BACKGROUND: Emotion regulation refers to the psychological strategies people use to cope with such stressors as hemodialysis therapy. These strategies are associated with a range of physical and psychological variation that may be related to kidney disease and its management. This study explores the associations of 2 emotion regulation strategies, reappraisal and suppression, and considers their impact on patient well-being and kidney disease management. STUDY DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: 106 hemodialysis patients undergoing renal replacement therapy and 94 friends or relatives. PREDICTORS: Reappraisal and suppression, measured by using the Emotion Regulation Questionnaire. OUTCOMES: Outcome parameters were measures of affect, psychosocial functioning, and well-being, measured using the Positive and Negative Affect Scale, the Brief COPE questionnaire, the Kidney Disease Quality-of-Life Short Form, and the Brief Symptom Inventory. RESULTS: The Emotion Regulation Questionnaire measured reappraisal and suppression. Greater use of reappraisal was associated with lower levels of anxiety (r = -0.22; P = 0.03) and greater acceptance of the disease (r = 0.20; P = 0.04). It was also associated with more experience (r = 0.26; P < 0.01) and expression (r = 0.23; P = 0.02) of positive emotion and less experience (r = -0.35; P < 0.01) and expression (r = -0.29; P < 0.01) of negative emotion. Suppression was associated with less positive emotional expression (r = -0.28; P < 0.01), greater levels of depression (r = 0.22; P = 0.03) and somatization (r = 0.25; P < 0.01), and greater dissatisfaction with the time spent dealing with their kidney disease (r = -0.21; P = 0.04). Suppression also was associated with less emotional coping (r = -0.29; P < 0.01) and greater dissatisfaction with the support received from other people (r = -0.34; P < 0.01). LIMITATIONS: The study focuses on emotion regulation strategies and well-being rather than clinical parameters; therefore, extensive medical data were not recorded. CONCLUSION: Reappraisal has more positive clinical and psychosocial associations than suppression. The emotion regulation strategy used by hemodialysis patients has important implications for well-being and disease management.
BACKGROUND: Emotion regulation refers to the psychological strategies people use to cope with such stressors as hemodialysis therapy. These strategies are associated with a range of physical and psychological variation that may be related to kidney disease and its management. This study explores the associations of 2 emotion regulation strategies, reappraisal and suppression, and considers their impact on patient well-being and kidney disease management. STUDY DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: 106 hemodialysis patients undergoing renal replacement therapy and 94 friends or relatives. PREDICTORS: Reappraisal and suppression, measured by using the Emotion Regulation Questionnaire. OUTCOMES: Outcome parameters were measures of affect, psychosocial functioning, and well-being, measured using the Positive and Negative Affect Scale, the Brief COPE questionnaire, the Kidney Disease Quality-of-Life Short Form, and the Brief Symptom Inventory. RESULTS: The Emotion Regulation Questionnaire measured reappraisal and suppression. Greater use of reappraisal was associated with lower levels of anxiety (r = -0.22; P = 0.03) and greater acceptance of the disease (r = 0.20; P = 0.04). It was also associated with more experience (r = 0.26; P < 0.01) and expression (r = 0.23; P = 0.02) of positive emotion and less experience (r = -0.35; P < 0.01) and expression (r = -0.29; P < 0.01) of negative emotion. Suppression was associated with less positive emotional expression (r = -0.28; P < 0.01), greater levels of depression (r = 0.22; P = 0.03) and somatization (r = 0.25; P < 0.01), and greater dissatisfaction with the time spent dealing with their kidney disease (r = -0.21; P = 0.04). Suppression also was associated with less emotional coping (r = -0.29; P < 0.01) and greater dissatisfaction with the support received from other people (r = -0.34; P < 0.01). LIMITATIONS: The study focuses on emotion regulation strategies and well-being rather than clinical parameters; therefore, extensive medical data were not recorded. CONCLUSION: Reappraisal has more positive clinical and psychosocial associations than suppression. The emotion regulation strategy used by hemodialysis patients has important implications for well-being and disease management.
Authors: Alessandra Babore; Sonia M Bramanti; Lucia Lombardi; Liborio Stuppia; Carmen Trumello; Ivana Antonucci; Alessandra Cavallo Journal: Support Care Cancer Date: 2018-12-19 Impact factor: 3.603
Authors: Claudia Subic-Wrana; Manfred E Beutel; Elmar Brähler; Yve Stöbel-Richter; Achim Knebel; Richard D Lane; Jörg Wiltink Journal: PLoS One Date: 2014-03-17 Impact factor: 3.240