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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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“Finally, note that this investigation represents only a narrow slice of the multifaceted construct of emotional responding and does not capture the dynamic and reciprocally determined nature of emotional responding as it occurs in ongoing streams of such cycles.([13]) Specifically, within a processoriented framework,…”
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“In contrast, adaptive emotion regulation in childhood is associated with better mental [5-7] and physical health [8-10].”
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Ünal, Z. M. (2014) · RePEc: Research Papers in Economics · Cited by 13
Gomez, P., Scholz, U., & Danuser, B. (2015) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-015-9280-2 · Cited by 13
“Emotion regulation figures prominently in mental health (Gross & Muñoz, 1995; Kring & Sloan, 2009).”
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Adaptive Functioning in High-Risk Preschoolers: Caregiver Practices Beyond Parental Warmth
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Psychopathy Moderates the Relationship Between Nature Connectedness and Cognitive Reappraisal
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“Poor emotion regulation is implicated in a larger number of mental health disorders such as anxiety and depression (Gross & Mun˜oz, 1995; Jazaieri, Goldin, Werner, Ziv, & Gross, 2012).”
Babo, F., Mota, C. P., Santos, B., Matos, P. M., & Carvalho, H. (2023) · Child Abuse Review · doi:10.1002/car.2843 · Cited by 14
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“Inability to regulate emotions is implicated in all of the DSM-IV Axis II disorders and over half of the Axis I disorders (American Psychiatric Association, 1994; Gross, 1998) and is closely associated with substance abuse (Gross & Munoz, 1995).”
BackgroundMansell, W., Barnes, A., Grant, L., & Sousa, L. M. D. (2020) · Current Psychology · doi:10.1007/s12144-020-00996-7 · Cited by 16
“Emotion suppression is typically found to be maladaptive when measured broadly with no specific reference to context (Aldao et al. 2010; Berking and Wupperman 2012).”
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“According to the definition of emotion regulation, two types of emotion regulation can be distinguished, the prior focus strategy and the response focus strategy, cognitive reappraisal is a focus strategy in emotion regulation, which is a form of cognitive adjustment that alters emotions by changing the individual’s i…”
BackgroundSelf-Compassion in Psychotherapy: Clinical Integration, Evidence Base, and Mechanisms of Change
Germer, C. K. (2023) · Mindfulness in behavioral health · doi:10.1007/978-3-031-22348-8_22 · Cited by 16
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Huang, W., Guan, Z., Li, K., Zhou, Y., & Li, Y. (2023) · IEEE Transactions on Affective Computing · doi:10.1109/taffc.2023.3305982 · Cited by 14
“emotions in social situations is crucial for protecting both mental and physical health [2].”
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“James Gross was engaged in modelling emotion regulation (Gross and Munoz, 1995; Gross, 1998, Gross and Thompson, 2007; Gross, 2008) and defined affect as a “superordinate category for valenced states” (Gross 1998, p. 274).”
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“There is also evidence suggesting that emotional awareness can enable flexibility of behavioral responses to difficult emotions and contribute to improved relationships with others [15,16].”
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Mood Symptoms and Emotional Responsiveness to Threat in School-Aged Children
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“Disturbance in mood and emotional experience are the hallmarks of depression in adults and children (American Psychiatric Association [APA], 2000 ; Clark, Watson, & Mineka, 1994 ; Gross & Munoz, 1995 ).”
BackgroundUne adaptation française du Questionnaire de Régulation Émotionnelle à la situation d’apprentissage
Leroy, V., Boudrenghien, G., & Grégoire, J. C. (2014) · Mesure et évaluation en éducation · doi:10.7202/1024464ar · Cited by 18
“…expression (Gross, 1998b). elle est donc un outil adaptatif puissant dont l’efficacité a été démontrée dans des domaines aussi variés que la santé mentale (Gross & Munoz, 1995), les relations sociales (Gross, 2002) ou encore la réussite professionnelle (Quoidbach & hansenne, 2009). en psychologie…”
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Boden, J. M., & Dale, K. L. (2001) · Current Psychology · doi:10.1007/s12144-001-1020-5 · Cited by 12
“Gross & Mufioz (1995) state that all individuals regulate their emotions, and that emotional regulation is an important part of mental health.”
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Lech, B. (2012) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 12
Emotion dysregulation and re-regulation: predictors of relationship intimacy and distress
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Durham, E. L., Micciche, E. T., Reimann, G. E., Archer, C., Jeong, H. J., Dupont, R. M., & Kaczkurkin, A. N. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.10.083 · Cited by 15
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Şahin, N. H., Tasso, A. F., & Güler, M. (2023) · Cognitive Processing · doi:10.1007/s10339-023-01144-2 · Cited by 13
“…is associated with alterations in physiological, cognitive, and behavioral responses, and has been associated with a variety of somatic, emotional, and wellness criteria (Bridges et al. 2004; Cole et al. 2004; Gross 1998, 2014; Gross and Munoz 1995; Pepping et al. 2016; Rueda et al. 2005).”
