Emotional self-regulation
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Emotional self-regulation or emotion regulation is the ability to respond to the ongoing demands of
Emotion regulation is a complex process that involves initiating, inhibiting, or modulating one's state or behavior in a given situation — for example, the subjective experience (feelings), cognitive responses (thoughts), emotion-related physiological responses (for example heart rate or hormonal activity), and emotion-related behavior (bodily actions or expressions). Functionally, emotion regulation can also refer to processes such as the tendency to focus one's attention to a task and the ability to suppress inappropriate behavior under instruction. Emotion regulation is a highly significant function in human life.
Every day, people are continually exposed to a wide variety of potentially arousing stimuli. Inappropriate, extreme or unchecked emotional reactions to such stimuli could impede functional fit within society; therefore, people must engage in some form of emotion regulation almost all of the time.[6] Generally speaking, emotion dysregulation has been defined as difficulties in controlling the influence of emotional arousal on the organization and quality of thoughts, actions, and interactions.[7] Individuals who are emotionally dysregulated exhibit patterns of responding in which there is a mismatch between their goals, responses, and/or modes of expression, and the demands of the social environment.[8] For example, there is a significant association between emotion dysregulation and symptoms of depression, anxiety, eating pathology, and substance abuse.[9][10] Higher levels of emotion regulation are likely to be related to both high levels of social competence and the expression of socially appropriate emotions.[11][12]
Theory
Process model
The process model of emotion regulation is based upon the modal model of emotion. The modal model of emotion suggests that the emotion generation process occurs in a particular sequence over time. This sequence occurs as follows:
- Situation: the sequence begins with a situation (real or imagined) that is emotionally relevant.
- Attention: attention is directed towards the emotional situation.
- Appraisal: the emotional situation is evaluated and interpreted.
- Response: an emotional response is generated, giving rise to loosely coordinated changes in experiential, behavioral, and physiological response systems.
Because an emotional response (4.) can cause changes to a situation (1.), this model involves a feedback loop from (4.) Response to (1.) Situation. This feedback loop suggests that the emotion generation process can occur recursively, is ongoing, and dynamic.[13]
The process model contends that each of these four points in the emotion generation process can be subjected to regulation. From this conceptualization, the process model posits five different families of emotion regulation that correspond to the regulation of a particular point in the emotion generation process. They occur in the following order:[14]
- Situation selection
- Situation modification
- Attentional deployment
- Cognitive change
- Response modulation
The process model also divides these emotion regulation strategies into two categories: antecedent-focused and response-focused. Antecedent-focused strategies (i.e., situation selection, situation modification, attentional deployment, and cognitive change) occur before an emotional response is fully generated. Response-focused strategies (i.e., response modulation) occur after an emotional response is fully generated.[15]
Strategies
Situation selection
Situation selection is an emotional regulation strategy that involves choosing to avoid or approach a future emotional situation.[16] If a person selects to avoid or disengage from an emotionally relevant situation, they are decreasing the likelihood of experiencing an emotion. Alternatively, if a person selects to approach or engage with an emotionally relevant situation, they are increasing the likelihood of experiencing an emotion.[14]
Typical examples of situation selection may be seen interpersonally, such as when a parent removes his or her child from an emotionally unpleasant situation.[17] Use of situation selection may also be seen in psychopathology. For example, avoidance of social situations to regulate emotions is particularly pronounced for those with social anxiety disorder[18] and avoidant personality disorder.[19]
Effective situation selection is not always an easy task. For instance, humans display difficulties predicting their emotional responses to future events. Therefore, they may have trouble making accurate and appropriate decisions about which emotionally relevant situations to approach or to avoid.[20]
Situation modification
Situation modification involves efforts to modify a situation so as to change its emotional impact.[14] Situation modification refers specifically to altering one's external, physical environment. Altering one's "internal" environment to regulate emotion is called cognitive change.[13]
Examples of situation modification may include injecting humor into a speech to elicit laughter[21] or extending the physical distance between oneself and another person.[22]
Attentional deployment
Attentional deployment involves directing one's attention towards or away from an emotional situation.[14]
Distraction
Distraction, an example of attentional deployment, is an early selection strategy, which involves diverting one's attention away from an emotional stimulus and towards other content.[23] Distraction has been shown to reduce the intensity of painful[24] and emotional experiences,[25] to decrease facial responding and neural activation in the amygdala associated with emotion,[25][26] as well as to alleviate emotional distress.[27] As opposed to reappraisal, individuals show a relative preference to engage in distraction when facing stimuli of high negative emotional intensity. This is because distraction easily filters out high-intensity emotional content, which would otherwise be relatively difficult to appraise and process.[28]
Rumination
Rumination, an example of attentional deployment,[19] is defined as the passive and repetitive focusing of one's attention on one's symptoms of distress and the causes and consequences of these symptoms. Rumination is generally considered a maladaptive emotion regulation strategy, as it tends to exacerbate emotional distress. It has also been implicated in a host of disorders including major depression.[29]
Worry
Thought suppression
Thought suppression, an example of attentional deployment, involves efforts to redirect one's attention from specific thoughts and mental images to other content so as to modify one's emotional state.
