title: Investigating the use of specific cognitive emotion regulation strategies in response to the experience of gingival bleeding.
abstract: The present study focuses on the extent to which undergraduates use specific cognitive emotion regulation strategies in response to the experience of the gingival bleeding.
  
  
  METHODS
  The present study sample consisted of 190 first year dental students. The questionnaire included information about socio-demographic factors, behavioral variables and self-reported oral health status. To measure the specific emotional cognitive strategies, the Cognitive Emotion Regulation Questionnaire (CERQ) was used.
  
  
  RESULTS
  Self-reported gingival bleeding was associated with statistical significant higher values of self-blame and rumination. Participants who evaluated their self-reported gingival condition as poor/very poor scored higher values on rumination, catastrophising and lower on positive reappraisal, when compared with students with excellent gingival condition. Multiple linear regression analyses revealed that presence of gingival bleeding was an independent determinant of self-blame, rumination and putting into perspective. Among participants with positive self-reported gingival bleeding, reason for dental visits was significantly correlated with positive refocusing, planning, positive reappraisal, putting into perspective and catrastrophizing. Positive reappraisal was found to be a mediating variable in the relationship between gingival status and reason for dental visits. Thus, positive reappraisal helps to explain the association between gingival status and reason for dental visits.
  
  
  CONCLUSIONS
  Helping patients to challenge these maladaptive cognitive emotion regulation strategies may therefore play an important role on the focus and content of (preventive) oral health behaviour interventions to be developed for patients with gingival and periodontal disease.
authors.affiliation: Institute of Clinical Dentistry, Faculty of Medicine, University of Tromsø, Norway. alexandrina.dumitrescu@uit.no
authors.forename: Alexandrina Lizica
authors.initials: AL
authors.lastname: Dumitrescu
authors.forename: Carmen
authors.initials: C
authors.lastname: Toma
authors.forename: Viorica
authors.initials: V
authors.lastname: Lascu
mesh_terms: D003071:Cognition; D004644:Emotions; D005260:Female; D005884:Gingival Hemorrhage / Q000523:psychology*; D015438:Health Behavior; D006801:Humans; D008297:Male; D009909:Oral Health; D011795:Surveys and Questionnaires; D055815:Young Adult