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Although it is well established that Bipolar Disorder (BD) is characterized by excessive positive emotionality, the cognitive and neural processes that underlie such responses are unclear. We addressed this issue by examining the role that an emotion regulatory process called self-distancing plays in two potentially different BD phenotypes-BD with vs. without a history of psychosis-and healthy individuals. Participants reflected on a positive autobiographical memory and then rated their level of spontaneous self-distancing. Neurophysiological activity was continuously monitored using electroencephalogram. As predicted, participants with BD who have a history of psychosis spontaneously self-distanced less and displayed greater neurophysiological signs of positive emotional reactivity compared to the other two groups. These findings shed light on the cognitive and neural mechanisms underlying excessive positive emotionality in BD. They also suggest that individuals with BD who have a history of psychosis may represent a distinct clinical phenotype characterized by dysfunctional emotion regulation.

Sensation and emotion are inextricably linked. Interdisciplinary evidence indicates that strategically activating each of the five major sensory modalities (i.e., sight, smell, hearing, taste, and touch) can increase positive emotion and decrease negative emotion. Sensation offers a rapid and relatively effortless path to emotion regulation. More research is needed to elucidate how, for whom, and in what contexts sensation can maximally benefit emotional wellbeing. Decades of evidence reveal intimate links between sensation and emotion. Yet, discussion of sensory experiences as tools that promote emotion regulation is largely absent from current theorizing on this topic. Here, we address this gap by integrating evidence from social-personality, clinical, cognitive-neuroscience, and animal research to highlight the role of sensation as a tool that can be harnessed to up- or downregulate emotion. Further, we review evidence implicating sensation as a rapid and relatively effortless emotion regulation modality and highlight future research directions. Notably, we emphasize the need to examine the duration of sensory emotion regulation effects, the moderating role of individual and cultural differences, and how sensory strategies interact with other strategies. [ABSTRACT FROM AUTHOR]

Emotions such as anger, gratitude, envy, and pride can be thought of as tools: They tend to serve context-specific functions in daily life. Prior work has shown that people can use emotions as tools in laboratory contexts, yet it is unclear whether people do use emotions as tools in daily life by intentionally trying to feel or express emotions that could yield context-specific beneficial outcomes. We examined this issue in 6 studies (total N = 1,409) in which participants (a) identified scenarios where specific emotions typically function as tools, (b) recalled episodes of emotional tool use, and (c) reported on emotional tool use in daily life via experience-sampling under experimental instructions. We found that people regularly used emotions as tools in daily life, but that people used positive emotions as tools much more frequently than negative emotions. Yet, when people used positive emotions as tools, this led to less beneficial outcomes than when participants felt positive emotions reactively—in part because using positive emotions as tools felt inauthentic—whereas using negative emotions as tools led to more beneficial outcomes than feeling negative emotions reactively. These findings point to a fascinating paradox: Although people are more willing to use positive (vs. negative) emotions as tools, these choices may not lead people to garner maximal possible benefits of positive emotions, while preventing people from capitalizing on the benefits of using negative emotions as tools. We discuss implications of this work for incorporating emotional tool use into theories of emotion regulation. [ABSTRACT FROM AUTHOR]

Background During the fall of 2014, the threat of an Ebola outbreak gripped the United States (Poll, 8-12 October 2014; see Harvard School of Public Health & SSRS, 2014), creating a unique opportunity to advance basic knowledge concerning how emotion regulation works in consequential contexts and translate existing research in this area to inform public health and policy. Method We addressed these issues by examining whether third-person self-talk, a simple technique that promotes emotion regulation, could nudge people into reasoning about Ebola more rationally. In all, 1,257 people from across the United States were asked to write about their feelings about Ebola using their name or I (i.e. third-person self-talk vs. first-person self-talk) as concerns about Ebola swelled (24 October 2014-26 October 2014). Results Third-person self-talk led participants who scored high on Ebola worry at baseline to generate more fact-based reasons not to worry about Ebola, which predicted reductions in their Ebola worry and risk perception. These findings held when controlling for several theoretically relevant covariates, highlighting their robustness. Conclusion These results demonstrate how a simple linguistic technique can enhance rational thinking and quell worry about a pressing public health threat. [ABSTRACT FROM AUTHOR]

