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Background: Burnout syndrome is very prevalent among healthcare residents. Initiatives addressing workload conditions have had limited impact on burnout. The present study aims to explore the contribution of two emotion regulation strategies, namely emotion suppression and cognitive reevaluation, to residents’ burnout, while accounting for workload factors. Methods: Participants were 105 residents (68.6% women; mean age = 27.5, SD = 3.0). They completed measures of workload, burnout, and emotion regulation. The study was cross-sectional. Results: Emotional suppression was associated with higher burnout (depersonalization scale; β = 0.20, p < 0.05, CI 0.15–2.48) and cognitive revaluation was linked to lower burnout (higher personal accomplishment; β = 0.35, p < 0.01, CI 0.16–2.56), even after controlling for demographic and workload factors. We found interaction effects between workload variables (supervisor support and number of patient hours) and emotion regulation (p < 0.05). Conclusions: The relationship between workload, emotion regulation, and burnout seems to be complex. That is, similar work conditions might generate different levels of burnout depending on the resident’s emotional regulation strategies. This might partly explain why existing initiatives based on workload changes have had a modest impact on burnout. Results also support including emotion regulation training in prevention and treatment programs targeting burnout during residency.

Autonomous Sensory Meridian Response (ASMR) describes the experience of a pleasant tingling sensation along the back of the head, accompanied with a feeling of well-being and relaxation, in response to specific audio-visual stimuli, such as whispers, soft sounds, and personal attention. Previous works have assessed individual variations in personality traits associated with ASMR, but no research to date has explored differences in emotion regulation associated with ASMR. This omission occurred even when ASMR, a sensory-emotional experience, has been proposed to be located in a sound sensitivity spectrum as the opposite end of misophonia, a phenomenon associated with difficulties regulating emotions. The present work aimed to assess group differences between ASMR self-reporters and non-ASMR controls associated with emotion regulation strategies. We used the validated Spanish version of the Emotion Regulation Questionnaire to assess individual differences in the use of cognitive reappraisal and expressive suppression. Our results showed that participants who experience ASMR had higher scores in the cognitive reappraisal subscale of the emotion regulation questionnaire than the non-ASMR group. Individuals who experience ASMR reported higher use of cognitive reevaluation of emotionally arousing situations, suggesting more effectiveness in regulating emotions. Our finding further elucidates individual differences related to this experience, supporting that ASMR is a real psychophysiological phenomenon associated with other psychological constructs and has remarkable consequences in affective/emotional dimensions and general well-being.

The aim of the present study is to perform a longitudinal Italian validation of the scale and to adapt it to the nursing education contest. Background: Research on emotional labor has shown that the roles played by surface acting and deep acting are still uncertain. To overcome this gap, scholars suggest observing emotional labor through the lens of the emotional regulation theory. Andela and her colleagues developed a fine grained instrument, which differentiates attentional deployment, cognitive re-evaluation and expressive suppression, emotional amplification and emotional dissonance. Design. To fulfill our aim, a longitudinal study was performed in an Italian University. Method. The adapted scale was administered to 168 nursing students across the three years of attendance in the course. Results. Our results confirm the five-factor structure, and the instrument shows good psychometrical properties. Conclusion. Having shown satisfactory psychometric properties, this scale can be considered a useful instrument to assess those emotional elements of clinical practice, which are important for the assurance of education quality to the under graduated nursing students.

Results of the confirmatory factor analysis showed the expected two-factor structure. Results also indicated adequate internal consistency, test-retest reliability, and convergent and discriminant validity. Evaluating Structural Equation Models with Unobservable Variables and Measurement Error. Chinese adaptation of Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CCA): A psychometric evaluation in Chinese children.

