Choosing to Avoid the Positive? Emotion Regulation Strategy Choice in Depression

Yael Millgram*, Shir Mizrahi Lakan, Jutta Joormann, Mor Nahum, Orly Shimony, Maya Tamir

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Individuals with major depressive disorder (MDD) are more likely than nondepressed individuals to use emotion regulation strategies that decrease pleasant emotions (e.g., distraction from positive stimuli) and increase unpleasant emotions (e.g., negative rumination). If such strategies are actively chosen, these choices may partly reflect weaker motivation for pleasant emotions or stronger motivation for unpleasant emotions. Therefore, this investigation tested, for the first time, whether such strategies are actively chosen, even when alternatives are available. In Study 1, using a behavioral task, MDD participants (N = 38) were more likely than healthy controls (N = 39) to choose to use distraction over positive rumination in response to pleasant stimuli, resulting in reductions in pleasant affect. When instructed to choose the strategy that would make them feel better, however, MDD participants did not differ from controls in their strategy choices. In Study 2, using ecological momentary assessments, MDD participants (N = 58) were more likely than controls (N = 62) to use distraction from pleasant emotions and to use negative rumination in daily life. This pattern of strategy use was predicted by stronger motivation for unpleasant emotions among MDD participants, compared to controls. Stronger motivation for unpleasant emotions in daily life also predicted increases in unpleasant affect and decreases in pleasant affect. Findings suggest that compared to nondepressed individuals, people with MDD are more likely to choose emotion regulation strategies that decrease pleasant emotions.

Original languageAmerican English
Pages (from-to)669-680
Number of pages12
JournalJournal of Psychopathology and Clinical Science
Volume132
Issue number6
DOIs
StatePublished - Aug 2023

Bibliographical note

Publisher Copyright:
© 2023 American Psychological Association. All Rights Reserved.

Keywords

  • choice
  • depression
  • distraction
  • emotion regulation
  • rumination

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