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Emotion regulation and mental health
Abstract
In this article, we argue that emotion regulation is an essential (and traditionally underemphasized) feature of mental health. To develop this idea, we first define the terms emotion, emotion regulation, and mental health. We then chart the development of emotion regulation and describe its role in various facets of normal functioning. Next, we consider what happens when emotion becomes dysregulated in a major depressive episode. We suggest that an emotion regulatory perspective integrates diverse theoretical views of depression and has implications for the assessment, treatment, and prevention of depression. We conclude by speculating about the role of emotion regulation in the broader context of public mental health.
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“In this theoretical framework, emotion dysregulation has been consistently linked with interpersonal difficulties [7,8]”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [7]
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“Notably, some theoretical and conceptual approaches identify emotion regulation (which was shown to increase with training outcomes) as a core feature of mental health [69].”
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Rieck, J. M., Wrobel, J., Porras, A. R., Kateri Mcrae, A., & Gowin, J. L. (2024) · Scientific Reports · doi:10.1038/s41598-024-52203-3 · Cited by 19
“For example, the strategies that individuals tend to use for emotion regulation can reduce the likelihood of psychopathology when effective, or predispose individuals to developing depression, anxiety, or substance use disorders when they go awry 2,3 .”
A socioemotional network perspective on momentary experiences of family conflict in young adults
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van Rijsbergen, G. D., Hollon, S. D., Elgersma, H. J., Kok, G. D., Dekker, J., Schene, A. H., & Bockting, C. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.02.010 · Cited by 20
“Emotional states or affective experiences have been characterized as highly dynamic constructs [1–3].”
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Fussner, L. M., Luebbe, A. M., Mancini, K. J., & Becker, S. P. (2016) · International Journal of Behavioral Development · doi:10.1177/0165025416669062 · Cited by 26
“The relation between emotion dysregulation and psychopathology is well established (Eisenberg et al., 2001; Gross & Muñoz, 1995; Morris, Silk, Steinberg, Myers, & Robinson, 2007; Silk, Shaw, Forbes, Lane, & Kovacs, 2006).”
Big data and the well-being of women and girls: applications on the social scientific frontier
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“There is a broad agreement in the literature that problems in emotion regulation (ER) are at the core of numerous mental health and behavioural problems in the general population (Bradley, 2000; Gross & Munoz, 1995).”
BackgroundManaging work-generated emotions at home: An exploration of the “Bright Side” of emotion regulation
Alam, M., Ezzedeen, S. R., & Latham, S. D. (2018) · Human Resource Management Review · doi:10.1016/j.hrmr.2018.12.002 · Cited by 28
Interactive Technologies for Emotion-regulation Training: Opportunities and Challenges
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“A key aspect of learning to regulate emotions involves identifying which environments are likely to trigger certain emotional experiences, how to recognize these experiences and to modulate their emotional experience and response [14].”
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“Difficulties in emotion regulation are characteristic of many forms of psychopathology (Gross & Munoz, 1995).”
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“…duration of affective states, as well as individual characteristics and the surrounding context (Bisquerra, 2003; Bisquerra & Pérez, 2007; Calkins, 2010; Cole et al., 2004; Gross, 1998; Gross & Muñoz, 1995; Gyurak et al., 2011; Kok, 2017; Perry & Calkins, 2018; Thompson, 1994; Webb et al., 2012).”
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“…in emotion regulation are common clinically, particularly among individuals with a substance use disorder (SUD) with internalizing, externalizing, or co-occurring internalizing/externalizing forms of psychopathology (Gross & Munoz, 1995; Vasilev, Crowell, Beauchaine, Mead, & Gatzke-Kopp, 2009).”
BackgroundSelf-regulation predicts companionship in children with autism
Nuske, H. J., Shih, W., Sparapani, N., Baczewski, L. M., Nunnally, A. D., Hochheimer, S., Garcia, C., Castellón, F. A., Levato, L., Fischer, E., et al. (2021) · International Journal of Developmental Disabilities · doi:10.1080/20473869.2021.1917109 · Cited by 22
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“The ability to regulate emotions helps cope with stress and predicts fulfillment and positive mental health (Gross and Muñoz, 1995).”
BackgroundEstudos de validação com a versão portuguesa da Escala de Dificuldades na Regulação Emocional (EDRE)
Veloso, M., Pinto‐Gouveia, J., & Dinis, A. (2011) · Psychologica · doi:10.14195/1647-8606_54_4 · Cited by 18
“Deste modo, tem sido postulado que a regulação emocional desempenha uma função unificadora na apresentação de constelações de sintomas e de comportamentos desadaptativos (Gratz & Roemer, 2004; Gross & Muñoz, 1995).”