Cognitive change
Cognitive change involves changing how one appraises a situation so as to alter its emotional meaning.[14]
Reappraisal
Reappraisal, an example of cognitive change, is a late selection strategy, which involves a change of the meaning of an event that alters its emotional impact.[14][33] It encompasses different substrategies, such as positive reappraisal (creating and focusing on a positive aspect of the stimulus),[34] decentering (reinterpreting an event by broadening one's perspective to see "the bigger picture"),[35] or fictional reappraisal (adopting or emphasizing the belief that event is not real, that it is for instance "just a movie" or "just my imagination").[36] Reappraisal has been shown to effectively reduce physiological,[37] subjective,[15] and neural[38] emotional responding. As opposed to distraction, individuals show a relative preference to engage in reappraisal when facing stimuli of low negative emotional intensity because these stimuli are relatively easy to appraise and process.[28]
Reappraisal is generally considered to be an adaptive emotion regulation strategy. Compared to suppression (including both thought suppression and expressive suppression), which is positively correlated with many psychological disorders,[9] reappraisal can be associated with better interpersonal outcomes, and can be positively related to well-being.[39] However, some researchers argue that context is important when evaluating the adaptiveness of a strategy, suggesting that in some contexts reappraisal may be maladaptive.[40] Furthermore, some research has shown reappraisal does not influence affect or physiological responses to recurrent stress.[41]
Distancing
Distancing, an example of cognitive change, involves taking on an independent, third-person perspective when evaluating an emotional event.[42] Distancing has been shown to be an adaptive form of self-reflection, facilitating the emotional processing of negatively valenced stimuli,[43] reducing emotional and cardiovascular reactivity to negative stimuli, and increasing problem-solving behavior.[44]
Humour
Humour, an example of cognitive change, has been shown to be an effective emotion regulation strategy. Specifically, positive, good-natured humour has been shown to effectively up-regulate positive emotion and down-regulate negative emotion. On the other hand, negative, mean-spirited humour is less effective in this regard.[45]
Response modulation
Response modulation involves attempts to directly influence experiential, behavioral, and physiological response systems.[14]
Expressive suppression
Expressive suppression, an example of response modulation, involves inhibiting emotional expressions. It has been shown to effectively reduce facial expressivity, subjective feelings of positive emotion, heart rate, and sympathetic activation. However, the research findings are mixed regarding whether this strategy is effective for down-regulating negative emotion.[46] Research has also shown that expressive suppression may have negative social consequences, correlating with reduced personal connections and greater difficulties forming relationships.[47]
Expressive suppression is generally considered to be a maladaptive emotion regulation strategy. Compared to reappraisal, it is positively correlated with many psychological disorders,[9] associated with worse interpersonal outcomes, is negatively related to well-being,[39] and requires the mobilization of a relatively substantial amount of cognitive resources.[48] However, some researchers argue that context is important when evaluating the adaptiveness of a strategy, suggesting that in some contexts suppression may be adaptive.[40]
Drug use
Exercise
Exercise, an example of response modulation, can be used to down-regulate the physiological and experiential effects of negative emotions.[13] Regular physical activity has also been shown to reduce emotional distress and improve emotional control.[50]
Sleep
In psychotherapy
Emotion regulation strategies are taught, and emotion regulation problems are treated, in a variety of
For example, a relevant mnemonic formulated in DBT is "ABC PLEASE":[55]
- Accumulate positive experiences.
- Build mastery by being active in activities that make one feel competent and effective to combat helplessness.
