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Emotion © 2013 American Psychological Association

2013, Vol. 13, No. 4, 610 – 615 1528-3542/13/$12.00 DOI: 10.1037/a0032568

Reappraisal and Suppression Mediate the Contribution of Regulatory Focus


to Anxiety in Healthy Adults
Nicole Llewellyn, Sanda Dolcos, Alexandru D. Iordan, Karen D. Rudolph, and Florin Dolcos
University of Illinois at Urbana–Champaign

Theory and research link regulatory focus (RF) in the form of promotion and prevention goal orientation
with internalizing symptoms (e.g., anxiety), but the relevant mechanisms are not well understood. This
study investigated the role of two emotion regulation (ER) strategies (cognitive reappraisal and expres-
sive suppression) as possible mediators. Path analysis using data from 179 healthy young participants
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(110 women, 69 men) revealed that stronger promotion orientation was significantly associated with less
This document is copyrighted by the American Psychological Association or one of its allied publishers.

anxiety, and that the use of reappraisal and suppression partially mediated this association. Prevention
was associated with more suppression but was not directly associated with anxiety. There were no gender
differences in these effects. Collectively, these findings suggest that effective ER, through heightened use
of reappraisal and dampened use of suppression, serves as a mechanism through which promotion confers
protection against anxiety. This research provides empirical support to initiatives aimed at promoting
healthy psychological adjustment and preventing anxiety, by optimizing ER strategies with respect to RF
goal orientations.

Keywords: approach orientation, avoidance orientation, emotion control, emotion dysregulation, affective
disorders

Regulatory Focus (RF) and Anxiety end states by promoting positive behaviors/cognitions concerned with
achievement and advancement (e.g., goal of “making good things
Approach and avoidance motivational orientations in general, and happen”). Prevention-focused regulation involves pursuing desirable
promotion and prevention goals in particular, are easily measurable end states by preventing maladaptive behaviors/cognitions concerned
traits that have been linked to internalizing symptoms, including with security and responsibility (e.g., goal of “preventing bad things
anxiety (Coplan, Wilson, Frohlick, & Zelenski, 2006; Klenk, Strau- from happening”). Thus, promotion and prevention orientations move
man, & Higgins, 2011). Approach-avoidance orientations, as reflected beyond approach-avoidance in that they incorporate higher-order cog-
in the behavioral activation and inhibition systems (Gray, 1981), have nition associated with goal pursuit and self-regulation of behavior
been well established as human motivational constructs (Carver & (Klenk et al., 2011; Strauman, 2002), and they also exhibit unique
White, 1994). Regulatory Focus Theory (RFT; Higgins et al., 2001) neural correlates (Eddington, Dolcos, Cabeza, Krishnan, & Strauman,
identifies promotion and prevention goal orientations, reflecting the 2007).
motivational valences of approach and avoidance, respectively, as two Conceptually, motivation to approach positive stimuli is related to
complementary personality dimensions that regulate goal-directed extroversion and contentedness/satisfaction and inversely related to
behavior. Promotion-focused regulation involves pursuing desirable affective symptoms, including nervousness, tension, and negative
emotionality; motivation to avoid aversive stimuli is related to neu-
roticism, negative emotionality, and anxiety symptoms, including
worry, uneasiness, and tension (Elliot & Thrash, 2002; Förster, Grant,
This article was published Online First May 13, 2013. Idson, & Higgins, 2001; Idson, Liberman, & Higgins, 2000). Broadly,
Nicole Llewellyn and Sanda Dolcos, Department of Psychology, Uni-
research confirms that general approach and avoidance orientations
versity of Illinois at Urbana–Champaign; Alexandru D. Iordan, Neurosci-
ence Program, Beckman Institute for Advanced Science and Technology
are associated with less and more anxiety, respectively (Coplan et al.,
University of Illinois at Urbana–Champaign; Karen D. Rudolph, Depart- 2006; Kimbrel, Mitchell, & Nelson-Gray, 2010; Nikitin & Freund,
ment of Psychology, University of Illinois at Urbana–Champaign; Florin 2010). Prevention focus, in particular, has been linked to risk for
Dolcos, Department of Psychology, Neuroscience Program, Beckman In- generalized anxiety disorder (Klenk et al., 2011), but it is not clear
stitute for Advanced Science and Technology University of Illinois at whether promotion is specifically linked to lower levels of anxiety.
Urbana–Champaign. Therefore, one goal of this investigation was to address this gap by
This research was supported by funds to Florin Dolcos from a Young examining the linkages between both prevention and promotion and
Investigator Award from the National Alliance for Research on Schizo- anxiety.
phrenia and Depression, a CPRF Award from the Canadian Psychiatric
Research Foundation, the University Hospital Foundation, and the Univer-
sity of Illinois. We thank members of the Dolcos Lab for assisting with data Regulatory Focus and Emotion Regulation (ER)
collection.
Correspondence concerning this article should be addressed to Nicole ER is the adaptive use of coping strategies to maintain stability
Llewellyn, Department of Psychology, University of Illinois, 603 E. Daniel during emotional challenges. Two specific ER strategies with
Street, Champaign, IL 61820. E-mail: nllewell@illinois.edu conceptual links to RF are cognitive reappraisal (reassessing the

