Selection and implementation of emotion regulation strategies in major depressive disorder: An integrative review

BackgroundDepressed patients show impaired performance following negative feedback; the probability of committing an error is increased immediately after an error. This deficit is assumed to be highly specific and to represent a trait marker of major depressive disorder (MDD). Inconsistencies in currently available data could reflect inter-individually different strategies to regulate negative affect. The present study examined modulation of performance following negative feedback by cognitive reappraisal to regulate aversive affect in depressed patients.MethodThirty-three depressed patients and 33 control subjects performed tasks of varying difficulty over a prolonged time. Emotional feedback was given immediately after each trial. Performance was further analysed within subgroups using cognitive reappraisal of aversive events with high and low frequency.ResultsA significant group by task difficulty interaction for absolute number of subsequent errors revealed that depressed patients were especially impaired when receiving negative feedback more frequently. An increased probability of subsequent errors was shown in patients irrespective of task difficulty. Analysis of subgroups revealed higher absolute number and probability of subsequent errors only in depressed patients habitually not using cognitive reappraisal to regulate aversive emotions. Depressed patients using this strategy did not differ from controls.ConclusionsThe present results replicate the observation of impaired performance in depressed patients following failure feedback. Most importantly, a subgroup of patients who habitually rely on cognitive reappraisal of aversion-eliciting events, such as negative performance feedback, was not impaired. This modulatory influence of emotion regulation strategies on performance subsequent to negative feedback suggests that training emotion regulation in achievement situations should be incorporated in current concepts to prevent relapse.

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P.183 A neuroimaging study of functional connectivity during an emotion regulation task in major depressive disorder and borderline personality disorder

European Neuropsychopharmacology ◽

10.1016/j.euroneuro.2019.09.227 ◽

2019 ◽

Vol 29 ◽

pp. S140

Author(s):

V. De La Peña Arteaga ◽

T. Steward ◽

M. Berruga-Sánchez ◽

X. Goldberg ◽

I. Martínez-Zalacaín ◽

...

Keyword(s):

Major Depressive Disorder ◽

Emotion Regulation ◽

Borderline Personality Disorder ◽

Functional Connectivity ◽

Personality Disorder ◽

Depressive Disorder ◽

Borderline Personality ◽

Major Depressive ◽

Neuroimaging Study

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Parental Emotion Regulation Strategy Use and Responses to Youth Negative Affect

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.28.1.34 ◽

2014 ◽

Vol 28 (1) ◽

pp. 34-47 ◽

Cited By ~ 3

Author(s):

Cara S. Remmes ◽

Jill Ehrenreich-May

Keyword(s):

Emotion Regulation ◽

Negative Affect ◽

Depressive Disorder ◽

Positive Relationship ◽

Depressive Disorders ◽

Clinical Sample ◽

Emotional Awareness ◽

Emotion Regulation Strategies ◽

Essential Components ◽

Regulation Strategies

Parental responses to youth negative affect have been associated with social and emotional outcomes in youth. However, the association between such parenting behaviors and essential components of youth emotion regulation is not well studied, especially in youth with anxiety and depressive disorders. This investigation examined the influence of parents’ emotion regulation strategies and their responses to youth negative affect on adolescent-reported emotional awareness and emotional expression in a clinical sample of youth with anxiety disorders. In addition, this study examined the relationship between parent-reported use of emotion regulation strategies and parental reactions to youth negative affect. Questionnaires were completed by 67 adolescents (ages 12–18 years) and by one of their parents during an intake assessment at a university-based clinic. Adolescents had a primary anxiety or depressive disorder diagnosis. Results indicated a positive relationship between parent-reported use of suppression and youth report of poor emotional understanding in adolescents with a primary anxiety or depressive disorder. A positive relationship between parent-reported use of reappraisal and emotion-coaching responses to youth negative affect was also found. Clinical implications of these findings are discussed in the context of parental socialization of youth emotion regulation and in terms of prevention and intervention efforts.

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Neural correlates of dysfunctional emotion regulation in major depressive disorder. A systematic review of neuroimaging studies

Neuroscience & Biobehavioral Reviews ◽

10.1016/j.neubiorev.2013.07.018 ◽

2013 ◽

Vol 37 (10) ◽

pp. 2529-2553 ◽

Cited By ~ 230

Author(s):

Maria M. Rive ◽

Geeske van Rooijen ◽

Dick J. Veltman ◽

Mary L. .Phillips ◽

Aart H. Schene ◽

...

Keyword(s):

Systematic Review ◽

Major Depressive Disorder ◽

Emotion Regulation ◽

Depressive Disorder ◽

Neural Correlates ◽

Major Depressive

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A pilot investigation of emotional regulation difficulties and mindfulness-based strategies in manic and remitted bipolar I disorder and major depressive disorder

International Journal of Bipolar Disorders ◽

10.1186/s40345-020-00206-0 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Christie W. Musket ◽

Natasha S. Hansen ◽

Keith M. Welker ◽

Kirsten E. Gilbert ◽

June Gruber

Keyword(s):

Major Depressive Disorder ◽

Emotion Regulation ◽

Depressive Disorder ◽

Emotional Regulation ◽

Preliminary Investigation ◽

Major Depressive ◽

Bipolar I Disorder ◽

Difficulties In Emotion Regulation ◽

Specific Emotion ◽

Pilot Investigation

Abstract Background Both bipolar disorder and major depressive disorder are characterized by difficulties in emotion regulation. Little is known about which specific emotion regulatory patterns may be transdiagnostic versus disorder specific, and how such patterns change as a function of current mood states. Methods This preliminary investigation examined specific patterns of self-reported trait emotion regulation difficulties and mindfulness-based regulations strategies across four groups: remitted adults with bipolar I disorder (BD-remitted; n = 32), currently manic adults with bipolar I disorder (BD-manic; n = 19), remitted adults with major depressive disorder (MDD-remitted; n = 32), and healthy controls (CTL; n = 30). Results All three clinical groups reported significantly greater difficulties with emotion regulation and decreased overall mindfulness-based strategies. Conclusions These results suggest that increased emotion regulation difficulties, decreased mindfulness, and increased emotion-driven impulsivity may be transdiagnostic across mood disorders and states, and that impulsivity may be particularly impaired during periods of mania.

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