- Cope ahead, preparing an action plan, researching, and rehearsing (with a skilled helper if necessary).
- Physical illness treatment and prevention through checkups.
- Low vulnerability to diseases, managed with health care professionals.
- Eating healthy.
- Avoiding (non-prescribed) mood-altering drugs.
- Sleep healthy.
- Exercise regularly.
Developmental process
Infancy
Intrinsic emotion regulation efforts during
Extrinsic emotion regulation efforts by caregivers, including situation selection, modification, and distraction, are particularly important for infants.
Recent evidence supports the idea that maternal singing has a positive effect on affect regulation in infants.[68] Singing play-songs, such as "The Wheels on the Bus" or "She'll Be Coming 'Round the Mountain" have a visible affect-regulatory consequence of prolonged positive affect and even alleviation of distress. In addition to proven facilitation of social bonding, when combined with movement and/or rhythmic touch, maternal singing for affect regulation has possible applications for infants in the NICU and for adult caregivers with serious personality or adjustment difficulties.
Toddler-hood
By the end of the first year, toddlers begin to adopt new strategies to decrease negative arousal. These strategies can include rocking themselves, chewing on objects, or moving away from things that upset them.[69] At two years, toddlers become more capable of actively employing emotion regulation strategies.[57] They can apply certain emotion regulation tactics to influence various emotional states.[65] Additionally, maturation of brain functioning and language and motor skills permits toddlers to manage their emotional responses and levels of arousal more effectively.[70]
Extrinsic emotion regulation remains important to emotional development in toddlerhood. Toddlers can learn ways from their caregivers to control their emotions and behaviors.[69] For example, caregivers help teach self-regulation methods by distracting children from unpleasant events (like a vaccination shot) or helping them understand frightening events.[2]
Childhood
Emotion regulation knowledge becomes more substantial during childhood. For example, children aged six to ten begin to understand display rules. They come to appreciate the contexts in which certain emotional expressions are socially most appropriate and therefore ought to be regulated. For example, children may understand that upon receiving a gift they should display a smile, irrespective of their actual feelings about the gift.[71] During childhood, there is also a trend towards the use of more cognitive emotion regulation strategies, taking the place of more basic distraction, approach, and avoidance tactics.[72]
Regarding the development of emotion dysregulation in children, one robust finding suggests that children who are frequently exposed to negative emotion at home will be more likely to display, and have difficulties regulating, high levels of negative emotion.[73][74][75][76]
Adolescence
Adolescents show a marked increase in their capacities to regulate their emotions, and emotion regulation decision making becomes more complex, depending on multiple factors. In particular, the significance of interpersonal outcomes increases for adolescents. When regulating their emotions, adolescents are therefore likely to take into account their social context.[8] For instance, adolescents show a tendency to display more emotion if they expect a sympathetic response from their peers.[77]
Additionally, spontaneous use of cognitive emotion regulation strategies increases during adolescence, which is evidenced both by self-report data[78] and neural markers.[79]
Adulthood
Social losses increase and health tends to decrease as people age. As people get older their motivation to seek emotional meaning in life through social ties tends to increase.[80] Autonomic responsiveness decreases with age, and emotion regulation skill tends to increase.[81]
Emotional regulation in adulthood can also be examined in terms of positive and negative affectivity.[82] Positive and negative affectivity refers to the types of emotions felt by an individual as well as the way those emotions are expressed.[82] With adulthood comes an increased ability to maintain both high positive affectivity and low negative affectivity “more rapidly than adolescents.”[83] This response to life's challenges seems to become “automatized” as people progress throughout adulthood.[83] Thus, as individuals age, their capability of self-regulating emotions and responding to their emotions in healthy ways improves.[83]
Additionally, emotional regulation may vary between young adults and older adults. Younger adults have been found to be more successful than older adults in practicing “cognitive reappraisal” to decrease negative internal emotions.[84] On the other hand, older adults have been found to be more successful in the following emotional regulation areas:[84]
- Predicting the level of “emotional arousal” in possible situations
- Having a higher focus on positive information rather than negative
- Maintaining healthy levels of “hedonic well-being” (subjective well-being based on increased pleasure and decreased pain)
Overview of perspectives
Neuropsychological perspective
Affective
As people age, their affect – the way they react to emotions – changes, either positively or negatively. Studies show that positive affect increases as a person grows from adolescence to their mid 70s. Negative affect, on the other hand, decreases until the mid 70s. Studies also show that emotions differ in adulthood, particularly affect (positive or negative). Although some studies found that individuals experience less affect as they grow older, other studies have concluded that adults in their middle age experience more positive affect and less negative affect than younger adults. Positive affect was also higher for men than women while the negative affect was higher for women than it was for men and also for single people. A reason that older people – middle adulthood – might have less negative affect is because they have overcome, "the trials and vicissitudes of youth, they may increasingly experience a more pleasant balance of affect, at least up until their mid-70s". Positive affect might rise during middle age but towards the later years of life – the 70s – it begins to decline while negative affect also does the same. This might be due to failing health, reaching the end of their lives and the death of friends and relatives.[85]
