Emotion Regulation and Emotional Resilience
Emotion Regulation and Emotional Resilience
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A report submitted as a partial requirement for the degree of Bachelor of Science with
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I declare that this written assignment is my own work and does not include (i) material from
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Date: 5/11/2021
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 2
Abstract
implicated in emotional resilience. However, the nature of this relationship remains unclear.
Historically, reappraisal was considered an adaptive strategy. However, recent theories suggest
emotional resilience requires flexible selection of the optimal emotion regulation strategy
appropriate for varying stressors. Individual differences in choosing regulatory strategies were
tested to determine whether: (1) a general preference for reappraisal; or (2) alignment (a tendency
emotional resilience. Our study (N = 223) tested these hypotheses through a choice paradigm task.
Regression analyses showed no support for either hypothesis. Results provided initial evidence of
a need to capture other theoretical factors that may moderate the effects of regulatory strategies on
Stress is an inescapable part of everyday human life, whether the stress is as relatively banal
as getting to work on time, or as traumatic as coping with the loss of a loved one. Individuals
exhibit profound differences in their ability to manage stress and cope effectively with life
challenges (Parsons et al., 2016). While some individuals develop debilitating, chronic mental
health problems that interfere markedly with their capacity to function, others bounce back
relatively quickly and still maintain stable healthy functioning. What explains these differences?
One of the key determinants of individuals who sustain positive mental health and well-being in
Emotional Resilience
positive adaptation to environmental demands following major adversity (Gross, 2007). Adversity
with and the reality of his or her desired aspirations, investments, needs and goals for the future
(Schwager & Rothermund, 2013). Theorists describe resilience as the ability to cope effectively
with, and adapt flexibly to, the stressful demands of negative life events (Block & Kremen, 1996;
Luthar et al., 2000), such that individuals withstand or recover from adversity in a way that
from emotional difficulty causing diminished mental health functioning following negative life
events are generally viewed as normal (Kalisch et al., 2017). In this light, emotional resilience
Empirical studies support such notions that individuals with low stress levels following adversity
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 4
resilience, perhaps due to diverging research in operationalising resilience. This has seen a change
from an intrinsic, stable trait to an outcome or process, by which mental health is maintained or
characteristics, or traits (Gulbrandsen, 2016), coping styles (Carver, 1997), or the availability of
different factors, such as controllability of individuals’ original characteristics levels (Block &
Kremen, 1996), social relationships (Cohen et al., 1985; Sherbourne & Stewart, 1991), and health-
related outcomes (Veit & Ware, 1983; Zigmond & Snaith, 1983), all of which exclude emotional
processes in response to adversity (Resnick & Inguito, 2011). Specifically, using self-report
2003) and the Resilience Scale (Wagnild & Young, 1993), explores understanding of resilience as
a trait combined with potentially protective factors and risk factors (Lamond et al., 2008). For
example, CD-RISC items tap into individuals’ abilities to endure stress or pain, change,
adaptability, commitment, control, and problem solving (Connor & Davidson, 2003). Although
developed and widely used, these questionnaires have, nonetheless, been criticised as lacking a
theoretical and empirical basis, and for failing to assess emotional resilience in response to life
adversity (Kalisch et al., 2017; Windle et al., 2011). Furthermore, an earlier review of instruments
measuring emotional resilience indicates a lack of specific psychometric evidence (Ahern et al.,
2006) and validation against ‘gold standard’ measures of emotional resilience (Chmitorz et al.,
2018). Admittedly, such a ‘gold standard’ to measure emotional resilience does not currently exist.
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 5
According to Booth et al. (2020) individual life adversity experience must first be
needs to be assessed relative to a normative response of the sample population. As such, they
developed a residual method of measuring emotional resilience, such that individuals exposed to
greater levels of life adversity are expected to have higher emotional difficulty, and vice versa. In
other words, individuals who show better emotional functioning than would be predicted by the
level of adversity they have experienced are thought to have strong emotional resilience. In
contrast, individuals exhibiting worse emotional functioning than would be predicted by the level
of adversity they have experienced are thought to have weak emotional resilience. In short,
responses that deviate from normative responses of the sample indicate strong or weak emotional
resilience. This method has gained popularity in developmental literature as a useful way to assess
emotional resilience functioning (Kalisch et al., 2017). Resilience scores based on this residual
approach show good validity, having been shown to be associated with known risk and protective
factors (Booth et al., 2020). Thus, valid measures of emotional resilience are critically important
in advancing our understanding and promotion of emotional resilience to facilitate the growing
Increasing importance of emotional resilience is emphasised by the paradigm shift that has
seen scientist practitioners reduce focus on clinical disorder interventions and, instead, focus more
on building and strengthening emotional resilience. This transition emerged from the notion that
fostering protective mechanisms that safeguard individuals against the negative consequences of
stress before symptoms of stress-related disorder occur, provides a more effective way to reduce
mental health problems (Sapienza & Masten, 2011), as opposed to exploiting insights to improve
interventions (Kalisch et al., 2015). Further evidence of the importance of emotional resilience
comes from a number of empirical studies linking its presence with positive mental health
functioning via a dynamic interplay of various cognitive and emotional processes. For example, an
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 6
early pioneering research programme, Project Competence, (Garmezy, et al., 1984; Masten &
Tellegen, 2012) revealed that enhancing personal agency, such as self-efficacy or locus of control,
promoted emotional resilience in children (Garmezy et al., 1984). Notably, a growing body of
work on emotional resilience suggests that strong emotional resilience includes an interaction of a
range of cognitive coping mechanisms combined with biological functions (Hunsberger et al.,
2009), psychosocial coping skills (Ayala & Manzano, 2014), and supportive socioecological
Taking into account the body of literature that draws on various emotional and cognitive
processes that contribute to emotional resilience, we can infer that emotional resilience is a
complex construct involving a dynamic process of many interacting factors. Thus, it is clear that
variability in individuals’ emotional resilience levels exists due to the numerous interplays
between various emotional and cognitive processes. Despite a plethora of research on emotional
resilience, there remains a paucity of research examining the cognitive processes contributing to
individual differences in emotional resilience. In this study, we focus on the cognitive process of
emotion regulation as a mechanism that may explain why some individuals show more emotional
Emotion Regulation
Theorists have stated that a key contributing factor to emotional resilience is the ability to
regulate emotions to promote an adaptive outcome (Parson et al., 2016). Emotion regulation has
been conceptualised as the ability through which individuals manage their emotions (Rottenberg
& Gross, 2003) in response to various environmental stressors (Gratz & Roemer, 2004), such that
their emotional stress response minimises the negative effects on healthy functioning (Rottenberg
& Gross, 2003; Williams, et al., 2009). Or, as described by Gross and Jazaieri (2014), emotion
occurs, aimed at influencing emotions by either increasing or decreasing the intensity level or
magnitude of emotional experience. For example, a grieving person might want to decrease the
intensity of his or her sadness following the loss of a loved one; or a person might want to increase
the intensity of his or her emotions when faced with imminent danger that merits a healthy dose of
emotions. Thereby, the process of emotion regulation results in enhanced coping ability and
maintenance of positive mental health (Aldao, 2013; Gross & Jazaieri, 2014).
