Emotion Regulation Skills Training Enhances the Efficacy of Inpatient Cognitive Behavioral Therapy for Major Depressive Disorder: A Randomized Controlled Trial
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Background: Deficits in emotion regulation skills are possible factors maintaining major depressive disorder (MDD). Therefore, the aim of the study was to test whether integrating a systematic emotion regulation training (ERT) enhances the efficacy of routine inpatient cognitive behavioral therapy (CBT) for MDD. Methods: In a prospective randomized controlled trial, 432 inpatients meeting criteria for MDD were assigned to receive either routine CBT or CBT enriched with an intense emotion regulation skills training (CBT-ERT). Results: Participants in the CBT-ERT condition demonstrated a significantly greater reduction in depression (response rates - CBT: 75.5%, CBT-ERT: 84.9%; remission rates - CBT: 51.1%, CBT-ERT: 65.1%). Moreover, CBT-ERT participants demonstrated a significantly greater reduction of negative affect, as well as a greater increase of well-being and emotion regulation skills particularly relevant for mental health. Conclusions: Integrating strategies that target emotion regulation skills improves the efficacy of CBT for MDD.
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Adding mindfulness instruction to standard CBT results in greater effects on depression and anxiety symptoms compared to CBT alone.
“Third, preliminary evidence from face-to-face CBT studies suggests that adding mindfulness instruction to standard CBT results in greater effects on depression and anxiety symptoms compared to CBT alone.”
From Online mindfulness-enhanced cognitive behavioural therapy for anxiety and depression: Outcomes of a pilot trial (2018) · cites this paper as Berking et al., 2013
The Treatments section describes an emotion-regulation training program that draws partly on mindfulness-based interventions, not an isolated addition of mindfulness instruction. The Results section reports a greater reduction in depressive symptoms with CBT-ERT than with CBT alone, but does not report a comparative effect on anxiety symptoms. (LLM, conf=0.88)
Experimental — accuracy not yet measuredStandard CBT was inferior to CBT containing additional mindfulness instruction, which demonstrated greater reductions in depression and improvements in emotion regulation.
“For example, Berking et al. (2013) found that standard CBT was inferior to CBT containing additional mindfulness instruction, which demonstrated greater reductions in depression and improvements in emotion regulation.”
From Online mindfulness-enhanced cognitive behavioural therapy for anxiety and depression: Outcomes of a pilot trial (2018) · cites this paper as Berking et al., 2013
The Results and Discussion report greater reductions in depression and stronger emotion-regulation skills with CBT plus emotion regulation skills training (ERT) than with routine CBT. The Treatments section says ERT drew partly on mindfulness-based interventions, but it was a broader, multicomponent training, not simply additional mindfulness instruction. (LLM, conf=0.88)
Experimental — accuracy not yet measuredA study adding emotion regulation skills training to CBT for depression found a superior effect of CBT with emotion regulation skills training compared to CBT without this training.
“The only exception was a study in which emotion regulation skills training was added to CBT for treating depression (Berking et al. 2013), and this study found a superior effect of CBT with emotion regulation skills training compared to CBT without this training.”
From The Role of Common Factors in Psychotherapy Outcomes (2019) · cites this paper as Berking et al. 2013
Context is increasingly important for determining effectiveness and mental health outcomes.
“a factor found to be increasingly important to determine effectiveness and mental health outcomes,40,41”
From A meta-analysis of emotional regulation outcomes in psychological interventions for youth with depression and anxiety (2021) · cites this paper as [40]
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“However, further examination is needed to determine if adjunctive ER treatments augment the efficacy of existing evidence based treatments (Berking et al., 2008; Berking et al., 2013).”
BackgroundThe Role of Common Factors in Psychotherapy Outcomes
Cuijpers, P., Reijnders, M., & Huibers, M. J. H. (2019) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050718-095424 · Cited by 748 · see citing works
“The only exception was a study in which emotion regulation skills training was added to CBT for treating depression (Berking et al. 2013), and this study found a superior effect of CBT with emotion regulation skills training compared to CBT without this training.”
