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Article ; Online: Diversity in emotion regulation strategy use: Resilience against posttraumatic stress disorder.

Wen, Alainna / Rao, Uma / Kinney, Kerry L / Yoon, K Lira / Morris, Matthew

2023 Volume 172, Page(s) 104441

Abstract: Posttraumatic stress disorder (PTSD) is associated with impaired emotion regulation (ER). ER diversity, the variety, prevalence, and relative abundance of ER strategy use, may provide resilience against PTSD. This study examined the prospective relation ... ...

Abstract	Posttraumatic stress disorder (PTSD) is associated with impaired emotion regulation (ER). ER diversity, the variety, prevalence, and relative abundance of ER strategy use, may provide resilience against PTSD. This study examined the prospective relation between ER diversity and PTSD, while accounting for negative and positive life events, in interpersonal violence (IPV) survivors. IPV-exposed women with PTSD onset (PTSD; n = 22), without PTSD onset (IPV; n = 37), and non-traumatized control participants (NTC; n = 41) rated their ER strategy use and experience of negative and positive life events. The ER diversity index differentiated the participant groups. Importantly, group differences in ER diversity depended on the experience of life events. When experiencing fewer positive life events and more negative life events, the IPV and NTC groups, but not the PTSD group, demonstrated higher ER diversity. Thus, greater ER diversity during periods with more negative life events and fewer positive life events may play a protective role against PTSD onset for IPV survivors.
MeSH term(s)	Humans ; Female ; Stress Disorders, Post-Traumatic/psychology ; Resilience, Psychological ; Emotional Regulation ; Survivors/psychology
Language	English
Publishing date	2023-11-28
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	211997-3
ISSN	1873-622X ; 0005-7967
ISSN (online)	1873-622X
ISSN	0005-7967
DOI	10.1016/j.brat.2023.104441
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Article ; Online: Individual differences in striatal and amygdala response to emotional faces are related to symptom severity in social anxiety disorder.

Crane, Natania A / Chang, Fini / Kinney, Kerry L / Klumpp, Heide

NeuroImage. Clinical

2021 Volume 30, Page(s) 102615

Abstract: Social anxiety disorder (SAD) is a common heterogeneous disorder characterized by excessive fear and deficient positive experiences. Case-control emotion processing studies indicate that altered amygdala and striatum function may underlie SAD; however, ... ...

Abstract	Social anxiety disorder (SAD) is a common heterogeneous disorder characterized by excessive fear and deficient positive experiences. Case-control emotion processing studies indicate that altered amygdala and striatum function may underlie SAD; however, links between these regions and symptomatology have yet to be established. Therefore, in the current study, 80 individuals diagnosed with SAD completed a validated emotion processing task during functional magnetic resonance imaging. Anatomy-based regions of interest were amygdala, caudate, putamen, and nucleus accumbens. Neural activity in response to angry > happy faces and fearful > happy faces in these regions were submitted to multiple linear regression analysis with bootstrapping. Additionally, multiple linear regression analysis was performed to explore clinical features of SAD. Results showed greater putamen activity and less amygdala activity in response to angry > happy faces were related to greater social anxiety severity. In the model consisting of caudate and amygdala activity in response to angry > happy faces, results were marginally related to social anxiety severity and the pattern of activity was similar to the regression model comprising putamen and amygdala. Nucleus accumbens activity was not related to social anxiety severity. There was no correspondence between brain activity in response to fearful > happy faces and social anxiety severity. Clinical variables revealed greater levels of anhedonia and general anxiety were related to social anxiety severity, however, neural activity was not related to these features of SAD. Neuroimaging findings suggest that variance in dorsal striatal and amygdala activity in response to certain social signals of threat contrasted with an approach/rewarding social signal may contribute to individual differences in SAD. Clinical findings indicate variance in anhedonia and general anxiety symptoms may contribute to individual differences in social anxiety severity.
MeSH term(s)	Amygdala/diagnostic imaging ; Brain Mapping ; Emotions ; Facial Expression ; Humans ; Individuality ; Magnetic Resonance Imaging ; Phobia, Social/diagnostic imaging
Language	English
Publishing date	2021-03-08
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2701571-3
ISSN	2213-1582 ; 2213-1582
ISSN (online)	2213-1582
ISSN	2213-1582
DOI	10.1016/j.nicl.2021.102615
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Article: Predicting benzodiazepine prescriptions: A proof-of-concept machine learning approach.

