Universität zu Köln

Berking, Matthias, Eichler, Eva, Luhmann, Maike ORCID: 0000-0001-6211-9304, Diedrich, Alice, Hiller, Wolfgang and Rief, Winfried (2019). Affect regulation training reduces symptom severity in depression - A randomized controlled trial. PLoS One, 14 (8). SAN FRANCISCO: PUBLIC LIBRARY SCIENCE. ISSN 1932-6203

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Abstract

c Deficits in general emotion regulation skills have been shown to be associated with various mental disorders. Thus, general affect-regulation training has been proposed as promising transdiagnostic approach to the treatment of psychopathology. In the present study, we aimed to evaluate the efficacy of a general affect-regulation as a stand-alone, group-based treatment for depression. For this purpose, we randomly assigned 218 individuals who met criteria for major depressive disorder (MDD) to the Affect Regulation Training (ART), to a waitlist control condition (WLC), or to a condition controlling for common factors (CFC). The primary outcome was the course of depressive symptom severity as assessed with the Hamilton Rating Scale for Depression and the Beck Depression Inventory. Multi-level analyses indicated that participation in ART was associated with a greater reduction of depressive symptom severity than was participation in WLC (d = 0.56), whereas the slight superiority of ART over CFC (d = 0.25) was not statistically significant. Mediation analyses indicated that changes in emotion regulation skills mediated the differences between ART/CFC and WLC. Thus, the findings provide evidence for enhancing emotion regulation skills as a common mechanism of change in psychological treatments for depression. The study was registered with ClinicalTrials.gov (NCT01330485) and was supported by grants from the German Research Association (DFG; BE 4510/3-1; HI 456/6-2). Future research should compare the (cost-) efficacy of ART with that of disorder-specific interventions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Berking, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Eichler, Eva UNSPECIFIED UNSPECIFIED UNSPECIFIED Luhmann, Maike UNSPECIFIED orcid.org/0000-0001-6211-9304 UNSPECIFIED Diedrich, Alice UNSPECIFIED UNSPECIFIED UNSPECIFIED Hiller, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Rief, Winfried UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-143763
DOI:	10.1371/journal.pone.0220436
Journal or Publication Title:	PLoS One
Volume:	14
Number:	8
Date:	2019
Publisher:	PUBLIC LIBRARY SCIENCE
Place of Publication:	SAN FRANCISCO
ISSN:	1932-6203
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EMOTION-REGULATION SKILLS; DIALECTICAL BEHAVIOR-THERAPY; PROTOCOL TRANSDIAGNOSTIC TREATMENT; HAMILTON RATING-SCALE; UNIFIED PROTOCOL; OLDER-ADULTS; PERSONALITY-DISORDER; SELF-COMPASSION; BDI-II; PSYCHOTHERAPY Multiple languages Multidisciplinary Sciences Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14376