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Related Experiment Video

Updated: Feb 5, 2026

Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression

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Published on: May 19, 2015

Emotional processing and therapeutic change in depression: A case study.

Patrícia Pinheiro¹, Inês Mendes², Sara Silva³

¹School of Psychology, University of Minho.

Psychotherapy (Chicago, Ill.)

|September 5, 2018

Summary

Higher emotional processing capability correlates with better therapy outcomes. This study found emotional processing strongly linked to symptom reduction within the same therapy session, not preceding sessions.

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Area of Science:

Psychology
Clinical Psychology
Psychotherapy Research

Background:

Client's emotional processing capability is linked to positive therapeutic outcomes across various approaches.
Previous research indicates a connection between emotional processing and overall symptom change from pre- to post-therapy.
The session-by-session relationship between emotional processing and therapeutic change requires further investigation.

Observation:

This study examined the longitudinal, session-by-session association between emotional processing levels and clinical symptoms in a depression case.
The analysis also explored the relationship between emotional processing and the type of emotions experienced (adaptive vs. maladaptive).
Time-series analysis was employed to assess these within-session dynamics.

Findings:

A significant negative association was found between the intensity of clinical symptoms and the level of emotional processing in the same session (r = -.71, p < .001).
No significant association was observed between emotional processing and symptoms in the preceding (r = -.37, p = .101) or subsequent (r = -.29, p = .180) sessions.
An increase in emotional processing corresponded with a shift from maladaptive to more adaptive emotions.

Implications:

Emotional processing is associated with therapeutic change, but may not necessarily precede it on a session-by-session basis.
These findings highlight the importance of in-session emotional dynamics for therapeutic progress.
Given the exploratory nature, results should be interpreted with caution, suggesting further research is warranted.