Placebo treatments can strongly affect clinical outcomes, but research on how they shape other life experiences and emotional well-being is in its infancy. We used fMRI in humans to examine placebo effects on a particularly impactful life experience, social pain elicited by a recent romantic rejection. We compared these effects with placebo effects on physical (heat) pain, which are thought to depend on pathways connecting prefrontal cortex and periaqueductal gray (PAG). Placebo treatment, compared with control, reduced both social and physical pain, and increased activity in the dorsolateral prefrontal cortex (dlPFC) in both modalities. Placebo further altered the relationship between affect and both dlPFC and PAG activity during social pain, and effects on behavior were mediated by a pathway connecting dlPFC to the PAG, building on recent work implicating opioidergic PAG activity in the regulation of social pain. These findings suggest that placebo treatments reduce emotional distress by altering affective representations in frontal-brainstem systems. [ABSTRACT FROM AUTHOR]

Does the language people use to refer to the self during introspection influence how they think, feel, and behave under social stress? If so, do these effects extend to socially anxious people who are particularly vulnerable to such stress? Seven studies explored these questions (total N = 585). Studies la and lb were proof-of-principle studies. They demonstrated that using non-first-person pronouns and one's own name (rather than first-person pronouns) during introspection enhances self-distancing. Studies 2 and 3 examined the implications of these different types of self-talk for regulating stress surrounding making good first impressions (Study 2) and public speaking (Study 3). Compared with the first-person group, the non-first-person group performed better according to objective raters in both studies. They also displayed less distress (Studies 2 and 3) and engaged in less maladaptive postevent processing (Study 3). Studies 4 and 5 examined how these different forms of self-talk influence the way people appraise social-anxiety-provoking events. They demonstrated that non-first-person language use (compared with first-person language use) leads people to appraise future stressors in more challenging and less threatening terms. Finally, a meta-analysis (Study 6) indicated that none of these findings were moderated by trait social anxiety, highlighting their translational potential. Together, these findings demonstrate that small shifts in the language people use to refer to the self during introspection consequentially influence their ability to regulate their thoughts, feelings, and behavior under social stress, even for vulnerable individuals. [ABSTRACT FROM AUTHOR]

Although analyzing negative experiences leads to physical and mental health benefits among healthy populations, when people with depression engage in this process on their own they often ruminate and feel worse. Here we examine whether it is possible for adults with depression to analyze their feelings adaptively if they adopt a self-distanced perspective. We examined this issue by randomly assigning depressed and nondepressed adults to analyze their feelings surrounding a depressing life experience from either a self-distanced or a self-immersed perspective and then examined the implications of these manipulations for depressotypic thought accessibility, negative affect, implicit and explicit avoidance, and thought content. Four key results emerged. First, all participants were capable of self-distancing while analyzing their feelings. Second, participants who analyzed their feelings from a self-distanced perspective showed lower levels of depressotypic thought accessibility and negative affect compared to their self-immersed counterparts. Third, analyzing negative feelings from a self-distanced perspective led to an adaptive shift in the way people construed their experience--they recounted the emotionally arousing details of their experience less and reconstrued them in ways that promoted insight and closure. It did not promote avoidance. Finally, self-distancing did not influence negative affect or depressotypic thought accessibility among nondepressed participants. These findings suggest that whether depressed adults' attempts to analyze negative feelings lead to adaptive or maladaptive consequences may depend critically on whether they do so from a self-immersed or a self-distanced perspective. [ABSTRACT FROM AUTHOR]

Although humans strive to be wise, they often fail to do so when reasoning over issues that have profound personal implications. Here we examine whether psychological distance enhances wise reasoning, attitudes and behavior under such circumstances. Two experiments demonstrate that cueing people to reason about personally meaningful issues (Study 1: Career prospects for the unemployed during an economic recession; Study 2: Anticipated societal changes associated with one's chosen candidate losing the 2008 U.S. Presidential election) from a distanced perspective enhances wise reasoning (dialecticism; intellectual humility), attitudes (cooperation-related attitude assimilation), and behavior (willingness to join a bipartisan group). [ABSTRACT FROM AUTHOR]

Both common wisdom and findings from multiple areas of research suggest that it is helpful to understand and make meaning out of negative experiences. However, people’s attempts to do so often backfire, leading them to ruminate and feel worse. Here we attempt to shed light on these seemingly contradictory sets of findings by examining the role that self-distancing plays in facilitating adaptive self-reflection. We begin by briefly describing the “self-reflection paradox.” We then define self-distancing, present evidence from multiple levels of analysis that illustrate how this process facilitates adaptive self-reflection, and discuss the basic science and practical implications of this research. [ABSTRACT FROM PUBLISHER]