BackgroundSelf-citationGroarke, J. M., Berry, E., Graham-Wisener, L., McKenna-Plumley, P. E., McGlinchey, E., & Armour, C. (2020) · PLOS ONE · doi:10.1371/journal.pone.0239698 · Cited by 727 · see citing works
“Of the risk factors identified in the current study, difficulties in emotion regulation and sleep quality may be the most appropriate to target as they are amenable to change, for example, through cognitive behavioural interventions [83,84].”
BackgroundA comprehensive meta-analysis of interpretation biases in depression
Everaert, J., Podina, I. R., & Koster, E. H. W. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.09.005 · Cited by 378 · see citing works
Self-compassion as an emotion regulation strategy in major depressive disorder
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Self-citationEmotion Regulation in Current and Remitted Depression: A Systematic Review and Meta-Analysis
Visted, E., Vøllestad, J., Nielsen, M. B., & Schanche, E. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00756 · Cited by 337 · see citing works
Interpersonal Emotion Regulation Model of Mood and Anxiety Disorders
Hofmann, S. G. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-014-9620-1 · Cited by 320 · see citing works
“…Models Recently, authors have explored the role of emotion regulation and dysregulation in emotional disorders (Aldao et al. 2010), and especially mood and anxiety disorders (Amstadter 2008; Cisler et al. 2010; Berking et al. 2013, 2014; Hofmann et al. 2012; Mennin et al. 2005; Wirtz et al. 2014).”
BackgroundSelf-citationExamining emotion regulation as an outcome, mechanism, or target of psychological treatments
Gratz, K. L., Weiss, N. H., & Tull, M. T. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2015.02.010 · Cited by 288 · see citing works
Emotion regulation predicts symptoms of depression over five years
Berking, M., Wirtz, C. M., Svaldi, J., & Hofmann, S. G. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.03.003 · Cited by 288 · see citing works
Self-citationBehavioral effects of longitudinal training in cognitive reappraisal.
Denny, B. T., & Ochsner, K. N. (2014) · Emotion · doi:10.1037/a0035276 · Cited by 269 · see citing works
“…addition to other regulation techniques, are effective in reducing reports of negative affect and clinical symptomology in unipolar depression, generalized anxiety disorder, panic disorder, social phobia, and posttraumatic stress disorder (Berking et al., 2013; Butler et al., 2006; Dobson, 2010).”
Emotion regulation mediates the relationship between ACES and physical and mental health.
Cloître, M., Khan, C. T., Mackintosh, M., Garvert, D. W., Henn‐Haase, C., Falvey, E. C., & Saito, J. (2018) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000374 · Cited by 258 · see citing works
The role of emotion regulation in the characterization, development and treatment of psychopathology
Lincoln, T. M., Schulze, L., & Renneberg, B. (2022) · Nature Reviews Psychology · doi:10.1038/s44159-022-00040-4 · Cited by 234 · see citing works
Harrer, M., Adam, S. H., Fleischmann, R. J., Baumeister, H., Auerbach, R., Bruffaerts, R., Cuijpers, P., Kessler, R. C., Berking, M., Lehr, D., et al. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9293 · Cited by 216 · see citing works
“Emotion regulation refers to the processes through which individuals monitor, evaluate, modify, and thus control emotions to reach relevant needs or goals and has been shown to be influential in reducing various symptoms of mental illness [28].”
BackgroundSelf-citationLiu, D. Y., & Thompson, R. J. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.07.004 · Cited by 220 · see citing works
Ebert, D. D., Heber, E., Berking, M., Riper, H., Cuijpers, P., Funk, B., & Lehr, D. (2016) · Occupational and Environmental Medicine · doi:10.1136/oemed-2015-103269 · Cited by 176 · see citing works
Self-citationOvercome procrastination: Enhancing emotion regulation skills reduce procrastination
Eckert, M., Ebert, D. D., Lehr, D., Sieland, B., & Berking, M. (2016) · Learning and Individual Differences · doi:10.1016/j.lindif.2016.10.001 · Cited by 209 · see citing works
Self-citationHirsch, O., Chavanon, M., Riechmann, E., & Christiansen, H. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.02.007 · Cited by 190 · see citing works
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“These conditions have devastating personal and societal impacts (Insel, 2011), but effective training in emotion regulation can help alleviate affective disturbances and allow individuals to optimize their wellbeing (Berking et al., 2013).”