Kinney, Kerry L / Zheng, Yufeng / Morris, Matthew C / Schumacher, Julie A / Bhardwaj, Saurabh B / Rowlett, James K

Frontiers in psychiatry

2023 Volume 14, Page(s) 1087879

Abstract: Introduction: Benzodiazepines are the most commonly prescribed psychotropic medications, but they may place users at risk of serious adverse effects. Developing a method to predict benzodiazepine prescriptions could assist in prevention efforts.: ... ...

Abstract	Introduction: Benzodiazepines are the most commonly prescribed psychotropic medications, but they may place users at risk of serious adverse effects. Developing a method to predict benzodiazepine prescriptions could assist in prevention efforts. Methods: The present study applies machine learning methods to de-identified electronic health record data, in order to develop algorithms for predicting benzodiazepine prescription receipt (yes/no) and number of benzodiazepine prescriptions (0, 1, 2+) at a given encounter. Support-vector machine (SVM) and random forest (RF) approaches were applied to outpatient psychiatry, family medicine, and geriatric medicine data from a large academic medical center. The training sample comprised encounters taking place between January 2020 and December 2021 ( Results: For predicting benzodiazepine prescription receipt (yes/no), all models showed good to excellent overall accuracy and area under the receiver operating characteristic curve (AUC) for both SVM (Accuracy = 0.868-0.883; AUC = 0.864-0.924) and RF (Accuracy = 0.860-0.887; AUC = 0.877-0.953). Overall accuracy was also high for predicting number of benzodiazepine prescriptions (0, 1, 2+) for both SVM (Accuracy = 0.861-0.877) and RF (Accuracy = 0.846-0.878). Discussion: Results suggest SVM and RF algorithms can accurately classify individuals who receive a benzodiazepine prescription and can separate patients by the number of benzodiazepine prescriptions received at a given encounter. If replicated, these predictive models could inform system-level interventions to reduce the public health burden of benzodiazepines.
Language	English
Publishing date	2023-03-10
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564218-2
ISSN	1664-0640
ISSN	1664-0640
DOI	10.3389/fpsyt.2023.1087879
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Article: The Paper Chase: A Team Science Training Exercise.

Perry, Kristin J / Mutignani, Lauren M / Gette, Jordan / Kinney, Kerry L / Gissandaner, Tre D / Penner, Francesca / Wen, Alainna / Regan, Timothy / Lim, Crystal

Training and education in professional psychology

2023 Volume 18, Issue 1, Page(s) 13–20

Abstract: Over the past few decades of psychological research, there has been an important increase in both the application of multidisciplinary or collaborative science and in training and research that emphasizes social justice and cultural humility. In the ... ...

Abstract	Over the past few decades of psychological research, there has been an important increase in both the application of multidisciplinary or collaborative science and in training and research that emphasizes social justice and cultural humility. In the current paper, we report on the use of the "Paper Chase" as a team science training and research experience that also facilitates cultural humility in research and when working in teams. The Paper Chase is a synchronous writing exercise originally conceptualized by a cohort of health service psychology interns to reduce lag time between manuscript writing and submission (Schaumberg et al., 2015). The Paper Chase involves a group of trainees coming together for a predetermined amount of time (e.g., 9 or more hours) with the aim of writing and submitting a full manuscript for publication. In the current paper, we extend a previous report on the Paper Chase by formally linking the training experience to the four phases of team science: development, conceptualization, implementation, and translation. We also discuss ways in which the Paper Chase as a training experience can promote cultural humility. Finally, we provide updated recommendations for successfully completing a Paper Chase project. Overall, the authors of this manuscript who were predoctoral psychology interns across two recent cohorts at one academic medical center reported positive experiences from the Paper Chase. In addition, the current study suggests the Paper Chase can be used as one activity that facilitates critical training in team science.
Language	English
Publishing date	2023-05-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	2260442-X
ISSN	1931-3926 ; 1931-3918
ISSN (online)	1931-3926
ISSN	1931-3918
DOI	10.1037/tep0000448
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Article ; Online: Self-report and neurophysiological indicators of emotion processing and regulation in social anxiety disorder.

Kinney, Kerry L / Burkhouse, Katie L / Klumpp, Heide

Biological psychology

2019 Volume 142, Page(s) 126–131

Abstract: Individuals with social anxiety disorder (SAD) report less habitual reappraisal and more frequent suppression compared to healthy controls (HC). However, it is unclear whether a neurophysiological index of emotional reactivity, the late positive ... ...