BackgroundPerceived barriers to mental health services: a mixed-method study with Ukrainian college students
Burlaka, V., Churakova, I., Aavik, O. A., & Goldstein, D. R. (2014) · European Journal of Higher Education · doi:10.1080/21568235.2014.890524 · Cited by 19
“Good mental health contributes to mutually satisfying relationships with other people (Gross and Muñoz 1995).”
BackgroundBeyond positive and negative trait affect: Flourishing through music engagement
Chin, T., & Rickard, N. S. (2014) · Psychology of Well-Being Theory Research and Practice · doi:10.1186/s13612-014-0025-4 · Cited by 18
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“A deterioration in emotion regulation has been linked to depression, anxiety, psychosis, and suicidal ideation, even in community samples (Gross & Muñoz, 1995; Young et al., 2019; Zapf et al., 2024).”
InfluentialEmploying large language models for emotion detection in psychotherapy transcripts
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“One line of scholarship has explored emotion regulation strategies (J.J. Gross & Munoz, 1995).”
BackgroundEEG emotion Enhancement using Task-specific Domain Adversarial Neural Network
Ding, K.-M., Kimura, T., Fukui, K., & Numao, M. (2021) · International Joint Conference on Neural Networks (IJCNN) · doi:10.1109/ijcnn52387.2021.9533310 · Cited by 17
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BackgroundSwoboda, D., Boasen, J., Léger, P., Pourchon, R., & Sénécal, S. (2022) · Applied Sciences · doi:10.3390/app12031269 · Cited by 17
Silvestri, F., Tilchin, C. G., Wagner, J., Hamill, M. M., Rompalo, A. M., Ghanem, K. G., Schumacher, C. M., Ruhs, S., Greenbaum, A. H., Latkin, C. A., et al. (2022) · AIDS and Behavior · doi:10.1007/s10461-022-03784-5 · Cited by 17
“While studies on MSM who engage in transactional sex, which can be defined as “the commodification of the body in exchange for shelter, food, and other goods and needs” [4] are few, existing data suggests that MSM reporting transactional sex have higher rates of STIs and HIV compared to other MSM [5, 6].”
BackgroundNg, M. H. S., Zainal, N. H., & Newman, M. G. (2024) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2024.102826 · Cited by 18
“The development of emotional regulatory skills has been theorized to occur incrementally over the course of childhood (Gross & Mu ˜ noz, 1995), with researchers proposing a few theoretical models that might explain the underlying processes behind parental childhood abuse and resulting deficits in…”
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“As the emerging adulthood group suffers from significant fluctuations in social and psychological resources, it is crucial to have appropriate emotion regulation abilities to achieve adaptation and prevent the escalation of emotional distress to higher levels of depression (Gross & Muñoz, 1995).”
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“Experientially, individuals may choose aspects of the events to attend (Gross and Munoz, 2006).”
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“, heart rate variability, electrodermal activity (EDA), respiration) [2].”
BackgroundEmotion Regulation Among Adolescents With Pediatric Depression As a Function of Anxiety Comorbidity
Dochnal, R., Vetró, Á., Kiss, E., Baji, I., Lefkovics, E., Bylsma, L. M., Yaroslavsky, I., Rottenberg, J. A., Kovács, M., & Kapornai, K. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00722 · Cited by 18
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Health, emotion, and relationships
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“…processes likely play an important role in this association, especially because they are central to human interactions and are tightly coupled with health and wellbeing in their own right (Butler, 2011; Gross & Munoz, 1995; Kinnunen, Kokkonen, Kaprio, & Pulkkinen, 2005; Ryff & Singer, 2001).”
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BackgroundZang, W., Liu, N., Wu, J., Wu, J., Guo, B., Xiao, N., Fang, M., Liu, Z., Zhang, Y., Wei, X., et al. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.119679 · Cited by 18
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“…turn, serve as protective factors against mental health problems (Cole, Michel, & O’Donnell Teti, 1994; Eisenberg, Smith, Sadovsky, & Spinrad, 2004; Gross & Munoz, 1995; Kring & Werner, 2004) and against substance use (Hull & Slone, 2004; Percy, 2008; Sayette, 2004; Tarter et al., 2003; Weirs et…”
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“The problems of emotion regulation have been identified in many Axis I and Axis II disorders [43, 44].”
