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Renna ME, Quintero JM, Fresco DM, et al. Emotion Regulation Therapy: A Mechanism-Targeted Treatment for Disorders of Distress. Front Psychol. 2017;8:98doi: 10.3389/fpsyg.2017.00098.
Renna, M. E., Quintero, J. M., Fresco, D. M., & Mennin, D. S. (2017). Emotion Regulation Therapy: A Mechanism-Targeted Treatment for Disorders of Distress. Frontiers in psychology, 898. https://doi.org/10.3389/fpsyg.2017.00098
Renna, Megan E, et al. "Emotion Regulation Therapy: A Mechanism-Targeted Treatment for Disorders of Distress." Frontiers in psychology vol. 8 (2017): 98. doi: https://doi.org/10.3389/fpsyg.2017.00098
Renna ME, Quintero JM, Fresco DM, Mennin DS. Emotion Regulation Therapy: A Mechanism-Targeted Treatment for Disorders of Distress. Front Psychol. 2017 Feb 06;8:98. doi: 10.3389/fpsyg.2017.00098. eCollection 2017. PMID: 28220089; PMCID: PMC5292405.
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Front Psychol. 2017 Feb 06;8:98. doi: 10.3389/fpsyg.2017.00098. eCollection 2017.

Emotion Regulation Therapy: A Mechanism-Targeted Treatment for Disorders of Distress.

Frontiers in psychology

Megan E Renna, Jean M Quintero, David M Fresco, Douglas S Mennin

Affiliations

  1. The Graduate Center, City University of New York, New YorkNY, USA; Hunter College, City University of New York, New YorkNY, USA.
  2. Psychology Department, Kent State University, KentOH, USA; Case Western Reserve University School of Medicine, ClevelandOH, USA.

PMID: 28220089 PMCID: PMC5292405 DOI: 10.3389/fpsyg.2017.00098

Abstract

"Distress disorders," which include generalized anxiety disorder and major depression are often highly comorbid with each other and appear to be characterized by common temperamental features that reflect heightened sensitivity to underlying motivational systems related to threat/safety and reward/loss. Further, individuals with distress disorders tend to utilize self-referential processes (e.g., worry, rumination, self-criticism) in a maladaptive attempt to respond to motivationally relevant distress, often resulting in suboptimal contextual learning. Despite the success of cognitive behavioral therapies for emotional disorders, a sizable subgroup of patients with distress disorders fail to evidence adequate treatment response. Emotion Regulation Therapy (ERT) is a theoretically derived, evidence based, treatment that integrates principles (e.g., skills training, exposure) from traditional and contemporary therapies with findings from basic and translational affective science to offer a framework for improving intervention by focusing on the motivational responses and corresponding regulatory characteristics of individuals with high levels of chronic distress. Open and randomized controlled trials have demonstrated preliminary support for the utility of ERT as reflected by strong effect sizes comparable to and exceeding established intervention approaches. In addition, pilot findings support the role of underlying proposed mechanisms in this efficacious response. This article presents the functional model associated with ERT and describes the proposed mechanisms of the treatment. Additionally, a clinical case is presented, allowing the reader to gain a greater applied understanding of the different components of the ERT model and treatment.

Keywords: depression; emotion regulation; generalized anxiety disorder; mindfulness; treatment

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