  • Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientifi c construct: Methodological challenges and directions...
  • Cowdrey, F. A. & Park, R. J. (2012). The role of experiential avoidance, rumination and mindfulness in eating disorders. Eating Behaviors,...
  • Cyders, M. A., & Coskunpinar, A. (2010). Is urgency emotionality? Separating urgent behaviors from effects of emotional experiences. Personality...
  • Cyders, M. A., & Smith, G. T. (2008). Emotion-based dispositions to rash action: Positive and negative urgency. Psychological Bulletin,...
  • D’Zurilla, T. J., Chang, E. C., Nottingham, E. J., & Faccini, L. (1998). Social problem-solving defi cits and hopelessness, depression,...
  • Dear, B. F. Titov, N., Schwencke, G., Andrews, G., Johnson, L., Craske, M. G., & McEvoy, P. (2011). An open trial of a brief transdiagnostic...
  • Demaree, H. A., Robinson, J. L., Pu, J., & Allen, J. J. B. (2006). Strategies actually employed during responsefocused emotion regulation...
  • Denson, T. F., Grisham, J. R., & Moulds, M.L. (2011). Cognitive reappraisal increases heart rate variability in response to an anger provocation....
  • Dillon, D. G., Ritchey, M., Johnson, B. D., & LaBar, K. (2007). Dissociable effects of conscious emotion regulation strategies on explicit...
  • Dixon, C., Mansell, W., Rawlinson, E., & Gibson, A. (2011). A transdiagnostic self-help guide for anxiety: Two preliminary controlled...
  • Dixon-Gordon, K., Aldao, A., & Turner, B. (under review). A meta-analysis of suppression in the laboratory: The role of psychopathology.
  • Dozois, D. J. A., Seeds, P. M., & Collins, K. A. (2009). Transdiagnostic approaches to the prevention of depression and anxiety. Journal...
  • Egan, S. J., Wade, T. D., & Shafran, R. (2011). Perfectionism as a transdiagnostic process: A clinical review. Clinical Psychology Review,...
  • Ehrenreich-May, J., Queen, A. H., Bilek, E., Remmes, C., & Marciel, K. (in press). The unifi ed protocols for the treatment of emotional...
  • Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy,...
  • Eifert, G. H., & Heffner, M. (2003). The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal...
  • Eisenberg, N., & Morris, A. S. (2002). Children’s emotionrelated regulation. Advances in Child Development and Behavior, 30, 189-229....
  • Fairburn, C. G., Cooper, Z., Doll, H. A., O’Connor, Bohn, K., Hawker,…& Palmer, R. L. (2008). Transdiagnostic cognitive-behavioral therapy...
  • Feldman, G. C., Joormann, J., & Johnson, S. L. (2008). Responses to positive affect: A self-report measure of rumination and dampening....
  • Feldner, M. T., Hekmat, H., Zvolensky, M. J., Vowles, K. E., Secrist, Z., & Leen-Fedlner, E. W. (2006). The role of experiential avoidance...
  • Fink, E. L., Anestis, M. D., Selby, E. A., & Joiner, T. E. (in press). Negative urgency fully mediates the relationship between alexithymia...
  • Forbush, K., & Watson, D. (2006). Emotional inhibition and personality traits: A comparison of women with anorexia, bulimia, and normal...
  • Friederich, H., Kumari, V., Uher, R., Riga, M., Schmidt, U., Campbell, I. C.,…& Treasure, J. (2006). Differential motivational responses...
  • Goldin, P. R., McRae, K., Ramel, W., & Gross, J. J. (2007). The neural bases of emotion regulation: Reappraisal and suppression of negative...
  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure,...
  • Greenberg, L. S. (2002). Emotion-focused therapy: Coaching clients to work through their feelings. Washington, D.C.: APA.
  • Gross, J. J. (1998). Antecedentand response-focused emotion regulation: Divergent consequences for experience, expression, and physiology....
