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Opinion Review
Copyright: ©Author(s) 2026.
World J Psychiatry. Sep 19, 2026; 16(9): 115802
Published online Sep 19, 2026. doi: 10.5498/wjp.115802
Table 3 Theoretical frameworks for understanding emotion regulation and mental health during crisis
Theoretical framework
Core tenet
Application to pandemic findings
Ref.
Process model of emotion regulation (Gross)ER unfolds over time via situation selection, modification, attentional deployment, cognitive change, and response modulationLockdowns limited situation selection/modification, increasing burden on cognitive change (reappraisal) which many found difficult, leading to maladaptive response modulation (e.g., binge eating)Gross[5]
Transdiagnostic/RDoC approachShared underlying mechanisms (like ER deficits) cut across traditional diagnostic categoriesExplains high comorbidity (r approximately 0.85-0.96) of depression, anxiety, and stress; points to interventions targeting shared processes (e.g., intolerance of uncertainty)Woon et al[33]; Keshavan et al[34]
Allostatic load/chronic stress modelChronic stress leads to wear-and-tear on physiological systems (neuroendocrine, immune), impairing brain function and mental healthLockdowns were a chronic stressor; allostatic load links pandemic stress to long-term mental and physical health risksMcEwen[31]; Guidi et al[32]
Behavioral models (e.g., BA for depression)Depression is maintained by a cycle of avoidance, reduced activity, and loss of positive reinforcementLoss of campus activities and routines depleted positive reinforcement; protective factors like recreational activities worked via behavioral activationHeumann et al[35]
Social baseline theoryThe human brain expects proximity to social resources; distancing taxes our neural and metabolic resources for regulationSocial isolation forced individuals to “go it alone” neurologically, depleting resources for ER and increasing distressCoan and Sbarra[36]; Eisenberger[37]


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