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Investigating cultural differences in the effects of expressive suppression when processing traumatic distressing material

Published online by Cambridge University Press:  04 August 2020

Amanda Nagulendran Open the ORCID record for Amanda Nagulendran [Opens in a new window] ,
Peter J. Norton  and
Laura Jobson
Amanda Nagulendran*
Affiliation:
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia
Peter J. Norton
Affiliation:
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia
Laura Jobson
Affiliation:
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

While suppression is associated with detrimental post-traumatic psychological adjustment, research has not considered the effect of culture on this relationship.

Aims:

This study investigated cultural differences in the effects of expressive suppression, whilst watching a traumatic film, on subjective distress, psychophysiological responses and intrusive memory.

Method:

Australians of European heritage or East Asian Australian participants (n = 82) were randomly assigned to either a suppression group (instructed to suppress their emotions during the film) or a control group (no instructions regarding emotion management). Electrodermal activity, heart rate and heart rate variability (root mean square of the successive differences; RMSSD) were measured pre-, during and post-film. Participants reported the number of film-related intrusions in the 5 min and 7 days post-viewing.

Results:

While the European Australian group did not differ significantly on RMSSD, the East Asian suppression group scored significantly higher on RMSSD during the film than the East Asian control group. Second, those in the suppression groups, regardless of cultural background, reported significantly fewer intrusions immediately post-film than controls. Third, we found that for the European Australian group, change in heart rate interacted with group (control versus suppression) when predicting weekly intrusions. However, for the East Asian group change in heart rate did not interact with group when predicting weekly intrusions.

Conclusions:

The findings are discussed in the context of current research on culture and emotion regulation and implications for post-traumatic stress disorder.

