Comparison the effectiveness of Acceptance and Commitment therapy with Mindfulness-Based Cognitive therapy on Cognitive Emotion Regulation in Heart Failure Patients

BackgroundPatients 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.AimTo 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.MethodA 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.ResultThe 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).ImplicationHealthcare providers should routinely assess emotion regulation difficulties in patients with depression and integrate personalized treatment plans that target individual emotion regulation difficulties.ConclusionThe findings suggest that the emotion regulation intervention has the potential to improve emotion regulation difficulties and cognitive emotion regulation strategies among patients with depression.

Advancing our understanding of the intersection between emotion regulation and alcohol and drug use problems: Dyadic analysis in couples with intimate partner violence and alcohol use disorder

Emotional inertia (i.e. the tendency for emotions to persist over time) is robustly associated with lower wellbeing. Yet, we know little about the mechanisms underlying this relationship. Good quality sleep and frequent use of adaptive cognitive emotion regulation (CER) strategies reduce the persistence of negative affect (NA) over time. However, whether sleep and adaptive CER strategy use work in concert to reduce NA inertia is unclear. In the current study, participants (N = 245) watched a series of film clips and rated how each clip made them feel on negative and positive affective states. Emotion ratings were collected again after a short rest period to determine the persistence of clip-induced affect. Standardised questionnaires were used to index participants’ sleep quality and tendency to engage in adaptive CER strategies. Autoregressive models demonstrated that better sleep quality was associated with lower NA inertia (d = 0.25). This association also held when controlling for mean and variability of NA. Interestingly, the association between adaptive CER strategy use and NA inertia was observed irrespective of whether sleep quality was good, average, or poor (d = 0.13). These findings suggest that sleep and adaptive CER strategies hold independent rather than interdependent roles in maintaining emotional wellbeing.

Objectives The present study aims to examine the effect of mindfulness-based cognitive therapy (MBCT) on cognitive emotion regulation, psychosomatic symptom severity of migraine, and stress coping styles of women with migraine. Methods This is a quasi-experimental study with a pre-test and post-test design. The study population consisted of all women suffering from migraine referred to neurologists in Khorramabad city, Iran in 2022. Of these, 32 were selected by a convenience sampling method and randomly divided into two groups of intervention (n=16) and control (n=16). Garnefski’s cognitive emotion regulation questionnaire, Najarian’s psychosomatic symptoms of migraine questionnaire, and Billings and Moss’s stress coping styles questionnaire were used to collect data. The MBCT was provided to the intervention group for 8 consecutive weeks, one session per week. The data were analyzed using analysis of covariance (ANCOVA). Results The results of multivariate ANCOVA showed that MBCT significantly affected at least one of the variables (F=14.406, P&lt;0.01). The results of univariate ANCOVA showed that MBCT had a significant effect on cognitive emotion regulation strategies (F=60.7, P&lt;0.01), the severity of migraine (F=53.46, P&lt;0.01), and stress coping styles (F=18.5, P=0.03) in the post-test phase. Conclusion MBCT is effective in improving cognitive emotion regulation strategies, reducing the psychosomatic symptom severity of migraine, and improving stress coping styles of women with migraine. By this method, women learn how to use cognitive methods and mindfulness techniques to stop the automatic processes that cause a deficiency in positive emotion regulation, intensify migraine, and avoid the use of adaptive stress coping styles.