BackgroundKazemitabar, M., Lajoie, S. P., & Doleck, T. (2023) · Education and Information Technologies · doi:10.1007/s10639-023-12021-y · Cited by 13
“…influence which emotions they have, when they have them, and how they experience and express these emotions” (Gross, 1998, p. 275)—within the individual learning context are well documented (e.g., Gross & Muñoz, 1995), research on shared emotion regulation has just started making appearances.”
Sleep Deprivation Impairs Human Cognitive Reappraisal Ability: A Randomized Controlled Trial
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“Both poor emotional regulation ability and poor emotional intelligence will seriously affect social performance and thereby affecting mental health.(16) The experimental results undoubtedly alert the public to pay attention to the role of sleep as insufficient sleep is common in modern society.”
BackgroundOyebode, O., Steeves, D., & Orji, R. (2024) · User Modeling and User-Adapted Interaction · doi:10.1007/s11257-023-09390-x · Cited by 11
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“Affectivestatesshapethewaythatapersonfeels,thinksand behaves[9]andinfluenceone’smentalhealthinthelong run,dependingontheirtype,duration,intensityorfrequency [10], [11].”
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“Further, such difficulties are linked to general anxiety disorder (23) and major depressive disorder [MDD; (24)], which are comorbid in about 20–30% of children and adolescents with ADHD [(22, 25)].”
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“Researchers have found that emotion dysregulation is central to several clinical disorders and the onset of psychopathology (Gross and Muñoz, 1995; Shahar et al., 2017).”
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“While Gross and Muñoz (1995) noted that a true definition in the literature for emotion does not exist, Schachter and Singer (1962) defined emotion as “a state of physiological arousal and cognition appropriate to this state of arousal” (p. 380).”
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“Individuals with emotion regulation deficits are at a greater risk for a range of psychological disorders including depression, anxiety, eating disorders, substance abuse and borderline personality disorder (Gross & Jazaieri, 2014 ; Gross & Muñoz, 1995; Sheppes et al., 2015).”
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“It is for these and other reasons that the very topic of emotion regulation is gaining currency in psychopathology research (Barlow et al., 2004; Eifert & Forsyth, 2005) and mental health care more generally (Blackledge & Hayes, 2001; Gross & Muñoz, 1995).”
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“…suppression of negative affect have been shown to exacerbate (rather than dampen) the experience of negative emotions (Wenzlaff & Wegner, 2000), and emotional reactivity and regulation are key components of evidence-based theories of depressive disorders (e.g., Barlow, 2004; Gross & Muñoz, 1995).”
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“By definition, emotion regulation is a set of cognitive processes that people use to monitor, evaluate, and control their emotions to meet the demands of their internal and external environments (Gross, 1998; Gross & Munoz, 1995).”
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“Emotion dysregulation is hypothesized to underpin a wide range of psychological difficulties [81]; in fact, transdiagnostic interventions, such as DBT or the Unified Protocol [82], focus on emotion dysregulation as the primary treatment target.”
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“Um individuelle Differenzen im expressiven Verhalten zu begreifen, wurden verschiedene Modelle präsentiert (Ekman, 1972; Gross & Munoz, 1995; Levenson, 1994).”
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Duygular ve Psikolojik Belirtiler Arasındaki İlişkiler
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“Moreover, there is an ongoing debate on the temporal dynamics (i.e., directionality) of the association for each pair of the three adaptation domains (Berking & Wupperman, 2012; Gross & Muñoz, 1995; Levenson, Haase, Bloch, Holley, & Seider, 2014).”
Evaluating emotion regulation processes of depression
Alsancak-Akbulut, C. (2018) · Journal of Clinical Psychiatry · doi:10.5505/kpd.2018.24855 · Cited by 13
“Son dönemlerde, stabil olmayan duygudurumun ve duygu düzenlemedeki aksaklýklarýn birçok psikolojik bozukluðun oluþmasýnda ve süreklilik göstermesinde rol oynadýðý düþünülmektedir (19).”
Savoring as Mediator Between Irrational Beliefs, Depression, and Joy
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Savoring the moment: A link between affectivity and depression
Kahrilas, I. J., Smith, J. L., Silton, R. L., & Bryant, F. B. (2020) · International Journal of Wellbeing · doi:10.5502/ijw.v10i2.779 · Cited by 12
“The connection between negative emotion regulation and depression is well established (Gross, 1998; Gross & Muñoz, 1995; Joormann & Gotlib, 2010; Joormann & Vanderlind, 2014; NolenHoeksema et al., 1993).”
BackgroundMarzi, C., Greco, A., Scilingo, E., & Vanello, N. (2021) · Biomedical Signal Processing and Control · doi:10.1016/j.bspc.2021.102517 · Cited by 9
Ehrenreich, J. T., Bilek, E. L., Queen, A. H., & Rodríguez, J. H. (2012) · Revista de Psicopatología y Psicología Clínica · doi:10.5944/rppc.vol.17.num.3.2012.11841 · Cited by 11
“Thus it was suggested that Alexa limit her GEE homework to pleasant or positive emotions, an experience that may occur rarely for individuals experiencing depression (Gross & Muñoz, 1995).”