planning, positive distancing (Min et al., 2013), self-soothing, attentional control, self-awareness
(Zhang, et al., 2020), mindfulness, distraction, suppression, avoidance, inhibition (Conklin et al.,
2015), rumination, self-blame, catastrophising (Rochat et al., 2012), positive refocussing, putting
into perspective, and other-blame (Garnefski et al., 2001). Our study focuses specifically on
distraction and reappraisal strategies, the two most common types of regulatory strategy, both of
which have been the focus of a large body of research (Sheppes et al., 2011; Sheppes et al., 2014).
Distraction involves early disengagement from negative emotion, allowing for rapid shifts
of mental set to unrelated neutral thoughts so as to direct attention away from emotional
information before it is represented in working memory (Levy-Gigi et al., 2015; Van Dillen &
Koole, 2007). This early disengagement involves shifting thoughts to relatively simple and
unrelated alternatives to the emotional information stream, such as thinking of simple geometric
shapes or of performing daily chores, with a goal to avoid or reduce unwanted negative emotions.
For example, one of the circumstances in which an individual might use distraction to
downregulate a negative emotion is if he or she receives upsetting news, yet needs to perform a
complex task at work. The use of distraction strategy, by which his or her thoughts are rapidly
diverted to focus on the task at hand, may be useful in achieving the current occupational and
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 8
emotional goals. Studies suggest that distraction results in successful emotion regulation (Sheppes
& Meiran, 2007) because rapid blocking of emotional information through early disengagement
requires little effort as no semantic processing of negative information is needed (Levy-Gigi et al.,
2015).
situation are recognised (Gross, 2002). This occurs by allowing intricate, more complex cognitive
emotional processing and reappraising the initial negative meaning of the situation to be more
positive (Levy-Gigi et al., 2015). For example, one circumstance in which an individual might use
up. The use of a reappraisal strategy to re-evaluate the situation may provide relief in his or her
current occupational and emotional goals, such that memories of negative aspects of the
relationship are realised and positive aspects of the break-up are illuminated (e.g., exciting new
opportunities).
understand how emotional resilience relates to emotion regulation. According to this model,
different types of emotion regulation strategies are more adaptive than others, whilst some
regulatory strategies are considered to be maladaptive. It has been known for a long time that an
adaptive emotion regulation strategy provides a possible marker for emotional resilience. In
particular, reappraisal was thought to be a more adaptive strategy than distraction (Booth et al.,
2020). This notion is supported in Webb, Miles, and Sheeran’s (2012) meta-analysis review of
emotion regulation strategies. Their findings suggest that the use of reappraisal had small to
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 9
moderate overall positive effects, whilst the use of distraction produced no overall positive effect.
Other evidence comes from behavioural and neuroscientific studies in the laboratory setting
supporting the notion that greater use of reappraisal is effective in reducing psychological and
physiological indices of emotional reactions (Grecucci et al., 2013). Extending these findings
outside the laboratory setting indicates that frequent use of reappraisal is associated with well-
being and positive emotions (Gross, 2002). This claim is consistent with another set of
observations from the clinical area, according to which there is a negative association between
greater use of reappraisal and symptoms of psychopathology (Martin & Dahlen, 2005) and a
positive association between greater use of reappraisal and well-being (Aldao et al., 2010; Gross,
2002). Such a pattern suggests that engaging in greater use of reappraisal is key to good mental
health (Kalisch et al., 2017) that proactively cultivates positive emotional functioning (Ochsner &
Gross, 2005).
However, a large body of more recent research supports an additional theoretical stance
that a big repertoire of strategies to facilitate the ability to make alternative choices is needed to
show emotional resilience (Kobylinska & Kusev, 2019). According to these ‘flexibility’ models,
adaptive forms of emotion regulation involve flexible use of many different strategies adaptive for
the situation at hand (Bonanno & Burton, 2014; Kashdan & Rottenberg, 2010; Koole et al., 2015).
As such, individuals with a rich repertoire of emotion regulation strategies are better able to
implement adaptive strategies more flexibly in response to contextual demands (Aldao & Nolen-
Hoeksema, 2012). Evidence for these flexibility models comes from other research suggesting that
some psychological dysfunction (e.g., affective disorders or borderline personality disorder) may
a deficit in their available emotion regulation strategies (Bonanno & Burton, 2014). Other past
studies suggest that individuals with greater flexibility in implementing their strategies have a
greater chance of reducing negative emotional impact and enhancing more positive emotions
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 10
(Aldao, 2013). This research supports Bonanno and Burton’s (2014) claim that emotion regulation
is effective when a wide range of regulatory strategies can accommodate divergent contextual
The reason this flexibility is thought to be important is that there is evidence to suggest that
reappraisal is an adaptive strategy in many contexts, however, may not be adaptive in all contexts.
Evidence from a previous neurobiological study suggests that, in highly intense emotional
situations, there may not be enough cognitive processing capacity to engage effectively in
reappraisal (Dolcos & McCarthy, 2006). As such, neuroimaging studies show a reduction in blood
oxygenation level dependent signal in the prefrontal cortex during induced emotional states
(Mayberg et al., 1999). The prefrontal cortex is a region known to implement regulatory strategies.