The ability to control craving for substances that offer immediate rewards but whose long-term consumption may pose serious risks lies at the root of substance use disorders and is critical for mental and physical health. Despite its importance, the neural systems support- ing this ability remain unclear. Here, we investigated this issue using functional imaging to examine neural activity in cigarette smokers, the most prevalent substance-dependent population in the United States, as they used cognitive strategies to regulate craving for cigarettes and food. We found that the cognitive down-regulation of craving was associated with (i)activity in regions previously associated with regulating emotion in particular and cognitive control in general, including dorsomedial, dorsolateral, and ventrolateral pre- frontal cortices, and (ii) decreased activity in regions previously associated with craving, including the ventral striatum, subgenual cingulate, amygdala, and ventral tegmental area. Decreases in craving correlated with decreases in ventral striatum activity and increases in dorsolateral prefrontal cortex activity, with ventral striatal activity fully mediating the relationship between lateral prefrontal cortex and reported craving. These results provide insight into the mechanisms that enable cognitive strategies to effectively regulate craving, suggesting that it involves neural dynamics parallel to those involved in regulating other emotions. In so doing, this study provides a methodological tool and conceptual foundation for studying this ability across substance using populations and developing more effective treatments for substance use disorders. [ABSTRACT FROM AUTHOR]

Although recent findings indicate that people can reflect either adaptively or maladaptively over negative experiences, extant research has not examined how culture influences this process. We compared the self-reflective practices of Russians (members of an interdependent culture characterized by a tendency to brood) and Americans (members of an independent culture in which self-reflection has been studied extensively). We predicted that self-reflection would be associated with less-detrimental outcomes among Russians because they self-distance more when analyzing their feelings than Americans do. Findings from two studies supported these predictions. In Study 1, self-reflection was associated with fewer depressive symptoms among Russians than among Americans. In Study 2, Russians displayed less distress and a more adaptive pattern of construals than Americans after reflecting over a recent negative event. In addition, they self-distanced more than Americans while analyzing their feelings, and self-distancing mediated the cultural differences in self-reflection. These findings demonstrate how culture shapes the way people reflect over negative experiences. [ABSTRACT FROM PUBLISHER]

Abstract: Cigarette craving is an important contributor to cigarette smoking, and clinical approaches that focus on regulation of craving are effective in reducing rates of relapse. However, a laboratory model that targets the use of cognitive strategies to regulate craving is lacking. To develop such a model, twenty heavy cigarette smokers (>12/day), twenty-two tobacco “chippers” (<6/day), and twenty non-smoking controls completed this outpatient study, during which they were presented with photographs of cigarettes and foods that have been previously shown to induce craving. During each trial, participants were instructed to think of the stimulus in one of two ways: by focusing either on the short-term consequences associated with consuming the item (e.g., it will taste good) or on the long-term consequences associated with regular consumption (e.g., I may get lung cancer). Participants reported significantly reduced food cravings when focusing on the long-term consequences associated with eating. For cigarette-smoking participants, cigarette craving was significantly reduced when focusing on the long-term consequences associated with smoking. This latter finding confirms clinical data and extends it by highlighting the importance of cognition in the modulation of craving. Future studies using this laboratory model could test the efficacy of different cognitive strategies and develop targeted interventions for smoking cessation based on the regulation of craving. [Copyright &y& Elsevier]

How can people adaptively analyze and “work through” negative feelings without ruminating? This paper will briefly review findings from an integrative program of research, which suggests that a critical factor determining whether people's attempts to adaptively reason about negative experiences succeed or fail is the type of self-perspective they adopt. That is, whether people analyze their feelings from a self-immersed or self-distanced perspective. The implications of shifting self-perspectives for subjective experience, autonomic nervous system reactivity, and neural activity are discussed. [ABSTRACT FROM AUTHOR]

Background: Although the ability to adaptively reflect on negative autobiographical experiences without ruminating is critical to mental health, to our knowledge no research has directly examined the neural systems underlying this process. Methods: Sixteen participants were scanned using functional magnetic resonance imaging (fMRI) as they focused on negative autobiographical memories using cognitive strategies designed to facilitate (feel strategy) versus undermine (analyze and accept strategies) rumination. Results: Two key findings were obtained. First, consistent with prior emotion regulation research using image-based stimuli, left prefrontal activity was observed during the implementation of all three strategies. Second, activity in a network of regions involved in self-referential processing and emotion, including subgenual anterior cingulate cortex and medial prefrontal cortex, was highest in response to the feel strategy and lowest for the accept strategy. This pattern of activation mirrored participants'' self-reports of negative affect when engaging in each strategy. Conclusions: These findings shed light on the brain regions that distinguish adaptive versus maladaptive forms of reflecting on negative autobiographical memories and offer a novel, ecologically valid route to exploring the neural bases of emotion regulation using fMRI. [Copyright &y& Elsevier]

