A systematic review and meta-analysis of the association between expressive suppression and positive affect

Clin Psychol Rev. 2021 Aug:88:102068. doi: 10.1016/j.cpr.2021.102068. Epub 2021 Jul 14.

Abstract

People differ in their self-reported propensities to experience positive affect (PA). Even those prone to internalizing symptoms show varied proclivities to PA; social anxiety (SA), for instance, unlike other types of anxiety, shows a strong negative association with PA that cannot be explained by diminished reward sensitivity. Heightened reliance on suppression of emotional displays (expressive suppression; ES) may be an alternate contributor to attenuated PA among people with elevated SA, relative to people with other types of anxiety. A first step toward testing this hypothesis is clarifying the ES-PA association and examining whether it varies as a function of anxiety type (social anxiety vs. other types of anxiety). This meta-analysis (k = 41; n = 11,010) revealed a significant, negative association between ES and PA (r = -0.158); however, this relationship was not significant for individuals with social or other anxiety disorders. Moreover, two moderators (sample culture-Western: r = -0.16; Eastern: r = 0.003; type of emotion suppressed-Negative: r = 0.18; Positive: r = -0.12) accounted for significant heterogeneity in effect sizes. This review synthesizes the literature on ES and PA in healthy and anxious samples; findings suggest moderating variables merit closer attention in future studies.

Keywords: Emotion regulation; Expressive suppression; Positive affect; Social anxiety.

Publication types

  • Meta-Analysis
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review
  • Systematic Review

MeSH terms

  • Anxiety Disorders*
  • Anxiety*
  • Emotions
  • Fear
  • Humans