The Moderating Role of Emotion Regulation in the Association Between Stressors With Psychological and Biological Measures in Adolescence

Psychosom Med. 2020 Jun;82(5):495-507. doi: 10.1097/PSY.0000000000000804.

Abstract

Objective: This study explored the role of emotion regulation (ER) as a moderator in the stressor-adjustment outcome relationship while identifying the relevant stressors.

Methods: In 214 adolescents (10-18 years; 51.4% boys), stressors (parent and peer relations, negative events), psychological outcomes (adolescent perceived stress, psychopathology symptoms, negative affect), and biological measures related to the stress response (hair cortisol [HC], heart rate variability [HRV]) as well as ER strategies-maladaptive (MalER), adaptive (AdER), and their ratio (Mal/AdER)-were measured and analyzed via linear regression, adjusted for age, sex, and socioeconomic status.

Results: Parental rejection and bullying were the stressors with the strongest association with psychological outcomes (β range = |0.217-0.352|, p < .05). In addition, parental rejection was associated with HC (β = 0.242, p = .035), whereas none of the stressors were associated with HRV. MalER was linked to all, and AdER to most psychological outcomes (β range = |0.21-0.49|, p < .05). MalER, but not AdER, was associated with HC (β = 0.25, p = .009), whereas none of the ER strategy types were associated with HRV. Moreover, several associations between stressors and psychological outcomes were moderated by MalER and Mal/AdER, whereas AdER's role as a moderator was not confirmed.

Conclusions: The study confirmed that adolescents' stressors are associated with both psychological and physiological outcomes and moderated by MalER or Mal/AdER. The lack of moderation by AdER directs toward the maladaptive shift theory. Investigations through a longitudinal, rather than a cross-sectional design, could further elucidate the current observations. Moreover, training in how to use ER effectively has a potential of increasing adolescents' stress resilience.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adolescent Behavior / physiology*
  • Adolescent Behavior / psychology
  • Bullying
  • Child
  • Cross-Sectional Studies
  • Emotional Regulation / physiology*
  • Female
  • Humans
  • Hydrocortisone / analysis
  • Interpersonal Relations
  • Male
  • Parent-Child Relations
  • Parents
  • Sex Factors
  • Stress, Psychological / physiopathology*

Substances

  • Hydrocortisone