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“…emotion regulation strategies and dysfunctional coping skills are relevant risk factors in the development and maintenance of psychopathology and (Gross & Muñoz, 1995; Russell et al., 2012; Schreiber et al., 2012), specifically, in the case of adolescent problem gambling (Calado et al., 2017b;…”
BackgroundEvidence for cultural differences in affect during mother–infant interactions
Salih, M. A., Abargil, M., Badarneh, S., Selle, N. K., Irani, M., & Atzil, S. (2023) · Scientific Reports · doi:10.1038/s41598-023-31907-y · Cited by 17
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Measuring children's regulation of emotion-expressive behavior.
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“In addition, under- or overregulation of emotion-expressive behavior are considered key diagnostic features in a wide array of psychiatric disorders associated with emotional instability, such as mood and anxiety disorders (Barlow, 1991; Gross, 1998; Gross & Munoz, 1995).”
BackgroundEmotional Skillfulness as a Key Mediator of Aggression
Mansfield, A. K., Addis, M. E., Córdova, J. V., & Dowd, L. S. (2009) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926770902809811 · Cited by 15
“…idea that emotion dysregulation plays a central role in many disorders and problematic behaviors, including interpersonal aggression and violence (Gross & Munoz, 1995; Hayes et al., 1999; Jakupcak, D ow nl oa de d by [ U ni ve rs ite D e Pa ri s 1] a t 0 8: 31 1 9 A ug us t 2 01 3 Emotional…”
BackgroundHumor Styles, Self-Esteem and Subjective Happiness
Twain, M. (2012) · Cited by 15
The effects of respiratory sinus arrhythmia on anger reactivity and persistence in major depression
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Recognition and treatment of mood dysregulation in adults with intellectual disability
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“(pp. 42–43) Emotion regulation is important in three key aspects of life: work, relationships, and the relationship with oneself (Gross & Muñoz, 1995).”
BackgroundAkbari, M., Bahadori, M. H., Mohammadkhani, S., Kolubinski, D. C., Nikčević, A. V., & Spada, M. M. (2021) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2021.100354 · Cited by 15
“Emotion regulation allows for the ability to moderate emotional experiences and to create appropriate responses to stressful and negative events (Gross & Muñoz, 1995).”
BackgroundA process model of team emotion regulation: An expansion of Gross' individual ER model
Kazemitabar, M., Lajoie, S. P., & Doleck, T. (2022) · Learning Culture and Social Interaction · doi:10.1016/j.lcsi.2022.100612 · Cited by 17
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“and is used for management and regulation of emotions (6, 14, 15, 28-30).”
Working on the Inside: Mindfulness for Adolescents
Broderick, P. C., & Metz, S. M. (2016) · Mindfulness in behavioral health · doi:10.1007/978-1-4939-3506-2_22 · Cited by 15
Gardstrom, S. C., Bartkowski, J., Willenbrink-Conte, J., & Diestelkamp, W. S. (2013) · Music Therapy Perspectives · doi:10.1093/mtp/31.2.116 · Cited by 15
“One’s perception of emotions as positive or negative is dependent on the context and his or her emotional competence, defined as the ability to interpret and respond to feelings in self and others (Gross & Muñoz, 1994).”
BackgroundVingerhoets, A. J. J. M., & Scheirs, J. G. M. (2001) · doi:10.4324/9780203717493-22 · Cited by 15
Psychological impact of climate change emergency: an attempt to define eco-anxiety
Orrù, L., & Mannarini, S. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1375803 · Cited by 33
Piccolo, L. D., Danzi, O. P., Fattori, N., Mazzi, M. A., & Goss, C. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.06.001 · Cited by 14
Hanin, V., Grégoire, J. C., Mikolajczak, M., Fantini‐Hauwel, C., & Nieuwenhoven, C. V. (2017) · Psychology · doi:10.4236/psych.2017.813143 · Cited by 16
Emotional interference under low versus high executive control
Grützmann, R., Riesel, A., Kaufmann, C., Kathmann, N., & Heinzel, S. (2019) · Psychophysiology · doi:10.1111/psyp.13380 · Cited by 17
Problem gambling during Covid-19
Frisone, F., Alibrandi, A., & Settineri, S. (2020) · Mediterranean Journal of Clinical Psychology · doi:10.6092/2282-1619/mjcp-2457 · Cited by 30
Ilicic, J., & Brennan, S. M. (2022) · European Journal of Marketing · doi:10.1108/ejm-01-2021-0038 · Cited by 15
Brockmeyer, T., Kulessa, D., Hautzinger, M., Bents, H., & Backenstraß, M. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.08.010 · Cited by 15
Beveren, M. V., Mueller, S. C., & Braet, C. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000567 · Cited by 15
Calvert, S. J. (2010) · Massey Research Online (Massey University) · Cited by 14
Emotion and the Development of Psychopathology
Cole, P. M. (2016) · Wiley eBooks · doi:10.1002/9781119125556.devpsy107 · Cited by 14
Matko, K., Berghöfer, A., Jeitler, M., Sedlmeier, P., & Bringmann, H. C. (2022) · doi:10.31231/osf.io/9rbqe · Cited by 13
“Given that emotion regulation difficulties are at the core of various forms of psychopathology [93,94], our findings might be of particular importance in this regard.”
