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Distinct Roles of Emotion Reactivity and Regulation in Depressive and Manic Symptoms Among Euthymic Patients

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Abstract

Investigating differences in the ways that people react to mood-evoking stimuli and regulate subsequent emotions may help to elucidate important mechanisms underlying depressed or hypomanic mood states. Euthymic young adults with bipolar disorder (n = 23) or depression (n = 21) were recruited for a study of emotion and mood. Two mood inductions assessed for differences in mood reactivity. Participants completed measures of current symptoms and emotion regulation strategies. Maladaptive (B = 0.42, p = .021) and adaptive (B = −0.26, p = .011) emotion regulation strategies were significantly associated with depressive symptoms. Bipolar diagnosis (B = 5.51, p = .035), and threat mood reactivity (B = −0.26, p = .015) were associated with hypomanic symptoms. Interaction terms for mood reactivity and emotion regulation were not significant in either model, although net regression indicated significant differences in two trends. Depressed moods, associated with MDD or BD, may be initiated and maintained primarily due to poor choice of emotion regulation strategies. Elevated mood states are more specific to bipolar disorder, and may be triggered by mood reactivity, rather than regulation.

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Acknowledgments

This study was funded by the North Carolina Translational and Clinical Sciences Institute (grant #2KR341108).

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Authors and Affiliations

  1. Ferkauf Graduate School, Yeshiva University, 1165 Morris Park Avenue, Bronx, NY, 10461, USA

    Anna R. Van Meter

  2. The University of North Carolina, Chapel Hill, NC, USA

    Eric A. Youngstrom

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  1. Anna R. Van Meter
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Correspondence to Anna R. Van Meter.

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Anna Van Meter was the recipient of the grant listed above; she has no other conflicts of interest. Eric Youngstrom has received research grants from NIMH and has served as a consultant about assessment to Lundbeck and Otsuka in the past.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (national and institutional). Informed consent was obtained from all individual subjects participating in the study. If any identifying information is contained in the paper the following statement is also necessary. Additional informed consent was obtained from any subjects for whom identifying information appears in this paper.

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Van Meter, A.R., Youngstrom, E.A. Distinct Roles of Emotion Reactivity and Regulation in Depressive and Manic Symptoms Among Euthymic Patients. Cogn Ther Res 40, 262–274 (2016). https://doi.org/10.1007/s10608-015-9738-9

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