Self-reported emotional reactivity, depression, and anxiety: Gender differences among a psychiatric outpatient sample

The objective of this study was to identify the relationship of emotional reactivity with depression and anxiety symptoms among adults diagnosed with a serious mental illness (SMI) and to explore gender differences in these relationships. Cross-sectional data were collected from intensive case management services recipients (N = 150). Hierarchical multiple regression was used to identify the associations of self-reported positive emotions, fear, sadness, and anger to depression and anxiety, while testing the interaction of gender with emotional response. Compared with men, women reported significantly higher depressive and anxiety symptoms and greater reactivity to sadness and fear. Emotional response variables explained 35.5% of the variance in depression and 38.7% in anxiety. Gender did not moderate the relationship between emotional response and depression; however, gender did moderate the relationship between reactivity to positive emotions and anxiety. Selfreported emotional response may provide clinicians with insight into the severity and presentation of co-occurring anxiety and depressive symptoms among adults with SMI. Increasing the experience of positive emotions among women with SMI may contribute to reduced anxiety symptoms. Therapists and rehabilitation counselors may consider the interplay between mood and anxiety symptoms and emotional response styles to reduce the burden of psychiatric distress among people with SMI.