Everyday emotion regulation goals, motives, and strategies in current and remitted major depressive disorder: An experience sampling study.

Abstract

People with major depressive disorder (MDD) report difficulties with emotion regulation (ER), particularly in habitual strategy use. We examined ER strategy use and other aspects of ER-desired emotional states (emotion goals) and reasons for ER (ER motives)-in current and remitted MDD. In a 2-week experience sampling study, adults with current MDD (n = 48), remitted MDD (n = 80), and healthy controls (n = 87) reported their negative affect (NA) and positive affect (PA), emotion goals (frequency, direction), ER motives (hedonic, instrumental), and ER strategy use (social sharing, acceptance, savoring, reappraisal, suppression, distraction). Multilevel modeling and Bayes factors were used to assess differences and similarities across groups. Compared to the remitted MDD and control groups, the current MDD group regulated emotion more frequently in general but showed weakened associations between initiating regulation and momentary affect and reported different emotion goal directions. Although all groups mostly reported emotion goals to regulate prohedonically (decrease NA, increase or maintain PA), the current MDD group was the most likely to try to amplify NA and PA simultaneously. Current MDD and remitted MDD groups endorsed hedonic motives more than controls, but the three groups did not differ in instrumental motives. The only group difference in ER strategy use was that the current MDD group used distraction more than controls. Most group differences in ER were between the current MDD group and controls, with the remitted MDD group and controls being quite similar. ER in current MDD is characterized by frequent regulation, weakened association between initiating regulation and momentary affect, increased hedonic-focused ER motives, and a greater use of distraction. (PsycInfo Database Record (c) 2023 APA, all rights reserved).