Background: Cancer is one of the most serious chronic diseases and risk factors for population health. Breast cancer is the most common cancer diagnosed in females. Today, some researchers in the field of clinical psychology by the implementation of psychosocial interventions sought to examine these effects on psychopathology in patients with breast cancer. Objectives: The present study aimed to assess the efficacy of mindfulness-based cognitive therapy on the improvement of cognitive emotion regulation and decrease of clinical symptoms in females with breast cancer. Methods: Sixteen females with breast cancer who referred to radiation oncology centers of Mashhad, Iran, were selected and randomly assigned (with Graph Pad software) into two groups of eight as intervention and control groups .The participants in the pretest, posttest and follow-up (four months) were examined by cognitive emotion regulation questionnaire (CERQ-P) and depression, anxiety and stress scale (DASS-21). Intervention group received eight sessions of two hours (one day per week) of mindfulness-based cognitive therapy and controls were placed on a waiting list. Data were analyzed by SPSS using multivariate analysis of covariance (MANCOVA). Results: The intervention group showed a significant reduction in the rate of maladaptive cognitive emotion regulation strategies. But no significant differences were observed in the increase of adaptive cognitive emotion regulation strategies and decrease of clinical symptoms between the two intervention and control groups. Conclusions: Mindfulness-based cognitive therapy may be effective to reduce maladaptive cognitive emotion regulation strategies.

Given the importance of mental health in self-care of patients with type 2 diabetes and the relationship between cognitive flexibility and emotion regulation with mindfulness, the present study aimed to investigate the mediating role of cognitive flexibility in the relationship between cognitive emotion regulation strategies and mindfulness in patients with type 2 diabetes. The present study was conducted using correlation method and structural equation modeling. The statistical population of the study consisted of all men and women with type 2 diabetes referred to Imam Khomeini Hospital in Tehran. 253 participants were selected using convenience sampling. Participants completed the Garnefski &amp; Kraaij (2006) Cognitive Emotion Regulation Questionnaire, the Kentucky Inventory of Mindfulness Skills (Baer, Smith &amp; Allen, 2004), and the Cognitive Flexibility Inventory (Dennis &amp; Vander Wal, 2010). The results showed a positive overall path coefficient between adaptive cognitive emotion regulation strategies and mindfulness (P = 0.005, β = 0.243) and a negative overall path coefficient between maladaptive cognitive emotion regulation strategies and mindfulness (P = 0.001, β = -0.453). The path coefficient between cognitive flexibility and mindfulness was positive and significant (P = 0.009, β = 0.273). The indirect path coefficient between adaptive cognitive emotion regulation strategies and mindfulness was positive (P = 0.007, β = 0.094) and the indirect path coefficient between maladaptive cognitive emotion regulation strategies and mindfulness was negative and significant (P = 0.009, β = -0.117). With an increase in emotion regulation skills, cognitive flexibility and mindfulness also increase in patients with type 2 diabetes.

Objective: Allergic rhinitis, as a global health problem, accounts for several psychological disorders, including fatigue, mood changes, depression, anxiety, and disrupted Quality of Life. How people cope with the symptoms of this disease is essential. The present research is pioneering in comparing the QoL, psychological state, and cognitive emotion regulation strategies of patients with allergic rhinitis and healthy individuals. Methods: Aligned with the purpose of the study, 132 patients and 132 healthy subjects were assigned to two groups. Both groups responded to the QoL symptom checklist (SCL90) and a short form of the Cognitive Emotion Regulation Questionnaire (CERQ). One-way multivariate analysis of variance (MANOVA) was run to make between-group comparisons. Results: The findings revealed that allergic patients had a lower QoL. Similarly, the two groups showed statistically significant differences in physical health, environmental life, and overall QoL. Clinical symptoms prevailed more in the allergic group compared to the healthy. Also, these two groups differed significantly regarding somatization, interpersonal sensitivity, and anxiety sub-scales. The healthy group used more adaptive cognitive emotion regulation strategies (for instance, acceptance and positive reevaluation) than the allergic group. In addition, statistically significant divergences were found in the catastrophizing strategy, which prevailed more in the allergic group. Conclusion: Given the present findings, patients with allergic rhinitis have lower psychological health and QoL compared to the healthy population. These unfavorable conditions can result from inefficient use of cognitive emotion regulation strategies that mutually link allergic and clinical symptoms to the patients’ QoL.