Individuals with eating disorders may be more vulnerable to eating disorder behaviours following acute increases in negative affect, weight- and shape-based self-esteem saliency, and body dissatisfaction. This study investigated the relative effectiveness of two prominent and clinically-applicable emotion regulation strategies - cognitive reappraisal and mindful awareness - and an active control strategy (distraction) for reducing acute distress in an eating disorder sample. Participants with anorexia nervosa, bulimia nervosa, and other specified feeding or eating disorder underwent a body image distress induction and, following the induction, were instructed to practice cognitive reappraisal, mindful awareness, or distraction. State negative affect, weight- and shape-based self-esteem activation, body dissatisfaction, eating disorder urges, and perceived likelihood of engaging in eating disorder behaviours were measured before and after strategy implementation. Cognitive reappraisal resulted in greater reductions in body dissatisfaction than mindful awareness, and there was a trend toward greater reductions in body dissatisfaction compared to distraction. Similarly, cognitive reappraisal resulted in greater reductions in saliency of weight- and shape-based self-esteem schemas compared to distraction. The strategies did not differentially reduce negative affect, eating disorder urges, or perceived likelihood of engaging in eating disorder behaviours following the induction. Findings indicate that cognitive reappraisal may be the strategy of choice to reduce cognitive aspects of state body image distress. The three strategies appear to be similarly helpful in facilitating short-term reductions of the affective components of state body image distress. Les personnes aux prises avec un trouble de l'alimentation peuvent être plus susceptibles de présenter des comportements liés à ces troubles suite à une hausse marquée de l'affect négatif, de la perte d'estime de soi liée au poids et à la morphologie corporels et de l'insatisfaction corporelle. Cette étude a examiné l'efficacité relative de deux stratégies de maîtrise des émotions réputées et cliniquement adéquates - la réévaluation cognitive et la conscience de soi réfléchie - ainsi qu'une stratégie de contrôle actif (distraction) pour réduire la détresse aiguë chez un échantillon de personnes aux prises avec un trouble de l'alimentation. Les participants souffrant d'anorexie mentale, de boulimie et d'autres troubles de l'alimentation ont été soumis à un facteur d'induction de détresse liée à l'image corporelle et, suite à cette induction, ont reçu pour consigne d'exercer la réévaluation cognitive, la conscience de soi réfléchie ou la distraction. L'affect négatif lié à l'état, l'activation d'une perte d'estime de soi liée au poids et à la morphologie corporels, l'insatisfaction corporelle, les envies irrépressibles de s'abandonner aux troubles de l'alimentation et la probabilité perçue d'adopter des comportements liés aux troubles de l'alimentation ont été mesurés avant et après la mise en œuvre des stratégies. La réévaluation cognitive a entraîné une plus grande réduction de l'insatisfaction corporelle que la conscience de soi réfléchie, et on a observé une tendance en faveur d'une réduction plus marquée de l'insatisfaction corporelle en comparaison de la stratégie de la distraction. De même, la réévaluation cognitive a entraîné une réduction plus prononcée des schèmes de perte d'estime personnelle liée au poids et à la morphologie corporels en comparaison de la stratégie de la distraction. Les stratégies n'ont pas réduit radicalement l'affect négatif, les envies irrépressibles de s'abandonner au trouble de l'alimentation ou la probabilité perçue d'adopter des comportements liés aux troubles de l'alimentation suite à l'induction. Selon les constatations, la réévaluation cognitive pourrait être la stratégie à privilégier pour réduire les aspects cognitifs de la détresse liée à l'image corporelle. Les trois stratégies semblent se révéler d'une utilité égale pour permettre des réductions à court terme des composantes affectives de la détresse liée à l'image corporelle. Public Significance Statement Acute increases in state negative affect and state body image distress increase vulnerability to eating disorder behaviours for individuals with eating disorders. This study compared three emotion regulation strategies to determine which ones are most effective in reducing short-term distress in the moment. Results suggest that reinterpreting emotional situations may be most effective in reducing weight- and shape-based self-esteem and body dissatisfaction in eating disorder populations, compared with other strategies.

Self-reevaluation is one of the ten processes of change in the transtheoretical model and involves cognitive reappraisal of how behavior change is part of one’s identity. Although self-reevaluation is a critical motivator for individuals in the contemplation stage of change, few studies have examined its impact on disease progression associated with sustained behavior change. This study investigated the contribution of self-reevaluation on sustained viral load improvement among 143 participants in a randomized controlled trial testing an eight-session intervention (Project Positive Living through Understanding and Support) designed to improve treatment adherence among HIV+ adults with alcohol problems. Participants’ self-reevaluation scores at 3 months emerged as significant and independent predictors of sustained improvement in viral load at 6 months, over and above self-reported HAART dose adherence ( p  < 0.05). Results underscore the role of self-reevaluation as a critical factor in behavioral interventions and highlight its role in sustained change necessary to slow disease progression.