Advertisement

Douleur et Analgésie

, Volume 30, Issue 4, pp 223–229 | Cite as

La régulation émotionnelle chez le patient douloureux chronique

Mise Au Point / Update

Résumé

Gross et al. ont élaboré un cadre théorique permettant de formaliser et de mieux comprendre les processus de régulation émotionnelle. Ce modèle, en raison de l’enthousiasme qu’il a suscité à la fois chez les cliniciens et les chercheurs, a généré de nombreuses publications au cours des deux dernières décennies. La régulation émotionnelle a profité de cet intérêt manifeste en gagnant en clarté. Toutefois, peu d’études ont été consacrées à l’évaluation de la régulation émotionnelle chez le patient douloureux chronique bien que les émotions aient un rôle primordial dans le maintien et le développement de la douleur chronique. Deux stratégies de régulation, la suppression expressive des émotions et la réévaluation cognitive, ont fait l’objet de quelques travaux prometteurs qui nécessitent d’être approfondis chez le patient douloureux chronique. Ces deux stratégies sont considérées ici sous l’angle de l’altérité afin de rendre compte de leur implication dans l’exacerbation de la douleur chronique. Dans ce manuscrit, nous avons introduit brièvement le concept de régulation émotionnelle et mis l’accent sur la suppression expressive de la colère, une émotion très fréquente chez le patient douloureux chronique. La suppression expressive de la colère a été considérée en fonction du style de gestion de la colère de l’individu. Finalement, nous envisageons le cas d’une patiente et les aspects thérapeutiques de la colère.

Mots clés

Régulation émotionnelle Suppression expressive Réévaluation cognitive Douleur chronique Colère 

Emotional regulation in patients with chronic pain

Abstract

Gross and al. have provided a framework to better understand the emotional regulation processes. Enthusiasm for this topic continues to gain conceptual clarity. However, few attentions have been focused on emotional regulation in patients with chronic pain despite the fact that emotion has been implicated in the development and maintenance of chronic pain. The two emotional regulation strategies that have been the center of attention for the past few years are expressive suppression and cognitive reappraisal. Both these strategies were considered with a focus on possible deficiencies that contribute to the exacerbation of chronic pain. In this article, we tend to briefly 1) introduce the concept of emotional regulation and 2) emphasize on expressive suppression of anger in the context of patients’ anger management style (anger-in vs. anger out). Finally, the article concludes with suggestions for future therapeutic management resulting from this new area of research in chronic pain.

