Emotion Regulation Flexibility and Electronic Patient-Reported Outcomes: A Framework for Understanding Symptoms and Affect Dynamics in Pediatric Psycho-Oncology
Abstract
:Simple Summary
Abstract
1. Introduction
2. What Are Electronic Patient-Reported Outcomes?
3. Electronic Patient-Reported Outcomes in Pediatric Cancer and Psycho-Oncology
4. Current Emotion Regulation Frameworks in Psycho-Oncology
5. Emotion Regulation Flexibility and Affect Dynamics: An Alternative Model
6. Assessing Emotion Regulation Strategies, Processes and Conditions through ePRO
7. The Use of ePRO for Process Monitoring and Early Warning Signals: A Metatheory
8. Summary: Benefits and Drawbacks
9. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Context-Sensitive Condition | Adaptiveness of Emotion Regulation Strategies Depending on Contextual Relevance | |
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Situation A: Low Degree | Situation B: High Degree | |
Controllability within a situation | Reframing and reappraisal during chemotherapy nausea (“Nausea means therapy is working.”) | Resilience and tenacity during convalescence and rehabilitation (“I will keep pushing!”) |
Interpersonal context | Suppressing shame in front of physicians during rounds (“Be courageous. The examination will be over any second.”) | Emotional disclosure and social support when experiencing injustice (“Why me? It makes me so angry! I want to talk to mom about this.”) |
Emotional intensity | Distraction and attentional shifting during puncture (“I will look at the decorated wall and not at the syringe.”) | Acceptance and tolerance of grief in palliative care (“It is fine. Embracing sadness can be liberating.”) |
Number of stressors | Nonjudgmental awareness of emotions and mindfulness (“My mind feels scattered. I will focus on my breathing for a moment.”) | Problem-solving, such as scheduling demands during different stages (“I will partake in the online class after physical therapy.”) |
Regulatory goals | Inhibiting negative emotions (“I don’t want to feel nauseous after radiation today.”) | Activating positive emotions while inhibiting negative emotions (“I want to feel happy eating ice cream after radiation and not feel nauseous.”) |
Strengths | Weaknesses | Opportunities | Threats |
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Mirzaie, K.; Burns-Gebhart, A.; Meyerheim, M.; Sander, A.; Graf, N. Emotion Regulation Flexibility and Electronic Patient-Reported Outcomes: A Framework for Understanding Symptoms and Affect Dynamics in Pediatric Psycho-Oncology. Cancers 2022, 14, 3874. https://doi.org/10.3390/cancers14163874
Mirzaie K, Burns-Gebhart A, Meyerheim M, Sander A, Graf N. Emotion Regulation Flexibility and Electronic Patient-Reported Outcomes: A Framework for Understanding Symptoms and Affect Dynamics in Pediatric Psycho-Oncology. Cancers. 2022; 14(16):3874. https://doi.org/10.3390/cancers14163874
Chicago/Turabian StyleMirzaie, Kasra, Anna Burns-Gebhart, Marcel Meyerheim, Annette Sander, and Norbert Graf. 2022. "Emotion Regulation Flexibility and Electronic Patient-Reported Outcomes: A Framework for Understanding Symptoms and Affect Dynamics in Pediatric Psycho-Oncology" Cancers 14, no. 16: 3874. https://doi.org/10.3390/cancers14163874