Differences Between Expressive Suppression and Cognitive Reappraisal Between Heart Disease and Generalal Population
¹Cardiology Department. Jamaran Heart Hospital; ²Psychology department, University of Social Welfare and Rehabilitation Sciences; ³Medical Student Research Committee, Tehran Medical Unit, Islamic Azad University.Tehran, Iran
*Corresponding author: Seyyed Mohammad Javad Mirlohi. Medical Student Research Committee, Tehran Medical Unit, Islamic Azad University, Tehran, Iran. E-mail: firstname.lastname@example.org
Published: September 16, 2017. doi: 10.21103/Article7(3)_OA6
Aim: Heart disease and emotional disorders often co-occur, but effective role in dysregulation of heart disease that is often overlooked. Evidence suggests that people with heart disease are more problems in regulating their emotions.The study compared the re-evaluation of cognitive emotion regulation commonly used two strategies- and suppression- between heart disease and the general population.
Methods: Sixty men (30 with heart complaints and 30 without the condition) were selected by convenience sampling method and they responded to the Emotion Regulation Questionnaire (Gross and John) and a demographic questionnaire responded. To analyze the results and descriptive statistics such as frequency tables and inferential statistics, independent T-test was used SPSS software was used.
Results: The result shows that heart disease and general population re-evaluation strategies groups (P<0.01). This is not only different from the strategy reassessment, but in different repression, too. (P <0.001).
Conclusion: The results showed that heart disease and general population used different strategies to regulate their emotions. The key to finding the heart disease group prefer repression to regulate their emotions.
1. Rozanski A, Blumenthal JA, Davidson KW, Saab PG, Kubzansky L. The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology. J Am Coll Cardiol.2005;45(5):637–51.
2. Fars news. Heart disease cause 38% death of Iran. No: 850701512
3. Syme SL. The social environment and health. In : Honda Foundation Discoveries Symposium: prosperity and well –being. Toronto: Daedalus,Cambridge;1993.
4. Marmot M, Winkelstein W Jr. Epidemiologic observations on intervention trails for prevention of coronary heart disease. Am J Epidemiol.1975;101(3):177-81.
5. Goldestein MG, Niaura R. Psychological factors affecting physical condition: Cardiovascular disease literature review. Part I: Coronary artery disease and sudden death. Psychosomatics. 1992;33(2):134-45.
6. Haines AP, Imeson JD, Meade TW. Phobic anxiety and ischaemic heart disease. Br Med J (Clin Res Ed). 1987;295(6593):297-9.
7. Kawachi I, Sparrow D, Vokonas PS, Weiss ST. Symptoms of anxiety and risk of coronary heart disease. The Normative Aging Study. Circulation. 1994;90(5):2225-9.
8. Eaker ED, Pinsky J, Castelli WP. Myocardial infarction and coronary death among women: psychosocial predictors from a 20-year follow-up of women in the Framingham study. Am J Epidemiol. 1992;135:854-64.
9. Karmarck T, Jennings JR. Biobehavioral factors in sudden cardiac death. Psychol Bull.1991;109(1):42-75.
10. Scheniderman N. Psychophysiologic factors in atherogensis and coronary artery disease. Circulation. 1987;76(1 Pt 2):141-7.
11. McCollam JB, Burish TG, Maisto SA, Sobell MB. Alcohol's effects on physiological arousal and self-reported affect and sensations. J Abnorm Psychol. 1980; 89(2):224−33.
12. Gross JJ. Antecedent-and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. J Pers Soc Psychol.1998;74(1):224-37.
13. Thompson RA. Emotion regulation: a theme in search of definition. Monogr Soc Res Child Dev. 1994;59(2-3):25–52.
14. Garnefski N, Van den Kommer T, Kraaij V, Teerds J, Legerstee J, Onstein E. The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non-clinical sample. Eur J Pers. 2002;16:403–20.
15. Gross JJ. Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. J Pers Soc Psychol. 1998;74(1):224–37.
16. Frijda NH. The laws of emotion. Am Psychol.1988;43(5):349–58.
17. Gross JJ, Levenson RW. Emotional suppression: physiology, self-report, and expressive behavior. J Pers Socl Psychol.1993;64(6):970–86.
18. Speisman JC, lazarus RS, Mordkoff A, Davison L. Experimental reduction of stress based on ego-defense theory. J Abnorm Psychol. 1964;68:367–80.
19. Gross JJ. The emerging field of emotion regulation: An integrative review. Rev Gen Psychol. 1998;2:271−99.
20. Werrner K, Gross JJ. Emotion regulation and Psychopathology: A conceptual framework. In Kring AM, Slaon DM, editors. Emotion Regulation and Psychopathology: A Transdiagnostic Approach to Etiology and Treatment. Guilford Press; 2007:89-92.
21. Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Pers Soc Psychol.2003;85(2):348–62.
22. Gross JJ, Thompson RA. Emotion regulation: Conceptual foundations. In Gross JJ, editor. Handbook of emotion regulation. New York: Guilford; 2007:3-24.
23. Rasmussen K, Ravnsbaek J, Funch-Jenson P, Bagger JP. Oesophageal spams in patients with coronary artery spam. Lancet. 1986;1(8474)174-6.
24. Davies MJ, Thomas A. Thrombosis and acute coronary-artery lesions in sudden cardiac ischemic death. N Engl J Med. 1984;310(18):1137-40.
25. Hofmann SG, Heering S, Sawyer AT, Asnaani A. How to handle anxiety: The effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behav Res Ther. 2009;47(5):389-94. doi: 10.1016/j.brat.2009.02.010.
26. Haga SM, Kraft P, Corby EK. Emotion regulation: antecedents and well – being outcomes of cognitive reappraisal and expressive suppression in cross-cultural samples. J Happiness Studies. 2009;10:271-29.
27. Memedovic S, GrishamJ, DensonT, Moulds M. The effects of trait reappraisal and suppression on anger and blood pressure in response to provocation. J Res Pers. 2010;44:540-54.
28. Mauss IB, Cook CL, Cheng JYJ, Gross JJ. Individual differences in cognitive reappraisal: experiential and physiological responses to an anger provocation. Int J Psychopathol. 2007;66(2):116-124.
29. Meyer T, Smeets T, Giesbrecht T, Merckelbach H. The efficiency of reappraisal and expressive suppression in regulating everyday affective experiences. Psychiatry Res. 2012; 200(2-3):964-9. doi: 10.1016/j.psychres.2012.05.034.
30. Beblo T, Fernando S, Klocke S, Griepenstroh J, Aschenbrenner S, Driessen M.Increased suppression of negative and positive emotions in major depression. J Affect Disord. 2012;141(2-3):474-9. doi: 10.1016/j.jad.2012.03.019.
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International Journal of Biomedicine. 2017;7(3):192-195. ©2017 International Medical Research and Development Corporation. All rights reserved.