Keywords

cultureintrusionssuppressiontraumatrauma film
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 6 , November 2020 , pp. 658 - 671
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion regulation strategies across psychopathology: a meta-analytic review. Clinical Psychology Review, 30, 217–237. doi: 10.1016/j.cpr.2009.11.004CrossRefGoogle ScholarPubMed
Bagozzi, R., Wong, N., & Yi, I. (1999). The role of culture and gender in the relationship between positive and negative affect. Cognition and Emotion, 13, 641–672.10.1080/026999399379023CrossRefGoogle Scholar
Bardeen, J. R., Kumpula, M. J., & Orcutt, H. K. (2013). Emotion regulation difficulties as a prospective predictor of posttraumatic stress symptoms following a mass shooting. Journal of Anxiety Disorders, 27, 188. doi: 10.1016/j.janxdis.2013.01.003CrossRefGoogle ScholarPubMed
Butler, E. A., Lee, T. L., & Gross, J. J. (2007). Emotion regulation and culture: are the social consequences of emotion suppression culture-specific? Emotion, 7, 30.CrossRefGoogle ScholarPubMed
Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behavior Research and Therapy, 44, 1251–1263. doi: 10.1016/j.brat.2005.10.001CrossRefGoogle ScholarPubMed
De Vaus, J., Hornsey, M., Kuppens, P., Bastian, B. (2017). Exploring the East-West divide in prevalence of affective disorder: a case for cultural differences in coping with negative emotion. Personality and Social Psychology Review, 22, 285–304. doi: 10.1177/1088868317736222CrossRefGoogle ScholarPubMed
Derogatis, L., Lipman, R., Rickels, K., Uhlenhuth, E., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behavioral Science, 19, 1–15.CrossRefGoogle ScholarPubMed
Dunn, B. D., Billotti, D., Murphy, V., & Dalgleish, T. (2009). The consequences of effortful emotion regulation when processing distressing material: a comparison of suppression and acceptance. Behavior Research and Therapy, 47, 761–773. doi: 10.1016/j.brat.2009.05.007CrossRefGoogle ScholarPubMed
Ford, B. Q., & Mauss, I. B. (2015). Culture and emotion regulation. Current Opinion in Psychology, 3, 1–5. doi: 10.1016/j.copsyc.2014.12.004CrossRefGoogle ScholarPubMed
Green, B. (1996). Trauma history questionnaire. In Stamm, B. H. (ed), Measurement of Stress, Trauma, and Adaptation. (pp. 366–369). Lutherville, MD, USA: Sidran Press.Google Scholar
Gross, J. (1998). Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74, 224.CrossRefGoogle ScholarPubMed
Gross, J. (2002). Emotion regulation: affective, cognitive, and social consequences. Psychophysiology, 39, 281–291.CrossRefGoogle ScholarPubMed
Gross, J. (2014). Handbook of Emotion Regulation (2nd edn). New York, USA: Guilford Press.Google Scholar
Gross, J., & John, O. (2003). Individual differences in two emotion reguation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348.CrossRefGoogle Scholar
Gross, J., & Levenson, R. (1993). Emotional suppression: physiology, self-report, and expressive behavior. Journal of Personality and Social Psychology, 64, 970. doi: 10.1037/0022-3514.64.6.970CrossRefGoogle ScholarPubMed
Holmes, E., & Bourne, C. (2008). Inducing and modulating intrusive emotional memories: a review of the trauma film paradigm. Acta Psychologica, 127, 553–566.CrossRefGoogle ScholarPubMed
Holmes, E., James, E., Coode-Bate, T., & Deeprose, C. (2009). Can playing the computer game ‘Tetris’ reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS ONE, 4, e4153. doi: 10.1371/journal.pone.0004153CrossRefGoogle ScholarPubMed
Hu, T., Zhang, D., Wang, J., Mistry, R., Ran, G., & Wang, X. (2014). Relation between emotion regulation and mental health: a meta-analysis review. Psychological Reports, 114, 341.CrossRefGoogle ScholarPubMed
Jobson, L., & Dalgleish, T. (2014). Cultural differences in the relationship between intrusions and trauma narratives using the trauma film paradigm. PLoS One, 9, e106759. doi: 10.1371/journal.pone.0106759CrossRefGoogle ScholarPubMed
John, O., & Gross, J. (2004). Healthy and unhealthy emotion regulation: personality processes, individual differences, and life span development. Journal of Personality, 72, 1301–1334.CrossRefGoogle ScholarPubMed
Joormann, J., & Quinn, M. E. (2014). Cognitive processes and emotion regulation in depression. Depression and Anxiety, 31, 308–315. doi: 10.1002/da.22264CrossRefGoogle ScholarPubMed
Kitayama, S., Markus, H., Matsumoto, H., & Norasakkunkit, V. (1997). Individual and collective processes in the construction of the self: Self-enhancement in the United States and self-criticisim in Japan. Journal of Personality and Social Psychology, 72, 1245–1267.CrossRefGoogle Scholar
Kuppens, P., Realo, A., Diener, E. (2008). The role of positive and negative emotions in life satisfaction judgment across nations. Journal of Personality and Social Psychology, 95, 66–75.CrossRefGoogle ScholarPubMed
Lewis, M. J., Haviland-Jones, J. M., & Barrett, L. F. (2008). Handbook of Emotions (3rd edn). New York, USA: Guilford Press.Google Scholar
Mackinnon, A., Jorm, A., Christensen, H., Korten, A., Jacomb, P., & Rodgers, B. (1999). A short form of the Positive and Negative Affect Schedule: evaluation of factorial validity and invariance across demographic variables in a community sample. Personality and Individual Differences, 27, 405–416.CrossRefGoogle Scholar
Markus, H. R., & Kitayama, S. (2010). Cultures and selves: a cycle of mutual constitution. Perspectives on Psychological Science, 5, 420–430.CrossRefGoogle ScholarPubMed
Matsumoto, D., Nakagawa, S., & Yoo, S. H. (2008). Culture, emotion regulation, and adjustment. Journal of Personality and Social Psychology, 94, 925. doi: 10.1037/0022-3514.94.6.925CrossRefGoogle Scholar
Mauss, I. B., & Robinson, M. D. (2009). Measures of emotion: a review. Cognition and Emotion, 23, 209–237. doi: 10.1080/02699930802204677CrossRefGoogle ScholarPubMed
Mesquita, M., & Karasawa, M. (2002). Different emotional lives. Cognition and Emotion, 16, 127–141.CrossRefGoogle Scholar
Seligowski, A. V, Lee, D. J., Bardeen, J. R., & Orcutt, H. K. (2015). Emotion regulation and posttraumatic stress symptoms: a meta-analysis. Cognitive Behavior Therapy, 44, 87–102. doi: 10.1080/16506073.2014.980753CrossRefGoogle ScholarPubMed
Seligowski, A. V, Rogers, A. P., & Orcutt, H. K. (2016). Relations among emotion regulation and DSM-5 symptom clusters of PTSD. Personality and Individual Differences, 92, 104. doi: 10.1016/j.paid.2015.12.032CrossRefGoogle Scholar
Task Force of the European Society of Cardiology (1996). Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation, 93, 1043.CrossRefGoogle Scholar
Venables, P. H., & Christies, M. J. (1980). Electrodermal activity. In Martin, I. & Venables, P. H. (eds), Techniques in Psychophysiology (pp. 3–67). Chichester, UK: John Wiley & Sons Ltd.Google Scholar
Visnovcova, Z., Calkovska, A., & Tonhajzerova, I. (2013). Heart rate variability and electrodermal activity as noninvasive indices of sympathovagal balance in response to stress. Acta Medica Martiniana, 13, 5. doi: 10.2478/acm-2013-0006CrossRefGoogle Scholar
Watson, D., Clark, L., & Tellegan, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54, 1063.CrossRefGoogle ScholarPubMed
Wei, M., Su, J., Carrera, S., Lin, S. P., & Yi, F. (2013). Suppression and interpersonal harmony: a cross-cultural comparison between Chinese and European Americans. Journal of Counseling Psychology, 60, 625.CrossRefGoogle ScholarPubMed
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