ORIGINAL PAPER
Emotion regulation and mental health among professionals of long-term care institutions for older adults: The mediating role of work engagement
 
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1
Psychology Research Center, Department of Psychology, Autonomous University of Lisbon, Lisbon, Portugal
2
William James Center for Research, ISPA – University Institute, Lisbon, Portugal
3
Center for Psychology at University of Porto, Porto, Portugal
CORRESPONDING AUTHOR
Tânia Brandão   

William James Center for Research, ISPA-Instituto Universitário
Submission date: 2022-07-18
Final revision date: 2022-10-06
Acceptance date: 2022-11-03
Online publication date: 2022-11-30
 
 
KEYWORDS
TOPICS
ABSTRACT
Background:
This study examined whether work engagement mediated the association between emotion regulation and mental health of professionals working in long-term care institutions for older adults in Brazil.

Participants and procedure:
A cross-sectional study with a total of 104 professionals working in 13 long-term care facilities for the elderly in Brazil was conducted. Emotion regulation (expressive suppression and cognitive reappraisal), work engagement (vigor, dedication, and absorption), and mental health (depression, anxiety, and stress) were measured using self-report scales. Multiple me-diation models were used to test the mediating role of engagement.

Results:
Expressive suppression was associated with more vigor, which in turn was associated with less anxiety and stress; cognitive reappraisal was associated with more vigor, which in turn was associated with less anxiety and stress. No indirect effects were found for depression.

Conclusions:
Expressive suppression and cognitive reappraisal strategies to regulate emotions seem to be associated with more vigor in terms of resilience and persistence to deal with work demands in these professionals. These results seem to suggest that workers who are more capable of regulating their emotions (using both expressive suppression and cognitive reappraisal in a flexible way according to work demands) are more likely to be resilient, invest in their profession, and be persistent in the face of difficulties. This, in turn, contributes to protecting them from experiencing anxiety and stress.

 
REFERENCES (48)
1.
Aldao, A., Sheppes, G., & Gross, J. J. (2015). Emotion regulation flexibility. Cognitive Therapy and Research, 39, 263–278. https://doi.org/10.1007/s10608....
 
2.
Andrade, J. M., Duarte, Y. A., Alves, L. C., Andrade, F. C., Souza, P. R. Jr., Lima-Costa, M. F., & Andrade, F. B.
 
3.
(2018). Frailty profile in Brazilian older adults: ELSI-Brazil. Revista de Saúde Pública, 52, 17s. https://doi.org/10.11606/S1518....
 
4.
Bamonti, P. M., Smith, A., & Smith, H. M. (2022). Cognitive emotion regulation strategies predict burnout in geri-atric nursing staff. Clinical Gerontologist, 45, 1236–1244. https://doi.org/10.1080/073171....
 
5.
Bassal, C., Czellar, J., Kaiser, S., & Dan-Glauser, E. S. (2016). Relationship between emotions, emotion regulation, and well-being of professional caregivers of people with dementia. Research on Aging, 38, 477–503. https://doi.org/10.1177/016402....
 
6.
Blanco-Donoso, L. M., Demerouti, E., Hernandez, E. G., Moreno-Jimenez, B., & Cobo, I. C. (2015). Positive benefits of caring on nurses’ motivation and well-being: a diary study about the role of emotional regulation abilities at work. Interna-tional Journal of Nursing Studies, 52, 804–816. https://doi.org/10.1016/j.ijnu....
 
7.
Blanco-Donoso, L. M., Garrosa, E., Demerouti, E., & Moreno-Jiménez, B. (2017). Job resources and recovery expe-riences to face difficulties in emotion regulation at work: a diary study among nurses. International Journal of Stress Management, 24, 107–134. https://doi.org/10.1037/str000....
 
8.
Boian, C., Soares, D., & Lima, J. (2009). Questionário de Regulação Emocional adaptado para a população Brasileira [The Emotion Regulation Questionnaire adapted to Brazilian population]. Retrieved from https://spl.stanford.edu/sites....
 
9.
Bonanno, G. A., Papa, A., Lalande, K., Westphal, M., & Coifman, K. (2004). The importance of being flexible: The ability to both enhance and suppress emotional expression predicts long-term adjustment. Psychological Sci-ence, 15, 482–487. https://doi.org/10.1111/j.0956....
 
10.
Borges, M. M., Bomfim, A. J. D. L., & Chagas, M. H. N. (2021). Depression and empathy in health professionals who work in the long-term care institutions for older adults. Dementia & Neuropsychologia, 15, 381–386. https://doi.org/10.1590/1980-5....
 
