The Double-Edged Sword of Maladaptive Emotion Regulation: Cross-Diagnostic Mechanisms and Novel Pathways for Precision-Based Interventions
DOI: 10.23977/appep.2025.060215 | Downloads: 8 | Views: 221
Author(s)
Jingnan Wang 1, Min Ou 1
Affiliation(s)
1 School of Psychology, Northwest Normal University, Lanzhou, 730070, Gansu, China
Corresponding Author
Jingnan WangABSTRACT
Maladaptive emotion regulation strategies, such as emotional suppression and rumination, appear to alleviate negative emotions in the short term but paradoxically worsen mental health over time, making them a critical focus in psychological research and clinical practice. This paper synthesizes multidisciplinary evidence to address four key questions: First, we clarify the classification criteria for maladaptive strategies and establish a dynamic evaluation framework to distinguish them from adaptive approaches. Second, we reveal how these strategies perpetuate cross-diagnostic mental disorders through three interacting mechanisms-cognitive control deficits such as impaired prefrontal cortex regulation, dysregulated limbic-prefrontal neural circuits, and self-reinforcing behavioral patterns. Third, we critically evaluate current interventions, such as cognitive-behavioral therapy and mindfulness training, highlighting their limitations in developmental stage adaptability and cultural relevance, while underscoring the neglect of dynamic strategy shifts and cultural variations in existing research. Finally, we propose future research directions integrating longitudinal tracking, multimodal neuroimaging, and cross-cultural comparisons to identify high-risk populations and develop targeted preventive interventions. Emphasizing public health implications, this review advocates for early identification and precision-based interventions to reduce societal burdens, offering a comprehensive roadmap to advance both theoretical integration and practical applications in emotion regulation research.
KEYWORDS
Maladaptive emotion regulation strategies; Cross-diagnostic mechanisms; Precision-based interventionsCITE THIS PAPER
Jingnan Wang, Min Ou, The Double-Edged Sword of Maladaptive Emotion Regulation: Cross-Diagnostic Mechanisms and Novel Pathways for Precision-Based Interventions. Applied & Educational Psychology (2025) Vol. 6: 112-122. DOI: http://dx.doi.org/10.23977/appep.2025.060215.
REFERENCES
[1] Tamir M, Ito A, Miyamoto Y, et al. Emotion regulation strategies and psychological health across cultures[J]. American Psychologist, 2024, 79(5): 748.
[2] Naragon-Gainey, K., McMahon, T., & Chacko, T. The Structure of Common Emotion Regulation Strategies: A Meta-Analytic Examination. Psychological Bulletin, 2017, 143:384-427.
[3] Spinhoven, P., Van Hemert, A., & Penninx, B. Repetitive negative thinking as a predictor of depression and anxiety: A longitudinal cohort study. Journal of affective disorders, 2018, 241:216-225.
[4] Aldao, A., Jazaieri, H., Goldin, P., & Gross, J. Adaptive and maladaptive emotion regulation strategies: interactive effects during CBT for social anxiety disorder. Journal of anxiety disorders, 2014, 28 4:382-389.
[5] Navas-Casado M L, García-Sancho E, Salguero J M. Associations between maladaptive and adaptive emotion regulation strategies and aggressive behavior: A systematic review[J]. Aggression and Violent Behavior, 2023, 71: 101845.
[6] Schäfer, J., Naumann, E., Holmes, E., Tuschen-Caffier, B., & Samson, A. Emotion Regulation Strategies in Depressive and Anxiety Symptoms in Youth: A Meta-Analytic Review. Journal of Youth and Adolescence, 2016, 46:261-276.
[7] Gross J J, Levenson R W. Emotional suppression: physiology, self-report, and expressive behavior[J]. Journal of personality and social psychology, 1993, 64(6): 970.
[8] Chervonsky, E., & Hunt, C. Suppression and Expression of Emotion in Social and Interpersonal Outcomes: A Meta-Analysis. Emotion, 2017, 17, 669-683.
[9] Salters-Pedneault, K., Tull, M., & Roemer, L. The role of avoidance of emotional material in the anxiety disorders. Applied & Preventive Psychology, 2004, 11:95-114.
[10] Selby, E., Kranzler, A., Panza, E., & Fehling, K. Bidirectional-Compounding Effects of Rumination and Negative Emotion in Predicting Impulsive Behavior: Implications for Emotional Cascades. Journal of personality, 2016, 84 2:139-153 .
