Styles of emotion regulation and their associations with perceived health in patients with rheumatoid arthritis

Author(s): van Middendorp H, Geenen R, Sorbi MJ, Hox JJ, Vingerhoets AJ, et al.


Background:Patients with rheumatoid arthritis face the challenge of adjusting to adverse health consequences and accompanying emotions. Styles of emotion regulation may affect health.

Purpose:The objective is to examine associations between styles of emotion regulation and perceived health, consisting of psychological well-being, social functioning, physical functioning, and disease activity.

Methods:Principal component analysis was used to summarize styles of emotion regulation of 335 patients with rheumatoid arthritis. Relationships between emotion regulation and perceived health were examined with structural equation modeling.

Results:Four styles of emotion regulation were identified: ambiguity, control, orientation, and expression. Ambiguity and control were mutually correlated, as were orientation and expression. Styles of emotion regulation were not uniquely related to perceived physical functioning and disease activity. Emotional ambiguity and orientation were related to poorer, whereas expression and control were related to more favorable psychological well-being and social functioning.

Conclusions:Our cross-sectional study suggests that emotion regulation is not of direct importance for perceived somatic health of patients with rheumatoid arthritis, but it may be of importance for psychological well-being and social functioning, and perhaps through this route for somatic health. The more conscious and controlled aspects of control and expression are positively related to psychosocial health, and the more unconscious automatic aspects of ambiguity and orientation are negatively related. Changing emotion regulation will potentially affect psychosocial health. It would be worthwhile to verify this possibility in prospective research.

Similar Articles

An exploration of anger phenomenology in multiple sclerosis

Author(s): Nocentini U, Tedeschi G, Migliaccio R, Dinacci D, Lavorgna L, et al.

Depression associated with multiple sclerosis

Author(s): Feinstein A, Feinstein K

Triggering of acute myocardial infarction onset by episodes of anger

Author(s): Mittleman MA, Maclure M, Sherwood JB, Mulry RP, Tofler GH, et al.

Emotion regulation abilities and the quality of social interaction

Author(s): Lopes PN, Salovey P, Coté S, Beers M

The role of angry rumination and distraction in blood pressure recovery from emotional arousal

Author(s): Gerin W, Davidson KW, Christenfeld NJ, Goyal T, Schwartz JE

Effects of anger and anger regulation styles on pain in daily life of women with fibromyalgia: a diary study

Author(s): van Middendorp H, Lumley MA, Moerbeek M, Jacobs JW, Bijlsma JW, et al.

Perceived behavioral changes in early multiple sclerosis

Author(s): Lima FS, Simioni S, Bruggimann L, Ruffieux C, Dudler J, et al.

Multiple sclerosis and depression

Author(s): Feinstein A

Depression in multiple sclerosis: a review

Author(s): Siegert RJ, Abernethy DA

Depression in multiple sclerosis

Author(s): Minden SL, Orav J, Reich P

The role of anger in generalized anxiety disorder

Author(s): Deschênes SS, Dugas MJ, Fracalanza K, Koerner N

Age, anger regulation and well-being

Author(s): Phillips LH, Henry JD, Hosie JA, Milne AB

Specific impairments of emotion perception in multiple sclerosis

Author(s): Phillips LH, Henry JD, Scott C, Summers F, Whyte M, et al.

Attentional lapses, emotional regulation and quality of life in multiple sclerosis

Author(s): Phillips LH, Saldias A, McCarrey A, Henry JD, Scott C, et al.