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Journal of Rational-Emotive & Cognitive-Behavior Therapy

Gepubliceerd in:

21-09-2024

Emotion Dysregulation in Adolescents Exhibiting Depression with Elevated Anxiety: Prevalence and Associated Factors

Auteurs: Ziqi Yan, Qi Li, Jing Xiao

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 4/2024

Abstract

This study investigates the prevalence and contributing factors of emotion dysregulation among adolescents characterized by high depression tendency and significant anxiety levels. Utilizing a sample of 7422 participants, assessments were conducted via the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Difficulties in Emotion Regulation Scale (DERS-16), Negative Cognitive Processing Bias Questionnaire (NCPBQ), and the Behavior Inhibition System/Behavior Activation System (BIS/BAS) scales. Results indicate that 21.14% of adolescents with comorbid high depression tendency and anxiety exhibit emotion dysregulation. Notably, negative cognitive processing bias—including memory, attention, and interpretive biases—and higher BIS scores significantly correlate with emotion dysregulation. Specifically, negative attention and interpretive biases, along with BIS scores, emerge as distinctive indicators in adolescents with emotion dysregulation. Additionally, negative cognitive processing and memory biases are significantly associated with the severity of emotion dysregulation. These findings underscore the notable prevalence of emotion dysregulation within this group, emphasizing the critical need for targeted intervention strategies and further investigation into negative cognitive biases and BIS scores as potential predictive markers.

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Aalto-Setälä, T., Marttunen, M., Tuulio-Henriksson, A., Poikolainen, K., & Lönnqvist, J. (2002). Depressive symptoms in adolescence as predictors of early adulthood depressive disorders and maladjustment. American Journal of Psychiatry, 159(7), 1235–1237.CrossRefPubMed

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004CrossRefPubMed

Almeida, O. P., Alfonso, H., Hankey, G. J., & Flicker, L. (2010). Depression, antidepressant use and mortality in later life: The health in men study. PLoS ONE, 5(6), e11266. https://doi.org/10.1371/journal.pone.0011266CrossRefPubMedPubMedCentral

Almeida, O. P., Draper, B., Pirkis, J., Snowdon, J., Lautenschlager, N. T., Byrne, G., Sim, M., Stocks, N., Kerse, N., Flicker, L., & Pfaff, J. J. (2012). Anxiety, depression, and comorbid anxiety and depression: Risk factors and outcome over two years. International Psychogeriatrics, 24(10), 1622–1632. https://doi.org/10.1017/S104161021200107XCrossRefPubMed

Beard, C., & N. Amir. (2008). A multi-session interpretation modification program: Changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 46(10), 1135–1141. https://doi.org/10.1016/j.brat.2008.05.012CrossRefPubMedPubMedCentral

Beard, C., & Amir, N. (2010). Negative interpretation bias mediates the effect of social anxiety on state anxiety. Cognitive Therapy and Research, 34(3), 292–296. https://doi.org/10.1007/s10608-009-9258-6CrossRefPubMedPubMedCentral

Beck, A. T. (2008). The evolution of the cognitive model of depression and its neurobiological correlates. American Journal of Psychiatry, 165(8), 969–977. https://doi.org/10.1176/appi.ajp.2008.08050721CrossRefPubMed

Beevers, C. G., & Carver, C. S. (2003). Attentional bias and mood persistence as prospective predictors of dysphoria. Cognitive Therapy and Research, 27(6), 619–637. https://doi.org/10.1023/A:1026347610928CrossRef

Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L.-G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., & Gratz, K. L. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: The DERS-16. Journal of Psychopathology and Behavioral Assessment, 38(2), 284–296. https://doi.org/10.1007/s10862-015-9514-xCrossRefPubMed

Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS Scales. Journal of Personality and Social Psychology, 67(2), 319–333. https://doi.org/10.1037/0022-3514.67.2.319CrossRef