Similarly, further support comes from a study by Dolcos and McCarthy (2006), in which findings
revealed strong activity in typical emotional processing regions (amygdala and ventrolateral
prefrontal cortex) whilst inhibition of prefrontal cortex activity was apparent. This suggests that
revealed that, during highly emotional events, there is a likelihood that reappraisal strategy may be
unavailable for regulating the experienced emotion as a result of disrupted working memory
(Dolcos & McCarthy, 2006). Thus, highly intense emotional situations may require different
adaptive regulatory strategies. Other evidence comes from a previous study suggesting that
frequent use of positive reappraisal may lessen individuals’ sensitivity to real dangers, such that
their inaccurate beliefs of truth increase their susceptibilities to being exposed to real negative
consequences (Colvin et al., 1995). Other studies suggest that positive reappraisal may lead to
In line with these findings, there is a growing body of research suggesting that choices of
pattern of strategies to regulate emotions vary between individuals, such that some strategies are
more optimally appropriate than others, depending on individuals’ ability to apply their coping
strategies for certain contexts (Sheppes et al., 2014). Consequently, theorists have proposed that a
within the context of adversity (Aldao et al., 2015; Bonanno, 2004; Parsons et al., 2016).
Specifically, the choice of appropriate strategies needs to align with the intensity of stressor
experienced (Sheppes et al., 2014). Recent studies have focused on the importance of determining
the choice of strategy for varying intensity levels. Specifically, a series of incremental studies on
emotion regulation choice (an emerging area that aims at understanding individual choices of
different regulatory strategies to adopt in a given situation) (Sheppes et al., 2011) showed
convincingly that healthy individuals flexibly switched their regulatory choice from preferring
reappraisal in low intensity situations to preferring distraction in high intensity situations (Sheppes
et al., 2011; Sheppes et al., 2014). The experiments were tested using the emotion regulation
choice paradigm, in which a series of emotional contexts were created that varied in intensity (low
and high) using negative emotional images (Sheppes et al., 2011; Sheppes et al., 2014). Using this
paradigm, findings reveal that healthy individuals behave in ways that are consistent with this
pattern of strategy (distraction in high intensity and reappraisal in low intensity), whilst deviation
from choosing this pattern can be seen in individuals who are prone to develop major depression,
and thus, might be related to different psychopathologies (Sheppes et al., 2011). Therefore, such
choices of strategies may be the optimal pattern of strategy because these choices are aligned with
Taken together, it is clear that there are both large individual differences as to which
strategies individuals prefer, and their level of effectiveness at applying strategies to regulate their
emotions. Several theorists have, thus, proposed that those who are better at recruiting the most
efficacious strategy according to the stressor experienced, will be more emotionally resilient
(Aldao et al., 2015; Parsons et al., 2016). However, this proposition remains, as yet, untested.
The relationship between emotional resilience and emotion regulation strategies remains
unclear, given that no previous studies have directly investigated the association between
emotional resilience and individuals’ preferences between two key emotion regulation strategies:
reappraisal and distraction. Based on previous research, there are two ways in which emotion
research suggests that individuals with preference for reappraisal show less risk of developing
mental health problems (Kalisch et al., 2015; Aldao et al., 2015). On this basis, our first
hypothesis (Reappraisal Preference Hypothesis) is that greater preference for using reappraisal
over distraction to downregulate negative emotions leads to higher emotional resilience because
emotion regulation efforts will be more effective. Second, more recent studies suggest that
individuals with good mental health and well-being show greater tendency to select distraction
when confronted with high intensity stressors, and a tendency to select reappraisal when
confronted with low intensity stressors (Sheppes et al., 2011; Sheppes et al., 2014). We will refer
to this pattern of emotion regulation strategy as alignment. On this basis, our second hypothesis
(Alignment Hypothesis) is that greater alignment will lead to higher emotional resilience because
Hypothesis, will increase our understanding of the mechanisms by which individuals demonstrate
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 13
differences in emotional resilience. Furthermore, this will contribute to our understanding of how
emotional resilience is developed in response to adversity, which may offer important insights into
how resilience might be boosted and how to drive future empirically based resilience
interventions. Such an approach will move the focus of researchers from simply understanding the
competence models that focus on prevention, strengthening, and building emotional resilience.
The current study aimed to investigate the validity of our two hypotheses. To examine
emotional resilience using a residual approach (Booth et al., 2020). Accordingly, participants
completed Negative Life Events for Students Scale (NLESS) and Depression and Anxiety Stress
relative to the number of negative life events they have experienced. Preference for reappraisal or
alignment were then assessed using a choice paradigm task, where participants were exposed to a
series of negative stimuli with high and low intensities, in which they were asked to choose
greater emotional resilience, then it is predicted that participants who demonstrate high levels of
emotional resilience will be more likely to choose reappraisal strategy for both high and low
intensity stimuli. It is also predicted that this relationship between reappraisal preference and
throughout the task. If Alignment Hypothesis is true, that alignment leads to emotional resilience,
then it is predicted that participants who demonstrate high levels of emotional resilience will be
more likely to choose reappraisal for low intensity and distraction for high intensity stimuli. It is
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 14
also predicted that this relationship between alignment and emotional resilience will be mediated
Method
Participants
An a priori power analysis using G*Power3 (Faul et al., 2009) indicated that a minimum
sample size of 222 was needed to detect a small effect of f = .10 with α = .05 and 1 - β = .80. Thus,
it was decided to recruit a target of 222 participants who completed all tasks.
Participants were undergraduate students (N = 223, female = 150, male = 70, other = 3; M
Western Australia who participated for course credit. Eight additional participants started the
study but were removed from the data due to incomplete tasks.
Materials
Negative Life Events Scale for Students (NLESS; Homes & Rahe, 1967). The 25-item,
self-reported NLESS was used to screen for common adverse experiences by participants. This
included stressful events such as “death of a family”, “divorce of parents”, “addiction”, and
“serious conflict with a close friend”. Participants were asked to indicate whether they have
experienced each event described on each item by answering ‘yes’ or ‘no’. Participants were also
given the option to describe two further negative life events that they may have experienced but
were not included in the scale. A score was computed for each participant by summing the number
of adverse events they had experienced, with higher scores indicating greater negative live events.
This formed the basis for our Adversity Index. The NLESS has been shown to exhibit good
reliability and validity (Scully & Tosi, 2000); Cronbach’s alpha was reported = .96 for students
Depression, Anxiety, and Stress Scale 21 (DASS-21; Lovibond & Lovibond, 1995).
