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Gepubliceerd in: Cognitive Therapy and Research 6/2021

21-04-2021 | Original Article

Emotion Regulation and Repetitive Negative Thinking Before and After CBT and SSRI Treatment of Internalizing Psychopathologies

Auteurs: Cope Feurer, Jennifer Francis, Olusola Ajilore, Michelle G. Craske, K. Luan Phan, Heide Klumpp

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2021

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Abstract

Background

Emotion regulation (ER) strategies (i.e., reappraisal, suppression) and repetitive negative thinking (RNT) tendencies (i.e., brooding rumination, worry) are transdiagnostic and contribute to the maintenance of internalizing psychopathologies. Cognitive Behavioral Therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs) are both effective in reducing symptom severity, however, their impact on ER and RNT is unclear. Therefore, the goal of the current study was to examine whether CBT and SSRIs improved ER and RNT in a transdiagnostic sample.

Methods

The current sample comprised 91 patients with anxiety, depression, and/or posttraumatic stress disorder randomly assigned to receive either CBT (n = 45) or an SSRI (n = 46) and 49 healthy controls as a comparator group. Patients completed measures of clinical symptoms, reappraisal, suppression, brooding rumination, and worry before and after treatment. Controls completed the same measures at baseline.

Results

Compared to controls, patients reported greater symptom severity, suppression, brooding, and worry, and less reappraisal. Both treatments improved symptom severity, ER, and RNT. However, patients who completed CBT reported greater improvement in reappraisal than patients who completed treatment with an SSRI. Finally, change in RNT, but not ER, was associated with symptom improvement.

Conclusions

Findings suggest treatment improves ER and RNT and provides preliminary evidence of a treatment modality effect on reappraisal.
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Metagegevens
Titel
Emotion Regulation and Repetitive Negative Thinking Before and After CBT and SSRI Treatment of Internalizing Psychopathologies
Auteurs
Cope Feurer
Jennifer Francis
Olusola Ajilore
Michelle G. Craske
K. Luan Phan
Heide Klumpp
Publicatiedatum
21-04-2021
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-021-10222-8