Copeland, W. E., Shanahan, L., Egger, H., Angold, A., & Costello, E. J. (2014). Adult diagnostic and functional outcomes of DSM-5 disruptive mood dysregulation disorder. American Journal of Psychiatry, 171(6), 668–674. https://doi.org/10.1176/appi.ajp.2014.13091213CrossRefPubMed

Cooper, J. L., & Wade, T. D. (2015). The relationship between memory and interpretation biases, difficulties with emotion regulation, and disordered eating in young women. Cognitive Therapy and Research, 39(6), 853–862. https://doi.org/10.1007/s10608-015-9709-1CrossRef

Ellenbogen, M. A., Schwartzman, A. E., Stewart, J., & Walker, C. (2002). Stress and selective attention: The interplay of mood, cortisol levels, and emotional information processing. Psychophysiology, 39(6), 723–732. https://doi.org/10.1111/1469-8986.3960723CrossRefPubMed

Ellis, A. J., Beevers, C. G., & Wells, T. T. (2011). Attention allocation and incidental recognition of emotional information in dysphoria. Cognitive Therapy and Research, 35(5), 425–433. https://doi.org/10.1007/s10608-010-9305-3CrossRef

Everaert, J., Grahek, I., Duyck, W., Buelens, J., Van Den Bergh, N., & Koster, E. H. W. (2017). Mapping the interplay among cognitive biases, emotion regulation, and depressive symptoms. Cognition and Emotion, 31(4), 726–735. https://doi.org/10.1080/02699931.2016.1144561CrossRefPubMed

Feng, X., Keenan, K., Hipwell, A. E., Henneberger, A. K., Rischall, M. S., Butch, J., Coyne, C., Boeldt, D., Hinze, A. K., & Babinski, D. E. (2009). Longitudinal associations between emotion regulation and depression in preadolescent girls: Moderation by the caregiving environment. Developmental Psychology, 45(3), 798–808. https://doi.org/10.1037/a0014617CrossRefPubMedPubMedCentral

Folk, J. B., Zeman, J. L., Poon, J. A., & Dallaire, D. H. (2014). A longitudinal examination of emotion regulation: Pathways to anxiety and depressive symptoms in urban minority youth. Child and Adolescent Mental Health, 19(4), 243–250. https://doi.org/10.1111/camh.12058CrossRefPubMed

Ford, D. Y., & Briere, J. N. (1993). Child abuse trauma: Theory and treatment of the lasting effects. Family Relations, 42(2), 230. https://doi.org/10.2307/585465CrossRef

Fowles, D. C. (1988). Psychophysiology and psychopathology: A motivational approach. Psychophysiology, 25(4), 373–391. https://doi.org/10.1111/j.1469-8986.1988.tb01873.xCrossRefPubMed

Friedman, S. (1968). Depression: Clinical experimental and theoretical aspects JAMA. The Journal of The American Medical Association, 203(13), 1144. https://doi.org/10.1001/jama.1968.03140130056023

Garber, J., Walker, L. S., & Zeman, J. (1991). Somatization symptoms in a community sample of children and adolescents: Further validation of the children’s somatization inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3(4), 588.CrossRef

Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281–291. https://doi.org/10.1017/S0048577201393198CrossRefPubMed

Gotlib, I. H., & Joormann, J. (2010). Cognition and depression: Current status and future directions. Annual Review of Clinical Psychology, 6(1), 285–312. https://doi.org/10.1146/annurev.clinpsy.121208.131305CrossRefPubMedPubMedCentral

He, Z., Zhang, D., & Luo, Y. (2015). Mood-congruent cognitive bias in depressed individuals. Advances in Psychological Science, 23(12), 2118. https://doi.org/10.3724/SP.J.1042.2015.02118CrossRef

Hommer, R. E., Meyer, A., Stoddard, J., Connolly, M. E., Mogg, K., Bradley, B. P., Pine, D. S., Leibenluft, E., & Brotman, M. A. (2014). Attention bias to threat faces in severe mood dysregulation: Research article: Attention bias in severe mood dysregulation. Depression and Anxiety, 31(7), 559–565. https://doi.org/10.1002/da.22145CrossRefPubMed

