Beneath the surface:How social inhibition affects stress and emotion regulation

Sociale geremdheid is een persoonlijkheidskenmerk dat gekenmerkt wordt door angst voor, en het vermijden van, onbekende situaties. Sociaal geremde mensen zijn gevoeliger voor sociale dreiging en onderdrukken emotionele expressie, gedachten en gedragingen tijdens sociale interacties. Eerder onderzoek laat zien dat sociale geremdheid samen zou kunnen hangen met een verslechterde psychologische en lichamelijke gezondheid, maar hoe en waarom dit zo is bij sociaal geremde volwassenen is nog onduidelijk. Daarom was het doel van dit proefschrift om meer inzicht te krijgen in sociale geremdheid bij volwassenen, en kennis te vergaren over de lichamelijke en psychologische processen die gerelateerd zijn aan dit persoonlijkheidskenmerk. Onderzoeksmethoden De eerste stap was om een meetinstrument te ontwikkelen dat sociale geremdheid bij volwassenen betrouwbaar en valide kan meten. Met dit meetinstrument waren we in staat om te bekijken in hoeverre mensen met en zonder deze persoonlijkheidstrek van elkaar verschillen op bepaalde uitkomsten. Daarna hebben we een aantal stress- en emotieregulatie experimenten uitgevoerd in het Gedrags-fysiologisch Onderzoekslaboratorium (GO-Lab) om te bestuderen hoe sociaal geremde mensen reageren op stress en hoe ze omgaan met bepaalde emoties (verdriet, boosheid). Belangrijkste conclusies De uitkomsten van dit proefschrift laten zien dat sociaal geremde mensen meer psychologische en lichamelijke stress ervaren en minder goed kunnen omgaan met negatieve emoties, wat op den duur kan leiden tot stress-gerelateerde gezondheidsproblemen. Dit komt voornamelijk doordat sociaal geremde mensen sociale situaties als bedreigend ervaren en daardoor meer op hun hoede zijn, wat zorgt voor een herhaalde activatie van het stress-systeem. Daarnaast hebben sociaal geremde mensen de neiging om de (negatieve) gevoelens die ze ervaren te vermijden of onderdrukken, om niet te laten zien hoe ze zich echt voelen, uit angst voor afwijzing van anderen. Het vermijden en onderdrukken van emoties hangt samen met het ervaren van meer angst en stress, en zou een risico factor kunnen zijn voor het ontwikkelen van psychologische en lichamelijke aandoeningen. Belangrijkste aanbevelingen De bevindingen tonen aan dat het belangrijk is om sociaal geremde mensen te ondersteunen bij het managen van hun emotionele en lichamelijke welzijn. Het ontwikkelen en testen van interventies die gericht zijn op het emotionele en lichamelijke risicoprofiel van sociale remming is daarom essentieel

Emotion expressivity in the Dutch:Validation of the Dutch translation of the Berkeley Expressivity Questionnaire

When examining emotions and emotion regulation, we discriminate between emotion experience and emotion expressivity. Research shows that the two are modestly related. The Berkeley Expressivity Questionnaire (BEQ) was designed to assess positive and negative expressivity, as well as the intensity of the expressive behavior. The current article reports on 2 studies that examined the reliability and validity of the Dutch translation of the BEQ. In Study 1, we performed a confirmatory factor analysis of the BEQ items in two samples that differed in age (young adults and adults), correlated the facet and total scores with measures of behavioral control, affective response tendencies, and emotion regulation strategies, and examined sex differences. Results confirmed the three-factor structure and further showed that factors were correlated, and two items loaded on all factors. Internal consistency was good, and test–retest reliability was excellent. As expected, emotion expression was larger in women. Convergent and divergent validity were confirmed. Behavioral control measures were inversely related to emotion expression. Although neuroticism and depression were associated with negative expressivity, extraversion, openness, and agreeableness were associated with positive expressivity. Emotion regulation strategies generally showed association patterns in the expected directions. In Study 2, we report on the predictive value of the BEQ facet scores for the emotional response to acute social evaluative stress. Results showed that only expression intensity was significantly associated with a larger emotional stress response. In conclusion, the Dutch version of Berkeley Expressivity Questionnaire is a reliable and valid instrument to be used in the Dutch settin