The 21-item DASS-21 was used to assess frequency of negative emotional states of depression,
anxiety, and stress levels of participants over the last 12 months. This included statements such as
“I felt that life is meaningless”, “I felt close to panic”, and “I found it hard to wind down” for each
scale respectively. Each item was rated on a four-point Likert scale from 0 (not at all) to 3 (very
much of the time) referring to how much each statement applied to them over the past 12 months.
A Negative Emotional Experience Index was computed for each participant, calculated by
summing the scores for each item on the scale, with higher scores indicating higher levels of
negative emotional states. The DASS-21 exhibits good reliability and validity; Cronbach’s alpha
was reported = .97 for adults of the general population (Henry & Crawford, 2005). In this study,
Resilience Measure
In order to calculate resilience measure, the Adversity Index derived from the NLESS
scores and Negative Emotional Experience Index derived from DASS scores were used to
calculate residual scores. The standardised residual score for each participant was saved from the
regression model with Adversity Index as the predictor variable and Negative Emotional
Experience Index as the outcome variable. This formed the basis for the Emotional Resilience
Index scores. Data points above the regression line indicated lower resilience (more emotional
difficulty than predicted based on their adversity measures), whereas scores below the regression
line indicated higher resilience (less emotional difficulty than predicted based on their adversity
measures). Scores were reverse coded (Booth et al., 2020), so that positive scores reflected better
than expected levels of emotional resilience and negative scores reflected worse than expected
levels of emotional resilience. These scores reflected the degree to which the amount of emotional
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 16
difficulty experienced by a participant was less than (or more than) what would be expected given
Choice task stimuli included digital images (133 x 100 mm) from the standardised and
well-validated International Affective Picture System (IAPS) (Lang et al., 2008) (see Figure 1
example). A total of 60 images were used with negative valence from five domains: threat,
disgust, sadness, fear and mutilation. Mean arousal rating specified on IAPS normative ratings
were used to categorise images into two different intensity levels: 30 High Intensity Image Set (M
A series of t-tests were used to confirm that there was a significant difference in arousal
between our selected Low Intensity Image Set and High Intensity Image Set. Total mean arousal
ratings for the High Intensity Image set and for the Low Intensity Image set yielded a significant
difference (t = -18.93, p < .001, d = -3.46). This implies that the images categorised into high and
low intensity image sets were sufficient to elicit different levels of intensity arousal.
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 17
The choice task was created to determine: (1) the preferred choices of different strategies
under varying emotional intensities; and (2) the effectiveness at downregulating negative emotions
using the preferred strategies. The present study focussed on the preference for reappraisal
throughout the task, and the use of alignment as the optimal pattern of strategy.
Each participant was exposed to 10 low intensity and 10 high intensity images, randomly
drawn from our selection of 30 High Intensity Image set and 30 Low Intensity Image set.
Presentation of images was counterbalanced across tasks to ensure than any differences in the
effectiveness of emotion regulation attempts in all tasks were not due to the particular images used
in the tasks. Participants were shown the images one by one. On each trial, participants were
briefly shown each image, then asked to choose between distraction and reappraisal to regulate
their emotions during subsequent viewing of the image. This enabled obtaining a measure of
reappraisal preference, and as the images varied in intensity, a measure of alignment. Participants
also were asked to rate the intensity of their negative emotions to obtain a measure of emotion
regulation effectiveness. Throughout the task, participants were instructed to ensure that they keep
A schematic depiction of trial structure and screen time durations of the choice paradigm is
shown in Figure 2. A screen appeared that stated, “Watch”, then participants previewed a negative
image for a brief two seconds. Next, participants were instructed to rate the intensity of their
negative emotions in response to the previewed image, using a 9-point Likert rating scale from 1
(not intense at all) to 9 (very intense). These initial ratings were referred to as the preview rating.
The statement included, “Please indicate how intense you would rate your negative emotions (fear,
threat, disgust, sadness, anger,…)” while viewing the image. Then they were instructed to choose
the strategy they want to apply to downregulate the intensity of their negative emotions, by
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 18
clicking on either distraction or reappraisal. A screen appeared that confirmed their chosen
strategy. The negative image then reappeared. Participants then implemented their chosen strategy
while watching the image for eight seconds. Then participants were instructed to indicate the
intensity of their negative emotion again, after they have downregulated their negative emotion,
using the same 9-point Likert scale. These second ratings were referred to as the downregulation
rating. Then participants were automatically taken to the next trial, until all 20 trials were
completed.
A practice trial task was included to help participants with the application of each strategy.
The trial task consisted of two distraction trials (a trial that involved using distraction strategy) and
two reappraisal trials (a trial that involved using reappraisal strategy), using one low-intensity and
one high-intensity for each strategy. This included extensive instructions explaining how to apply
the distraction and reappraisal strategies (see Appendix i for instructions). At the end of each
practice trial, participants were asked to type in a brief description of how they implemented their
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 19
strategy to downregulate their negative emotions. Then participants proceeded to the actual trials,
The following three critical measures were derived from the emotion regulation choice
task:
Reappraisal Preference Index. This index reflects the proportion of trials in which
participants chose reappraisal over distraction across the task. The trials for reappraisal were
computed by summing the number of times participants chose reappraisal (irrespective of the
image intensity level) across the choice task. Scores on this index can range between zero to 20
Emotion Regulation Alignment Index. This index reflects the proportion of trials
participants chose distraction over reappraisal for high intensity stimuli, and reappraisal over
distraction for low intensity stimuli. A score was computed for each participant by taking the
relative difference of the proportion of high intensity trials where distraction was chosen and the
proportion of low intensity trials where distraction was chosen. Scores on this index can range
between negative one to ten and a higher score indicates greater use of reappraisal in low intensity
downregulating their emotions and is computed as the difference between the preview mean rating
score and the downregulated mean rating score for low intensity and high intensity for each
strategy. Scores on this index can range between negative one to four and a higher score indicates
Apparatus
leading provider of software for psychological testing. The experiment was run on Windows-
based PCs, with a 17-inch monitor set at a resolution of 1920 x 1080 at a viewing distance of
Procedure
This study was approved by the University of Western Australia’s Human Research Ethics
Office (Reference RA/4/1/5295). All participants provided written informed consent before data
collection and were free to withdraw at any time. Testing took approximately 50 minutes per
participant, and was administered in a quiet, individual room. Participants completed a set of
demographical questions (gender, age, ethnicity, language, employment, and education). Then,
they provided image consent where they were shown four samples of negative emotional images
of similar arousal taken from IAPS. Participants indicated either ‘yes’ or ‘no’ as part of their
answered ‘yes’, then participants proceeded to complete the DASS and NLESS questionnaires.