Enhancing well-being at work: The role of emotion regulation skills as personal resources.
Buruck, G., Dörfel, D., Kügler, J., & Brom, S. S. (2016) · Journal of Occupational Health Psychology · doi:10.1037/ocp0000023 · Cited by 172 · see citing works
Emotion regulation mediates the effect of childhood trauma on depression
Hopfinger, L., Berking, M., Bockting, C., & Ebert, D. D. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.03.050 · Cited by 154 · see citing works
“…to foster improved general emotion regulation and specifically the skill willingness to confront in interventions (e.g., affect regulation training; Berking et al., 2013; Berking and Lukas, 2015; Ehret et al., 2014) to prevent and treat MDD may help in strengthening current prevention strategies…”
BackgroundSelf-citationFinlay‐jones, A. L. (2017) · Clinical Psychologist · doi:10.1111/cp.12131 · Cited by 159 · see citing works
“Longitudinal studies provide evidence of a robust inverse link between the deployment of cognitive reappraisal and symptoms of depression (Garnefski & Kraaij, 2006; Garnefski, Kraaij, & Spinhoven, 2001), while findings from the experimental literature suggest that the use of cognitive reappraisal helps to buffer again…”
Klemanski, D. H., Curtiss, J., McLaughlin, K. A., & Nolen-Hoeksema, S. (2017) · Cognitive Therapy and Research · doi:10.1007/s10608-016-9817-6 · Cited by 150 · see citing works
“Indeed, emotion regulation processes can augment or diminish emotional responding (c.f. Hofmann et al. 2012; Berking et al. 2013).”
Cuijpers, P., Cristea, I. A., Karyotaki, E., Reijnders, M., & Hollon, S. D. (2019) · Psychotherapy Research · doi:10.1080/10503307.2017.1395922 · Cited by 140 · see citing works
“This finding suggests that behavioral activation is one of the effective components of CBT, and leaving it out reduces the effects of CBT considerably.”
BackgroundMethodResultInfluentialSelf-citationZarski, A.-C., Lehr, D., Berking, M., Riper, H., Cuijpers, P., & Ebert, D. D. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4493 · Cited by 114 · see citing works
“ON Stress is based on two main components: problem solving [16,67-69] and emotion regulation [70,71].”
Self-citationDaros, A. R., Haefner, S. A., Asadi, S., Kazi, S., Rodak, T., & Quilty, L. C. (2021) · Nature Human Behaviour · doi:10.1038/s41562-021-01191-9 · Cited by 136 · see citing works
Ebert, D. D., Lehr, D., Boß, L., Riper, H., Cuijpers, P., Andersson, G., Thiart, H., Heber, E., & Berking, M. (2014) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.3449 · Cited by 115 · see citing works
“Because deficits in the ability to adaptively cope with difficult emotions are related to various mental health problems (64), the use of effective emotion-regulation techniques (65) in low-threshold internet-based stressmanagement training appears promising (66, 67).”
Self-citationEmotions in Depression: What Do We Really Know?
Rottenberg, J. A. (2017) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032816-045252 · Cited by 124 · see citing works
Radkovsky, A., McArdle, J. J., Bockting, C. L. H., & Berking, M. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0035828 · Cited by 115 · see citing works
Self-citationBerking, M., & Lukas, C. A. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2015.02.002 · Cited by 124 · see citing works
Self-citationEbert, D. D., Lehr, D., Heber, E., Riper, H., Cuijpers, P., & Berking, M. (2016) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.3573 · Cited by 120 · see citing works
“Emotion regulation skills have been shown to be promising for reducing a broad range of such symptoms (34).”
