BACKGROUND: Deficits in emotion regulation skills are possible factors maintaining major depressive disorder (MDD). Therefore, the aim of the study was to test whether integrating a systematic emotion regulation training (ERT) enhances the efficacy of routine inpatient cognitive behavioral therapy (CBT) for MDD. METHODS: In a prospective randomized controlled trial, 432 inpatients meeting criteria for MDD were assigned to receive either routine CBT or CBT enriched with an intense emotion regulation skills training (CBT-ERT). RESULTS: Participants in the CBT-ERT condition demonstrated a significantly greater reduction in depression (response rates - CBT: 75.5%, CBT-ERT: 84.9%; remission rates - CBT: 51.1%, CBT-ERT: 65.1%). Moreover, CBT-ERT participants demonstrated a significantly greater reduction of negative affect, as well as a greater increase of well-being and emotion regulation skills particularly relevant for mental health. CONCLUSIONS: Integrating strategies that target emotion regulation skills improves the efficacy of CBT for MDD.
RCT Entities:
BACKGROUND: Deficits in emotion regulation skills are possible factors maintaining major depressive disorder (MDD). Therefore, the aim of the study was to test whether integrating a systematic emotion regulation training (ERT) enhances the efficacy of routine inpatient cognitive behavioral therapy (CBT) for MDD. METHODS: In a prospective randomized controlled trial, 432 inpatients meeting criteria for MDD were assigned to receive either routine CBT or CBT enriched with an intense emotion regulation skills training (CBT-ERT). RESULTS:Participants in the CBT-ERT condition demonstrated a significantly greater reduction in depression (response rates - CBT: 75.5%, CBT-ERT: 84.9%; remission rates - CBT: 51.1%, CBT-ERT: 65.1%). Moreover, CBT-ERT participants demonstrated a significantly greater reduction of negative affect, as well as a greater increase of well-being and emotion regulation skills particularly relevant for mental health. CONCLUSIONS: Integrating strategies that target emotion regulation skills improves the efficacy of CBT for MDD.
Authors: Miguel Ángel Cano; Felipe González Castro; Mario De La Rosa; Hortensia Amaro; William A Vega; Mariana Sánchez; Patria Rojas; Daisy Ramírez-Ortiz; Tanjila Taskin; Guillermo Prado; Seth J Schwartz; David Córdova; Christopher P Salas-Wright; Marcel A de Dios Journal: Behav Med Date: 2020-01-14 Impact factor: 3.104
Authors: Lidia Y X Panier; Priya Wickramaratne; Daniel M Alschuler; Myrna M Weissman; Jonathan E Posner; Marc J Gameroff; Gerard E Bruder; Jürgen Kayser Journal: Biol Psychol Date: 2021-02-05 Impact factor: 3.251