  • Gross, J. J., & Levenson, R. W. (1995). Emotion elicitation using f ilms. Cognition and Emotion, 9, 87, 108. doi:10.1080/02699939508408966
  • Gruber, J., Eidelman, P., & Harvey, A. G. (2008). Transdiagnostic emotion regulation processes in bipolar disorder and insomnia. Behaviour...
  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change....
  • Haynos, A. F., & Fruzzetti, A. E. (2011). Anorexia nervosa as a disorder of emotion dysregulation: Evidence and treatment implications....
  • Harvey, A. G. (2008). Insomnia, psychiatric disorders, and the transdiagnostic perspective. Current Directions in Psychological Science, 17,...
  • Harvey, A. G., Murray, G., Chandler, R. A., & Soehner, A. (2011). Sleep disturbance as transdiagnostic: Consideration of neurobiological...
  • Harvey, A. G., Watkins, E., Mansell, W., & Shafran, R. (2004). Cognitive behavioural processes across psychological disorders. Oxford,...
  • Hofmann, S. G., Heering, S., Sawyer, A. T., & Asnaani, A. (2009). How to handle anxiety: The effects of reappraisal, acceptance, and suppression...
  • Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012). Emotion dysregulation model of mood and anxiety disorders. Depression &...
  • Hudson, J. I., Hiripi, E., Pope, H. G., Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity...
  • Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K.,…& Wang, P. (2010). Research Domain Criteria (RDoC): Toward...
  • Kabat-Zinn, J. (1990). Full catastrophe living. New York: Delacorte Press.
  • Kaiser, A. J., Milich, R., Lynam, D. R., & Charnigo, R. J. (in press). Negative urgency, distress tolerance, and substance abuse among...
  • Kashdan, T. B., Ferssizidis, P., Collins. R. L., & Muraven, M. (2011). Emotion differentiation as resilience against excessive alcohol...
  • Kessler, R.C., Berglund, P., Demler, O., Jin, R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV...
  • Kessler, R. C., Stein, M. B., Berlglund, P. (1998). Social phobia subtypes in the National Comorbidity Survey. American Journal of Psychiatry,...
  • Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition and Emotion, 23, 4-41. doi:10.1080/02699930802619031
  • Kring, A. M. (2008). Emotion disturbances as transdiagnostic processes in psychopathology. In M. Lewis, J. Haviland-Jones, & L. F. Barrett...
  • Kring, A. M., & Sloan, D. S. (2010). Emotion Regulation and Psychopathology. New York: Guilford Press.
  • Kuppens, P., Allen, N. B., & Sheeber, L. (2009). Emotional inertia and psychological maladjustment. Psychological Science, 21, 984-991....
  • Lang, P.J., Bradley, M.M., & Cuthbert, B.N. (2008). International affective picture system (IAPS): Affective ratings of pictures and instruction...
  • Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of acceptance versus suppression of emotion on subjective...
  • Linehan, M. M. (1993). Cognitive-behavioral treatment for borderline personality disorder. New York: Guilford Press.
  • Macht, M., Haupt, C., & Ellgring, H. (2005). The perceived function of eating is changed during examination stress: A fi eld study. Eating...
  • Mansell, W., Harvey, A. G., Watkins, E. R., & Shafran, R. (2008). Cognitive behavioral processes across psychological disorders: A review...
  • Mauss, I. B., Levenson, R. W., McCarter, L., Wilhelm, F. H., & Gross, J. J. (2005). The tie that binds? Coherence among emotion experience,...
  • Mayer, J. D., Salovey, P., & Caruso, D. R. (2004). Emotional intelligence: Theory, fi ndings, and implications. Psychological Inquiry,...
  • McLaughlin, K. A., Hatzenbuehler, M. L., Mennin, D. S., & Nolen-Hoeksema, S. (2011). Emotion dysregulation and adolescent psychopathology:...