BackgroundSimpson, L. E., Kumar, S. A., Brockdorf, A. N., Brock, R. L., Messman, T. L., Gratz, K. L., & DiLillo, D. (2024) · Journal of Interpersonal Violence · doi:10.1177/08862605241278996 · Cited by 13
“Emotion dysregulation is considered a key mechanism underlying the development and maintenance of numerous forms of psychopathology (Gross & Muñoz, 1995), and has been linked to a number of psychological disorders, including substance use disorders (Kober, 2014), posttraumatic stress disorder…”
Intrapersonal emotion regulation training in virtual reality: embodying self-talk
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“Emotion regulation is a fundamental construct in psychology, significantly influencing well-being, mental health, and the development and persistence of psychopathology (Gross and Munoz 1995; Sheppes et al. 2015).”
Sanchez, T. A., Ramos, L. R., Araujo, F., Schenberg, E. E., Yonamine, M., Lobo, I., de Araújo, D. B., & Luna, L. E. (2023) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2023.117430 · Cited by 14
Improving mental health literacy using web- or app-based interventions: A scoping review
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“34 Emotional dysregulation is recognized as the basis for a wide range of psychological disorders, 53 and transdiagnostic interventions such as DBT have identi fi ed emotional dysregulation as a primary therapeutic target.”
BackgroundSemenza, D. C. (2017) · Sociological Inquiry · doi:10.1111/soin.12194 · Cited by 13
Hypersexuality: Fact or Fiction?
Kingston, D. A. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.02.015 · Cited by 13
Quality of Life in Riot Police: Links to Anger, Emotion Regulation, Depression, and Anxiety
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Wang, Q., Liu, H., Ren, Z., Xiong, W., He, M., Li, N., Fan, X., Guo, X., Li, X., Shi, H., et al. (2020) · Psychiatry Investigation · doi:10.30773/pi.2019.0204 · Cited by 15
Pagano, A. E., & Vizioli, N. A. (2021) · Psicodebate · doi:10.18682/pd.v21i1.3881 · Cited by 13
“Respecto de la manipulación de las respuestas emocionales, pueden distinguirse la RE centrada en el antecedente y la RE centrada en la respuesta (Gross & Muñoz, 1995).”
BackgroundShields, M. C., Matt, L. M., & Coifman, K. G. (2015) · Journal of Health Psychology · doi:10.1177/1359105315587139 · Cited by 13
“Indeed, the ability to regulate emotions is vital to well-being and survival (Cole et al., 2004; Thompson, 1994), and maladaptive emotional responses underlie many mental disorders, including depression and anxiety (Gross and Muñoz, 1995).”
BackgroundIndirect effects of smoking motives on adolescent anger dysregulation and smoking
Mischel, E. R., Leen‐Feldner, E. W., Knapp, A. A., Bilsky, S. A., Ham, L. S., & Lewis, S. F. (2014) · Addictive Behaviors · doi:10.1016/j.addbeh.2014.07.029 · Cited by 13
Emotion Regulation between Determinants and Consequences
Turliuc, M. N., & Bujor, L. (2013) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2013.04.218 · Cited by 13
“…into supra-ordinate categories: the first four are considered as antecedent-focused strategies because they occur before the emotional response tendency and are in opposition to the last process that is focused on response and occurs after the response was generated (Gross & Munoz, 1995).”
Background
Metadata
- Authors
- Gross, J. J., & Muñoz, R. F.
- Affiliations
- Stanford University (US)
- University of California, San Francisco (US)
- Venue
- Clinical Psychology: Science and Practice
- Published
- 1995
- Volume
- 2
- Issue
- 2
- Pages
- 151-164
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W2033688243
- Cited by
- 1,595
- References
- 80
- Citations by year
- 2026: 35 · 2025: 62 · 2024: 102 · 2023: 83 · 2022: 82 · 2021: 101 · 2020: 93 · 2019: 101 · 2018: 93 · 2017: 97 · 2016: 81 · 2015: 93 · 2014: 95 · 2013: 79 · 2012: 67
- FWCI
- 10.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- emotion regulation, mental health, major depressive episode, depression, emotional dysregulation, normal functioning, depression treatment, depression prevention, public mental health
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