Lastly, they completed the choice task. Participants were debriefed at the end.
Statistical Analyses
Data were analysed using SPSS V27 for Mac OS (V 10.13.6). The study used regression
based simple mediation analyses to test the proposed relationships between choice strategies
(reappraisal and alignment), downregulation effectiveness and emotional resilience. Two separate
path analytic models were analysed (Figure 3, panel i and panel ii). Included in the models were
reappraisal preference (panel i) and alignment (panel ii) as the predictor variables, with Emotional
Result
Data were assessed for multivariate outliers using a Mahalanobis Distance Test
(Tabachnick & Fidell, 2013). With a demarcation of X2 = 29.15, df = 10, p < .001, seven
multivariate outliers were identified and removed from the data, leaving a final sample of N = 216.
An assumption regarding the use of the residual approach to index emotional resilience is
that an association between negative life events and negative emotions measures will be observed.
Figure 4 illustrates the bivariate correlation between the negative life events and negative
emotions. The result indicates a statistically significant Pearson correlation between the Adversity
Index scores and the Negative Emotional Experience Index scores, r = .40, p < .001, 95%
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 22
Confidence Intervals (CI) [0.28, 0.50]. This significant association suggests that experiencing a
larger number of negative life events over the last 12 months was associated with increasing
negative emotions. Therefore, the results suggest that the residual method is an appropriate
downregulation ratings were compared to determine whether, overall, participants were able to
effectively downregulate their negative emotions when confronted with negative stimuli. Results
are reported in Figure 5. A paired samples t-test showed a significant difference between preview
rating and downregulation rating, t(215) = 22.00, p < .001, d = .77, suggesting that participants
The Alignment Hypothesis rests on the assumption that, in general, individuals will have a
preference for using distraction for high intensity stimuli and reappraisal for low intensity stimuli.
To test the validity of this assumption, the proportion of trials in which distraction was chosen
over reappraisal for high intensity stimuli was calculated. Similarly, the proportion of trials in
which reappraisal was chosen over distraction for low intensity stimuli was calculated. The results
of this can be seen in Figure 6. Consistent with this assumption, participants chose to apply
distraction on 64.80% of the high intensity trials, 95% CI [0.41, 0.70], and reappraisal on 35.20%
of the high intensity trials, [0.41, 0.70]; whilst participants chose to apply reappraisal on 64.75%
of the low intensity trials, [-0.72, -0.43] and distraction on 35.25% of the low intensity trials, [-
0.72, -0.43]. This preference in the selection of regulatory strategies of distraction over reappraisal
for high intensity stimuli, and of reappraisal over distraction for low intensity stimuli was
Prior to testing the hypotheses, Pearson correlations for the variables corresponding to c, a,
and b paths (in Figure 3) were run individually using bivariate regression. These tests examined
how the variables were correlated in order to determine the viability for mediation analysis. In
particular, these tests examined if there was a total effect (c path) between the two predictor
variables (reappraisal preference and alignment) and the outcome variable (emotional resilience).
These tests also examined if the downregulation effectiveness were correlated with the predictor
viable mediator for the relationships between the predictor variables and emotional resilience. The
From correlational analyses, the total c path in Figure 3, panel i, indicates that reappraisal
preference was not statistically significantly correlated with emotional resilience (p = .581, 95%
CI [-0.03, 0.04]). Similarly, the c path in Figure 3, panel ii, indicates that alignment was not
statistically significantly correlated with emotional resilience (p = .454, [-0.52, 0.23]). These
results suggest that there were no significant total effects between the predictor variables
(reappraisal preference and alignment), and emotional resilience. The paths defining the indirect
effects, the a paths and the b paths in Figure 3 panel i and panel ii, were also not significant.
In some cases, despite the absence of a total effect, the c’ path becomes significant with
analyses were conducted to determine the coefficients corresponding the b path, and c’ path, in
effectiveness and emotional resilience (b path) was examined while controlling for the effect of
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 26
reappraisal preference, and the relationship between reappraisal preference and emotional
resilience (which now represents the c’ path) while controlling for the effect of downregulation
effectiveness. The full model (Figure 3, panel i) was not significant, R2 = .002, F(2, 214) = 0.25,
resilience, ß = .03, t(215) = 0.45, p = .657, 95% CI [-0.14, 0.22], SE = 0.09. Furthermore, the
effect of reappraisal preference was not significant, ß = .04, t(215) = 0.61, p = .544, [-0.02, 0.05],
SE = 0.19, suggesting that there is no direct effect between reappraisal preference and emotional
resilience.
Regression analyses were also conducted to determine the coefficients corresponding the b
path, and c’ path, in Figure 3, panel ii. Emotional resilience was regressed on alignment,
downregulation effectiveness and emotional resilience (b path) was examined while controlling
for the effect of alignment, and the relationship between alignment and emotional resilience
(which now represents the c’ path) while controlling for the effect of downregulation
effectiveness. The full model (Figure 3, panel ii) was not significant, R2 = .01, F(2, 214) = 0.39, p
resilience, ß = .08, t(215) = 0.47, p = .642, SE = 0.09, 95%[-0.13, 0.22]. Furthermore, the effect of
alignment was not significant, ß = .06, t(215) = -0.80, p = .424, [-0.53, 0.23], SE = 0.19,
suggesting that there was no direct effect between alignment and emotional resilience.
