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The mediating role of emotion regulation in transdiagnostic cognitive behavioural therapy for emotional disorders in primary care: Secondary analyses of the PsicAP randomized controlled trial

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The mediating role of emotion regulation in transdiagnostic cognitive behavioural therapy for emotional disorders in primary care: Secondary analyses of the PsicAP randomized controlled trial

dc.contributor.author	Muñoz Navarro, Roger
dc.contributor.author	Medrano, Leonardo A.
dc.contributor.author	Limonero, Joaquín T.
dc.contributor.author	González Blanch, César
dc.contributor.author	Moriana Elvira, Juan Antonio
dc.contributor.author	Ruiz Rodríguez, Paloma
dc.contributor.author	Cano Vindel, Antonio
dc.date.accessioned	2023-06-23T18:44:12Z
dc.date.available	2023-06-23T18:44:12Z
dc.date.issued	2022
dc.identifier.citation	Muñoz Navarro, Roger Medrano, Leonardo A. Limonero, Joaquín T. González Blanch, César Moriana, Juan Antonio Ruiz Rodríguez, Paloma Cano Vindel, Antonio 2022 The mediating role of emotion regulation in transdiagnostic cognitive behavioural therapy for emotional disorders in primary care: Secondary analyses of the PsicAP randomized controlled trial Journal of Affective Disorders 303 206 2015
dc.identifier.uri	https://hdl.handle.net/10550/88530
dc.description.abstract	Background: Emotional disorders are highly prevalent in primary care. Transdiagnostic cognitive behavior therapy (TD-CBT) is a promising treatment of emotional disorders. In this study, we evaluated several emotion regulation strategies as potential mediators of treatment outcomes in a clinical sample of primary care. Methods: A total of 1061 primary care patients were included in a randomized clinical trial comparing treatment- as-usual (TAU) to TD-CBT+TAU. Of these, 631 (TAU=316; TD-CBT+TAU=315) completed the full treatment and all pre- and post-treatment scales to assess symptoms (anxiety, depression, somatization), emotion regulation strategies (worry, rumination, negative metacognition, suppression, cognitive reappraisal), overall functioning, and quality of life (QoL). Results: Treatment and direct effects showed that TD-CBT+TAU was superior to TAU alone. On the multivariate mediation analysis of indirect effects, three maladaptive strategies (worry, rumination and negative metacognition) had significant effects on all emotional symptoms. Suppression was also significant for depression. Rumination and negative metacognition were significant mediators of functioning, while only negative meta- cognition was significant for QoL. Reappraisal had no effect on any outcome. Limitations: We focused mainly on maladaptive cognitive emotion regulation strategies and only studied one behavioural strategy (suppression) and one adaptive strategy (reappraisal). Conclusions: Targeting certain maladaptive emotion regulation strategies (worry, rumination, suppression, negative metacognition) as mediators for treatment with TD-CBT could reduce emotional symptoms and improve well-being. Negative metacognition was the most transdiagnostic strategy, whereas an adaptive strategy such as reappraisal was not a mediator. Thus, maladaptive emotion regulation strategies are key mediators in transdiagnostic therapy for emotional disorders in primary care.
dc.language.iso	eng
dc.relation.ispartof	Journal of Affective Disorders, 2022, num. 303, p. 206-2015
dc.subject	Ansietat
dc.title	The mediating role of emotion regulation in transdiagnostic cognitive behavioural therapy for emotional disorders in primary care: Secondary analyses of the PsicAP randomized controlled trial
dc.type	journal article
dc.date.updated	2023-06-23T18:44:12Z
dc.identifier.doi	10.1016/j.jad.2022.01.029
dc.identifier.idgrec	160730
dc.rights.accessRights	open access