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Experimental manipulation of emotion regulation changes mothers’ physiological and facial expressive responses to infant crying

This study examined whether instructing mothers to apply emotion regulation strategies can change mothers’ perception and reactivity to infant crying in an experimental within-subject design. Perception of crying, skin conductance level (SCL), facial expressivity, and intended caregiving responses to cry sounds were measured in mothers (N = 101, M = 30.88 years) who received suppression, reappraisal, and no emotion regulation instructions. Reappraisal resulted in lower SCL during exposure to crying and a less negative perception of crying compared to the suppression condition. In contrast, suppression resulted in increased facial expressions of sadness compared to the control condition. Thus, simple instructions on how to reframe thoughts about crying can change mothers’ perception of and reactivity to crying.

From threat to challenge—Improving medical students’ stress response and communication skills performance through the combination of stress arousal reappraisal and preparatory worked example-based learning when breaking bad news to simulated patients: study protocol for a randomized controlled trial

Breaking bad news (BBN; e.g., delivering a cancer diagnosis) is perceived as one of the most demanding communication tasks in the medical field and associated with high levels of stress. Physicians’ increased stress in BBN encounters can negatively impact their communication performance, and in the long term, patient-related health outcomes. Although a growing body of literature acknowledges the stressful nature of BBN, little has been done to address this issue. Therefore, there is a need for appropriate tools to help physicians cope with their stress response, so that they can perform BBN at their best. In the present study, we implement the biopsychosocial model of challenge and threat as theoretical framework. According to this model, the balance between perceived situational demands and perceived coping resources determines whether a stressful performance situation, such as BBN, is experienced as challenge (resources > demands) or threat (resources < demands). Using two interventions, we aim to support medical students in shifting towards challenge-oriented stress responses and improved communication performance: (1) stress arousal reappraisal (SAR), which guides individuals to reinterpret their stress arousal as an adaptive and beneficial response for task performance; (2) worked examples (WE), which demonstrate how to BBN in a step-by-step manner, offering structure and promoting skill acquisition.