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Title: | The empirical status of implicit emotion regulation in mood and anxiety disorders: A meta-analytic review |
Authors: | Dalton, SDP Cooper, H Jennings, B Cheeta, S |
Keywords: | implicit emotion regulation;automatic emotion regulation;unconscious emotion regulation;emotion regulation;mood disorders;anxiety disorders;meta-analysis |
Issue Date: | 21-Mar-2025 |
Publisher: | Elsevier |
Citation: | Dalton, S.D.P. et al. (2025) 'The empirical status of implicit emotion regulation in mood and anxiety disorders: A meta-analytic review', Journal of Affective Disorders, 380, pp. 256 - 269. doi: 10.1016/j.jad.2025.03.118. |
Abstract: | Strategies to successfully regulate negative emotions may be hindered by maladaptive implicit emotion processing tendencies, and while implicit emotion regulation is known to be impaired in many psychiatric disorders, contradictory findings exist within the empirical literature. Therefore, a meta-analysis of implicit emotion regulation in mood and anxiety disorders (major depressive disorder [MDD], bipolar disorder, generalised anxiety disorder, social anxiety disorder, panic disorder, obsessive-compulsive disorder and post-traumatic stress disorder [PTSD]) was performed. Systematic literature searches were conducted in Web of Science, PubMed/MEDLINE, Scopus, and BrainMap for articles published between 2011 and 2024, and inclusion criteria included internationally recognised diagnostic measures (i.e., DSM-5). A total of 23 clinical studies were identified and using the Newcastle-Ottawa Scale, 21 studies were of excellent quality. Small to medium effect sizes were reported in patients across measures of accuracy (patients [n = 428] vs. controls [n = 412], standardised mean difference [SMD] -0.39, 95 % CI [−0.57 to −0.21], p < .0001) and response latency (patients [n = 477] vs. controls [n = 428], SMD 0.38, 95 % CI [0.22 to 0.54], p < .0001). The pooled effects of reduced accuracy and longer reaction times in patients were confirmed by separate sub-group analyses for mood and anxiety disorders, with MDD and PTSD reporting the largest effects. Regarding publication bias, Egger's regression test did not indicate funnel plot asymmetry. Recommendations for future research include investigation of dysfunctional implicit emotion regulation as a transdiagnostic characteristic of psychiatric disorders within the Research Domain Criteria (RDoC) framework. |
Description: | Supplementary data are available online at: https://www.sciencedirect.com/science/article/pii/S0165032725004665?via%3Dihub#s0115 . |
URI: | https://bura.brunel.ac.uk/handle/2438/30965 |
DOI: | https://doi.org/10.1016/j.jad.2025.03.118 |
ISSN: | 0165-0327 |
Other Identifiers: | ORCiD: Ben Jennings https://orcid.org/0000-0003-2472-5615 ORCiD: Survjit Cheeta https://orcid.org/0000-0002-8710-0105 |
Appears in Collections: | Dept of Life Sciences Research Papers |
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