The objective of the current study was to examine the relationships between cognitive emotion regulation strategies and depressive symptoms in essential hypertension patients. Both cross-sectional and prospective relationships were studied in a sample of 650 essential hypertension patients. The cognitive emotion regulation strategies accounted for considerable amounts of variance in depressive symptoms. The following subscales were significantly positively correlated with first-time measurement and follow-up measurement of depressive symptoms: self-blame, rumination, catastrophizing, and blaming others. Positive reappraisal was significantly and positively correlated with first-time measurement of depressive symptoms. In contrast, the following subscales were significantly negatively correlated with follow-up measurement of depressive symptoms: acceptance, positive refocus, refocus on planning, positive reappraisal. Results of multiple regression analyses shows that elevated levels of self-blame, rumination, catastrophizing, and blaming others predicted increases in follow-up measurement of depressive symptoms, while elevated levels of acceptance and refocus on planning predicted decreases follow-up measurement of depressive symptoms. These findings provide us with important targets for intervention programs.
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