610
REGULATORY FOCUS, EMOTION REGULATION, AND ANXIETY 611

meaning of situations/thinking more positively) and expressive for differences in anxiety. Although evidence suggests a possible
suppression (decreasing the expression of negative feelings; Gross, mediating role of ER, direct evidence for such a link is missing.
2008). Reappraisal improves emotional states by reframing nega- Understanding the mechanisms through which specific promotion
tive cognitions in a more positive light (approaching positive and prevention goals contribute to individual differences in risk for
cognitive end states). More generally, promotion emphasizes pro- or protection against anxiety can provide valuable information to
moting goals and behaviors that result in gain/advancement (ap- theorists and clinicians alike. Therefore, this study investigated the
proaching positive end states). This focus on pursuing accomplish- associations among the three constructs, hypothesizing that (a)
ments and what is best for oneself may cause individuals to individuals with a history of stronger focus on promotion goals
habitually employ reappraisal more than suppression when chal- would show fewer anxiety symptoms, attributable in part to height-
lenged. Suppression, on the other hand, reflects disengagement ened use of reappraisal and dampened use of suppression; and (b)
from unpleasant emotions (avoiding negative feelings). More gen- individuals with a history of stronger focus on prevention goals
erally, prevention emphasizes preventing bad things from happen- would show more anxiety symptoms, attributable in part to height-
ing (avoiding negative circumstances). This focus on circumvent- ened use of suppression and dampened use of reappraisal (Model
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ing the consequences of unruly behavior and evading punishment 1). Because a reversal of the proposed direction of effects is
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may cause individuals to habitually employ suppression more than plausible in our cross-sectional study, we also tested two alterna-
reappraisal when challenged. tive models to rule out the possibility that: ER mediates the link
Research links approach orientation with more adaptive ER and from anxiety to RF (Model 2), or that RF mediates the link from
avoidance with less adaptive ER in anxiety-inducing situations ER to anxiety (Model 3). Moreover, because women exhibit higher
(Schutz, Benson, & Decuir-Gunby, 2008). Furthermore, reap- rates of anxiety than do men (Weinstock, 1999), and anxiety and
praisal and suppression have been used to operationalize approach emotion regulation appear to manifest in qualitatively different
(Moos, Brennan, Fondacaro, & Moos, 1990) and avoidance (Fau- ways across gender (Denkova, Dolcos, & Dolcos, 2012; Iordan,
erbach et al., 2009) coping, respectively, and reappraisal has been Dolcos, Denkova, & Dolcos, 2013), gender differences in the
found to be positively associated with other dimensions of ap- hypothesized process model were also examined.
proach coping (Ferguson & Cox, 1997). Thus, theory and research
suggest that having a promotion focus may be linked to more Method
reappraisal and less suppression because both promotion and re-
appraisal involve approach tendencies, whereas having a preven-
tion focus may be linked to more suppression and less reappraisal
Participants
because both prevention and suppression similarly involve avoid- Participants included 179 young to middle-aged adults drawn
ance tendencies. The use of suppression versus reappraisal may, in from a larger multimethod investigation of cognition, affect, and
turn, confer risk or resilience to anxiety, respectively. personality, who had complete data for measures in the current
study. Participants provided written informed consent and were
ER as a Mediator of the Regulatory Focus–Anxiety compensated with course credits or $10 per hour. No participants
Relationship were previously diagnosed with neurological, psychiatric, or per-
sonality disorders. Table 1 provides descriptive and psychometric
Using effective coping strategies to regulate emotions is critical information and intercorrelations among the measures. Independent-
for maintaining mental health when facing challenges, and deficits samples t tests revealed that women demonstrated significantly
in ER are intrinsic to many internalizing symptoms, which are higher levels of prevention and marginally higher levels of social
characterized by a lack of control amid strongly felt emotions anxiety.
(Gross, 2008). Broadly, deficits in ER have been linked to inter-
nalizing symptoms, such as anxiety (Aldao & Nolen-Hoeksema,
Measures
2012; Werner, Goldin, Ball, Heimberg, & Gross, 2011). Using
cognitive reappraisal to positively reframe how one thinks about Regulatory focus. Participants completed the Regulatory Fo-
negative/anxious emotions and situations (e.g., seeing worrying cus Questionnaire (RFQ; Higgins et al., 2001), which assesses
circumstances as stimulating challenges) rather than fixating on history of promotion (6 items; e.g., “How often have you accom-
the negative may be one way of dampening anxiety symptoms. plished things that got you ‘psyched’ to work even harder”) and
Using suppression to disengage from anxious feelings (e.g., to prevention (5 items; e.g., “How often did you obey rules and
avoid expressing worry/concern; disallowing engagement coping) regulations that were established by your parents?”). This scale
may exacerbate such feelings when the root causes and resulting shows high internal consistency and test–retest reliability, and
emotions go unaddressed. Indeed, research specifically links sup- factor analysis supports separate promotion and prevention factors
pression, but not reappraisal, with more negative emotions (Eh- (Higgins et al., 2001). Participants rated each item on a 5-point
ring, Tuschen-Caffier, Schnülle, Fischer, & Gross, 2010), anxiety scale ranging from “never or certainly false” to “often or certainly
(Aldao & Nolen-Hoeksema, 2012), and social anxiety (Werner et true.”
al., 2011). This study extends previous research by elucidating the Emotion regulation. Participants completed the Emotion
roles of both reappraisal and suppression in anxiety. Regulation Questionnaire (ERQ; Gross & John, 2003), which
In sum, there is an association between general approach/avoid- assesses habitual use of cognitive reappraisal (6 items; e.g., “I
ance motivation and anxiety, and deficits in regulating emotions control my emotions by changing the way I think about the
predict both general and social anxiety. Thus, it is possible that RF situation I am in”) and expressive suppression (4 items; e.g., “I
is related to individual differences in ER strategies, which account keep my emotions to myself”). This scale shows strong convergent
612 LLEWELLYN, DOLCOS, IORDAN, RUDOLPH, AND DOLCOS