Hundt, N. E., Brown, L. H., Kimbrel, N. A., Walsh, M. A., Nelson-Gray, R., & Kwapil, T. R. (2013). Reinforcement sensitivity theory predicts positive and negative affect in daily life. Personality and Individual Differences, 54(3), 350–354. https://doi.org/10.1016/j.paid.2012.09.021CrossRef

Joormann, J., & D’Avanzato, C. (2010). Emotion regulation in depression: Examining the role of cognitive processes: Cognition & emotion lecture at the 2009 ISRE meeting. Cognition & Emotion, 24(6), 913–939. https://doi.org/10.1080/02699931003784939CrossRef

Joormann, J., & Siemer, M. (2004). Memory accessibility, mood regulation, and dysphoria: Difficulties in repairing sad mood with happy memories? Journal of Abnormal Psychology, 113(2), 179–188.CrossRefPubMed

Joormann, J., Yoon, K. L., & Siemer, M. (2010). Cognition and emotion regulation.

Kinnunen, P., Laukkanen, E., & Kylmä, J. (2010). Associations between psychosomatic symptoms in adolescence and mental health symptoms in early adulthood. International Journal of Nursing Practice, 16(1), 43–50. https://doi.org/10.1111/j.1440-172X.2009.01782.xCrossRefPubMed

Kivity, Y., & Huppert, J. D. (2019). Emotion regulation in social anxiety: A systematic investigation and meta-analysis using self-report, subjective, and event-related potentials measures. Cognition and Emotion, 33(2), 213–230. https://doi.org/10.1080/02699931.2018.1446414CrossRefPubMed

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.xCrossRefPubMedPubMedCentral

MacLeod, C., & Hagan, R. (1992). Individual differences in the selective processing of threatening information, and emotional responses to a stressful life event. Behaviour Research and Therapy, 30(2), 151–161. https://doi.org/10.1016/0005-7967(92)90138-7CrossRefPubMed

Masters, M. R., Zimmer-Gembeck, M. J., & Farrell, L. J. (2019). Transactional associations between adolescents’ emotion dysregulation and symptoms of social anxiety and depression: A longitudinal study. The Journal of Early Adolescence, 39(8), 1085–1109. https://doi.org/10.1177/0272431618806053CrossRef

Mogg, K., & Bradley, B. P. (2005). Attentional bias in generalized anxiety disorder versus depressive disorder. Cognitive Therapy and Research, 29(1), 29–45. https://doi.org/10.1007/s10608-005-1646-yCrossRef

Moehler, E., Brunner, R., & Sharp, C. (2022). Editorial: Emotional dysregulation in children and adolescents. Frontiers in Psychiatry, 13, 883753. https://doi.org/10.3389/fpsyt.2022.883753CrossRefPubMedPubMedCentral

Muris, P., Meesters, C., De Kanter, E., & Timmerman, P. E. (2005). Behavioural inhibition and behavioural activation system scales for children: Relationships with Eysenck’s personality traits and psychopathological symptoms. Personality and Individual Differences, 38(4), 831–841. https://doi.org/10.1016/j.paid.2004.06.007CrossRef

Muris, P., Merckelbach, H., Schmidt, H., Gadet, B., & Bogie, N. (2001). Anxiety and depression as correlates of self-reported behavioural inhibition in normal adolescents. Behaviour Research and Therapy, 39(9), 1051–1061. https://doi.org/10.1016/S0005-7967(00)00081-4CrossRefPubMed

Naicker, K., Galambos, N. L., Zeng, Y., Senthilselvan, A., & Colman, I. (2013). Social, demographic, and health outcomes in the 10 years following adolescent depression. Journal of Adolescent Health, 52(5), 533–538. https://doi.org/10.1016/j.jadohealth.2012.12.016CrossRef

Plener, P. L., Fegert, J. M., Kaess, M., Kapusta, N. D., Brunner, R., Groschwitz, R. C., In-Albon, T., Resch, F., & Becker, K. (2017). Nicht-suizidales selbstverletzendes Verhalten (NSSV) im Jugendalter: Klinische Leitlinie zur Diagnostik und Therapie. Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie, 45(6), 463–474. https://doi.org/10.1024/1422-4917/a000463CrossRefPubMed