In addition to
Neurological
The development of functional
Sociological
People intuitively mimic
This notion would give rise to the belief that a person may not only control his emotion but in fact influence them as well. Emotion regulation focuses on providing the appropriate emotion in the appropriate circumstances. Some theories allude to the thought that each emotion serves a specific purpose in coordinating organismic needs with environmental demands (Cole, 1994). This skill, although apparent throughout all nationalities,[93] has been shown to vary in successful application at different age groups. In experiments done comparing younger and older adults to the same unpleasant stimuli, older adults were able to regulate their emotional reactions in a way that seemed to avoid negative confrontation.[96] These findings support the theory that with time people develop a better ability to regulate their emotions. This ability found in adults seems to better allow individuals to react in what would be considered a more appropriate manner in some social situations, permitting them to avoid adverse situations that could be seen as detrimental.
Expressive regulation (in solitary conditions)
In solitary conditions, emotion regulation can include a minimization-miniaturization effect, in which common outward expressive patterns are replaced with toned down versions of expression. Unlike other situations, in which physical expression (and its regulation) serve a social purpose (i.e. conforming to display rules or revealing emotion to outsiders), solitary conditions require no reason for emotions to be outwardly expressed (although intense levels of emotion can bring out noticeable expression anyway). The idea behind this is that as people get older, they learn that the purpose of outward expression (to appeal to other people), is not necessary in situations in which there is no one to appeal to.[97] As a result, the level of emotional expression can be lower in these solitary situations.
Stress
The way an individual reacts to stress can directly overlap with their ability to regulate emotion.[98] Although the two concepts differ in a multitude of ways, "both coping [with stress] and emotion regulation involve affect modulation and appraisal processes" that are necessary for healthy relationships and self-identity.[99]
According to Yu. V. Shcherbatykh, emotional stress in situations like school examinations can be reduced by engaging in self-regulating activities prior to the task being performed. To study the influence of
In the moments before the examination,
Emotion regulation has also been associated with physiological responses to stress during laboratory stress paradigms.[101]
Decision making
Identification of our emotional self-regulating process can facilitate in the decision-making process.[102] Current literature on emotion regulation identifies that humans characteristically make efforts in controlling emotion experiences.[103] There is then a possibility that our present state emotions can be altered by emotion regulation strategies resulting in the possibility that different regulation strategies could have different decision implications.
Digital emotion regulation
Following widespread adoption in the 21st century of digital devices and services for use in everyday life, evidence is mounting that people are increasingly using these tools to manage and regulate moods and emotions.[104] A wide range of digital resources are used for emotion regulation including smartphones,[105] social media,[106] streaming services,[107] online shopping,[108] and videogames.[109] Such spontaneous forms of digital emotion regulation can be distinguished from the use of digital interventions such as smartphone apps that have been explicitly designed to support emotional regulation or teach emotion regulation skills in clinical and non-clinical populations.[110] Digital implementation of emotion regulation strategies can occur at all stages of the process model and in all strategy families, including interpersonal emotion regulation.[111]
Effects of low self-regulation
With a failure in emotion regulation, there is a rise in psychosocial and emotional dysfunctions[112] caused by traumatic experiences due to an inability to regulate emotions.[113] These traumatic experiences typically happen in grade school and are sometimes associated with bullying. Children who can't properly self-regulate express their volatile emotions in a variety of ways, including screaming if they don't have their way, lashing out with their fists, throwing objects (such as chairs), or bullying other children. Such behaviors often elicit negative reactions from the social environment, which, in turn, can exacerbate or maintain the original regulation problems over time, a process termed cumulative continuity. These children are more likely to have conflict-based relationships with their teachers and other children. This can lead to more severe problems such as an impaired ability to adjust to school and predicts school dropout many years later. Children who fail to properly self-regulate grow as teenagers with more emerging problems. Their peers begin to notice this "immaturity", and these children are often excluded from social groups and teased and harassed by their peers. This "immaturity" certainly causes some teenagers to become social outcasts in their respective social groups, causing them to lash out in angry and potentially violent ways. Being teased or being an outcast in childhood is especially damaging because it could lead to psychological symptoms such as depression and anxiety (in which dysregulated emotions play a central role), which, in turn, could lead to more peer victimization.[114] This is why it is recommended to foster emotional self-regulation in children as early as possible.
