Psychiatric and mental-health nursing Department, Faculty of Nursing, Alexandria University, 9 Edmond Vermont Street - Smouha, Alexandria City, Egypt.
BMC Psychol. 2024 Sep 20;12(1):496. doi: 10.1186/s40359-024-01949-6.
Patients with depression struggle with significant emotion regulation difficulties, which adversely affect their psychological well-being and hinder recovery. Traditional therapeutic approaches often fail to adequately address these challenges, leading to a persistent gap in effective mental health care. This research seeks to address this gap by investigating the impact of emotion regulation skills training on patients with depression.
To assess the difficulties in emotion regulation among patients with depression and evaluate the impact of an emotion regulation skills training intervention on those with higher levels of emotion regulation difficulties, specifically focusing on increasing the use of adaptive emotion regulation strategies and reducing the use of maladaptive emotion regulation strategies.
A quasi-experimental research design was utilized, using three tools: a socio-demographic and Clinical Data structured interview schedule, Difficulties in Emotional Regulation Scale, and Cognitive Emotion Regulation Questionnaire. Eighty patients with depression were recruited to assess those with higher levels of emotion regulation difficulties; out of those with greater difficulties, 30 patients were chosen to participate in the emotion regulation skills training intervention.
The 80 studied subjects' emotion regulation difficulties scores ranged from 158 to 169 (164.5 ± 3.21), and they indicated less use of adaptive cognitive emotion regulation strategies and more use of maladaptive cognitive emotion regulation strategies (56.07 ± 2.67). Regarding the intervention group, the overall mean score of the 30 patients' emotion regulation difficulties decreased from 167.35 ± 2.21 pre-intervention to 105.85 ± 3.33 post-intervention (p < 0.0001). Cognitive emotion regulation total scores improved markedly from 54.07 ± 1.66 to 35.2 ± 3.46 (p < 0.01).
Healthcare providers should routinely assess emotion regulation difficulties in patients with depression and integrate personalized treatment plans that target individual emotion regulation difficulties.
The findings suggest that the emotion regulation intervention has the potential to improve emotion regulation difficulties and cognitive emotion regulation strategies among patients with depression.
抑郁症患者在情绪调节方面存在明显困难，这对他们的心理健康和康复产生了不利影响。传统的治疗方法往往无法充分解决这些挑战，导致有效的心理健康护理存在持续的差距。本研究旨在通过调查情绪调节技能训练对抑郁症患者的影响来弥补这一差距。
评估抑郁症患者的情绪调节困难，并评估情绪调节技能训练干预对情绪调节困难程度较高的患者的影响，特别是侧重于增加适应性情绪调节策略的使用和减少不适应性情绪调节策略的使用。
采用准实验研究设计，使用三种工具：社会人口学和临床数据结构化访谈表、情绪调节困难量表和认知情绪调节问卷。共招募了 80 名抑郁症患者，以评估那些情绪调节困难程度较高的患者；在那些有更大困难的患者中，选择 30 名患者参加情绪调节技能训练干预。
80 名研究对象的情绪调节困难得分范围为 158 至 169（164.5±3.21），他们表示较少使用适应性认知情绪调节策略，更多地使用不适应性认知情绪调节策略（56.07±2.67）。关于干预组，30 名患者的情绪调节困难总分从干预前的 167.35±2.21 降至干预后的 105.85±3.33（p<0.0001）。认知情绪调节总分从 54.07±1.66 显著提高至 35.2±3.46（p<0.01）。
医疗保健提供者应常规评估抑郁症患者的情绪调节困难，并整合针对个体情绪调节困难的个性化治疗计划。
研究结果表明，情绪调节干预有可能改善抑郁症患者的情绪调节困难和认知情绪调节策略。