Reese, E. D., Zielinski, M. J., & Veilleux, J. C. (2015). Facets of mindfulness mediate behavioral inhibition systems and emotion dysregulation. Personality and Individual Differences, 72, 41–46. https://doi.org/10.1016/j.paid.2014.08.008CrossRef

Rouillon, F. (1999). Anxiety with depression: A treatment need. European Neuropsychopharmacology, 9, S87–S92. https://doi.org/10.1016/S0924-977X(99)00027-9CrossRefPubMed

Schoevers, R. A., Deeg, D. J. H., Van Tilburg, W., & Beekman, A. T. F. (2005). Depression and generalized anxiety disorder: Co-occurrence and longitudinal patterns in elderly patients. The American Journal of Geriatric Psychiatry, 13(1), 31–39. https://doi.org/10.1097/00019442-200501000-00006CrossRefPubMed

Sloan, E., Hall, K., Moulding, R., Bryce, S., Mildred, H., & Staiger, P. K. (2017). Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: A systematic review. Clinical Psychology Review, 57, 141–163. https://doi.org/10.1016/j.cpr.2017.09.002CrossRefPubMed

Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092. https://doi.org/10.1001/archinte.166.10.1092CrossRefPubMed

Steinberg, L. (2005). Cognitive and affective development in adolescence. Trends in Cognitive Sciences, 9(2), 69–74. https://doi.org/10.1016/j.tics.2004.12.005CrossRefPubMed

Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59(2/3), 25. https://doi.org/10.2307/1166137CrossRefPubMed

Tull, M. T., Gratz, K. L., Latzman, R. D., Kimbrel, N. A., & Lejuez, C. W. (2010). Reinforcement sensitivity theory and emotion regulation difficulties: A multimodal investigation. Personality and Individual Differences, 49(8), 989–994. https://doi.org/10.1016/j.paid.2010.08.010CrossRef

Uher, R., Payne, J. L., Pavlova, B., & Perlis, R. H. (2014). Major depressive disorder in DSM-5: Implications for clinical practice and research of changes from DSM-IV: Review: Major depressive disorder in DSM-5. Depression and Anxiety, 31(6), 459–471. https://doi.org/10.1002/da.22217CrossRefPubMed

Watson, D., & Naragon-Gainey, K. (2010). On the specificity of positive emotional dysfunction in psychopathology: Evidence from the mood and anxiety disorders and schizophrenia/schizotypy. Clinical Psychology Review, 30(7), 839–848. https://doi.org/10.1016/j.cpr.2009.11.002CrossRefPubMed

Wisco, B. E. (2009). Depressive cognition: Self-reference and depth of processing. Clinical Psychology Review, 29(4), 382–392. https://doi.org/10.1016/j.cpr.2009.03.003CrossRefPubMed

Xiaofan, Y., Rui, Z., & Zhengzhi, F. (2017). Development of negative cognitive processing bias questionnaire. Journal of Third Military Medical University, 39, 2329–2334.

Zajkowska, Z., Gullett, N., Walsh, A., Zonca, V., Pedersen, G. A., Souza, L., Kieling, C., Fisher, H. L., Kohrt, B. A., & Mondelli, V. (2022). Cortisol and development of depression in adolescence and young adulthood: A systematic review and meta-analysis. Psychoneuroendocrinology, 136, 105625. https://doi.org/10.1016/j.psyneuen.2021.105625CrossRefPubMedPubMedCentral

Titel: Emotion Dysregulation in Adolescents Exhibiting Depression with Elevated Anxiety: Prevalence and Associated Factors
Auteurs: Ziqi Yan
Qi Li
Jing Xiao
Publicatiedatum: 21-09-2024
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 4/2024
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-024-00563-0

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Emotion Dysregulation in Adolescents Exhibiting Depression with Elevated Anxiety: Prevalence and Associated Factors

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