Keywords

Emotional regulation Emotion regulation strategies of suppression and reappraisal Chronic pain Anger 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. 1.
    Gross JJ (1998) Antecedent-and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. J Pers Soc Psychol 74:224–37CrossRefPubMedGoogle Scholar
  2. 2.
    Gross JJ, John OP (2003) Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol 85:348–62CrossRefPubMedGoogle Scholar
  3. 3.
    Gross JJ (2002) Emotion regulation: affective, cognitive and social consequences. Psychophysiology 39:281–91CrossRefPubMedGoogle Scholar
  4. 4.
    John OP, Gross JJ (2007) Individual differences in emotions regulation. In: Gross JJ (dir) The handbook of emotion regulation. Guilford Press, New York, pp 351–72Google Scholar
  5. 5.
    Delelis G, Christophe V, Berjot S, Desombre C (2011) Stratégies de régulation émotionnelle et de « coping »: quels liens? Bull Psychol 64:471–79CrossRefGoogle Scholar
  6. 6.
    Van der Linden (2004) Fonctions exécutives et régulation émotionnelle. In: Meulemans T, Collette F, van der Linden M (dir) Neuropsychologie des fonctions exécutives. Solal Éditeur, Marseille, pp 137–53Google Scholar
  7. 7.
    Fernandez-Duque D, Posner MI (2001) Brain imaging of attention networks in normal and pathological states. J Clin Exp Neuropsychol 23:74–9CrossRefPubMedGoogle Scholar
  8. 8.
    Aldao A, Sheppes G, Gross JJ (2015) Emotion regulation flexibility. Cogn Ther Res 39:263–78CrossRefGoogle Scholar
  9. 9.
    Richards JM, Gross JJ (2000) Emotion regulation and memory: the cognitive costs of keeping one’s cool. J Pers Soc Psychol 79:410–24CrossRefPubMedGoogle Scholar
  10. 10.
    Denson F, Creswell JD, Terides MD, Blundell K (2014) Cognitive reappraisal increases neuroendocrine reactivity to acute social stress and physical pain. Psychoneuroendocrinology 49:69–78CrossRefPubMedGoogle Scholar
  11. 11.
    Brockman R, Ciarrochi J, Parker P, Kashdan T (2017) Emotion regulation strategies in daily life: mindfulness, cognitive reappraisal and emotion suppression. Cogn Behav Ther 46:91–113CrossRefPubMedGoogle Scholar
  12. 12.
    van Middendorp H, Lumley MA, Jacobs JWG, et al (2008) Emotions and emotional approach and avoidance strategies in fibromyalgia. J Psychosomatic Res 64:159–67CrossRefGoogle Scholar
  13. 13.
    Okifuji A, Turk DC, Curran SL (1999) Anger in chronic pain: investigations of anger targets and intensity. J Psychosomatic Res 47:1–12CrossRefGoogle Scholar
  14. 14.
    Bruehl S, Chung OY, Burns JW, Biridepalli S (2003) The association between anger expression and chronic pain intensity: evidence for partial mediation by endogenous opioid dysfunction. Pain 106:317–24CrossRefPubMedGoogle Scholar
  15. 15.
    Berkowitz L, Thome PR (1987) Pain expectation, negative affect and angry aggression. Motiv Emot 11:183–93CrossRefGoogle Scholar
  16. 16.
    Burns JW, Quartana PJ, Bruehl S (2007) Anger management style moderates effects of emotion suppression during initial stress on pain and cardiovascular responses during subsequent pain-induction. Ann Behav Med 34:154–65CrossRefPubMedGoogle Scholar
  17. 17.
    Smith T (1994) Concepts and methods in the study of anger, hostility and health. In: Siegman A, Smith T (eds) Anger, hostility and the heart. Hillsdale, NJ: Lawrence Erlbaum AssociatesGoogle Scholar
  18. 18.
    Kerns RD, Rosenberg R, Jacob M (1994) Anger expression and chronic pain. J Behav Med 17:57–67CrossRefPubMedGoogle Scholar
  19. 19.
    Burns JW (1979) Anger management style and hostility: predicting symptom-specific physiological reactivity among chronic low back pain patients. J Behav Med 20:505–22CrossRefGoogle Scholar
  20. 20.
    Greenwood KA, Thurston R, Rumble M, et al (2003) Anger and persistent pain: current status and futures directions. Pain 103:1–5CrossRefPubMedGoogle Scholar
  21. 21.
    Spielberger CD, Johnson EH, Russell SF, et al (1985) The experience and expression of anger: construction and validation of an anger expression scale. In: Chesney MA, Rosenman RH (dir) Anger and hostility in cardiovascular and behavioral disorders. Washington, DC: Hemisphere Publishing, pp 5–30Google Scholar
  22. 22.
    Burns JW, Quartana P, Bruehl S (2008) Anger inhibition and pain: conceptualization, evidence and new directions. J Behav Med 31:259–79CrossRefPubMedGoogle Scholar
  23. 23.
    Quartana PJ, Lira Yoon K, Burns JW (2007) Anger suppression, ironic processes and pain. J Behav Med 30:455–69CrossRefPubMedGoogle Scholar
  24. 24.
    van Middendorp H, Lumley MA, Moerbeek M, et al (2010) Effects of anger and anger regulation styles on pain in daily life of women with fibromyalgia: a diary study. Eur J Pain 14:176–82CrossRefPubMedGoogle Scholar
  25. 25.
    Wong WS, Fielding R (2013) Suppression of emotion expression mediates the effects of negative affect on pain catastrophizing: a cross-sectional analysis. Clin J Pain 29:865–72CrossRefPubMedGoogle Scholar
  26. 26.
    Christophe V, Antoine P, Leroy T, Delelis G (2009) Évaluation de deux stratégies de régulation émotionnelle: la suppression expressive et la réévaluation cognitive. Eur Rev Appl Psychol 59:59–67CrossRefGoogle Scholar
  27. 27.
    Garnefski N, Kraaij V, Spinhoven P (2001) Negative life events, cognitive emotion regulation and depression. Pers Individ Dif 30:1311–27CrossRefGoogle Scholar
  28. 28.
    Jermann F, Van der Linden M, d’Acremont M, Zermatten A (2006) Cognitive Emotion Regulation Questionnaire (CERQ): confirmatory factor analysis and psychometric properties of the French translation. Eur J Psychol Assess 22:126–31CrossRefGoogle Scholar
  29. 29.
    Garnefski N, Teerds J, Kraaij V, et al (2004) Cognitive emotional regulation strategies and depressive symptoms: differences between males and females. Pers Individ Dif 36:267–76CrossRefGoogle Scholar
  30. 30.
    Garland EL, Gaylord SA, Fredrickson BL (2011) Positive reappraisal coping mediates the stress-reductive effect of mindfulness: an upward spiral process. Mindfulness 2:59–67CrossRefGoogle Scholar
  31. 31.
    Kassinove H, Tafrate R (2011) Application of a flexible, clinically driven approach for anger reduction in the case of Mr P. Cogn Behav Pract 18:222–34CrossRefGoogle Scholar
  32. 32.
    Sheppes G, Meiran N (2007) Better late than never? On the dynamics of online regulation of sadness using distraction and cognitive reappraisal. Pers Soc Psychol Bull 33:1518–32CrossRefPubMedGoogle Scholar

Copyright information

© Lavoisier 2017

Authors and Affiliations

  1. 1.Centre d’évaluation et de traitement de la douleurhôpital Ambroise-ParéBoulogne cedexFrance
  2. 2.Inserm U 987, centre d’évaluation et de traitement de la douleurhôpital Ambroise-ParéBoulogne cedexFrance

Personalised recommendations