Emotion-regulation skills training enhances the efficacy of inpatient cognitive behavioral therapy for major depressive disorder: A randomized controlled trial
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In: Psychotherapy and Psychosomatics, Vol. 82, No. 4, 2013, p. 234 - 245.
Research output: Journal contributions › Journal articles › Research › peer-review
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TY - JOUR
T1 - Emotion-regulation skills training enhances the efficacy of inpatient cognitive behavioral therapy for major depressive disorder
T2 - A randomized controlled trial
AU - Berking, Matthias
AU - Ebert, David Daniel
AU - Cuijpers, Pim
AU - Stefan G, Hofman
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
KW - Health sciences
KW - Cognitive behavioral therapy
KW - Depression
KW - Emotion regulation
KW - Routine clinical care
KW - Skills training
UR - http://www.scopus.com/inward/record.url?scp=84878042793&partnerID=8YFLogxK
U2 - 10.1159/000348448
DO - 10.1159/000348448
M3 - Journal articles
C2 - 23712210
VL - 82
SP - 234
EP - 245
JO - Psychotherapy and Psychosomatics
JF - Psychotherapy and Psychosomatics
SN - 0033-3190
IS - 4
ER -