Table 1
Descriptive Information and Intercorrelations Among the Variables

Descriptive information
Women (N ⫽ 110) Men (N ⫽ 69) Intercorrelations
Measures Range M (SD) Range M (SD) ␣ t 2 3 4 5 6
ⴱⴱ ⴱⴱ
1. Age (years) 18–38 22.65 (4.39) 13–31 22.28 (3.43) .61 — .03 .29 ⫺.25 ⫺.54ⴱⴱⴱ
2. Promotion 13–30 22.91 (3.60) 13–30 21.90 (4.23) .69 1.71 — .03 .29ⴱⴱ ⫺.25ⴱⴱ ⫺.54ⴱⴱⴱ
3. Prevention 8–25 18.33 (3.89) 6–24 15.86 (4.75) .81 3.80ⴱⴱⴱ ⫺.01 — .04 .14 ⫺.10
4. Reappraisal 13–42 30.49 (5.78) 12–42 29.07 (6.19) .79 1.65 .16 ⫺.16 — ⫺.12 ⫺.33ⴱⴱⴱ
5. Suppression 5–23 13.39 (5.19) 5–26 14.41 (5.11) .79 ⫺1.27 ⫺.38ⴱⴱ .15 ⫺.06 — .33ⴱⴱⴱ
6. Anxiety .65 ⫺.65ⴱⴱⴱ ⫺.09 ⫺.30ⴱ .38ⴱⴱ —
Trait anxiety 20–65 38.35 (8.93) 22–68 39.19 (10.19) .90 ⫺.58
Social anxiety 5–108 46.19 (22.88) 9–92 40.61 (19.59) .94 1.68^
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Note. Correlations above the diagonal are for women; correlations below the diagonal are for men.
^ p ⬍ .10. ⴱ p ⬍ .05. ⴱⴱ p ⬍ .01. ⴱⴱⴱ p ⬍ .001.

