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    Rights statement: This is the author’s version of a work that was accepted for publication in Neuropsychologia. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Neuropsychologia, 112, 2018 DOI: 10.1016/j.neuropsychologia.2018.02.030

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Exploring emotion regulation and emotion recognition in people with presymptomatic Huntington's disease: The role of emotional awareness

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Exploring emotion regulation and emotion recognition in people with presymptomatic Huntington's disease : The role of emotional awareness. / Zarotti, Nicolò; Simpson, Jane; Fletcher, Ian; Squitieri, Ferdinando; Migliore, Simone.

In: Neuropsychologia, Vol. 112, 04.2018, p. 1-9.

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@article{7ca530c240f74304994035569d712112,
title = "Exploring emotion regulation and emotion recognition in people with presymptomatic Huntington's disease: The role of emotional awareness",
abstract = "Interest in the role of both emotion regulation and recognition in our understanding of mental health has been steadily increasing, especially in people with chronic illness who also have psychological difficulties. One illness which belongs to this category is Huntington's disease. Huntington's disease (HD) is a chronic neurodegenerative disorder that can cause a number of cognitive and psychological difficulties, including emotion recognition deficits, even before the onset of the symptoms required to make a formal diagnosis. Despite the lack of definite evidence, recent studies have suggested that deficits of emotion regulation and recognition may be expected to play a pivotal role in the early cognitive manifestations of HD. In this study, we hypothesised that the ability to regulate emotions can be impaired in people with presymptomatic HD, and that such impairment may be associated with a deficit of emotion recognition. To test this, an online survey was carried out with 117 English and Italian-speaking people with presymptomatic HD, compared to 217 controls matched for age and education. The results suggest that, in presymptomatic participants, emotion regulation and emotion recognition are generally not significantly impaired, and no significant relationships between performances on the two constructs were observed. However, a specific impairment in emotional awareness (a subscale on the Difficulties in Emotion Regulation Scale, DERS) was observed, which appears to be enhanced by the co-occurrence of depressive symptoms, even at a subclinical level. Consequently, it is suggested that difficulties in emotional awareness may represent a precursor of more general emotion recognition impairments, which only become apparent as the disease reaches a more symptomatic level. Clinical implications of the findings are discussed and directions for future research are proposed.",
keywords = "Huntington's disease, Emotion regulation, Emotion recognition, Emotional awareness, Presymptomatic, Premanifest, Emotional processing",
author = "Nicol{\`o} Zarotti and Jane Simpson and Ian Fletcher and Ferdinando Squitieri and Simone Migliore",
note = "This is the author’s version of a work that was accepted for publication in Neuropsychologia. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Neuropsychologia, 112, 2018 DOI: 10.1016/j.neuropsychologia.2018.02.030",
year = "2018",
month = "4",
doi = "10.1016/j.neuropsychologia.2018.02.030",
language = "English",
volume = "112",
pages = "1--9",
journal = "Neuropsychologia",
issn = "0028-3932",
publisher = "Elsevier Limited",

}

RIS

TY - JOUR

T1 - Exploring emotion regulation and emotion recognition in people with presymptomatic Huntington's disease

T2 - The role of emotional awareness

AU - Zarotti, Nicolò

AU - Simpson, Jane

AU - Fletcher, Ian

AU - Squitieri, Ferdinando

AU - Migliore, Simone

N1 - This is the author’s version of a work that was accepted for publication in Neuropsychologia. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Neuropsychologia, 112, 2018 DOI: 10.1016/j.neuropsychologia.2018.02.030

PY - 2018/4

Y1 - 2018/4

N2 - Interest in the role of both emotion regulation and recognition in our understanding of mental health has been steadily increasing, especially in people with chronic illness who also have psychological difficulties. One illness which belongs to this category is Huntington's disease. Huntington's disease (HD) is a chronic neurodegenerative disorder that can cause a number of cognitive and psychological difficulties, including emotion recognition deficits, even before the onset of the symptoms required to make a formal diagnosis. Despite the lack of definite evidence, recent studies have suggested that deficits of emotion regulation and recognition may be expected to play a pivotal role in the early cognitive manifestations of HD. In this study, we hypothesised that the ability to regulate emotions can be impaired in people with presymptomatic HD, and that such impairment may be associated with a deficit of emotion recognition. To test this, an online survey was carried out with 117 English and Italian-speaking people with presymptomatic HD, compared to 217 controls matched for age and education. The results suggest that, in presymptomatic participants, emotion regulation and emotion recognition are generally not significantly impaired, and no significant relationships between performances on the two constructs were observed. However, a specific impairment in emotional awareness (a subscale on the Difficulties in Emotion Regulation Scale, DERS) was observed, which appears to be enhanced by the co-occurrence of depressive symptoms, even at a subclinical level. Consequently, it is suggested that difficulties in emotional awareness may represent a precursor of more general emotion recognition impairments, which only become apparent as the disease reaches a more symptomatic level. Clinical implications of the findings are discussed and directions for future research are proposed.

AB - Interest in the role of both emotion regulation and recognition in our understanding of mental health has been steadily increasing, especially in people with chronic illness who also have psychological difficulties. One illness which belongs to this category is Huntington's disease. Huntington's disease (HD) is a chronic neurodegenerative disorder that can cause a number of cognitive and psychological difficulties, including emotion recognition deficits, even before the onset of the symptoms required to make a formal diagnosis. Despite the lack of definite evidence, recent studies have suggested that deficits of emotion regulation and recognition may be expected to play a pivotal role in the early cognitive manifestations of HD. In this study, we hypothesised that the ability to regulate emotions can be impaired in people with presymptomatic HD, and that such impairment may be associated with a deficit of emotion recognition. To test this, an online survey was carried out with 117 English and Italian-speaking people with presymptomatic HD, compared to 217 controls matched for age and education. The results suggest that, in presymptomatic participants, emotion regulation and emotion recognition are generally not significantly impaired, and no significant relationships between performances on the two constructs were observed. However, a specific impairment in emotional awareness (a subscale on the Difficulties in Emotion Regulation Scale, DERS) was observed, which appears to be enhanced by the co-occurrence of depressive symptoms, even at a subclinical level. Consequently, it is suggested that difficulties in emotional awareness may represent a precursor of more general emotion recognition impairments, which only become apparent as the disease reaches a more symptomatic level. Clinical implications of the findings are discussed and directions for future research are proposed.

KW - Huntington's disease

KW - Emotion regulation

KW - Emotion recognition

KW - Emotional awareness

KW - Presymptomatic

KW - Premanifest

KW - Emotional processing

U2 - 10.1016/j.neuropsychologia.2018.02.030

DO - 10.1016/j.neuropsychologia.2018.02.030

M3 - Journal article

C2 - 29510181

VL - 112

SP - 1

EP - 9

JO - Neuropsychologia

JF - Neuropsychologia

SN - 0028-3932

ER -