Background: Emotional disorders are highly prevalent in primary care. Transdiagnostic cognitive behavior therapy (TD-CBT) is a promising treatment of emotional disorders. In this study, we evaluated several emotion regulation strategies as potential mediators of treatment outcomes in a clinical sample of primary care.
Methods: A total of 1061 primary care patients were included in a randomized clinical trial comparing treatment-as-usual (TAU) to TD-CBT+TAU. Of these, 631 (TAU=316; TD-CBT+TAU=315) completed the full treatment and all pre- and post-treatment scales to assess symptoms (anxiety, depression, somatization), emotion regulation strategies (worry, rumination, negative metacognition, suppression, cognitive reappraisal), overall functioning, and quality of life (QoL).
Results: Treatment and direct effects showed that TD-CBT+TAU was superior to TAU alone. On the multivariate mediation analysis of indirect effects, three maladaptive strategies (worry, rumination and negative metacognition) had significant effects on all emotional symptoms. Suppression was also significant for depression. Rumination and negative metacognition were significant mediators of functioning, while only negative metacognition was significant for QoL. Reappraisal had no effect on any outcome.
Limitations: We focused mainly on maladaptive cognitive emotion regulation strategies and only studied one behavioural strategy (suppression) and one adaptive strategy (reappraisal).
Conclusions: Targeting certain maladaptive emotion regulation strategies (worry, rumination, suppression, negative metacognition) as mediators for treatment with TD-CBT could reduce emotional symptoms and improve well-being. Negative metacognition was the most transdiagnostic strategy, whereas an adaptive strategy such as reappraisal was not a mediator. Thus, maladaptive emotion regulation strategies are key mediators in transdiagnostic therapy for emotional disorders in primary care.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jad.2022.01.029 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Perceptions of Mental Health Challenges and Needs of Indonesian Adolescents: A Descriptive Qualitative Study.
Int J Ment Health Nurs
February 2025
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Indonesian adolescents face an increased risk of developing mental health conditions such as depression and anxiety, largely due to insufficient mental health literacy and awareness. This lack of knowledge often leads to delayed recognition and treatment. To address this, the present descriptive qualitative study explores Indonesian adolescents' perceptions of mental health challenges and needs.
View Article and Find Full Text PDFReliability test and revision of stress coping scale for early childhood teachers.
Front Psychol
January 2025
School of Education, Zhanjiang University of Science and Technology, Zhanjiang, Guangdong Province, China.
The purpose of this research was to determine the reliability and validity of the Early Childhood Teachers' Stress Coping Strategies Scale measured among early childhood teachers in Guangdong Province, China. The researcher used the Early Childhood Teachers' Stress Coping Strategies Scale and a simplified version of the COPE questionnaire (Coping Inventory). The Early Childhood Teachers' Stress Coping Strategies Scale consists of three dimensions: "Rational Thinking," "Emotional Regulation," and "Support Seeking," and the simplified COPE questionnaire was consists of 2 dimensions: "Help Seeking" and "Cognitive Coping.
View Article and Find Full Text PDFCaregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study.
BMC Nurs
January 2025
School of Public Health, Nantong University, 9 Seyuan Road, Nantong, Jiangsu, 226019, China.
Background: Long-term care insurance (LTCI) projects were an essential components of health systems designed to support disabled people and their families. Despite LTCI has been getting more and more attention and promotion, there was a lack of qualitative study to explore the experiences of family caregivers who were directly involved in the care of disabled people enrolled in these projects. This study aimed to explore the experiences of family caregivers in the caregiving process within the context of LTCI.
View Article and Find Full Text PDFExperiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study.
BMC Psychiatry
January 2025
Department of Information Science and Media Studies, University of Bergen, Bergen, Norway.
Background: Emotion dysregulation commonly co-occurs with attention-deficit hyperactivity disorder (ADHD), leading to a range of negative outcomes. While psychological interventions have shown promise in bringing about positive changes in emotional and cognitive domains, there is still limited knowledge on the subjective experiences of change among the participants in these interventions.
Aim: The present study explores the experiences of adults with ADHD who had participated in a blended digital and face-to-face intervention aimed at improving emotion dysregulation.
PPARγ activation attenuates neonatal CRD-induced visceral pain sensitization and anxiety in male rats by alleviating oxidative stress.
BMC Gastroenterol
January 2025
Department of Anesthesiology, First Affiliated Hospital, Fujian Medical University, No. 20, Cha Zhong Road, Fuzhou, Fujian Province, People's Republic of China.
Background: Visceral pain sensitization and emotional reactions due to irritable bowel syndrome (IBS) occur frequently in the general population. Oxidative stress plays a crucial role in the pathogenesis of IBS. Previous studies have demonstrated that activation of peroxisome proliferator-activated receptor gamma (PPARγ) has analgesic effects.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!