Cognitive reappraisal and acceptance strategies have been shown to be effective in reducing pain experience and increasing pain tolerance. However, no systematic reviews have focused on the relationship between the use of these two strategies and peripheral physiological correlates when pain is experimentally induced. This systematic review aims to summarize the existing literature that explores the relationship between emotion regulation strategies (i.e., cognitive reappraisal and acceptance) and peripheral correlates of the autonomic nervous system and facial electromyography, such as affect-modulated responses and corrugator activity, on laboratory tasks where pain is induced. The systematic review identifies nine experimental studies that meet our inclusion criteria, none of which compare these strategies. Although cognitive reappraisal and acceptance strategies appear to be associated with decreased psychological responses, mixed results were found for the effects of the use of both strategies on all the physiological correlates. These inconsistencies between the studies might be explained by the high methodological heterogeneity in the task designs, as well as a lack of consistency between the instructions used in the different studies for cognitive reappraisal, acceptance, and the control conditions.
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In recent years, an increasing number of studies have focused on psychophysiological measures in order to shed light on the ER process (see [29]). However, to date, there are no systematic reviews that summarize the studies that include experimental tasks to assess the relationship between psychophysiological activity and ER strategies to manage pain. The study of peripheral psychophysiological responses is particularly useful in various pathologies because it allows us to obtain objective measures of psychological processes in a non-invasive way. For this reason, this systematic review aimed to explore the relationship between ER strategies (i.e., cognitive reappraisal and acceptance) and psychophysiological peripheral correlates in laboratory studies where pain was induced. 2ff7e9595c
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