An Analysis of the Pattern of Adaptive Emotion Regulation Associated with Low Paranoid Ideation in Healthy and Clinical
- PDF / 758,302 Bytes
- 12 Pages / 595.276 x 790.866 pts Page_size
- 47 Downloads / 142 Views
ORIGINAL ARTICLE
An Analysis of the Pattern of Adaptive Emotion Regulation Associated with Low Paranoid Ideation in Healthy and Clinical Samples Martin F. Wittkamp1 · Katarina Krkovic1 · Tania M. Lincoln1 Accepted: 21 October 2020 © The Author(s) 2020
Abstract Background Research on emotion regulation and paranoid ideation has mostly focused on isolated regulation strategies and has remained largely inconclusive. According to the emotion regulation model by Berking and Whitley (in: Affect Regulation Training, Springer, New York 2014) successful modification or acceptance/tolerance of emotions requires an adequate comprehension (awareness, clarity, understanding) of emotions and adequate self-support. Method Building on this model, we investigated whether comprehension and self-support strengthen the negative association between modification and acceptance/tolerance and paranoid ideation. In study 1, we examined the hypotheses crosssectionally based on questionnaire data from a combined sample (N = 125) consisting of people with a psychotic disorder, people at risk of developing psychosis, and healthy controls. In study 2, we examined the same hypotheses longitudinally by employing the experience sampling method in people with clinically relevant psychopathology below diagnostic threshold (N = 138). Results In study 1, the association between modification and paranoid ideation was not moderated by comprehension or self-support. However, comprehension and self-support moderated the association between acceptance/tolerance and paranoid ideation. In study 2, the interaction effect between comprehension and acceptance/tolerance on paranoid ideation was confirmed. Conclusion The results indicate that comprehending and accepting/tolerating emotions could be protective against paranoid ideation. Keywords Delusions · Schizophrenia · Coping · Interactions of emotion regulation strategies · ESM In an influential model of psychosis, Garety et al. (2001) postulated that negative affect has a crucial influence on the interpretation of internal and external experiences and thereby significantly contributes to paranoid ideation. In support of this model, elevated levels of negative affect have been found to predict paranoid ideation in longitudinal studies (Fowler et al. 2012; Freeman et al. 2012; Lincoln et al. 2017a) and in studies based on the experience sampling Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10608-020-10173-6) contains supplementary material, which is available to authorized users. * Martin F. Wittkamp martin.wittkamp@uni‑hamburg.de 1
Clinical Psychology and Psychotherapy, Institute of Psychology, Faculty of Psychology and Movement Sciences, Universität Hamburg, Von‑Melle‑Park 5, 20146 Hamburg, Germany
method (ESM) in samples with different levels of symptom severity (Ben-Zeev et al. 2011; Krkovic et al. 2018, 2020; Thewissen et al. 2011; Thiery et al. 2014). Moreover, an experimental manipulation of negative affect was shown to be associated
Data Loading...