Self-citationJohannsen, M., Nissen, E. R., Lundorff, M., & O'Toole, M. S. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102156 · Cited by 116 · see citing works
Diedrich, A., Hofmann, S. G., Cuijpers, P., & Berking, M. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.04.003 · Cited by 164 · see citing works
“, Andrews, Qian,& Valentine, 2002; Besharat, Nia,& Farahani, 2013; Kim, Thibodeau,& Jorgensen, 2011) and that adding systematic training in general emotion regulation skills has been found to further enhance the efficacy of CBT forMDD (Berking et al., 2013), future research should also seek to identify the strategies…”
BackgroundSelf-citationAbravanel, B. T., & Sinha, R. (2015) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.11.012 · Cited by 109 · see citing works
EMOTION REGULATION PREDICTS ANXIETY OVER A FIVE-YEAR INTERVAL: A CROSS-LAGGED PANEL ANALYSIS
Wirtz, C. M., Hofmann, S. G., Riper, H. M., & Berking, M. (2013) · Depression and Anxiety · doi:10.1002/da.22198 · Cited by 109 · see citing works
Self-citationHow do you make me feel better? Social cognitive emotion regulation and the default mode network
Xie, X.-Y., Bratec, S. M., Schmid, G., Meng, C., Doll, A., Wohlschläger, A., Finke, K., Förstl, H., Zimmer, C., Pekrun, R., et al. (2016) · NeuroImage · doi:10.1016/j.neuroimage.2016.04.015 · Cited by 89 · see citing works
Nan, J. K.-M., & Ho, R. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.04.013 · Cited by 104 · see citing works
Johansson, R., Björklund, M., Hornborg, C., Karlsson, S., Hesser, H., Ljótsson, B., Rousseau, A., Frederick, R. J., & Andersson, G. (2013) · PeerJ · doi:10.7717/peerj.102 · Cited by 102 · see citing works
“Similarly, several contemporary CBT treatments have components of emotion regulation techniques (e.g., Berking et al., 2013; Bryant et al., 2013), that seem overlapping to affect-phobia treatment.”
BackgroundBodalski, E. A., Knouse, L. E., & Kovalev, D. (2018) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-018-9695-1 · Cited by 104 · see citing works
Heber, E., Ebert, D. D., Lehr, D., Nobis, S., Berking, M., & Riper, H. M. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-655 · Cited by 91 · see citing works
“Deficits in emotion regulation skills are an important factor in the development and maintenance of a broad range of mental disorders, such as depression [37-39] and anxiety [40].”
BackgroundMethodInfluentialSelf-citationPotential psychological & neural mechanisms in binge eating disorder: Implications for treatment
Hedy Kober, A., & Boswell, R. G. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.12.004 · Cited by 90 · see citing works
Teaching Happiness to Teachers - Development and Evaluation of a Training in Subjective Well-Being
Rahm, T., & Heise, E. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02703 · Cited by 88 · see citing works
Groarke, J. M., McGlinchey, E., McKenna-Plumley, P. E., Berry, E., Graham‐Wisener, L., & Armour, C. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.02.033 · Cited by 89 · see citing works
“Treatments for depressive symptoms that address emotion regulation difficulties such as Dialectical Behaviour Therapy may be helpful, and adding emotion regulation skills training did improve the efficacy of CBT for major depression (Berking et al., 2013).”
BackgroundInterventions targeting emotion regulation: A systematic umbrella review
Saccaro, L. F., Giff, A. E., Rossi, M. M. D., & Piguet, C. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.04.025 · Cited by 87 · see citing works
Karazsia, B. T., & Berlin, K. S. (2017) · Behavior Therapy · doi:10.1016/j.beth.2017.10.001 · Cited by 84 · see citing works
Grant, M., Salsman, N. L., & Berking, M. (2018) · PLoS ONE · doi:10.1371/journal.pone.0205095 · Cited by 90 · see citing works
Self-citationImproving Pleasure and Motivation in Schizophrenia: A Randomized Controlled Clinical Trial
Favrod, J., Nguyen, A., Chaix, J., Pellet, J., Frobert, L., Fankhauser, C., Ismailaj, A., Brana, A., Tamic, G., Suter, C., et al. (2019) · Psychotherapy and Psychosomatics · doi:10.1159/000496479 · Cited by 83 · see citing works
Tarrega, S., Castro-Carreras, L., Fernández-Aranda, F., Granero, R., Giner-Bartolomé, C., Aymamí, N., Gómez-Peña, M., Santamaría, J., Forcano, L., Steward, T., et al. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01721 · Cited by 80 · see citing works
“Although the role of ER in the development, maintenance and treatment of psychopathology has been largely proven by the literature (Berking et al., 2008, 2013; Berking and Margraf, 2011; Sheppes et al., 2015), there is as yet no consensus on what the most suitable treatment approach may be.”