BackgroundDiscerning Thoughts From Feelings: The Cognitive-Affective Division in Eating Disorders
Jenkins, P. E., & O'Connor, H. (2012) · Eating Disorders · doi:10.1080/10640266.2012.654058 · Cited by 11
THE RELATIONSHIP BETWEEN STRATEGIES FOR COGNITIVE REGULATION OF EMOTIONS AND SUICIDAL IDEATION
Hasani, J., & Mohammad, M. A. (2012) · Cited by 10
Diamond, L. M., & Fagundes, C. P. (2011) · American Psychological Association eBooks · doi:10.1037/13486-004 · Cited by 10
Mazaheri, M., Afshar, H., Nikneshan, S., & Adibi, P. (2016) · Advanced Biomedical Research · doi:10.4103/2277-9175.190937 · Cited by 8
“[8] Emotion regulation has been divided into two aspects, antecedent‐focused emotion regulation occurs before the emotion is generated, and response‐focused emotion regulation occurs after the emotion is generated.[6,9] Moreover, emotion regulation strategies have been classified as adaptive and maladaptive.”
BackgroundKostiuk, L. M. (2011) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r38d0g · Cited by 10
Brzozowski, A., White, R. G., Mitchell, I., Beech, A. R., & Gillespie, S. M. (2020) · Journal of Forensic Psychiatry and Psychology · doi:10.1080/14789949.2020.1859589 · Cited by 10
“Negative symptoms associated with substance abuse include an impaired ability to effectively regulate emotions (Gross & John, 2003; Gross & Muñoz, 1995; Martin & Dahlen, 2005; Sinha, 2008).”
BackgroundHua, Z., Ma, D., & Xia, X. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191911883 · Cited by 9
“Emotional dysregulation is usually defined as difficulties and deficits in the self-regulation of emotions [38].”
BackgroundHasani, J., Chashmi, S. J. E., Zakiniaeiz, Y., & Potenza, M. N. (2023) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2023.11.011 · Cited by 9
Shafiei, F., Dehghani, M., Lavasani, F. F., Manouchehri, M., & Mokhtare, M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1293150 · Cited by 9
“Research has identified adaptive ER as a protective factor against psychological problems, while ED is considered a vulnerability factor (Gross and Muñoz, 1995; Gross and Jazaieri, 2014).”
BackgroundHintz, F., Dijkhuis, M., Hoff, V. V. '., Huijsmans, M. K., Kievit, R., McQueen, J. M., & Meyer, A. S. (2025) · Brain Research · doi:10.1016/j.brainres.2025.149502 · Cited by 10
“…paves the way for exploring potential relationships between language knowledge and skills and other aspects of cognition (e.g., emotion regulation, Gross & Mu ˜ noz, 1995; Thompson, 1994) and life outcomes, such as mental health and well-being, social competency and professional success (e.g.,…”
Fortunato, A., Tanzilli, A., Lingiardi, V., & Speranza, A. M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126288 · Cited by 9
Are depressed patients’ coping strategies associated with psychotherapy treatment outcomes?
Tait, J., Edmeade, L., & Delgadillo, J. (2021) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12368 · Cited by 9
Liderazgo e inteligencia emocional: las emociones como parte relevante del negocio
Lotito, F. (2022) · RAN Revistas Academia y Negocios · doi:10.29393/ran8-2lifl10002 · Cited by 9
Yl, L., Wang, X., Gui, S., Tong, F., Liu, Z., Yang, L., & Zhou, Y. (2022) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2104107 · Cited by 10
Larsson, J., Bjureberg, J., & Hesser, H. (2023) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2821 · Cited by 9
GÜLDAŞ, F. Z., & KARSLI, F. (2023) · Spiritual Psychology and Counseling · doi:10.37898/spiritualpc.1344542 · Cited by 10
Emotionsregulation: Überblick und kritische Reflexion des aktuellen Forschungsstandes
Heber, E., Lehr, D., Riper, H. M., & Berking, M. (2014) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000265 · Cited by 10
Macdonald, B., Murray, L., Moutsiana, C., Fearon, P. R. M., Cooper, P., Halligan, S. L., & Johnstone, T. (2016) · Biological Psychology · doi:10.1016/j.biopsycho.2016.05.006 · Cited by 8
Good things better? Reappraisal and discrete emotions in acquired brain injury
Rowlands, L., Coetzer, R., & Turnbull, O. H. (2019) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2019.1620788 · Cited by 11
“The most extensively used approach to ER is the “Process model”, which describes this ability as a range of strategies that influence emotions, their intensity and the way they are experienced and expressed (Gross, 2013, 2014, 2015; Gross & Muñoz, 1995).”
Method
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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