Understanding stress regulation in relation to personality traits:The role of detachment and negative affect

Background. Individuals with Cluster C personality disorders (CPD) display hypersensitivity to threats and emotional dysregulation, it is therefore assumed that individuals with CPD employ dysfunctional stress regulation. However, the influence of personality features of CPD on the psychophysiological response to psychosocial stress has not been sufficiently explored. Therefore, this pilot study aimed to investigate how the maladaptive personality traits Detachment and Negative Affect (maladaptive traits characteristic of CPD in the DSM-5 alternative model for PD) account for variations in perceived stress, alexithymia, and in the emotional and physiological responses to stress. Methods. In the first study, 434 undergraduate students (363 low in Detachment/Negative Affect, 71 high in Detachment/Negative Affect) participated in a cross sectional questionnaire study, in which alexithymia (TAS-20) and perceived stress (PSS) were assessed and levels between groups were compared with an ANOVA. In the second study, we examined 52 low-trait and 24 high-trait individuals on heart rate, heart rate variability, skin conductance, and negative emotional state in response to and in recovery of the Trier Social Stress Test (TSST), with repeated measures ANOVAs. Results. Results showed that individuals with high-trait Detachment and Negative Affect report higher levels of alexithymia and perceived stress. In addition, high-trait individuals showed blunted heart rate reactivity to and recovery of stress, and an overall elevated negative emotional state during the TSST task, compared to the low-trait group. Conclusion. The results of the current study warrants the development and testing of interventions that target the emotional and physiological risk profile associated with high levels of trait Negative Affect and Detachment

Situation selection and modification in social inhibition:A person-centered approach

Objectives The current study aimed to identify patterns of situation selection and modification behaviors using a person-centered approach, and to examine to what extent the trait social inhibition (SI) is associated with these patterns of situation-targeted emotion regulation. Methods The sample comprised 504 participants (Mage = 21.5, SD = 8.2; 82% women), who completed questionnaires on situation selection and modification behaviors, and the social inhibition questionnaire (SIQ15). A three-step latent profile analysis (LPA) was performed to (A) identify existing latent profiles of situation avoidance and approach and situation modification behaviors, and (B) to examine the association of SI and facets with the latent class posteriors. Results LPA revealed the presence of four profiles that differed in how situation selection and modification were applied. SI, behavioral inhibition, and social withdrawal were significantly associated with a higher odds of belonging to the profile characterized by avoidance selection and modification. Interpersonal sensitivity was associated with using more conversational modification behaviors, which may illustrate that interpersonal sensitive individuals are motivated to approach, but use avoidance behaviors to prevent confrontation. Conclusions SI individuals particularly rely on avoidance selection and modification behaviors, which may be considered maladaptive emotion regulation

Social inhibition and approach-avoidance tendencies towards facial expressions

This study examined how different manifestations of social inhibition (behavioral inhibition, interpersonal sensitivity, and social withdrawal) are related to automatic approach/avoidance behaviors in a social context. A sample of 115 undergraduate students and 20 adults from the general population (Mage = 24.8, SD = 11.4; 75% women) were assessed with the 15-item Social Inhibition Questionnaire (SIQ15). During a facial expression version of the Approach-Avoidance Task (AAT), participants reacted to images of emotional facial expressions (angry, happy, and neutral) or to control images (neutral objects) in portrait or landscape formats by pulling a joystick towards themselves (approach) or pushing it away from themselves (avoidance). The superordinate social inhibition construct was not associated with approach/avoidance tendencies. However, individuals high in the interpersonal sensitivity domain of social inhibition showed stronger approach tendencies for happy and neutral facial expressions compared to neutral objects, which may relate to their focus on seeking the approval of others

Perceived cognition after percutaneous coronary intervention:Association with quality of life, mood and fatigue in the THORESCI Study