The purpose of this research is to examine the mediating role of automatic thoughts and cognitive emotion regulations strategies on the relationship among childhood maltreatment experiences, behavioral problems and resilience of adolescents. The sample of the study has consisted of 671 adolescents (338-girl, 322-boy). Childhood Trauma Questionnaire Short Form, Youth Self Report, Children’s Automatic Thoughts Scale, Resiliency Scale and Cognitive Emotion Regulation Questionnaire have been used. Research findings have shown that adaptive cognitive emotion regulation strategies and automatic thoughts have entire mediator role in relation between adolescents’ childhood abuse/neglect experience and resilience. However maladaptive cognitive emotion regulation strategies and automatic thoughts have partial mediating role in the relation between adolescents’ childhood abuse/neglect experience and behavioral problems. On the other hand maladaptive cognitive emotion regulation strategies have no mediating effect on relationship between adolescents’ childhood abuse/neglect experience and resilience levels and adaptive cognitive emotion regulation strategies have no mediating effect on relationship between adolescents’ childhood abuse/neglect experience and behavioral problems. In explaining the variance of behavioral problems, it has been found that the most effective variables are respectively the automatic thoughts, childhood abuse / neglect experiences and maladaptive cognitive emotion regulation strategies; adaptive cognitive emotion regulation strategies and automatic thoughts are respectively the most important variables to explain variance of resilience.

This study assesses the frequency of youth mentees’ cognitive emotion regulation strategies during negative life events, and it explores how mentors respond to their mentees’ cognitive emotion regulation strategies during those situations. This research engaged 40 mentees and 35 mentors in New Zealand. Analyses are completed using descriptive statistics and thematic analysis. Findings revealed that the mentors reported their mentees’ more frequent use of adaptive cognitive emotion regulation strategies (acceptance, positive reappraisal, positive refocusing, putting things into perspective, and refocus on planning), whereas youth mentees reported slightly different rates of the strategies (positive reappraisal, acceptance, refocus on planning, putting into perspective, and rumination). In response to their mentees, the mentors supported their mentees’ cognitive emotion regulation through two over-arching responses: emotional support (e.g., reassurance, use of self-disclosure, normalizing mentees’ feelings, redirecting self-blame, showing availability, and validation); and by providing new ways of learning (e.g., teaching positive reappraisal, refocus on planning and problem solving, positive refocus, situation analysis, promoting perspective-taking, as well as emphasizing ownership and taking responsibility). These findings provide insights into youth emotion regulation in mentoring contexts and also offer suggestions for future studies and mentor training.

Individuals with high autistic traits have difficulty in regulating their negative emotions. However, few studies clarify the relationship between autistic traits and cognitive emotion regulation strategies. This study examined the association between adaptive and maladaptive strategies in cognitive emotion regulation and autistic traits using a non-clinical sample. Two hundred and thirty-four participants completed the Japanese version of the Social Responsiveness Scale-2 (Adult Self-Report version) and the Japanese version of the Cognitive Emotion Regulation Questionnaire. The results showed that autistic traits were negatively associated with the use of adaptive subordinate strategies for cognitive emotion regulation. By contrast, autistic traits were positively associated with the use of maladaptive subordinate strategies of cognitive emotion regulation. The cognitive and emotional characteristics of autism spectrum disorder, such as perspective taking and executive function, contextualize these results. These findings can help guide not only our understanding of the relationship between autistic traits and cognitive emotion regulation but also develop interventions aimed at facilitating the use of adaptive cognitive emotion regulation strategies and preventing the use of maladapted strategies in individuals with high autistic traits.