Given the absence of correlations between all variables, conducting a Sobel test was not
warranted to test the significance of the ab paths, thus, further testing for mediation analysis was
deemed neither required nor appropriate. Furthermore, the assumption of linearity was violated, as
described below. Combined, these results indicate that the Reappraisal Preference Hypothesis and
Figure 3, panel i and ii were examined to clarify the non-linear pattern of association and to
determine any interrelationships, in order to guide future research. If the non-linear patterns are
significant, this may suggest confounding interaction effects in which competing variables may be
present, thus obscuring the relationship between variables. Summary of descriptive statistics for
The presence of curvilinear effects between variables was tested using hierarchical
quadratic multiple regression with variables entered at step one and squared variables entered at
step two (controlling for the effects of linear associations) (Pedhauzur, 1997). The assumption of
multicollinearity was not a concern in the context of curvilinear analysis due to the shared
variance between transformed variables. A visual depiction of these effects through scatterplots
relationships were observed, and a further regression analysis was conducted to determine the
interrelationships between three variables defining the Alignment Hypothesis. These are described
for the linear effect of reappraisal preference. By including the squared reappraisal preference in
model R2, a significant change in percentage of variance accounted for was observed, R2 = 0.02,
F(1, 215) = 5.02, p = .012, increasing the predictive capacity of the regression equation by 2.30%,
implying a curvilinear association. Correspondingly, the quadratic term (i.e., squared reappraisal
preference) was associated with significant standardised beta-weight, ß = -.55, t(215) = -2.24, p =
.026, 95% CI [-0.01, -0.00], r = -.17 (r2 = .03), semi-partial r = -.15 (r2 = .02). As can be seen in
Figure 7 (panel A), the ordinary least squares line of best fit suggested that the correlation between
downregulation effectiveness and reappraisal preference was positive between low to average
levels of reappraisal preference, peaking to about 10. However, beyond a reappraisal preference of
10, the correlation was reduced. This suggest that downregulation effectiveness was highest when
reappraisal was preferred about 35% to 50% of the time. Any deviations from this suggest a
linear effect of alignment. By including the squared alignment in model R2, a significant change in
percentage of variance accounted for was observed, R2 = 0.02, F(1, 215) = 4.41, p = .020,
increasing the predictive capacity of the regression equation by 2.00%, implying a curvilinear
association. Correspondingly, the quadratic term (i.e., squared alignment) was associated with
significant beta-weight, ß = -0.19, t(215) = -2.10, p = .037, 95% CI [-1.15, -0.04], r = -.02 (r2 =
.00), semi-partial r = -.14 (r2 = .02). As can be seen in Figure 7 (panel B), the ordinary least
squares line of best fit suggested that the correlation between downregulation effectiveness and
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 29
alignment was positive between low to moderately high levels of alignment, thus, effectiveness
between 0.00 to 0.50 levels of alignment, and beyond 0.50 (or 75%) onwards, the correlation was
slightly reduced.
Emotional resilience was regressed on squared alignment, controlling for the linear effect
of alignment. By including the squared alignment in model R2, a significant change in percentage
of variance accounted for was observed, R2 = 0.04, F(1, 215) = 8.26, p = .013, increasing the
Correspondingly, the quadratic term (i.e., squared alignment) was associated with significant
standardised beta-weight, ß = .26, t(215) = 2.87, p = .004, 95% CI [0.33, 1.77], r = .11 (r2 = .01),
semi-partial r = .19 (r2 = .04). As can be seen in Figure 7 (panel C), the ordinary least squares line
of best fit suggested that the correlation between emotional resilience and alignment was negative
between -1.00 to about 0.50 levels of alignment. However, beyond alignment levels of 0.50, the
correlation increased. This suggests that individuals who scored low on alignment showed high
emotional resilience but decreases with increasing alignment scores between low to average.
Beyond average alignment scores, emotional resilience increases with increasing use of alignment.
possible interrelationships between these three variables. Emotional resilience was regressed on
linear effect of alignment. By including the squared alignment in model R2 and the downregulation
0.04, F(1, 215) = 4.53, p = .012, increasing the predictive capacity of the regression equation by
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 30
4.10%. Correspondingly, the quadratic term (i.e., alignment) was associated with significant beta-
weight, ß = 0.27, t(215) = 2.97, p = .003, 95% CI [0.37, 1.82], r = .11 (r2 = 0.01), semi-partial r =
.20 (r2 = .04), indicating a large increase of 2.75% from total effect to semi-partial correlation
between squared alignment and emotional resilience when downregulation effectiveness was
combined with the squared alignment. Downregulation effectiveness was not associated with
significant beta-weight, ß = .06, t(215) = 0.89, p = .373, [-0.10, 0.25], r = .02 (r2 = .00), semi-
partial r = .08 (r2 = .01), however, a small increase of 1.00% was still observed from total effect to
when both squared alignment and downregulation effectiveness were included in the regression,
Discussion
The overarching aim of the present study was to examine the associations between choices
of emotion regulation strategies and emotional resilience in low intensity and high intensity
situations. Specifically, this study investigated whether: (1) reappraisal preference leads to
emotional resilience, and (2) alignment (an optimal pattern of strategy in which individuals tend to
select distraction for high intensity stressors and reappraisal for low intensity stressors) leads to
emotional resilience. We predicted that the use of both strategies will lead to emotional resilience
as emotion regulation efforts will be more effective. In other words, the relationships between
these regulatory strategies and emotional resilience will be mediated by the effectiveness of their
downregulation efforts throughout the task. On this basis, two hypotheses that correspond to these
investigations were formulated: (1) Reappraisal Preference Hypothesis; and (2) Alignment
Hypothesis. No prior study has directly investigated the associations between regulatory strategies
and emotional resilience. Theoretical and applied implications of these results, as well as
limitations of the study will be discussed below to assist future research directions.