Abstract	Individuals with social anxiety disorder (SAD) report less habitual reappraisal and more frequent suppression compared to healthy controls (HC). However, it is unclear whether a neurophysiological index of emotional reactivity, the late positive potential (LPP), is aberrant in SAD or whether self-reported reappraisal or suppression relates to the LPP during on-line emotion reactivity and reappraisal. Participants with SAD (n = 51) and HC (n = 31) completed an Emotion Regulation Task. Emotion reactivity and regulation were measured via LPP when viewing negative images ('Look Negative') and when using a cognitive strategy to reduce negative affect ('Reappraise Negative'). Participants also completed a self-report measure of habitual reappraisal and suppression. SAD participants displayed heightened LPP for 'Look Negative' compared to HC. However, LPP for online reappraisal was comparable between groups. Self-reported suppression predicted the LPP during 'Look Negative' in HC, and there was a trend-level relationship in SAD. LPP findings suggest targeted reappraisal approaches may benefit individuals with SAD.
MeSH term(s)	Adult ; Case-Control Studies ; Diagnostic Techniques, Neurological ; Emotions/physiology ; Evoked Potentials/physiology ; Female ; Humans ; Male ; Phobia, Social/physiopathology ; Phobia, Social/psychology ; Self Report ; Self-Assessment ; Task Performance and Analysis ; Young Adult
Language	English
Publishing date	2019-02-08
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	185105-6
ISSN	1873-6246 ; 0301-0511
ISSN (online)	1873-6246
ISSN	0301-0511
DOI	10.1016/j.biopsycho.2019.01.019
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Article ; Online: Racial and demographic disparities in emergency department utilization for mental health concerns before and during the COVID-19 pandemic.

Penner, Francesca / Rajesh, Aishwarya / Kinney, Kerry L / Mabus, Kara L / Barajas, Kimberly G / McKenna, Kevin R / Lim, Crystal S

Psychiatry research

2022 Volume 310, Page(s) 114442

Abstract: This study investigated whether emergency department (ED) visits for mental health concerns increased during the COVID-19 pandemic, taking a health disparities lens. ED encounters from the only academic medical center in Mississippi were extracted from ... ...

Abstract	This study investigated whether emergency department (ED) visits for mental health concerns increased during the COVID-19 pandemic, taking a health disparities lens. ED encounters from the only academic medical center in Mississippi were extracted from March-December 2019 and 2020, totaling 2,842 pediatric (ages 4-17) and 17,887 adult (ages 18-89) patients. Visits were coded based on primary ED diagnosis. For adults, there were fewer depression/anxiety ED visits during the pandemic, not moderated by any demographic factor, but no differences for serious mental illness or alcohol/substance use. For youth, there were significantly fewer ED visits for behavior problems during the pandemic among children in the lower socioeconomic status (SES) category; there were no differences for depression/anxiety. Regardless of year, adults in the lower SES category were more likely to visit the ED for mental health, Black adults were less likely to visit the ED for depression/anxiety or alcohol/substance use, and Black children were less likely to visit the ED for behavioral concerns. Results suggest that access to outpatient and telehealth services remains critical for mental health care during the pandemic and underline the importance of race- and SES-related factors in use of the ED for mental health concerns beyond the pandemic.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/epidemiology ; Child ; Child, Preschool ; Demography ; Emergency Service, Hospital ; Humans ; Mental Health ; Middle Aged ; Pandemics ; Young Adult
Language	English
Publishing date	2022-02-12
Publishing country	Ireland
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	445361-x
ISSN	1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
ISSN (online)	1872-7123 ; 1872-7506
ISSN	0925-4927 ; 0165-1781
DOI	10.1016/j.psychres.2022.114442
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Article ; Online: Gender Difference in Attentional Bias Toward Negative and Positive Stimuli in Generalized Anxiety Disorder.

Kinney, Kerry L / Boffa, Joseph W / Amir, Nader

Behavior therapy

2017 Volume 48, Issue 3, Page(s) 277–284

Abstract: Females are two times as likely as males to develop generalized anxiety disorder (GAD; Steiner et al., 2005; Vesga-López et al., 2008). Moreover, the clinical presentation of GAD is different across genders. One explanation for these differences may be ... ...