11.
Brandão, T., Matias, M., Ferreira, T., Vieira, J., Schulz, M. S., & Matos, P. M. (2020). Attachment, emotion regula-tion, and well‐being in couples: Intrapersonal and interpersonal associations. Journal of Personality, 88, 748–761. https://doi.org/10.1111/jopy.1....
 
12.
Brazilian Institute of Geography and Statistics (IBGE) (2018). Projeções da população do Brasil e Unidades da Federação por sexo e idade: 2010-2060 [Projections of the population of Brazil and Federation Units by sex and age: 2010-2060]. Retrieved from https://www.ibge.gov.br/estati....
 
13.
Burić, I., & Macuka, I. (2018). Self-efficacy, emotions and work engagement among teachers: a two-wave cross-lagged analysis. Journal of Happiness Studies, 19, 1917–1933. https://doi.org/10.1007/s10902....
 
14.
Buruck, G., Dörfel, D., Kugler, J., & Brom, S. S. (2016). Enhancing well-being at work: The role of emotion regula-tion skills as personal resources. Journal of Occupational Health Psychology, 21, 480–493. https://doi.org/10.1037/ocp000....
 
15.
Castillo-Gualda, R., García, V., Pena, M., Galán, A., & Brackett, M. A. (2017). Preliminary findings from RULER ap-proach in Spanish teachers’ emotional intelligence and work engagement. Electronic Journal of Research in Educational Psychology, 15, 641–664. https://doi.org/10.14204/ejrep....
 
16.
Chervonsky, E., & Hunt, C. (2017). Suppression and expression of emotion in social and interpersonal outcomes: a meta-analysis. Emotion, 17, 669–683. https://doi.org/10.1037/emo000....
 
17.
Costello, H., Walsh, S., Cooper, C., & Livingston, G. (2019). A systematic review and meta-analysis of the preva-lence and associations of stress and burnout among staff in long-term care facilities for people with dementia. International Psychogeriatrics, 31, 1203–1216. https://doi.org/10.1017/S10416....
 
18.
Doulougeri, K., Panagopoulou, E., & Montgomery, A. (2016). (How) do medical students regulate their emotions? BMC Medical Education, 16, 312. https://doi.org/10.1186/s12909....
 
19.
Gan, Y., Wen, Y., Wang, J., Rodriguez, M. A., Gong, X., & Xie, X. (2014). Is expressive suppression an effective cop-ing strategy? A study of Chinese rescue medical staff following an earthquake. Asian Journal of Social Psychol-ogy, 17, 264–276. https://doi.org/10.1111/ajsp.1....
 
20.
George, O. J., Okon, S. E., & Akaighe, G. (2022). Emotional intelligence and work engagement: a serial mediation model. Journal of Organizational Effectiveness: People and Performance, 9, 193–211. https://doi.org/10.1108/JOEPP-....
 
21.
Greenier, V., Derakhshan, A., & Fathi, J. (2021). Emotion regulation and psychological well-being in teacher work engagement: a case of British and Iranian English language teachers. System, 97, 102446. https://doi.org/10.1016/j.syst....
 
22.
Gross, J. J. (1998). The emerging field of emotion regulation: an integrative review. Review of General Psycholo-gy, 2, 271–299. https://doi.org/10.1037/1089-2....
 
23.
Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39, 281–291. https://doi.org/10.1017/s00485....
 
24.
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for af-fect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362. https://doi.org/10.1037/0022-3....
 
25.
Hakanen, J. J., & Schaufeli, W. B. (2012). Do burnout and work engagement predict depressive symptoms and life satisfaction? A three-wave seven-year prospective study. Journal of Affective Disorders, 141, 415–424. https://doi.org/10.1016/j.jad.....
 
26.
Hayes, A. F. (2015). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford.
 
27.
Hu, T., Zhang, D., Wang, J., Mistry, R., Ran, G., & Wang, X. (2014). Relation between emotion regulation and men-tal health: a meta-analysis review. Psychological Reports, 114, 341–362. https://doi.org/10.2466/03.20.....
 
28.
Imamura, K., Kawakami, N., Inoue, A., Shimazu, A., Tsutsumi, A., Takahashi, M., & Totsuzaki, T. (2016). Work en-gagement as a predictor of onset of major depressive episode (MDE) among workers, independent of psycho-logical distress: a 3-year prospective cohort study. PloS One, 11, e0148157. https://doi.org/10.1371/journa....
 
29.
Innstrand, S. T., Langballe, E. M., & Falkum, E. (2012). A longitudinal study of the relationship between work en-gagement and symptoms of anxiety and depression. Stress and Health, 28, 1–10. https://doi.org/10.1002/smi.13....
 
30.
Kanste, O. (2011). Work engagement, work commitment and their association with well‐being in health care. Scandinavian Journal of Caring Sciences, 25, 754–761. https://doi.org/10.1111/j.1471....
 