In the Reappraisal Preference Hypothesis, it was hypothesised that (1) high reappraisal
preference leads to higher emotional resilience because emotion regulation efforts will be more
effective. Similarly, in the Alignment Hypothesis, it was hypothesised that (2) high alignment
leads to emotional resilience because emotion regulation efforts will be more effective. In both
hypotheses, we aimed to determine whether these adaptive regulatory strategies associate with
Pearson correlations between all variables. Scatterplots were examined to further clarify the
pattern of associations. Surprising results revealed that some variables had significant curvilinear
effects, violating the assumption of linearity. As such, further testing for mediation analyses was
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 33
neither deemed required nor appropriate. Therefore, the mediation analyses showed no support for
both (1) the Reappraisal Preference Hypothesis, and (2) the Alignment Hypothesis. A possible
explanation might be that simple mediation analyses were insufficient to capture the complex
processes that lead to emotional resilience, and that other theoretical factors may account for the
non-linear effects. Or, the lack of significant effects could be attributed to the common issue of
low statistical power, given that our final sample size was reduced below the required amount to
interplay of complex processes that influence individuals’ cognitive resources. As such, the
Cognitive Model of Psychological Resilience (Parsons et al., 2016) posits that efficient coping
strategies can only be understood if basic mechanisms in emotional processing that help adjust
affect, cognition, and motivation to regulate emotions are all adequately included (Schwager &
Rothermund, 2013). Specifically, the significant non-linear relationships between alignment and
emotional resilience, and between downregulation effectiveness and the two regulatory strategies
of interest, may suggest that other moderating variables known to influence emotional and
cognitive processes may explain the effects of these non-linear associations. These interacting
factors may include attentional bias (Parsons et al., 2016), memory bias (Platt et al., 2017),
emotional clarity (ability to identify, distinguish and describe specific emotions) (Gohm & Clore,
2000; Park & Naragon-Gainey, 2020), emotional awareness (Sheppes et al., 2014), motivation,
social support, personality traits such as neuroticism, (Opitz et al., 2012), cultural origin and
environmental factors (e.g., level of education, finances). On this basis, the significant non-linear
effects between variables relating to both the Reappraisal Preference Hypothesis and the
factors that may moderate the effect of associations between our regulatory strategies of interest
Findings reveal no association between reappraisal preference and emotional resilience (Figure 7,
panel E). Despite earlier support for reappraisal, the absence of association between reappraisal
preference and emotional resilience provides support for the more recent theoretical stance
discussed in the introduction, suggesting that a large repertoire of strategies is needed to show
emotional resilience (Bonanno & Burton, 2014; Kashdan & Rottenberg 2010; Koole et al., 2015).
Given that our measure of reappraisal preference involves using reappraisal for both low and high
intensity stimuli, these findings also support the ‘flexibility’ models discussed in the introduction,
in which greater use of different strategies adaptive for the situation is essential to have greater
chances of enhancing positive emotions and reducing negative emotions (Aldao, 2013; Bonanno
& Burton, 2014). Furthermore, there was a non-linear (inverted U-shaped) association between
(Figure 7, panel A). Scatterplot reveals that, between low to average levels of reappraisal
preference, there was essentially no correlation with downregulation effectiveness. The negative
non-linear effect resided almost entirely between moderate to high levels of reappraisal
preference, with downregulation effectiveness reduced to almost zero for high levels of reappraisal
preference. This provides further support for the more recent studies discussed in the introduction,
emotions, or even maladaptive, in certain situations (Aldao, 2013; Bonanno & Burton, 2014).
Regarding the Alignment Hypotheses, alignment rests on the assumption that, in general,
individuals tend to choose reappraisal for low intensity stimuli and distraction for high intensity
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 35
stimuli. Our results provide robust evidence that individuals, indeed, prefer to use reappraisal
when confronted with stressors of low intensity, and distraction when confronted with stressors of
high intensity, consistent with previous research (Sheppes et al., 2014). Therefore, this present
study added value and validity to the emerging interest in this optimal pattern of strategy (Sheppes
et al., 2014).
through downregulation effectiveness as a mediator, we did not find such an effect. Nonetheless,
and emotional resilience (Figure 7, panel C). The non-linear effect implies that both high and low
levels of alignment were associated with high emotional resilience, whilst moderate levels of
alignment were associated with low emotional resilience. In other words, high alignment, for
which distraction was chosen for high intensity and reappraisal for low intensity stimuli,
associated with high emotional resilience. In contrast to this optimal pattern of strategy, low
alignment, for which distraction was chosen for low intensity and reappraisal for high intensity
stimuli, also associated with high emotional resilience. This is surprising as the latter pattern of
strategy is counter intuitive to the optimal pattern of strategy that we predicted. The U-shaped
effect may imply that when applying a flexible pattern of strategy, such that when reappraisal and
distraction strategies were applied in a systematic way for low and high intensity stimuli, such a
systematic approach associated with high emotional resilience. In other words, individuals who
systematically implement one strategy more than the other, according to the intensity of the
stressor, showed high levels of emotional resilience. Therefore, a possible variant of alignment
may involve using distraction for low intensity and reappraisal for high intensity stressors.
However, it is also important to take into account possible theoretical reasons (as discussed earlier
in this section) that may moderate the effect of the non-linear association of alignment and
effectiveness and alignment (Figure 7, panel B), implies that individuals’ downregulation
effectiveness increases with increasing levels of alignment scores between low to average.
However, the non-linear association suggests the presence of a threshold effect, that is, assuming a
causal connection between alignment and downregulation effectiveness (Parson et al., 2016).
Thus, alignment may facilitate effectiveness at downregulating negative emotions but only up to a
point; beyond moderate levels of alignment, downregulation effectiveness may not yield much
impact, and may even reduce the ability to effectively downregulate negative emotions in high
levels of alignment.
emotional resilience (Figure 7, panel D). However, taking into account the significant non-linear
examination of the interrelationships between these three variables implies a large increase in
variance accounted for (from the zero-order correlation to semi-partial correlation) between
squared alignment and emotional resilience when downregulation effectiveness was included in
the regression. Downregulation effectiveness also showed a small increase in variance accounted
for, thus, suggesting a possible suppressor effect. Findings indicate that both alignment and
downregulation effectiveness in the regression model, while controlling for its effects, we may
have controlled for other factors that influence individuals’ ability to effectively downregulate
their negative emotions. Therefore, the distinctive characteristics and the fundamental aspects of
alignment may have expressed its true nature of association on emotional resilience. However, the
suppressor effect provides only a possibility, not a certainty. Future research may benefit from
following this up and may need to take into account other theoretical factors that could moderate
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 37
the effect of non-linear associations between alignment and emotional resilience, and between
Our novel approach to measuring emotional resilience index scores involved using the
residual approach (Booth et al., 2020) derived from two self-report questionnaires (NLESS and
DASS). Our findings established a clear link between negative life events and emotional
difficulty. As discussed in the introduction, converging evidence suggests that one of the
challenges to emotional resilience research is the enormous heterogeneity in the way resilience is
defined, operationalised, and measured. As such, we opted to deviate from using a typical
resilience self-report questionnaire, as the available questionnaires are inconsistent with the way
this present study defines and measures emotional resilience. For example, CD-RISC explores
understanding of resilience as a personality trait, combined with potential protective factors and
risk factors (Lamond et al., 2008). The residual approach which we adopted defined emotional
resilience as the degree to which the amount of negative emotion experienced by an individual
was less than (or more than) would be expected given the number of negative life events
experienced. Therefore, given that a strong correlation was found between negative life events and
emotional difficulty, the residual approach is, in our view, currently the best resilience measure
available. Nevertheless, alternative approaches are still possible for future research, as discussed
later.