and discriminant validity and internal consistency, and factor anal- Square Error of Approximation (RMSEA), Akaika Information
ysis supports separate reappraisal and suppression factors (Ehring Criterion (AIC), and Browne-Cudeck Criterion (BCC). A good
et al., 2010; Gross & John, 2003). Participants rated each item on model fit is reflected by ␹2/df ratios below 3 (Kline, 1998), fit
a 7-point scale ranging from “strongly disagree” to “strongly indices above .90 (Bentler, 1990; Kline, 1998), RMSEA values
agree.” ⱕ.08, and minimum AIC and BCC values (Browne & Cudeck,
Anxiety. Using the trait anxiety subscale of the State–Trait 1993).
Anxiety Inventory (Spielberger, Gorsuch, & Lushene, 1970; 10
items; e.g., “I feel nervous and restless”), participants rated how Results
much each symptom generally describes them on a 4-point scale
ranging from “not at all” to “very much so.” Social anxiety was Multigroup comparison analyses revealed no significant differ-
assessed with the Liebowitz Social Anxiety Scale (Liebowitz, ences between the fit of the constrained and unconstrained models
1987). This measure lists common experiences related to perfor- for any individual path, ⌬␹s2(1) ⫽ .01–1.66, ns, suggesting that no
mance anxiety (13 items; e.g., giving a report to a group) and paths significantly differed across gender. Thus, we used the
social situations (11 items; e.g., going to a party) and has high constrained model for all subsequent analyses.
internal consistency, test–retest reliability, and good convergent
and discriminant validity (Baker, Heinrichs, Kim, & Hofmann, Mediation of Regulatory Focus and Anxiety by
2002). Participants rated their level of fear/anxiety in each situa- Emotion Regulation
tion on a 4-point scale ranging from “none” to “severe” and how
often they avoid the situation on a 4-point scale ranging from Figure 1 displays the constrained model with unstandardized
“never/0%” to “usually/67–100%.” These ratings yielded fear/ path coefficients and standard errors. Model 1 (the hypothesized
anxiety totals and avoidance totals for all items, r(177) ⫽ .80, p ⬍ model) showed a strong fit to the data, ␹2(10) ⫽ 4.98, ns, ␹2/df ⫽
.001, which were summed to obtain an overall rating of social .50, CFI ⫽ 1.00, IFI ⫽ 1.00, RMSEA ⫽ .00, AIC ⫽ 65.00,
anxiety. Because trait and social anxiety were significantly corre- BCC ⫽ 69.67. As expected, promotion was significantly associ-
lated, r(177) ⫽ .54, p ⬍ .001, and our predictions were the same ated with less anxiety, more reappraisal, and less suppression;
across these dimensions of anxiety, a composite anxiety score was prevention was significantly associated with more suppression.
calculated by standardizing and averaging scores from both mea- Reappraisal and suppression were significantly associated with
sures. less and more anxiety, respectively. Sobel tests conducted to
examine the hypothesized pathways from RF to anxiety (Sobel,
1982) revealed significant indirect effects of promotion on anxiety
Analytic Overview
through reappraisal (IE ⫽ ⫺.01, Z ⫽ ⫺2.26, p ⬍ .05) and
Path analyses were conducted using AMOS Version 19.0 (Ar- suppression (IE ⫽ ⫺.01, Z ⫽ ⫺2.43, p ⬍ .05). Together, the effect
buckle, 2010). AMOS uses the full information maximum likeli- proportion (IE/TE) was .17, indicating that ER accounted for 17%
hood estimation method to handle missing data (Arbuckle, 1983), of the total effect of promotion on anxiety. The indirect effect of
which estimates parameters using all available data (Schafer & prevention on anxiety through suppression was marginally signif-
Graham, 2002). All constructs were represented by manifest vari- icant (IE ⫽ .01, Z ⫽ 1.70, p ⬍ .10).
ables. A series of multigroup comparison analyses was conducted Although Model 2 provided a good fit to the data, ␹2(10) ⫽
to compare the fit of a constrained model (in which paths were set 8.90, ns, ␹2/df ⫽ .89, CFI ⫽ 1.00, IFI ⫽ 1.00, RMSEA ⫽ .00,
to be equal across gender) with multiple unconstrained models (in AIC ⫽ 68.90, BCC ⫽ 73.59, paths from anxiety and reappraisal to
which each path was sequentially allowed to vary across gender). prevention, and from reappraisal and suppression to promotion,
To determine the model fit, we examined the ␹2/df ratio, Compar- were nonsignificant and no significant indirect effects were found.
ative Fit Index (CFI), Incremental Fit Index (IFI), Root Mean Model 3 also provided a good fit to the data, ␹2(10) ⫽ 6.3, ns,
REGULATORY FOCUS, EMOTION REGULATION, AND ANXIETY 613

Reappraisal
.37*** (.11)
-.03** (.01)
-.06 (.10)
Promotion
-.11*** (.01)

.26 (1.16) -.52 (2.08) Anxiety


-.41*** (.09) -.01 (.01)

Prevention
.03** (.01)
.18* (.09)
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Suppression

Figure 1. Unstandardized path coefficients for the hypothesized Model 1. ⴱⴱ p ⬍ .01. ⴱⴱⴱ p ⬍ .001.
Nonsignificant paths are indicated by dotted lines. Note: The alternative path models reverse directions of
effect from anxiety to emotion regulation (ER) and regulatory focus (RF; Model 2), and from ER to RF to
Anxiety (Model 3).