Abstract	Females are two times as likely as males to develop generalized anxiety disorder (GAD; Steiner et al., 2005; Vesga-López et al., 2008). Moreover, the clinical presentation of GAD is different across genders. One explanation for these differences may be the role of cognitive biases involved in GAD between genders. In the present study, we used an exogenous spatial cueing task to examine gender differences in attentional bias for negative and positive information in 118 individuals with a primary diagnosis of GAD. Males and females did not differ in their attentional bias for idiographically selected negative or neutral words. However, women showed a significantly larger attentional bias for positive words than did men. Results suggest that developing gender-specific treatments for GAD could improve treatment response rates.
MeSH term(s)	Adolescent ; Adult ; Aged ; Anxiety Disorders/diagnosis ; Anxiety Disorders/psychology ; Attentional Bias ; Cues ; Female ; Humans ; Male ; Middle Aged ; Photic Stimulation ; Sex Factors ; Young Adult
Language	English
Publishing date	2017-05
Publishing country	England
Document type	Clinical Trial ; Journal Article
ZDB-ID	211996-1
ISSN	1878-1888 ; 0005-7894
ISSN (online)	1878-1888
ISSN	0005-7894
DOI	10.1016/j.beth.2016.06.002
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Article ; Online: Principal component analysis and brain-based predictors of emotion regulation in anxiety and depression.

Klumpp, Heide / Kinney, Kerry L / Bhaumik, Runa / Fitzgerald, Jacklynn M

Psychological medicine

2018 Volume 49, Issue 14, Page(s) 2320–2329

Abstract: Background: Reappraisal, an adaptive emotion regulation strategy, is associated with frontal engagement. In internalizing psychopathologies (IPs) such as anxiety and depression frontal activity is atypically reduced suggesting impaired regulation ... ...

Abstract	Background: Reappraisal, an adaptive emotion regulation strategy, is associated with frontal engagement. In internalizing psychopathologies (IPs) such as anxiety and depression frontal activity is atypically reduced suggesting impaired regulation capacity. Yet, successful reappraisal is often demonstrated at the behavioral level. A data-driven approach was used to clarify brain and behavioral relationships in IPs. Methods: During functional magnetic resonance imaging, anxious [general anxiety disorder (n = 43), social anxiety disorder (n = 72)] and depressed (n = 47) patients reappraised negative images to reduce negative affect ('ReappNeg') and viewed negative images ('LookNeg'). After each trial, the affective state was reported. A cut-point (i.e. values <0 based on ΔReappNeg-LookNeg) demarcated successful reappraisers. Neural activity for ReappNeg-LookNeg, derived from 37 regions of interest, was submitted to Principal Component Analysis (PCA) to identify unique components of reappraisal-related brain response. PCA factors, symptom severity, and self-reported habitual reappraisal were submitted to discriminant function analysis and linear regression to examine whether these data predicted successful reappraisal (yes/no) and variance in reappraisal ability. Results: Most patients (63%) were successful reappraisers according to the behavioral criterion (values<0; ΔReappNeg-LookNeg). Discriminant function analysis was not significant for PCA factors, symptoms, or habitual reappraisal. For regression, more activation in a factor with high loadings for frontal regions predicted better reappraisal facility. Results were not significant for other variables. Conclusions: At the individual level, more activation in a 'frontal' factor corresponded with better reappraisal facility. However, neither brain nor behavioral variables classified successful reappraisal (yes/no). Findings suggest individual differences in regions strongly implicated in reappraisal play a role in on-line reappraisal capability.
MeSH term(s)	Adolescent ; Adult ; Anxiety Disorders/diagnostic imaging ; Anxiety Disorders/physiopathology ; Brain Mapping ; Depression/diagnostic imaging ; Depression/physiopathology ; Emotional Regulation/physiology ; Female ; Frontal Lobe/diagnostic imaging ; Frontal Lobe/physiopathology ; Humans ; Linear Models ; Magnetic Resonance Imaging ; Male ; Phobia, Social/diagnostic imaging ; Phobia, Social/physiopathology ; Principal Component Analysis ; Young Adult
Language	English
Publishing date	2018-10-25
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	217420-0
ISSN	1469-8978 ; 0033-2917
ISSN (online)	1469-8978
ISSN	0033-2917
DOI	10.1017/S0033291718003148
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Article ; Online: The roles of early-life adversity and rumination in neural response to emotional faces amongst anxious and depressed adults.

Peters, Amy T / Burkhouse, Katie L / Kinney, Kerry L / Phan, K. Luan

Psychological medicine

2018 Volume 49, Issue 13, Page(s) 2267–2278

Abstract: Background: Early-life adversity (ELA) is a risk factor for internalizing psychopathology (IP). ELA is also linked to alterations in neural phenotypes of emotion processing and maladaptive emotion regulatory strategies, such as ruminative brooding, in ... ...