Limitations
It is important to acknowledge the limitations of the present study. The first limitation
involves theoretical factors which were not included in our research design that may have
attributed to the non-linear associations. These components may moderate the effects of our
predictor variables (reappraisal preference and alignment) and our mediating variable
related concerns. The samples involved students drawn from the same population with limited
diversity in age group. Thus, our sample must be taken into account when attempting to generalise
findings, given that these factors have theoretical implications on emotion regulation. The third
limitation is that participants’ preview or initial exposure to the negative stimuli may have
influenced their response to the subsequent exposure of the negative stimuli, as a result of priming
effect, which may have contributed to their effectiveness in downregulating their negative
emotion.
Finally, it is plausible to consider the ecological validity of our results. Our understanding
is limited by artificial laboratory paradigms, and the artificial nature of emotional stimuli using
images (IAPS pictures). Although affective pictures can be powerful elicitors of negative
emotions, nonetheless, they are only symbolic representations of real-life events. There may be
conditions and how they respond when faced with adversity in the real world. In the real world,
individual preference for regulatory strategies to downregulate the intensity of negative emotions
in different situations will vary because real life experiences pose different sensitivities to
stressors. For example, using reappraisal to alter an emotional response to an image presented in
the laboratory is fundamentally different from using reappraisal when faced with the actual life
situation shown in the image. Strategies that work well in the laboratory situation might be
ineffective or even counterproductive in real-life or vice versa. Therefore, this study may be
replicated in naturalistic contexts, similar to emotional stimuli used in the study by Rude et al.
Future research should address these limitations in order to gain insight into optimisation
of research design. Specifically, future researchers may benefit from recruiting larger sample sizes
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 39
taken from different populations, as the hypothesised effects may only be detected in larger
samples, consistent with the two meta-analysis reviews on emotion regulation strategies discussed
in the introduction, wherein only small effect sizes were detected overall between reappraisal and
psychopathology or healthy populations (Aldao et al., 2010; Webb et al., 2012). Furthermore,
according to Parsons et al., 2016, resilience should be operationalised according to the rate of
decrease of a particular stress-marker in the period following exposure to adversity. Thus, heart
rate variability, skin conductance, self-reported mood or anxiety are among the viable measures
that could be included in future research design to examine shifts in processing negative emotion
emotional images.
Our research design centred around applying appropriate regulatory strategies following
such, researchers must be mindful that the experience of dealing with adversity is an essential
component in the study of emotional resilience. Thus, negative life experience and emotional
difficulty need to be taken into account in research design. Multiple domains of life adversity need
may be observed to suffer from emotional difficulty as a result of a traumatic event. However, he
or she may choose to move forward in a positive manner and not to succumb to its negative effects
by drawing on experience learned from an adversity and making a conscious effort to embrace
positive aspects in order to adapt successfully. This involves enormous time to research,
particularly given that individuals typically vary across domains in how well they function
(Southwick et al., 2014). Therefore, measures of emotional resilience may need to involve
longitudinal designs to enable concise monitoring of the cognitive processes associated with
selection of appropriate regulatory strategies in different situations (Parsons et al., 2016). As such,
longitudinal studies may yield better insights into the effects of regulatory strategies that could
EMOTIONAL RESILIENCE AND EMOTION REGULATION ALIGNMENT 40
show the trajectory and the mechanisms involved in the association between regulatory strategies
Additionally, researchers might benefit from capturing potential moderating effects that
may have influenced the non-linear effects in our findings. For example, theoretical factors that
help adjust affect, cognition, and motivation to regulate emotions (e.g., memory or attentional
biases) can be investigated prospectively to understand how emotional processing that interacts
with prior experience influences choices of reappraisal and distraction strategies. In doing so, this
strategies and their effectiveness at regulating emotions. Such an approach might result in a more
precise understanding of the complex relationship between our regulatory strategies of interest
Conclusion
In conclusion, the results of the present study indicate that emotional resilience is a
complex construct that needs to be approached from a multi-level analysis perspective. Such
analysis needs to recognise the factors that moderate the effects of regulatory strategies in
strategies lead to emotional resilience. Furthermore, the effectiveness of using the optimal pattern
of strategy to reduce negative emotions may be more complex than the linear associations
documented thus far. Findings provide some initial evidence for a more nuanced understanding of
the importance of flexibility in selecting the optimal pattern of strategy. This study is the first to
test these effects that have been suggested by theory, examining distraction and reappraisal
strategies in different intensities. This study also suggests that effects may be small and may differ
across samples or measures. Future research is warranted to fully delineate the exact nature of the
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Appendix i
DISTRACTION:
You can feel less negative about the pictures that will be shown by thinking of something that is
completely unrelated to the picture.
There are several ways you can do this. For instance, if you see a negative picture of a woman
who has been burnt, you could think of biking around campus and the different buildings around
you. You could also imagine yourself doing everyday tasks, such as taking a shower or making
coffee in the morning. You can distract yourself in any way that works best for you, as long as it is
making you feel less negative.
You do not have to use the same distraction all the time. However, it is important that you keep
your eyes on the picture and not avert your gaze. Also, when distracting, it is important that you
do not focus on something that is highly emotional, so we do not want you to think about anything
that brings you sadness or extreme happiness.
REAPPRAISAL
You can feel less negative about the pictures that will be shown by attending to the picture and
trying to change its meaning or context.
There are several ways you can do this. For instance, if you see a negative picture of a woman
who has been burnt, you could think about how paramedics may be on the scene to assist her,
about how health care and plastic surgery will help her to make a full recovery, or even about how
a potential perpetrator will be caught and brought to justice.
But we want you to stay focused on the picture and *NOT* think of random things that make you
feel better, but rather to change something about the picture that helps you to feel less negative
about it.