  • McRae, K., Ciesielski, B., & Gross, J. J. (2012). Unpacking cognitive reappraisal: Goals, tactics, and outcomes. Emotion, 12, 250-255....
  • Mennin, D., S., & Fresco, D. M. (2010). Emotion regulation as a framework for understanding and treating anxiety pathology. In A. M. Kring...
  • Mennin, D. S., & Fresco, D. M. (in press). Emotion Regulation Therapy. In J.J. Gross (Ed.), Handbook of Emotion Regulation (Second Ed.)....
  • Miller, G. A., & Chapman, J. P. (2001). Misunderstanding analysis of covariance. Journal of Abnormal Psychology, 110, 40-48. doi:10.1037//0021-843X.110.1.40
  • Newman, M. G., & Llera, S. J. (2011). A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis...
  • Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400-424....
  • Nolen-Hoeksema, S., & Watkins, E. R., (2011). A heuris- tic for developing transdiagnostic models of psychopathology: Explaining multifi...
  • Norton, P. J. (2008). An open trial of a transdiagnostic cognitive-behavioral group therapy for anxiety disorder. Behavior Therapy, 39, 242-250....
  • Norton, P. J., Hayes, S. A., & Hope, D. A. (2004). Effects of a transdiagnostic group treatment for anxiety on secondary depression. Depression...
  • Polivy, J., & Herman, C. P. (2002). Causes of eating disorders. Annual Review of Psychology, 53, 187-213. doi:0084-6570/02/0201-0187
  • Richards, J. M. & Gross, J. J. (2000). Emotion regulation and memory: The cognitive costs of keeping one’s cool. Personality Processes...
  • Roemer, L., Orsillo, S. M., & Salters-Pedneault, K. (2008). Effi cacy of an acceptance-based behavior therapy for generalized anxiety...
  • Rottenberg, J., Ray, R. R., & Gross J. J. (2007). Emotion elicitation using fi lms. In J. A. Coan, & J. J. B. Allen (Eds.). The handbook...
  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing...
  • Stein, M. B., Fuetsch, M., Muller, N., Hofl er, M., Lieb, R., & Wittchen, H. (2001). Social anxiety disorder and the risk of depression:...
  • Stice, E., Brurton, E. M., Shaw, H. (2024). Prospective relations between bulimic pathology, depression, and substance abuse: Unpacking comorbidity...
  • Tamir, M., Mitchell, C., & Gross, J. J. (2008). Hedonic and instrumental motives in anger regulation. Psychological Science, 19, 324-328....
  • Thompson, R.A. (1994). Emotion regulation: A theme in search of defi nition. Monographs of the Society for Research in Child Development,...
  • Titov, N., Dear, B. F., Schwencke, G., Andrews, G., Johnston, L., Craske, M. G., & McEvoy, P. (2011). Transdiagnostic internet treatment...
  • Wade, T. D., Bergin, J. L., Martin, N. G., Gillespie, N. A., & Fairburn, C. G. (2006). A transdiagnostic approach to understanding eating...
  • Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134, 163- 206. doi:10.1037/0033-2909.134.2.163
  • Watson, D. (2009). Differentiating the mood and anxiety disorders: A quadripartite model. Annual Review of Clinical Psychology, 5, 221-247....
  • Wenzlaff, R. M., & Wegner, D. M. (2000). Thought suppression. Annual Review of Psychology, 51, 59-91. doi:10.1146/annurev.psych.51.1.59
  • Wolgast, M., Lundh, L., & Viborg, G. (2011). Cognitive reappraisal and acceptance: An experimental comparison of two emotion regulation...
  • World Health Organization. (1993). The ICD-10 classifi cation of mental and behavioural disorders: Diagnostic criteria for research. Geneva:...
  • Zvolensky, M. J., Bernstein, A., & Vujanovic, A. A. (2011). Distress tolerance: Theory, research, and clinical implications. New York:...