Purpose: Percutaneous coronary intervention (PCI) is a common invasive procedure for the treatment of coronary artery diseases. Long-term cognitive functioning after PCI and its association with health-related quality of life (HRQL) and psychological factors is relatively unknown. The aim of this study is to examine whether perceived cognitive functioning during the year after PCI is associated with HRQL over this time period, and whether mood, fatigue, and age are associated with changes in perceived cognition and HRQL. Methods: Patients undergoing PCI (n = 384, 79% male, mean age = 63, SD = 10) were recruited in the observational Tilburg Health Outcome Registry of Emotional Stress after Coronary Intervention (THORESCI) cohort study. Perceived concentration and attention problems, HRQL, mood, and fatigue were assessed at baseline, at 1-month and 12-month follow-up. Results: General linear mixed modeling analysis showed that across time, between- and within-subject differences in perceived concentration problems were associated with a reduced HRQL in all domains independent of clinical and demographic covariates. Only a part of this association could be explained by negative mood, fatigue, and older age. Similar findings were found for between-subject differences in perceived attention problems. Conclusions: Between-subject differences and within-subject changes in perceived cognition in PCI patients were strongly associated with HRQL across time, such that poorer perceived cognition was associated with poorer HRQL, independent of demographic and clinical variables. Most of the associations were also independent of mood and fatigue. The results should increase the awareness of clinicians for the role of cognition in the cardiac rehabilitation and recovery post-PCI

Pandemic panic?:Results of a 14 month longitudinal study on fear of COVID-19

BACKGROUND: Fear is an evolutionary adaptive emotion that serves to protect the organism from harm. Once a threat diminishes, fear should also dissipate as otherwise fear may become chronic and pathological. While actual threat of the COVID-19 pandemic (i.e., number of infections, hospitalizations, and deaths) has substantially varied over the course of the pandemic, it remains unclear whether (subjective) fear has followed a similar pattern. METHOD: To examine the development of fear of COVID-19 during the pandemic and investigate potential predictors of chronic fear, we conducted a large online longitudinal study (N = 2000) using the Prolific platform between April 2020 and June 2021. Participants were voluntary response samples and consisted of residents of 34 different countries. The Fear of the Coronavirus Questionnaire (FCQ) and several other demographic and psychological measures were completed monthly. RESULTS: Overall, we find that fear steadily decreased since April 2020. Additional analyses showed that elevated fear was predicted by region (i.e., North America > Europe), anxious traits, gender, risks for loved ones, general health, and media use. LIMITATIONS: The interpretation of the results of this study is limited by the non-representativeness of the sample and the lack of data points between August 2020 and June 2021. CONCLUSIONS: This study helps to characterize the trajectory of fear levels throughout the COVID-19 pandemic and establish several relevant predictors of increased fear

The latent and item structure of COVID-19 fear:A comparison of four COVID-19 fear questionnaires using SEM and network analyses

Since the outbreak of the coronavirus disease (COVID-19), several reports have shown that fear relating to COVID-19 has sharply increased. To measure fear of COVID-19, various questionnaires have been developed in parallel. However, fear concerning COVID-19 is not necessarily a uniform construct and the different questionnaires may cover diverse aspects. To examine the underlying structure of fear of COVID-19, we conducted structural equation modelling and network analyses on four scales in an online convenience sample (N = 829). Particularly, the Fear of COVID-19 Scale (Ahorsu et al., 2020), the Fear of the Coronavirus Questionnaire (Mertens et al., 2020), and the COVID Stress Scales (Taylor, Landry, Paluszek, Fergus et al., 2020, Taylor, Landry, Paluszek, Rachor et al., 2020) were included in our study, along with a new scale that also assessed socio-economic worries relating to COVID-19. We found that fear of COVID-19 was best classified into four clusters: Fear of health-related consequences, fear of supplies shortages and xenophobia, fear about socio-economic consequences, and symptoms of fear (e.g., compulsions, nightmares). We also find that a central cluster of items centered on fear of health, which likely represents the core of fear of COVID-19. These results help to characterize fear due to COVID-19 and inform future research