• Inese Paiča Rīga Stradiņš University, Rīga Psychiatry and Narcology Centre (LV)
  • Kristīne Mārtinsone Rīga stradiņš University (LV)
  • Māris Taube Rīga Stradiņš University, Rīga Psychiatry and Narcology Centre (LV)




depression, emotion regulation, emotion regulation skills


Patients diagnosed with depression often experience difficulty in regulating their emotions due to non-adaptive regulatory strategies (e.g., avoidance, suppression, rumination). Adaptive emotion regulation skills (e.g., awareness, acceptance, self-support) can be trained and improved through psychological treatment. The objective of this study was to identify differences in emotion regulation skills between a clinical group of patients with depression (n=56) and a non-clinical group (n=56), adults without symptoms of depression. Methods. The study was based on socio-demographic survey and three self-report questionnaires adapted for use in Latvia: Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004), Emotion Regulation Skills Questionnaire (ERSQ; Berking & Znoj, 2008) and Emotion Regulation Questionnaire (ERQ; Gross & John, 2003). Results. Compared to the non-clinical group, the clinical group presented significantly decreased scores in several scales of ERSQ: Understanding, Self-support, Tolerance, Acceptance, Modification (p<.001) and increased scores in four scales of DERS: Lack of emotional clarity, Difficulty engaging in goal-directed behaviour, Non-acceptance of emotional responses and Limited access to effective emotion regulation strategies (p<.001). Conclusions. This study helps to identify the main emotion regulation difficulties for depression patients in Latvia – the ability to understand, accept, tolerate and modify emotions.




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Berking, M., Ebert, D., Cuijpers, P., & Hofmann, S.G. (2013). Emotion regulation skills training enhances the efficacy of inpatient cognitive behavioral therapy for major depressive disorder: A randomized controlled trial. Psychotherapy and Psychosomatics https://doi.org/10.1159/000348448

Berking, M., & Whitley, B. (2014). Affect Regulation Training. Affect Regulation Training. https://doi.org/10.1007/978-1-4939-1022-9

Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, A., & Znoj, H. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy. https://doi.org/10.1016/j.brat.2008.08.005

Ford, B.Q., & Gross, J.J. (2018). Emotion regulation: Why beliefs matter. Canadian Psychology. https://doi.org/10.1037/cap0000142

Gratz, K.L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation. Journal of Psychopathology and Behavioral Assessment. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

Gross, J.J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology. https://doi.org/10.1037/1089-2680.2.3.271

Gross, J.J. (2014). Emotion Regulation: Conceptual and Empirical Foundations. Handbook of Emotion Regulation. https://doi.org/10.1080/00140130600971135

Hayes, S.C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. In Behavior Therapy (Vol. 35, pp. 639–665). https://doi.org/10.1016/S0005-7894(04)80013-3

Hopfinger, L., Berking, M., Bockting, C.L. H., & Ebert, D.D. (2017). Emotion Regulation Protects Against Recurrence of Depressive Symptoms Following Inpatient Care for Major Depressive Disorder. Behavior Therapy. https://doi.org/10.1016/j.beth.2017.03.003

Joormann, J., & Stanton, C.H. (2016). Examining emotion regulation in depression: A review and future directions. Behaviour Research and Therapy, 86, 35–49. https://doi.org/10.1016/j.brat.2016.07.007

Linehan, M. M. (1993). Cognitive behavioural therapy of borderline personality disorder. New York: Guilford.

Paiča, I., & Mārtinsone, K. (25.04.2019). Emociju regulācijas prasmju aptaujas adaptācija Latvijā. Mutisks ziņojums 5. starptautiskajā zinātniski praktiskajā konferencē "Veselība un personības attīstība: starpdisciplinārā pieeja", Rīga, Latvija

Paiča, I., Taube, M. & Mārtinsone, K. (02.04.2019). Emotion regulation and depression. Paper presented at Rīga Stradiņš University International Conference on Medical and Health Care Sciences «Knowledge For Use in Practice». Rīga, Latvija

Rancāns, E. (2019). Klīniskais algoritms. Depresija pieaugušajiem atpazīšana, vadīšana, ārstēšana un aprūpe.

Sakiris, N., & Berle, D. (2019). A systematic review and meta-analysis of the Unified Protocol as a transdiagnostic emotion regulation based intervention. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2019.101751

Sloan, E., Hall, K., Moulding, R., Bryce, S., Mildred, H., & Staiger, P. K. (2017). Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: A systematic review. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2017.09.002

Stone, A. B. (2005). Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. Psychiatric Services. https://doi.org/10.1176/appi.ps.56.9.1165

Thompson, R. A. (1994). Emotion Regulation: A Theme in Search of Definition. Monographs of the Society for Research in Child Development. https://doi.org/10.2307/1166137

Visted, E., Vøllestad, J., Nielsen, M. B., & Schanche, E. (2018). Emotion Regulation in Current and Remitted Depression : A Systematic Review and Meta-Analysis, 9(May). https://doi.org/10.3389/fpsyg.2018.00756

World Health Organisation. (2017). Depression and other common mental disorders: global health estimates. World Health Organization.




How to Cite

Paiča, I., Mārtinsone, K., & Taube, M. (2020). EMOTION REGULATION DIFFICULTIES IN DEPRESSION. SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference, 7, 145-154. https://doi.org/10.17770/sie2020vol7.4850