Momentary impulsivity interferes with emotion regulation strategy prioritization in everyday life in remitted depression

Behav Res Ther. 2024 Jan:172:104424. doi: 10.1016/j.brat.2023.104424. Epub 2023 Oct 28.

Abstract

Background: Selectively prioritizing some emotion regulation (ER) strategies over others has been shown to predict well-being; however, it is unclear what mechanisms underlie this process. Impulsivity, which captures both top-down control of and bottom-up reactivity to emotions, is one potential mechanism of interest.

Methods: Using multilevel mediation modeling, we investigated whether lower ER strategy prioritization (i.e., lower between-strategy variability) mediates the relationship between greater momentary impulsivity and lower ER success in 82 individuals with remitted depression or no history of a mental disorder (1558 observations). To determine the specific effect of impulsivity, we covaried for mean regulatory effort and negative affect.

Results: The indirect effect of impulsivity on ER success was significant at the within-person, but not between-person, level. Specifically, in moments when individuals endorsed more impulsivity than usual, they showed less ER strategy prioritization than usual, which predicted less successful ER. Individuals who, on average, reported more impulsivity indicated lower ER strategy prioritization, but no difference in ER success.

Conclusion: ER strategy prioritization mediated the within-person relationship between greater impulsivity and lower ER success. Interventions focused on training individuals to selectively prioritize ER strategies may improve ER success, particularly when individuals are feeling more impulsive than usual.

Keywords: Depression; Ecological momentary assessment; Emotion regulation; Impulsivity; Multilevel modeling.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Depression
  • Ecological Momentary Assessment
  • Emotional Regulation*
  • Emotions / physiology
  • Humans
  • Impulsive Behavior / physiology
  • Psychotic Disorders*