This study explored the associations among cognitive flexibility, cognitive emotion regulation (CER) strategies, need for cognition, and life satisfaction, which represents a cognitive component of subjective well-being. Previous studies have shown the importance of adaptive CER strategies for well-being, while maladaptive strategies have been linked to negative outcomes such as psychological distress, depression, and anxiety. Additionally, the need for cognition has been associated with cognitive flexibility and positive outcomes in various domains. However, the specific roles of cognitive flexibility and CER strategies in the relationship between need for cognition and life satisfaction remain relatively unexplored in the existing literature. This study aimed to address this gap by investigating how cognitive flexibility and different CER strategies contribute to the relationship between need for cognition and life satisfaction in a non-clinical sample of 239 adults via a survey consisting of a demographic information form, need for cognition scale, cognitive flexibility inventory, cognitive emotion regulation questionnaire, and satisfaction with life scale. The results demonstrated that when individuals with a high need for cognition had cognitive flexibility, they were more likely to use adaptive cognitive emotion regulation strategies, resulting in elevated life satisfaction. The findings of this study may provide insights into the underlying mechanisms that influence individuals’ cognitive processes, cognitive emotional regulation, and overall life satisfaction. Such understanding can have implications for interventions aimed at enhancing cognitive flexibility, promoting adaptive CER strategies, and ultimately fostering improved life satisfaction.

While the exact mechanisms are not fully understood, there are significant links between sleep quality, anxiety, depressive symptoms, and cognitive emotion regulation. This research examines how sleep quality affects anxiety and depressive symptoms, as well as the potential of cognitive emotion regulation strategies (CERS) to moderate the impact of sleep quality on these symptoms. The Chinese version of the Pittsburgh Sleep Quality Index (CPSQI), the Cognitive Emotion Regulation Questionnaire (CERQ), the Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder Scale-7 (GAD-7) were all completed online by students from two colleges in China's Xizang region. The study included 4325 subjects. The prevalence of poor sleep quality, anxiety symptoms, and depression symptoms was 45.69%, 36.81%, and 51.86%, respectively. We observed significant direct effects on poor sleep and severity of anxiety/depression: c'1 = 0.586 (0. 544-0.628), and c'2 = 0.728 (0.683-0.773). Adaptive CERS only had a mediating effect on the relationship between sleep quality and depression symptoms, with a1b3 = -0.005 (-0.011--0.001). The link between poor sleep quality and the intensity of anxiety and depression was significantly affected by the indirect effects of maladaptive CERS: effect a2b2 = 0.126 (0.106-0.147), and effect a2b4 = 0.145 (0.123-0.167). Individuals who experience poor sleep quality are more likely to have increased levels of anxiety and depression. However, enhancing sleep quality led to a decrease in anxiety and depression levels. Adaptive CERS did not predict anxiety, but they did predict depression. Multiple maladaptive CERS could increase levels of anxiety and depression. To prevent mental stress, it is crucial to examine sleep problems among college students, understand their cognitive strategies, promote the adoption of adaptive CERS, and reduce the reliance on maladaptive CERS.

Objective: The present study aimed to investigate the mediating role of cognitive emotion regulation strategies on the relationship between mindfulness, anxiety, and procrastination in high school students. Methods: The study sample consisted of 350 high school female students in Rasht City, Iran. The study subjects responded to the Academic Procrastination Scale (APS), the Cognitive Emotion Regulation Questionnaire (CERQ), the Cattell Anxiety Scale (CAS), and the Five Facet Mindfulness Questionnaire (FFMQ). Data analysis was performed by Pearson product-moment correlation coefficient and structural equation modeling technique in SPSS and AMOS. Bootstrap in Preacher and Hayes’ Macro program (2008) was also used to test the indirect relationships between the study variables. Results: There was a direct and significant relationship between academic procrastination, anxiety, and maladaptive cognitive emotion regulation strategies (P&lt;0.0001). There was an inverse and significant relationship between procrastination, adaptive cognitive emotion regulation strategies, and mindfulness (P&lt;0.0001). Mediation analysis data revealed that the maladaptive cognitive emotion regulation strategies exacerbated the effects of anxiety on academic procrastination; the indirect effect of anxiety on procrastination through adaptive strategies was significant. Conclusion: Procrastination in students could be reduced by minimizing anxiety, correcting maladaptive cognitive emotion regulation strategies, and strengthening adaptive cognitive emotion regulation strategies. Anxiety may aggravate academic procrastination by generating maladaptive mechanisms.