␹2/df ⫽ .63, CFI ⫽ 1.00, IFI ⫽ 1.03, RMSEA ⫽ .00, AIC ⫽ different in the way they utilize reappraisal and suppression or in
66.26, BCC ⫽ 71.0, and exhibited significant indirect effects of the way ER strategies are associated with anxiety. Although
reappraisal (IE ⫽ ⫺.02, Z ⫽ ⫺2.58, p ⬍ .01) and suppression women reported higher levels of prevention and social anxiety,
(IE ⫽ .02, Z ⫽ 2.23, p ⬍ .05) on anxiety through promotion. these differences were modest.
However, AIC and BCC values were higher for both alternatives Although our study contributes important novel information, it
indicating weaker and less parsimonious fits compared to the also has some limitations. Although our study clarifies the asso-
hypothesized Model 1. ciations among RF, ER and vulnerability to anxiety symptoms, it
provides a static view. To support the hypothesized sequential
Discussion network of associations, it would be ideal to examine the proposed
pathway longitudinally, measuring changes in anxiety symptoms
The current study elucidates the roles of RF and ER in the risk
across time and accounting for cognitive bias in the reporting of
for anxiety symptoms in adults. Promotion goal orientation was
lifetime RF orientation and ER style. Although it is plausible that
positively associated with adaptive reappraisal and negatively as-
anxious individuals are biased toward reporting both maladaptive
sociated with maladaptive suppression and anxiety; moreover re-
ER strategies and dampened lifetime promotion orientation, we
appraisal and suppression partially mediated the association be-
view this possibility as unlikely given that Model 2 did not yield
tween promotion and anxiety. Collectively, these results provide
support for our hypothesized model in that the use of more reap- significant effects. Moreover, our measure of RF is designed to be
praisal and less suppression by promotion-oriented people may be more retrospective and trait-like in nature, whereas our measures
one reason they show lower levels of trait and social anxiety. Our of ER and anxiety are more current and state-like. The fact that
results indicate partial mediation through ER, suggesting there are Model 3 showed significant effects from ER to anxiety through
additional processes that explain the association between RF and promotion, although with a weaker fit than the hypothesized
anxiety. model, highlights the need for further longitudinal research to
Contrary to our expectations, prevention was not directly linked confirm the direction of effect. However, this finding also raises
to anxiety symptoms, although there was a marginally significant the intriguing prospect that feedback loops, influenced by life
indirect effect of prevention on anxiety through suppression. In- experiences, may extend the observed hypothesized pathway to a
dividuals higher in prevention were more likely to utilize suppres- cyclical one. That is, the healthy psychological adjustment that
sion, but not less likely to utilize reappraisal. The fact that pre- results from promotion focus and adaptive ER may itself create
vention was associated with maladaptive ER likely means that positive life experiences, fostering opportunities to cultivate a
prevention-oriented individuals are at greater risk for internalizing promotion (moving toward positive goals), rather than prevention
symptoms (Aldao & Nolen-Hoeksema, 2012), but the adequate use orientation, and further reducing risk for anxiety. Alternatively,
of adaptive reappraisal may dampen the adverse effects of sup- following adverse experiences, maladaptive ER that results from
pression, rendering them less susceptible to anxiety symptoms prevention focus may lead back to more focus on preventing such
overall. Despite evidence that anxiety and ER differ between men worrisome life circumstances.
and women with regard to prevalence and presentation, we found A second limitation is our reliance on self-report measures,
no significant gender differences in our model. This finding sug- which may create biases in reporting. Although some aspects of
gests than men and women with particular goal orientations are not RF and ER are not expected to be observable by a third party
614 LLEWELLYN, DOLCOS, IORDAN, RUDOLPH, AND DOLCOS

(expressive suppression, in particular), composite reports of the Elliot, A. J., & Thrash, T. M. (2002). Approach-avoidance motivation in
more accessible aspects could provide a more objective picture of personality: Approach and avoidance temperaments and goals. Journal
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Gray, J. A. (1981). A critique of Eysenck’s theory of personality. In H. J.


ates approach orientation with fewer internalizing problems (Co-
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