BackgroundBoß, L., Lehr, D., Schaub, M. P., Castro, R. P., Riper, H. M., Berking, M., & Ebert, D. D. (2017) · Addiction · doi:10.1111/add.14085 · Cited by 80 · see citing works
“In addition, we integrated emotional regulation techniques [38], that have not been tested in web-based alcohol interventions so far.”
MethodSelf-citationfMRI feedback enhances emotion regulation as evidenced by a reduced amygdala response
Sarkheil, P., Zilverstand, A., Kilian-Hütten, N., Schneider, F., Goebel, R., & Mathiak, K. (2015) · Behavioural Brain Research · doi:10.1016/j.bbr.2014.11.027 · Cited by 77 · see citing works
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Emotion regulation strategies and effects in art-making: A narrative synthesis
Gruber, H., & Oepen, R. (2017) · The Arts in Psychotherapy · doi:10.1016/j.aip.2017.12.006 · Cited by 75 · see citing works
Cano, M. Á., Castro, F. G., Rosa, M. R. D. L., Amaro, H. D. L. A., Vega, W. A., Sánchez, M., Rojas, P., Ramírez‐Ortiz, D., Taskin, T., Prado, G. J., et al. (2020) · Behavioral Medicine · doi:10.1080/08964289.2020.1712646 · Cited by 74 · see citing works
Lukas, C. A., & Berking, M. (2017) · Internet Interventions · doi:10.1016/j.invent.2017.07.002 · Cited by 68 · see citing works
Self-citationΚube, T., D’Astolfo, L., Glombiewski, J. A., Doering, B. K., & Rief, W. (2016) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12114 · Cited by 65 · see citing works
Gkintoni, E., Vassilopoulos, S. P., & Νικολάου, Γ. (2025) · Medicina · doi:10.3390/medicina61030431 · Cited by 72 · see citing works
The Adaptive Coping with Emotions Model (ACE Model)
Berking, M., & Whitley, B. (2014) · Affect Regulation Training · doi:10.1007/978-1-4939-1022-9_3 · Cited by 62 · see citing works
Self-citationSouthward, M. W., Sauer-Zavala, S. E., & Cheavens, J. S. (2021) · Clinical Psychology Science and Practice · doi:10.1037/cps0000003 · Cited by 64 · see citing works
Gao, W., Yan, X., & Yuan, J. (2022) · Psychoradiology · doi:10.1093/psyrad/kkac014 · Cited by 63 · see citing works
“Other studies have attempted to intervene in depression by adapting the use of different emotion regulation strategies (Berking et al. , 2013; Mennin & Fresco, 2014).”
BackgroundLincoln, T. M., Marín, N. M., & Jaya, E. S. (2017) · European Psychiatry · doi:10.1016/j.eurpsy.2016.12.010 · Cited by 60 · see citing works
Nook, E. C., Hull, T. D., Nock, M. K., & Somerville, L. H. (2022) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2114737119 · Cited by 61 · see citing works
Affect regulation training reduces symptom severity in depression – A randomized controlled trial
Berking, M., Eichler, E., Luhmann, M., Diedrich, A., Hiller, W., & Rief, W. (2019) · PLoS ONE · doi:10.1371/journal.pone.0220436 · Cited by 57 · see citing works
Self-citationHard to look on the bright side: Neural correlates of impaired emotion regulation in depressed youth
Stephanou, K., Davey, C. G., Kerestes, R., Whittle, S., & Harrison, B. J. (2017) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsx039 · Cited by 54 · see citing works
“Further, while the reappraisal strategies incorporated in our task were influenced by cognitive theory and psychotherapy for depression (Teasdale and Barnard, 1993; Gotlib and Joormann, 2010; Berking et al., 2013; Beck and Haigh, 2014), they are nonetheless only an approximation of real-life regulatory processes, whic…”
BackgroundEbert, D. D., Kählke, F., Buntrock, C., Berking, M., Smit, F., Heber, E., Baumeister, H., Funk, B., Riper, H. M., & Lehr, D. (2017) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3691 · Cited by 57 · see citing works
“Targeting emotion regulation skills has shown to be promising for reducing a broad range of psychopathological symptoms (48) and a mechanism of change in previous studies on GET.”