Occupational therapy in schools
Occupational therapists (OTs) are integrated educators in most public and private schools across the United States. They are trained in mental health and activity analysis to assess the needs of their clients. OTs and students work together to create meaningful and healthy habits for stress management, social skills, emotional labeling, coping strategies, awareness, problem-solving, self-monitoring, judgment, emotional control, and others in the school and home environment.[115][116] OTs can complete formal assessments for emotional regulation and treat in a client-centered manner for each student.[116] In addition, they can create individualized home programs for carryover with their families. For example, OTs can work with students to engage in the occupational therapist-developed curriculum The Zones of Regulation,[117] which utilizes evidence-based knowledge, formal assessment, and in-classroom treatment to improve self-regulation of emotional behaviors and create long-lasting changes in habits.
Early childhood access to education on emotional regulation mitigates risk factors for increased anxiety, depression, and negative behaviors. It allows the student to create healthy habits for school and home environments.[116] Children should be able to learn to regulate their feelings for full participation in activities, including social skills, play, sports, and school.
See also
- Affect labeling
- Compassion
- Coping (psychology)
- Coping planning
- Distress tolerance
- Empathic concern
- Empathy
- Interpersonal emotion regulation
- Life skills
- Objectivity (philosophy)
- Rationality
- Self-control
- Self-regulation theory
- Social connection
- Social neuroscience
- Stress management
- Occupational therapy
References
- PMID 7984169.
- ^ PMID 7984164.
- S2CID 565189.
- S2CID 31507777.
- .
- S2CID 145107160.
- ^ "What Is Emotional Dysregulation?". WebMD. Retrieved 7 July 2021.
- ^ S2CID 8662305.
- ^ S2CID 14248740.
- PMID 20591413.
- PMID 10218264.
- ^ Pulkkinen, L. (1982). Self-control and continuity from childhood to late adolescence. In P. B. Bakes & O. Brim Jr. (Eds.), Life-span development and behavior (Vol. 4, pp. 63-105). New York: Academic Press.
- ^ a b c d Gross, J. J. & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of Emotion Regulation (pp. 3-24). New York: Guilford Press.
- ^ S2CID 6236938.
- ^ S2CID 3031566.
- PMID 32770450.
- S2CID 6467799.
- .
- ^ a b c d e f Campbell-Sills, L. & Barlow, D. H. (2007). Incorporating emotion regulation into conceptualizations and treatments of anxiety and mood disorders. In J. J. Gross (Ed.), Handbook of Emotion Regulation (pp. 542-559). New York: Guilford Press.
- ^ Loewenstein, G. (2007). Affect regulation and affective forecasting. In J. J. Gross (Ed.), Handbook of Emotion Regulation (pp.180-203). New York: Guilford Press.
- PMID 9455720.
- ^ Edelmann, R. J.; Iwawaki, S. (1987). "Self-reported expression and consequences of embarrassment in the United Kingdom and Japan". Psychologia. 30 (4): 205–216.
- S2CID 637723.
- PMID 16908493.
- ^ PMID 20141309.
- PMID 21041200.
- .
- ^ S2CID 5283764.
- S2CID 6415609.
- PMID 6830571.
- PMID 2183759.
- PMID 7861307.
- PMID 21500912.
- PMID 24661162.
- S2CID 33850126.
- S2CID 58591122.
- PMID 10934910.
- S2CID 16146101.
- ^ S2CID 20541103.
- ^ S2CID 13845576.
- S2CID 231804264.
- PMID 25425765.
- PMID 19013553.
- PMID 20438226.
- S2CID 1173305.
- PMID 21361967.
- S2CID 18315833.
- S2CID 146595050.