Background Eating disorder (ED) symptoms are common in the general population and are often associated with childhood maltreatment (CM). Emotion regulation difficulties are likewise linked to both CM and ED symptoms, yet the role of cognitive emotion regulation strategies (CERS) in this relationship remains underexplored. Culturally specific forms of adversity, such as parental overprotection and overcontrol (OP–OC), have also been largely overlooked. Method This cross‐sectional study investigated whether adaptive and maladaptive CERS mediate the associations between six forms of CM and ED symptoms in a non‐clinical sample of 352 Turkish adults. Participants completed the Childhood Trauma Questionnaire–Expanded, the Eating Disorder Examination Questionnaire–Short Form, and the Cognitive Emotion Regulation Questionnaire. Mediation analyses were conducted using the PROCESS macro (Model 4) in SPSS v29. Results The results revealed that, except for physical abuse, maladaptive CERS significantly mediated the associations between all CM types and ED symptoms, with full mediation found for emotional neglect and sexual abuse. Although adaptive CERS did not mediate these relationships, their use was significantly lower among individuals exposed to emotion‐related maltreatment, including OP–OC. Discussion These findings underscore the potential of maladaptive CERS as early indicators and modifiable risk factors in subclinical populations. Tailoring emotion regulation components within interventions like Cognitive Behavioural Therapy–Enhanced (CBT‐E) and Dialectical Behaviour Therapy (DBT) may enhance efficacy, especially for trauma‐exposed individuals. Preventive psychoeducational programmes in youth and community settings could offer timely support before clinical symptoms emerge.

Schizophrenia (SZ) and bipolar disorder (BD) are associated with impairments in facial emotion perception and Theory of Mind (ToM). These social cognitive skills deficits may be related to a reduced capacity to effectively regulate one’s own emotions according to the social context. We therefore set out to examine the relationship between social cognitive abilities and the use of cognitive strategies for regulating negative emotion in SZ and BD. Participants were 56 SZ, 33 BD, and 58 healthy controls (HC) who completed the Ekman 60-faces test of facial emotion recognition; a sub-set of these participants also completed The Awareness of Social Inference Test (TASIT) and the Cognitive Emotion Regulation Questionnaire (CERQ). SZ participants demonstrated impairments in emotion perception on both the Ekman and the TASIT Emotion Evaluation tests relative to BD and HC. While both SZ and BD patients showed ToM deficits (i.e., perception of sarcasm and lie) compared to HC, SZ patients demonstrated significantly greater ToM impairment compared to BD. There were also distinct patterns of cognitive strategies used to regulate emotion in both patient groups: those with SZ were more likely to engage in catastrophizing and rumination, while BD subjects were more likely to blame themselves and were less likely to engage in positive reappraisal, relative to HC. In addition, those with SZ were more likely to blame others compared to BD. Associations between social cognition and affect regulation were revealed for HC only: TASIT performance was negatively associated with more frequent use of rumination, catastrophizing, and blaming others, such that more frequent use of maladaptive cognitive emotion regulation strategies was associated with poor social cognitive performance. These associations were not present in either patient group. However, both SZ and BD patients demonstrated poor ToM performance and aberrant use of emotion regulation strategies consistent with previous studies. SZ also showed basic emotion recognition deficits relative to BD and HC. That there were no associations between social cognition and the capacity to self-regulate negative emotion in SZ and BD (in the context of poor social cognition and maladaptive regulatory strategies) suggests that dysfunction in fronto-limbic brain networks may underpin both social cognitive deficits and the use of maladaptive cognitive strategies in these disorders, albeit by potentially different routes.