Self-citationZahniser, E., & Conley, C. S. (2018) · Motivation and Emotion · doi:10.1007/s11031-018-9696-0 · Cited by 52 · see citing works
Ehret, A. M., Joormann, J., & Berking, M. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.10.006 · Cited by 52 · see citing works
Self-citationBuilt to last: Theta and delta changes in resting‐state EEG activity after regulating emotions
Lapomarda, G., Valer, S., Job, R., & Grecucci, A. (2022) · Brain and Behavior · doi:10.1002/brb3.2597 · Cited by 47 · see citing works
“We also know that therapies that incorporate cognitive regulation strategies can improve regulatory abilities and reduce anxiety and depression in daily life (Berking et al., 2008; 2013; Butler et al., 2006; Dobson, 2010).”
BackgroundZu, S., Xiang, Y., Liu, J., Zhang, L., Wang, G., Ma, X., Kilbourne, A. M., Ungvari, G. S., Chiu, H. F. K., Lai, K. Y. C., et al. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.09.022 · Cited by 47 · see citing works
“, 2004) with remission rates ranging between 42% and 84% (Berking et al., 2013; Hollon et al., 1991).”
BackgroundOccupational therapy interventions for adults with severe mental illness: a scoping review
Rocamora-Montenegro, M., Compañ-Gabucio, L.-M., & Garcia de la Hera, M. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-047467 · Cited by 45 · see citing works
Cassioli, E., Rossi, E., D’Anna, G., Martelli, M., Hazzard, V. M., Crosby, R. D., Wonderlich, S. A., Ricca, V., & Castellini, G. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23647 · Cited by 44 · see citing works
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“I’ll Worry About It Tomorrow” – Fostering Emotion Regulation Skills to Overcome Procrastination
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Ebert, D. D., Franke, M., Zarski, A., Berking, M., Riper, H. M., Cuijpers, P. J., Funk, B., & Lehr, D. (2021) · Journal of Medical Internet Research · doi:10.2196/22107 · Cited by 38 · see citing works
“The next part of the training (sessions 4-6) is based on the Affect Regulation training [45,46].”
Self-citationLeWinn, K. Z., Strigo, I. A., Connolly, C. G., Ho, T. C., Tymofiyeva, O., Sacchet, M. D., Weng, H. Y., Blom, E. H., Simmons, A. N., & Yang, T. T. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.07.020 · Cited by 38 · see citing works
Predicting symptoms of depression from social anhedonia and emotion regulation
Atherton, B. D., Nevels, R. M., & Moore, M. T. (2015) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000262 · Cited by 39 · see citing works
“Berking et al. (2013) examined the efficacy of a form of cognitive-behavioral therapy emphasizing emotion regulation training (CBT-ERT) in an inpatient sample.”
Koç, M. S., Aka, B. T., Doğruyol, B., Curtiss, J. E., Carpenter, J. K., & Hofmann, S. G. (2019) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-019-09732-3 · Cited by 39 · see citing works
Self-citationBreaux, R., & Langberg, J. M. (2020) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2020.1759468 · Cited by 39 · see citing works
Beaumont, J., Putwain, D. W., Gallard, D., Malone, E., Marsh, H. W., & Pekrun, R. H. (2023) · Journal of Educational Psychology · doi:10.1037/edu0000800 · Cited by 48 · see citing works
“Thistype of intervention has been shown to have bene fi ts (e.g., reducing depression and increasing well-being) when integrating reappraisal techniques that help improve emotion regulation (e.g., Berking et al., 2013).”
