Emotion Regulation Skills Training Enhances the Efficacy of Inpatient Cognitive Behavioral Therapy for Major Depressive Disorder A Randomized Controlled Trial

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 (...

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Published inPsychotherapy and psychosomatics Vol. 82; no. 4; pp. 234 - 245
Main Authors Berking, Matthias, Ebert, David, Cuijpers, Pim, Hofmann, Stefan G.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.01.2013
Karger
Subjects
Adult
Adult and adolescent clinical studies
Behavior therapy. Cognitive therapy
Biological and medical sciences
Cognitive Therapy - methods
Depression
Depressive Disorder, Major - therapy
Emotions - physiology
Female
Humans
Inpatients - psychology
Male
Medical sciences
Middle Aged
Mood disorders
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regular Article
Treatment Outcome
Treatments
Depression
Skills training
Emotion regulation
Routine clinical care
Cognitive behavioral therapy
Mood disorder
Affect affectivity
Cognitive therapy
Controlled therapeutic trial
Emotion emotionality
Skill
Treatment
Self regulation
Behavior therapy
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Summary: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.
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ISSN:0033-3190
1423-0348
1423-0348
DOI:10.1159/000348448