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Originalarbeit

Emotionsverarbeitung und ihre Veränderung in der Therapie depressiver Symptome

Feldstudie im Rahmen des Modells „Emotionale Offenheit“

Published Online:August 04, 2021https://doi.org/10.1026/1616-3443/a000591

Abstract

Zusammenfassung.Theoretischer Hintergrund: Störungen der Emotionsverarbeitung gelten als transdiagnostisches Merkmal psychischer Probleme. Mit dem Modell „Emotionale Offenheit“ liegt ein Konzept vor, das therapierelevante Komponenten der Emotionsverarbeitung operationalisiert und mit Hilfe eines validierten Instruments (Dimensionen der Offenheit für Emotionen, DOE) erfasst. Fragestellung: Untersucht wird, ob bei depressiven Symptomen problematische Muster im DOE aufscheinen, sich diese in einer Psychotherapie verändern und mit einer Verringerung der Symptome verbunden sind. Methode: DOE und Symptombelastung wurden in einer klinischen Feldstudie erhoben. Mittels Prä-Post-Vergleichen und multiplen Regressionsanalysen wurden Zusammenhänge untersucht. Ergebnisse: Die erfassten Dimensionen der Emotionsverarbeitung waren mit den Symptomindikatoren assoziiert. Die ambulante psychotherapeutische Behandlung ging mit einer Zunahme der Repräsentation, Kommunikation und Regulation von Emotionen sowie mit einer Verringerung der Wahrnehmung körperlicher Emotionsindikatoren einher. Dieses Verlaufsmuster war mit einer Reduktion der depressiven Symptome verknüpft. Schlussfolgerungen: Die Untersuchung von Problemen der Emotionsverarbeitung über verschiedene Modelle hinaus kann zur Entwicklung personalisierter, transdiagnostischer psychotherapeutischer Strategien beitragen.


Emotion Processing and Its Modifications During Therapy for Depressive Symptoms. A Field Study in the Context of the Model of „Openness to Emotions“

Abstract.Theoretical background: Problems in emotional processing may be regarded as a transdiagnostic characteristic of psychological problems. The Dimensions of Openness to Emotions (DOE) model provides an instrument for assessing the therapy-relevant components of emotional processing. Research questions: We investigated whether problematic patterns appear on the DOE in patients with depressive symptoms, whether these patterns change during psychotherapy, and whether such changes are associated with a reduction in symptoms. Methods: DOE and symptom severity were assessed in a clinical field study of N = 92 cases and examined for correlations by means of pre-post comparisons and multiple regression analyses. Results: The emotional processing assessed with the DOE is associated with symptom indicators. A reduction of depressive symptoms in therapy is accompanied by an increase in the representation, communication, and regulation of emotions as well as a decrease in the perception of physical indicators of emotion. Conclusions: Problems of emotional processing play an important role in psychological symptoms and may undergo modifications during psychotherapy. Investigating these phenomena across different schools and models can contribute to the development of personalized and transdiagnostic psychotherapeutic strategies.

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