- ^ Sher, K. J. & Grekin, E. R. (2007). Alcohol and affect regulation. In J. J. Gross (Ed.), Handbook of Emotion Regulation (pp. 560-580). New York: Guilford Press.
- PMID 17032494.
- ^ S2CID 313685.
- PMID 25697832.
- PMID 18835479.
- OCLC 319318901.
- OCLC 883366057.
- ^ Derryberr, D., & Rothbart, M. K. (2001). Early temperament and emotional development. In A. F. Kalverboer & A. Gramsbergen (Eds.), Handbook of Brain and Behavior in Human Development (pp. 967-988). Dordrecht, The Netherlands: Kluwer Academic.
- ^ a b Rothbart, M., Ziaie, H., & O'Boyle, C. (1992). Self-regulation and emotion in infancy. In N. Eisenberg, & R. Fabes (Eds.), Emotion and Its Regulation in Early Development (pp. 7-23). San Francisco: Jossey-Bass/Pfeiffer.
- PMID 3956316.
- PMID 11480936.
- .
- S2CID 18870683.
- PMID 33451203.
- PMID 9586212.
- ^ Bridges, L.J.; Grolnick, W.S. (1995). "The development of emotional self-regulation in infancy and early childhood". Social Development. 15: 185–211.
- ^ a b Calkins, S. D., & Hill, A. (2007). Caregiver influence on emerging emotion regulation: Biological and environmental transactions in early development. In J. J. Gross (Ed.), Handbook of Emotion Regulation (pp. 229-248). New York: Guilford Press.
- ^ Sroufe, L. A. (1996). Emotional development: The organization of emotional life in the early years. New York: Cambridge University Press.
- PMID 11333079.
- S2CID 39093993.
- ^ .
- ^ Rueda, M. R., Posner, M. I., & Rothbart, M. K. (2004). Attentional control and self-regulation. In R. F. Baumeister & K. D. Vohs (Eds.), Handbook of self-regulation: Research, theory, and applications (pp. 283-300). New York: Guilford Press.
- .
- ^ Stegge, H. & Terwog, M. M. (2007). Awareness and regulation of emotion in typical and atypical development. In J. J. Gross (Ed.), Handbook of Emotion Regulation (pp. 269-286). New York: Guilford Press.
- PMID 14979757.
- PMID 11333082.
- PMID 12361317.
- PMID 14992613.
- PMID 8706538.
- .
- PMID 19765880.
- S2CID 143149171.
- S2CID 146528874.
- ^ PMID 10467897.
- ^ S2CID 34423670.
- ^ S2CID 1400335.
- S2CID 145494340.
- .
- ^ Ruef, Anna Marie; Levenson, Robert W. Coan, James A. (Ed); Allen, John J. B. (Ed) "Continuous measurement of emotion: The affect rating dial" (2007). Handbook of emotion elicitation and assessment. Series in affective science., New York, NY, US: Oxford University Press, pp. 287–297.
- S2CID 3795249.
- S2CID 22933500.
- S2CID 245266740.
- S2CID 52918820.
- S2CID 9857157.
- ^ S2CID 16073381.
- S2CID 14801813.
- S2CID 2627544.
- PMID 18808240.
- PMID 14700461.
- S2CID 214616457.
- S2CID 144146368.
- ^ S2CID 36985305.
- S2CID 244491171.
- S2CID 18194230.
- PMID 12212647.
- S2CID 215412759.
- S2CID 150551972.
- ^ Blumberg, F.; Rice, J.; Dickmeis, A. (2016). "Social media as a venue for emotion regulation among adolescents". In Tettegah, Sharon (ed.). Emotions, Technology, and Social Media. Elsevier, Amsterdam. pp. 105–116.
- S2CID 16187524.
- S2CID 143290039.
- S2CID 4701955.
- S2CID 247922819.
- S2CID 248419517.
- S2CID 6671293.
- S2CID 13664483.
- PMID 20304490.
- ^ "Emotional Regulation and Executive Function". 8 July 2021.
- ^ a b c https://research.aota.org/ajot/article/77/2/7702090010/24067/Health-Promotion-and-Wellness-for-All-Students?searchresult=1 [bare URL]
- ^ Mutter, Carly (April 2016). "The Use of the Zones of Regulation® in an Elementary School: Student and Teacher Perceptions". Occupational Therapy: Student Scholarship & Creative Works.