31.
Katana, M., Röcke, C., Spain, S. M., & Allemand, M. (2019). Emotion regulation, subjective well-being, and per-ceived stress in daily life of geriatric nurses. Frontiers in Psychology, 10, 1097. https://doi.org/10.3389/fpsyg.....
 
32.
Kubicek, B., Korunka, C., & Ulferts, H. (2013). Acceleration in the care of older adults: New demands as predictors of employee burnout and engagement. Journal of Advanced Nursing, 69, 1525–1538. https://doi.org/10.1111/jan.12....
 
33.
Kubota, K., Shimazu, A., Kawakami, N., Takahashi, M., Nakata, A., & Schaufeli, W. B. (2010). Association between workaholism and sleep problems among hospital nurses. Industrial Health, 48, 864–871. https://doi.org/10.2486/indhea....
 
34.
Leijten, F. R., van den Heuvel, S. G., van der Beek, A. J., Ybema, J. F., Robroek, S. J., & Burdorf, A. (2015). Associa-tions of work-related factors and work engagement with mental and physical health: a 1-year follow-up study among older workers. Journal of Occupational Rehabilitation, 25, 86–95. https://doi.org/10.1007/s10926....
 
35.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety & Stress Scales (2nd ed.). Psychology Foundation.
 
36.
Mantzorou, M., & Koukia, E. (2018). Professional burnout of geriatric nurses caring for elderly people with de-mentia. Perioperative Nursing, 7, 6–26. https://doi.org/10.5281/zenodo....
 
37.
Mérida-López, S., & Extremera, N. (2020). The interplay of emotional intelligence abilities and work engagement on job and life satisfaction: Which emotional abilities matter most for secondary-school teachers? Frontiers in Psychology, 11, 563634. https://doi.org/10.3389/fpsyg.....
 
38.
Molina-Praena, J., Ramirez-Baena, L., Gómez-Urquiza, J. L., Cañadas, G. R., & De la Fuente, E. I. (2018). Levels of burnout and risk factors in medical area nurses: a meta-analytic study. International Journal of Environmental Research and Public Health, 15, 2800. https://doi.org/10.3390/ijerph....
 
39.
Moore, S. A., Zoellner, L. A., & Mollenholt, N. (2008). Are expressive suppression and cognitive reappraisal associ-ated with stress related symptoms? Behavior Research and Therapy, 46, 993–1000. https://doi.org/10.1016/j.brat....
 
40.
National Agency of Sanitary Surveillance (ANVISA) (2005). Resolução RDC nº 283, de 26 de setembro de 2005. Aprova regulamento técnico para o funcionamento das instituições de longa permanência para idosos [Reso-lution RDC no. 283, of September 26, 2005. Approves the technical regulation for the operation of long-term institutions for the elderly]. Diário Oficial da União.
 
41.
Newman, D. B., & Nezlek, J. B. (2022). The influence of daily events on emotion regulation and well-being in daily life. Personality and Social Psychology Bulletin, 48, 19–33. https://doi.org/10.1177/014616....
 
42.
Sanchez, S., Mahmoudi, R., Moronne, I., Camonin, D., & Novella, J. L. (2015). Burnout in the field of geriatric med-icine: Review of the literature. European Geriatric Medicine, 6, 175–183. https://doi.org/.
 
43.
1016/j.eurger.2014.04.014.
 
44.
Schaufeli, W. B., & Bakker, A. B. (2004). Utrecht Work Engagement Scale. Manual. Retrieved from https://www.wilmarschaufeli.nl....
 
45.
Schaufeli, W. B., Salanova, M., González-Romá, V., & Bakker, A. B. (2002). The measurement of engagement and burnout: a two-sample confirmatory factor analytic approach. Journal of Happiness Studies, 3, 71–92. https://doi.org/10.1023/A:1015....
 
46.
Schaufeli, W. B., Taris, T. W., & van Rhenen, W. (2008). Workaholism, burnout, and work engagement: Three of a kind or three different kinds of employee well-being? Applied Psychology, 57, 173–203. https://doi.org/10.1111/j.1464....
 
47.
Vazquez, A. C. S., Magnan, E. D. S., Pacico, J. C., Hutz, C. S., & Schaufeli, W. B. (2015). Adaptation and validation of the Brazilian version of the Utrecht Work Engagement Scale. Psico-USF, 20, 207–217. https://doi.org/10.1590/1413-8....
 
48.
Vignola, R. C. B., & Tucci, A. M. (2014). Adaptation and validation of the Depression, Anxiety and Stress Scale (DASS) to Brazilian Portuguese. Journal of Affective Disorders, 155, 104–109. https://doi.org/10.1016/j.jad.....
 
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