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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
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Enhancing emotion regulation.

Shigeru Iwakabe1, Kaori Nakamura1, Nathan C Thoma1

  • 1Department of Psychology, Ritumeikan University, Ibaraki-Shi, Japan.

Psychotherapy Research : Journal of the Society for Psychotherapy Research
|March 21, 2023
PubMed
Summary

Therapist methods, including affect-focused techniques and skills training, significantly improve emotion regulation (ER) in patients. These approaches lead to substantial, lasting enhancements in managing emotional experiences.

Keywords:
affect-focused therapiesemotion regulationemotional awarenessexperiential avoidancemeta-analysispsychotherapypsychotherapy methodspsychotherapy outcome

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Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Emotion regulation (ER) is crucial for mental well-being, involving the modulation of affective experiences.
  • Facilitating patient ER is a key objective in various psychotherapeutic modalities.

Approach:

  • This systematic review and meta-analysis synthesized 10 studies on immediate/intermediate ER outcomes and 38 studies on distal treatment effects.
  • Investigated affect-focused, experiential methods, and structured psychoeducation/skills training for enhancing patient ER.

Key Points:

  • Affect-focused therapist methods and interpretations showed positive intermediate outcomes in 8 studies (84 clients).
  • A meta-analysis of 26 studies revealed a large average effect size (g = 0.82) for ER methods from pre- to post-treatment.
  • Both affect-focused and structured skill training approaches are linked to significant improvements in emotion regulation.

Conclusions:

  • Psychotherapy interventions, encompassing both affect-focused and skills-based training, demonstrably enhance emotion regulation.
  • Therapists must consider cultural factors influencing emotional display rules and adaptive/maladaptive emotional responses.
  • Evidence supports specific training and therapeutic practices for optimizing emotion regulation in clinical settings.