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Originalia

Emotionsregulation bei Depression

Ein multimethodaler Überblick

Published Online:September 27, 2013https://doi.org/10.1026/0033-3042/a000172

Abstract

Die Anzahl der Studien, die sich mit dem Zusammenhang zwischen Emotionsregulation (ER) und depressiven Störungen befassen, steigt. In diesem Review werden Studien zusammengefasst und metaanalytisch ausgewertet, die den Zusammenhang zwischen ER und Depression mittels Fragebögen bzw. Ecological Momentary Assessment (EMA) erfassen. Dabei zeigt sich ein ER-Profil welches durch die vermehrte Nutzung von Rumination, Suppression und Vermeidung bei gleichzeitig seltenerem Einsatz von Neubewertung und Problemlösen gekennzeichnet ist. Mit mittleren bis großen Effekten, ist der Zusammenhang zwischen Depression und maladaptiven Strategien besser belegt als bei den adaptiven Formen, wo die Effekte eher moderat ausfielen. EMA-Messungen bestätigen dieses Profil. Da EMA-Studien neben der Häufigkeit des Strategieeinsatzes auch die Erfassung anderer ER-Parameter wie Effektivität und Flexibilität ermöglichen, sollten solche Designs in der ER-Forschung zukünftig vermehrt Einsatz finden.


Emotion regulation in depression: An overview of results using various methods

The number of studies examining the association between emotion regulation (ER) and depressive disorders is increasing. In this review, studies investigating the association between ER and depression that used questionnaires or ecological momentary assessment (EMA) are summarized and further examined using a meta-analytical approach. This examination reveals an ER profile marked by the frequent use of rumination, suppression, and avoidance, while at the same time reappraisal and problem-solving were less frequent. With moderate to large effect sizes, the relationship between depression and maladaptive strategies is well documented, whereas the effects found for adaptive forms were relatively small. EMA assessments confirm this profile. As EMA studies allow the measurement of ER parameters such as effectiveness and flexibility in addition to the frequency of strategy use, in future ER research such designs should be used more often.

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