BackgroundBerman, N. C., Shaw, A. M., & Wilhelm, S. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9911-z · Cited by 38 · see citing works
“Indeed, in patients with depression, the ART potentiated patients’ response to CBT (i.e., those in CBT + ART reported greater increases in well-being and greater decreases in negative affect compared to those receiving CBT alone; Berking et al.”
Dittmer, N., Voderholzer, U., von der Mühlen, M., Marwitz, M., Fumi, M., Mönch, C., Alexandridis, K., Cuntz, U., Jacobi, C., & Schlegl, S. (2018) · Journal of Eating Disorders · doi:10.1186/s40337-018-0200-8 · Cited by 37 · see citing works
A network analysis of borderline personality disorder symptoms and disordered eating
Paoli, T. D., Fuller‐Tyszkiewicz, M., Huang, C., & Krug, I. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22916 · Cited by 37 · see citing works
Neural basis of positive and negative emotion regulation in remitted depression
van Kleef, R. S., Marsman, J.-B. C., van Valen, E., Bockting, C., Aleman, A., & van Tol, M. (2022) · NeuroImage Clinical · doi:10.1016/j.nicl.2022.102988 · Cited by 34 · see citing works
“Taken together, the results of this study suggest that especially focusing on positive regulation skills in preventive treatment (either in the form of specific regulatory skills training (Radkovsky et al., 2014; Berking et al., 2013) or cognitive preventive treatment (Bockting et al.”
BackgroundNeacsiu, A. D., Beynel, L., Powers, J., Szabo, S. T., Appelbaum, L. G., Lisanby, S. H., & LaBar, K. S. (2021) · Psychotherapy and Psychosomatics · doi:10.1159/000518957 · Cited by 36 · see citing works
“Transdiagnostic approaches teach 26 emotion regulation skills such as cognitive restructuring (CR), relaxation, and mindfulness[11-14].”
BackgroundHow negative mood hinders belief updating in depression: results from two experimental studies
Κube, T., Kirchner, L., Gärtner, T., & Glombiewski, J. A. (2021) · Psychological Medicine · doi:10.1017/s0033291721002798 · Cited by 34 · see citing works
Kladnitski, N., Smith, J., Allen, A., Andrews, G., & Newby, J. M. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.06.003 · Cited by 31 · see citing works
Dang, L., Yang, H. M., Spada, M. M., & Wu, A. M. S. (2024) · Journal of Behavioral Addictions · doi:10.1556/2006.2023.00072 · Cited by 33 · see citing works
Elices, M., Soler, J., Feliu‐Soler, A., Carmona, C., Tiana, T., Pascual, J. C., García‐Palacios, A., & Álvarez, E. (2017) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-017-0064-6 · Cited by 30 · see citing works
“For instance, Berking and colleagues [15] assessed participants with MDD criteria enrolled in a treatment program consisting of CBT + ER training, finding that these patients experienced a greater reduction in depression and negative affect as well as a larger increase of well-being, compared to those receiving only C…”
Negative affect as mediator between emotion regulation and medically unexplained symptoms.
Schwarz, J., Rief, W., Radkovsky, A., Berking, M., & Kleinstäuber, M. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.08.010 · Cited by 29 · see citing works
Self-citationBerking, M., Eichler, E., Naumann, E., & Svaldi, J. (2022) · British Journal of Clinical Psychology · doi:10.1111/bjc.12371 · Cited by 29 · see citing works
Self-citationWirtz, C. M., Radkovsky, A., Ebert, D. D., & Berking, M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0108288 · Cited by 31 · see citing works
Self-citationWeisel, K. K., Lehr, D., Heber, E., Zarski, A., Berking, M., Riper, H. M., & Ebert, D. D. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9387 · Cited by 29 · see citing works
“The iSMI is based on the Lazarus and Folkman’s transactional model of stress [18], and core components focus on problem solving [19,20] and emotion regulation [21,22].”
BackgroundMethodSelf-citationDebeuf, T., Verbeken, S., Boelens, E., Volkaert, B., Malderen, E. V., Michels, N., & Braet, C. (2020) · Trials · doi:10.1186/s13063-019-4020-1 · Cited by 28 · see citing works
“Theory As mentioned in the introduction, Berking and Whitley [18] developed an Affect Regulation Training (ART) for adults, which is well-evaluated in both clinical and nonclinical samples [15, 17, 18, 60].”
