Ability to regulate emotion is predicted by depressive symptoms and cognitive function in a cardiac sample.
BACKGROUND
Reduced ability to regulate emotion is exhibited in depressed individuals as well as patients with neurocognitive change. Given that patients with cardiovascular disease (CVD) often exhibit both cognitive and mood changes, these could, in combination, lead to increased volatility of emotion.


OBJECTIVE
The current study examined the association between ability to regulate emotion, depressive symptoms, and cognitive function in a sample of patients with CVD.


METHODS
Ninety-one CVD patients referred for outpatient stress testing completed brief cognitive testing and self-report measures of emotion regulation and depressive symptoms.


RESULTS
Hierarchical multiple regression analyses revealed that depressive symptoms (P < .001) and executive function (P < .05) independently contribute to emotion regulation. The interaction between these variables demonstrates that elevated depressive symptoms and decreased executive function predict increased emotion dysregulation.


CONCLUSIONS
Findings suggest that in combination, elevated depressive symptoms and executive dysfunction contribute to poorer ability to regulate emotion in patients with CVD. Given the prevalence of depression and cognitive change in this population, these findings underscore the importance of clinician awareness of these issues in this population and suggest clinical implications for treatment of mental health issues, especially emotion regulation, in this population.
Department of Psychology, Kent State University, Kent, OH 44242, USA. mspitzna@kent.edu
Mary Beth
MB
Spitznagel
Vanessa
V
Potter
Lindsay A
LA
Miller
Angela N
AN
Roberts Miller
Joel
J
Hughes
Jim
J
Rosneck
John
J
Gunstad
D002318:Cardiovascular Diseases / Q000523:psychology*; D003071:Cognition; D003863:Depression / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged