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Longitudinal effects of emotion awareness and regulation on mental health symptoms in adolescents with and without hearing loss

Eichengreen, Adva; Broekhof, Evelien; Tsou, Yung-Ting; Rieffe, Carolien; (2022) Longitudinal effects of emotion awareness and regulation on mental health symptoms in adolescents with and without hearing loss. European Child & Adolescent Psychiatry 10.1007/s00787-021-01900-9. Green open access

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Abstract

Emotion awareness (EA) and regulation (ER) are each known to associate with mental health symptoms, yet there is a paucity of longitudinal studies examining them jointly during adolescence. Furthermore, little is known about these skills and their relations in deaf and hard-of-hearing (DHH) adolescents, who are at risk for reduced emotion socialization and for more mental health symptoms. This longitudinal study examined the development and unique contributions of EA (emotion differentiation, emotion communication and bodily unawareness) and ER (approach, avoidance and worry/rumination) to internalizing and externalizing symptoms in adolescents with and without hearing loss. Using self- and parent's reports, we assessed 307 adolescents (age 9–15) three times over 18-month period. We found stability over time in development of EA and avoidance ER, increase in approach ER and decrease in worry/rumination. High levels and increases over time in two aspects of EA, emotion differentiation and communication, and in approach and avoidance ER were related to decreases in depressive symptoms. An increase in approach ER was also related to a decrease in anxiety symptoms. Yet, low levels or decreases in worry/rumination were related to decreased levels of depressive, anxiety and externalizing symptoms. Hearing loss did not moderate any of the variables or relations tested. Preliminary tests suggested heterogeneity within the DHH group according to educational placement, language abilities and parental education level. Overall, findings pointed at unique contributions of EA and ER to mental health development, suggesting that DHH adolescents, especially in mainstream schools, do not differ from their hearing peers in their emotion awareness and regulation.

Type: Article
Title: Longitudinal effects of emotion awareness and regulation on mental health symptoms in adolescents with and without hearing loss
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s00787-021-01900-9
Publisher version: https://doi.org/10.1007/s00787-021-01900-9
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Social Sciences, Science & Technology, Life Sciences & Biomedicine, Psychology, Developmental, Pediatrics, Psychiatry, Psychology, Longitudinal study, Emotion awareness, Emotion regulation, Internalizing and externalizing symptoms, Deaf and hard of hearing, HARD-OF-HEARING, INTERNALIZING SYMPTOMS, DEAF-CHILDREN, TRANSDIAGNOSTIC FACTOR, DEPRESSIVE SYMPTOMS, ANXIETY, PSYCHOPATHOLOGY, CHILDHOOD, BEHAVIOR, QUESTIONNAIRE
UCL classification: UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
UCL > Provost and Vice Provost Offices > School of Education
UCL
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10145091
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