Two studies examined the psychological processes that facilitate adaptive emotional analysis. In Study 1, participants recalled a depression experience and then analyzed their feelings from either a self-immersed (immersed-analysis) or self-distanced (distanced-analysis) perspective. Participants in the distanced-analysis group focused less on recounting their experience and more on reconstruing it, which in turn led to lower levels of depressed affect. Furthermore, comparisons to a distraction group indicated that distanced-analysis was as effective as distraction in reducing depressed affect relative to the immersed-analysis group. Study 2 replicated these findings and showed that both 1 day and 7 days after the experimental manipulations, participants in the distanced-analysis group remained buffered against depressed affect and reported experiencing fewer recurring thoughts about their depression experience over time compared to both the immersed-analysis and distraction groups. [ABSTRACT FROM AUTHOR]

Emotion regulation is critical for managing stress, but many regulatory strategies consume high levels of cognitive resources to implement, which are depleted under stress. This raises a conundrum: the tools we have to feel better may be ineffective when they are most needed. Recent event-related potential (ERP) research indicates that distanced self-talk (i.e., reflecting on one's experiences using non-first-person singular pronouns and one's name) reduces negative emotional reactivity without overtaxing cognitive resources. Here, we report the first direct replication of this work and extend it by examining how distanced self-talk compares to detached reappraisal, one of the most frequently studied regulatory techniques. Sixty-seven participants were randomly assigned to an emotion regulation picture task and instructed to reflect on the feelings they experienced in response to viewing negative emotional images using distanced self-talk or detached reappraisal while ERPs were measured. Directly replicating past findings, distanced self-talk led to a reduction in an affective arousal ERP, the late positive potential (LPP), without increasing stimulus preceding negativity (SPN), an ERP that reflects anticipatory and preparatory processing. These results further bolster support for distanced self-talk as a relatively effortless emotion regulation strategy. On the other hand, detached reappraisal was neither associated with the modulation of the LPP nor the SPN. Due to the failed replication of the reappraisal effect, a direct comparison between emotion regulation strategies was not conducted. Methodological limitations that may have contributed to the reappraisal failure and future directions for comparisons between emotion regulation strategies are discussed. • Research suggests that distanced self-talk is a relatively effortless emotion regulation strategy. • This study aimed to replicate previous work and compare distanced self-talk to reappraisal. • Distanced self-talk led to a reduction in the late positive potential. • Distanced self-talk did not lead to an increase in the stimulus preceding negativity. • Reappraisal failed to modulate the late positive potential and the stimulus preceding negativity. [ABSTRACT FROM AUTHOR]

Prior research indicates that psychological distance facilitates emotion regulation. Here, we propose that the ability to transcend one's immersed perspective may be hidden in plain sight, within the very structure of language. We review evidence regarding two linguistic mechanisms, distanced self-talk and generic "you," that promote emotion regulation by allowing speakers to shift from an immersed to a more distanced perspective through the words they use to reflect on the self (e.g., shifting from "I" to their own name or other non-first-person-singular pronouns). We conclude by suggesting that these linguistic shifts occur relatively seamlessly and thus may provide a less effortful route to emotion regulation. [ABSTRACT FROM AUTHOR]

Positively reinterpreting negative experiences is important for psychological well-being and represents a key mechanism of cognitive-behavioral therapies for emotional problems. Yet, little is known about the neural mechanisms that underlie this process and how they relate to clinically relevant individual differences. Here we demonstrate using event-related potentials (ERPs) that positively reappraising distress-inducing images is associated with early increases in frontal control activity and later decreases in parietal arousal-related activity. Moreover, we show that people's chronic tendencies to reappraise versus worry modulate neural activity in opposing directions--trait reappraisal predicts decreases in parietal arousal-related activity during positive reappraisal implementation whereas worry predicts increases in the same waveform. These findings provide novel insights into the neural time course of positive reappraisal. They also speak to the potential clinical utility of neurophysiological measures as relatively inexpensive, noninvasive biomarkers that could serve as risk indicators and treatment mediators. [ABSTRACT FROM AUTHOR]