Abstract	Background: Early-life adversity (ELA) is a risk factor for internalizing psychopathology (IP). ELA is also linked to alterations in neural phenotypes of emotion processing and maladaptive emotion regulatory strategies, such as ruminative brooding, in adulthood. We therefore expected that ELA would predict cortical brain activation to emotional faces in transdiagnostic IP and in turn, mediate the extent of rumination amongst patients with IPs and ELA (IP + ELA). Method: One hundred and thirty-two individuals, including 102 treatment-seeking adults with heterogeneous IPs and 30 healthy controls (HCs) performed an Emotional Face-Matching Task during functional magnetic resonance imaging. Whole-brain analyses compared HC (n = 30), IP (n = 52), and IP + ELA (n = 50) neural responses to emotional (angry, fearful, happy, and sad) faces v. shapes, controlling for depression and anxiety symptoms. Parameter estimates of activation were extracted for significant between-group differences and tested as a mediator of ruminative brooding in IP + ELA. Results: IP + ELA demonstrated increased activation in the superior frontal gyrus and anterior cingulate cortex (fear), superior parietal lobule, precuneus, posterior cingulate, and inferior temporal gyrus (fear only), and cuneus (fear and angry). These regions were preferentially correlated with ruminative brooding in IP + ELA, many of which mediated the link between IP + ELA and ruminative brooding. Conclusions: Results provide evidence that ELA history amongst IP patients augments engagement of brain regions involved in emotion processing, above and beyond what is accounted for by current symptoms. Though longitudinal designs are needed, alterations in the neural correlates of maladaptive processing of socio-emotional information may be a common pathway by which ELA poses risk for psychopathology.
MeSH term(s)	Adolescent ; Adult ; Adult Survivors of Child Adverse Events/psychology ; Aged ; Anxiety/diagnostic imaging ; Anxiety/physiopathology ; Case-Control Studies ; Depression/diagnostic imaging ; Depression/physiopathology ; Emotions ; Facial Expression ; Female ; Frontal Lobe/diagnostic imaging ; Frontal Lobe/physiopathology ; Humans ; Male ; Middle Aged ; Psychopathology ; Risk Factors ; United States ; Young Adult
Language	English
Publishing date	2018-11-13
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	217420-0
ISSN	1469-8978 ; 0033-2917
ISSN (online)	1469-8978
ISSN	0033-2917
DOI	10.1017/S0033291718003203
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Article ; Online: Distinct neural engagement during implicit and explicit regulation of negative stimuli.

Fitzgerald, Jacklynn M / Kinney, Kerry L / Phan, K Luan / Klumpp, Heide

Neuropsychologia

2018 Volume 145, Page(s) 106675

Abstract: Neuroimaging research has characterized underlying neural mechanisms of attentional control and cognitive reappraisal, common implicit and explicit forms of emotion regulation, respectively. This research suggests attentional control and reappraisal may ... ...

Abstract	Neuroimaging research has characterized underlying neural mechanisms of attentional control and cognitive reappraisal, common implicit and explicit forms of emotion regulation, respectively. This research suggests attentional control and reappraisal may engage similar midline and lateral areas in the prefrontal cortex (PFC); however, findings are largely based on separate studies. Therefore, the extent to which mechanisms of implicit versus explicit regulation are independent or overlapping is not clear. In the current study, 49 healthy participants completed well-validated implicit and explicit regulation tasks in the form of attentional control and cognitive reappraisal during functional magnetic resonance imaging. During implicit regulation, participants identified a target letter in a string of letters superimposed on threatening faces. To manipulate attentional control, the letter string either consisted of all targets ('Threat Low' perceptual load), or was embedded among non-target letters ('Threat High' perceptual load). During cognitive reappraisal, participants were shown aversive images and instructed to use a cognitive approach to down-regulate negative affect ('Reappraise') or to naturally experience emotions without altering them ('Look-Negative'). Order of administration of tasks was counterbalanced across participants. Whole-brain results regarding frontal activity showed ventromedial PFC/rostral anterior cingulate cortex was recruited during Threat Low > Threat High. In contrast, Reappraise > Look-Negative resulted in engagement of the dorsolateral PFC, ventrolateral PFC and dorsomedial PFC. In addition, results showed no relationship between accuracy during attentional control and self-reported negative affect during cognitive reappraisal. Results indicate attentional control in the context of threat distractors and the reappraisal of negative images are supported by discrete, non-overlapping neurocircuitries.
MeSH term(s)	Adolescent ; Adult ; Attention/physiology ; Brain Mapping ; Fear/physiology ; Female ; Gyrus Cinguli/physiology ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Neural Pathways ; Neurons/physiology ; Prefrontal Cortex/cytology ; Prefrontal Cortex/physiology ; Young Adult
Language	English
Publishing date	2018-02-08
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	207151-4
ISSN	1873-3514 ; 0028-3932
ISSN (online)	1873-3514
ISSN	0028-3932
DOI	10.1016/j.neuropsychologia.2018.02.002
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