BackgroundMethodVolkaert, B., Wante, L., Vervoort, L., & Braet, C. (2018) · BMC Public Health · doi:10.1186/s12889-018-5754-5 · Cited by 26 · see citing works
Sharma, G., Schlosser, L., Jones, B. D. M., Blumberger, D. M., Gratzer, D., Husain, M. O., Mulsant, B. H., Rappaport, L., Stergiopoulos, V., & Husain, M. I. (2022) · JMIR Formative Research · doi:10.2196/38460 · Cited by 25 · see citing works
“Cognitive behavioral therapy (CBT) is an evidence-based intervention for anxiety symptoms and provides a broadly applicable psychotherapy framework suitable for most psychiatric conditions [10,11].”
Ehret, A. M., Kowalsky, J. K., Rief, W., Hiller, W., & Berking, M. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-20 · Cited by 25 · see citing works
“Former studies on ART, a program explicitly and exclusively focusing on an increase in adaptive ER skills application, have provided preliminary support for this assumption [8,19].”
BackgroundResultInfluentialSelf-citationReliability and validity of the Japanese version of the Emotion Regulation Skills Questionnaire
Fujisato, H., Ito, M., Takebayashi, Y., Hosogoshi, H., Kato, N., Nakajima, S., Miyamae, M., Oe, Y., Usami, S., Kanie, A., et al. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.08.064 · Cited by 23 · see citing works
“The scale demonstrates good internal consistency and adequate test-retest reliability (Berking et al., 2013, 2011, 2010, 2008a, 2012, 2014, 2008b; Berking and Znoj, 2008; Eckert et al., 2015; Radkovsky et al., 2014; Wirtz et al., 2014), and good convergent, discriminant, and construct validity…”
BackgroundSelf-citationSchlicker, S., Ebert, D., Middendorf, T., Titzler, I., & Berking, M. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.10.047 · Cited by 25 · see citing works
Self-citationde Waal, M. M., Dekker, J., Kikkert, M., Christ, C., Chmielewska, J., Staats, M., van den Brink, W., & Goudriaan, A. E. (2018) · Addiction · doi:10.1111/add.14500 · Cited by 24 · see citing works
“The module Selfwise involves a newly developed emotion regulation skills training, inspired by the principles of existing emotion regulation skills trainings [32,33].”
Psychological treatment of depression in institutional settings: A meta-analytic review
Cuijpers, P. J., Čihařová, M., Miguel, C., Harrer, M., Ebert, D. D., Brakemeier, E.-L., & Karyotaki, E. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.03.017 · Cited by 24 · see citing works
Self-citationWisman, M. A., Emmelkamp, J., Dekker, J., & Christ, C. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100596 · Cited by 26 · see citing works
- Authors
- Berking, M., Ebert, D., Cuijpers, P., & Hofmann, S. G.
- Affiliations
- Philipps University of Marburg (DE)
- Vrije Universiteit Amsterdam (NL)
- Boston University (US)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2013
- Volume
- 82
- Issue
- 4
- Pages
- 234-245
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2032681891
- Cited by
- 328
- References
- 93
- Citations by year
- 2026: 27 · 2025: 18 · 2024: 26 · 2023: 19 · 2022: 31 · 2021: 68 · 2020: 18 · 2019: 12 · 2018: 30 · 2017: 24 · 2016: 16 · 2015: 12 · 2014: 18 · 2013: 8
- FWCI
- 24.33
- Type
- journal article
- Language
- en
- Open access
- green
- research.vu.nl
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (submittedVersion, other-oa)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Multilingual Matters (Channel View Publications) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- National Science Foundation
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (113040, 121576)
- National Institute of Mental Health (MH078308., R01MH078308)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- major depressive disorder, depression treatment efficacy, negative affect, well-being, emotional dysregulation
- MeSH terms
- Adult, Major Depressive Disorder, Emotions, Female, Humans, Inpatients, Male, Middle Aged, Prospective Studies, Cognitive Behavioral Therapy, Treatment Outcome
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