Do Emotion Regulation Strategies Mediate the Attachment-paranoia Association? An Experimental Study of Repeated Attachment Imagery Priming and Stress Buffering

Overview

Journal Psychol Psychother

Specialty Psychiatry

Date 2022 May 16

PMID 35570714

Authors

Monica Sood

Katherine B Carnelley

Katherine Newman-Taylor

Affiliations

Soon will be listed here.

Abstract

Objectives: Paranoia describes unfounded interpersonal threat beliefs. Secure attachment imagery attenuates paranoia, but limited research examines mechanisms of change and no studies examine how secure imagery may be implemented most effectively in clinical practice. In this study, we tested: (a) the causal impact of secure, anxious, and avoidant attachment imagery on paranoia and anxiety, (b) whether emotion regulation strategies mediate these relationships, and (c) whether secure imagery buffers against social stress.

Design: We utilized a longitudinal, experimental design.

Method: A general population sample with high non-clinical paranoia (N = 265) completed measures of paranoia, anxiety, and emotion regulation strategies. Participants were randomly allocated to secure, anxious, or avoidant conditions and repeated an imagery prime for four days prior to a social stress task.

Results: Relative to anxious and avoidant imagery, secure imagery decreased state paranoia and anxiety. These associations were not mediated by state emotion regulation strategies, and secure imagery did not buffer against stress. Exploratory analyses on trait variables revealed that: (a) hyperactivating strategies mediated the association between attachment anxiety and paranoia, and (b) suppression mediated the association between attachment avoidance and paranoia.

Conclusions: Secure attachment imagery reduces state paranoia and anxiety and could be incorporated into psychotherapies to attenuate clinical paranoia. Measurement of state emotion regulation was problematic. Attachment imagery does not buffer stress; further research is required to test whether secure imagery facilitates recovery from stress. Attachment style is likely to account for trait paranoia via attachment-congruent emotion regulation strategies. Research is now needed to determine if these strategies can be targeted to alleviate paranoia in clinical populations.

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Do emotion regulation strategies mediate the attachment-paranoia association? An experimental study of repeated attachment imagery priming and stress buffering.

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References

Westermann S, Kesting M, Lincoln T . Being deluded after being excluded? How emotion regulation deficits in paranoia-prone individuals affect state paranoia during experimentally induced social stress. Behav Ther. 2012; 43(2):329-40. DOI: 10.1016/j.beth.2011.07.005. View

Wegner D, Schneider D, Carter 3rd S, White T . Paradoxical effects of thought suppression. J Pers Soc Psychol. 1987; 53(1):5-13. DOI: 10.1037//0022-3514.53.1.5. View

Kimhy D, Vakhrusheva J, Jobson-Ahmed L, Tarrier N, Malaspina D, Gross J . Emotion awareness and regulation in individuals with schizophrenia: Implications for social functioning. Psychiatry Res. 2012; 200(2-3):193-201. PMC: 3469754. DOI: 10.1016/j.psychres.2012.05.029. View

Wegner D, Zanakos S . Chronic thought suppression. J Pers. 1994; 62(4):616-40. DOI: 10.1111/j.1467-6494.1994.tb00311.x. View

Selcuk E, Zayas V, Gunaydin G, Hazan C, Kross E . Mental representations of attachment figures facilitate recovery following upsetting autobiographical memory recall. J Pers Soc Psychol. 2012; 103(2):362-78. DOI: 10.1037/a0028125. View

ODriscoll C, Laing J, Mason O . Cognitive emotion regulation strategies, alexithymia and dissociation in schizophrenia, a review and meta-analysis. Clin Psychol Rev. 2014; 34(6):482-95. DOI: 10.1016/j.cpr.2014.07.002. View

Marteau T, Bekker H . The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). Br J Clin Psychol. 1992; 31(3):301-6. DOI: 10.1111/j.2044-8260.1992.tb00997.x. View

Williams K, Cheung C, Choi W . Cyberostracism: effects of being ignored over the Internet. J Pers Soc Psychol. 2000; 79(5):748-62. DOI: 10.1037//0022-3514.79.5.748. View

Nittel C, Lincoln T, Lamster F, Leube D, Rief W, Kircher T . Expressive suppression is associated with state paranoia in psychosis: An experience sampling study on the association between adaptive and maladaptive emotion regulation strategies and paranoia. Br J Clin Psychol. 2018; 57(3):291-312. DOI: 10.1111/bjc.12174. View

10.

Gross J, John O . Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003; 85(2):348-62. DOI: 10.1037/0022-3514.85.2.348. View

11.

Luke M, Sedikides C, Carnelley K . Your love lifts me higher! The energizing quality of secure relationships. Pers Soc Psychol Bull. 2012; 38(6):721-33. DOI: 10.1177/0146167211436117. View

12.

Lincoln T, Hartmann M, Kother U, Moritz S . Dealing with feeling: Specific emotion regulation skills predict responses to stress in psychosis. Psychiatry Res. 2015; 228(2):216-22. DOI: 10.1016/j.psychres.2015.04.003. View

13.

Shaver P, Mikulincer M . Attachment-related psychodynamics. Attach Hum Dev. 2002; 4(2):133-61. DOI: 10.1080/14616730210154171. View

14.

Pitfield C, Maguire T, Newman-Taylor K . Impact of attachment imagery on paranoia and mood: evidence from two single case studies. Behav Cogn Psychother. 2020; 48(5):572-583. DOI: 10.1017/S1352465820000351. View

15.

Fenigstein A, Vanable P . Paranoia and self-consciousness. J Pers Soc Psychol. 1992; 62(1):129-38. DOI: 10.1037//0022-3514.62.1.129. View

16.

Varese F, Smeets F, Drukker M, Lieverse R, Lataster T, Viechtbauer W . Childhood adversities increase the risk of psychosis: a meta-analysis of patient-control, prospective- and cross-sectional cohort studies. Schizophr Bull. 2012; 38(4):661-71. PMC: 3406538. DOI: 10.1093/schbul/sbs050. View

17.

Mikulincer M, Shaver P . Attachment orientations and emotion regulation. Curr Opin Psychol. 2018; 25:6-10. DOI: 10.1016/j.copsyc.2018.02.006. View

18.

Koole S, Rothermund K . "I feel better but I don't know why": the psychology of implicit emotion regulation. Cogn Emot. 2011; 25(3):389-99. DOI: 10.1080/02699931.2010.550505. View

19.

Hazan C, Shaver P . Romantic love conceptualized as an attachment process. J Pers Soc Psychol. 1987; 52(3):511-24. DOI: 10.1037//0022-3514.52.3.511. View

20.

Meredith P, Strong J, Feeney J . The relationship of adult attachment to emotion, catastrophizing, control, threshold and tolerance, in experimentally-induced pain. Pain. 2005; 120(1-2):44-52. DOI: 10.1016/j.pain.2005.10.008. View