[11] Zahn, R., Lythe, K., Gethin, J., Green, S., Deakin, J., Young, A., & Moll, J. The role of self-blame and worthlessness in the psychopathology of major depressive disorder. Journal of Affective Disorders, 2015, 186, 337-341.
[12] Miller M M, Meints S M, Hirsh A T. Catastrophizing, pain, and functional outcomes for children with chronic pain: a meta-analytic review[J]. Pain, 2018, 159(12): 2442-2460.
[13] Estévez A N A, Jáuregui P, Sánchez-Marcos I, et al. Attachment and emotion regulation in substance addictions and behavioral addictions[J]. Journal of behavioral addictions, 2017, 6(4): 534-544.
[14] Joormann J, D'Avanzato C. Emotion regulation in depression: Examining the role of cognitive processes: Cognition & Emotion Lecture at the 2009 ISRE Meeting[J]. Cognition and Emotion, 2010, 24(6): 913-939.
[15] Comte M, Schön D, Coull J T, et al. Dissociating bottom-up and top-down mechanisms in the cortico-limbic system during emotion processing[J]. Cerebral cortex, 2016, 26(1): 144-155.
[16] Salzman, C., & Fusi, S. Emotion, cognition, and mental state representation in amygdala and prefrontal cortex.. Annual review of neuroscience, 2010,33:173-202.
[17] Mesquita, B. Emotions in collectivist and individualist contexts.. Journal of personality and social psychology, 2001, 80 1:68-74.
[18] Hofmann, S., & Hay, A. Rethinking avoidance: Toward a balanced approach to avoidance in treating anxiety disorders.. Journal of anxiety disorders, 2018, 55:14-21.
[19] Ouhmad, N., El-Hage, W., & Combalbert, N. Maladaptive cognitions and emotion regulation in posttraumatic stress disorder. Neuropsychiatrie, 2023, 37:65-75.
[20] Cavicchioli, M., Barone, L., Fiore, D., Marchini, M., Pazzano, P., Ramella, P., Riccardi, I., Sanza, M., & Maffei, C. Emotion Regulation, Physical Diseases, and Borderline Personality Disorders: Conceptual and Clinical Considerations. Frontiers in Psychology, 2021, 12.
[21] Kupferberg A, Hasler G. The social cost of depression: Investigating the impact of impaired social emotion regulation, social cognition, and interpersonal behavior on social functioning[J]. Journal of Affective Disorders Reports, 2023, 14: 100631.
[22] Marroquín B, Nolen-Hoeksema S. Emotion regulation and depressive symptoms: Close relationships as social context and influence[J]. Journal of personality and social psychology, 2015, 109(5):836.
[23] Terr, L. Childhood traumas: an outline and overview.. The American journal of psychiatry, 2003, 148 1: 10-20.
[24] Ein-Dor, T., Mikulincer, M., & Shaver, P. Attachment insecurities and the processing of threat-related information: Studying the schemas involved in insecure people's coping strategies. Journal of personality and social psychology, 2011, 101 1:78-93.
[25] Jackson-Koku, G., & Grime, P. Emotion regulation and burnout in doctors: a systematic review.. Occupational medicine, 2019, 69 1: 9-21.
[26] Ford, B., & Mauss, I. Culture and emotion regulation.. Current opinion in psychology, 2015, 3:1-5.
[27] Hofmann, S., Asnaani, A., Vonk, I., Sawyer, A., & Fang, A. The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognitive Therapy and Research, 2012, 36:427-440.
[28] Twohig M P. Acceptance and commitment therapy: Introduction[J]. Cognitive and Behavioral Practice, 2012, 19(4): 499-507.
[29] Roemer, L., Williston, S., & Rollins, L. Mindfulness and emotion regulation. Current opinion in psychology, 2015, 3: 52-57.
[30] McMain, S., Korman, L., & Dimeff, L. Dialectical behavior therapy and the treatment of emotion dysregulation.. Journal of clinical psychology, 2001, 57 2:183-196
[31] Pedrini L, Meloni S, Lanfredi M, et al. School‐based interventions to improve emotional regulation skills in adolescent students: A systematic review[J]. Journal of Adolescence, 2022, 94(8): 1051-1067.
Downloads: | 15448 |
---|---|
Visits: | 517351 |