ArticleBehavior therapy2019
Changes in Decentering and Reappraisal Temporally Precede Symptom Reduction During Emotion Regulation Therapy for Generalized Anxiety Disorder With and Without Co-Occurring Depression.
Article in Behavior therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 67 citations in OpenAlex.
- Transdiagnostic Cognitive Control Training for Patients Waiting for Outpatient Psychotherapy: Randomized Clinical Trial.JMIR mHealth and uHealth · 2025Trial
- A randomized controlled trial of emotion regulation therapy for cancer caregivers: A mechanism-targeted approach to addressing caregiver distress.Contemporary clinical trials · 2022Trial
- Parental Attachment and Mental Health Literacy in Young Adults: The Mediational Role of Emotional Regulation on Well-Being and Psychopathological.Scandinavian journal of psychology · 2026Article
- Mechanistic Non-Response After Psychotherapy for Anxiety Disorders: A Maintenance-Mechanism-Based Clinical Taxonomy.Journal of clinical medicine · 2026Review
- Effects of Cognitive Reappraisal Training on Psychological Resilience, Depression Symptoms, and Emotional State.Psychology research and behavior management · 2026Article
- Mechanics of Mindfulness: Investigating Metacognitive Beliefs as a Pathway of Effect on Anxiety and Depression.European journal of investigation in health, psychology and education · 2025Article
- The effect of emotion regulation training on anxiety in college students in Egypt (Randomized control trial).Journal of public health research · 2025Article
- Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population.Journal of clinical medicine · 2025Article
- Take a step back to see your own value: on the role of metacognition in self-esteem regulation.Frontiers in psychology · 2025Article
- How does mindfulness skills training work to improve emotion dysregulation in borderline personality disorder?Borderline personality disorder and emotion dysregulation · 2024Article
- Expressive suppression mediates the relationship between sleep quality and generalized anxiety symptomology.Scientific reports · 2024Article
- Decentering from Emotions in Daily Life: Dynamic Associations with Affect, Symptoms, and Wellbeing.Clinical psychological science : a journal of the Association for Psychological Science · 2023Article
- Validation of the factor structure of the Experiences Questionnaire using Exploratory Graph Analysis.Frontiers in psychology · 2023Article
- Psychotherapeutic treatments for generalized anxiety disorder: cognitive and behavioral therapies, enhancement strategies, and emerging efforts.Expert review of neurotherapeutics · 2022Review
- Decentering predicts attenuated perseverative thought and internalizing symptoms following stress exposure: A multi-level, multi-wave study.Behaviour research and therapy · 2022Article
- Predicting Non-Suicidal Self-Injury in Young Adults with and without Borderline Personality Disorder: a Multilevel Approach Combining Ecological Momentary Assessment and Self-Report Measures.The Psychiatric quarterly · 2021Article
- Promoting helpful attention and interpretation patterns to reduce anxiety and depression in young people: weaving scientific data with young peoples' lived experiences.BMC psychiatry · 2021Article
- Moderators and mediators of emotion regulation therapy for psychologically distressed caregivers of cancer patients: secondary analyses from a randomized controlled trial.Acta oncologica (Stockholm, Sweden) · 2021Article
- Decentering as a core component in the psychological treatment and prevention of youth anxiety and depression: a narrative review and insight report.Translational psychiatry · 2021Review
- Persisting Effects of Ayahuasca on Empathy, Creative Thinking, Decentering, Personality, and Well-Being.Frontiers in pharmacology · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
Emotion Regulation Therapy (ERT) has demonstrated efficacy in both open and randomized trials for generalized anxiety disorder (GAD) with and without co-occurring depression. An important goal in ERT is to teach clients adaptive emotion regulation, including healthier metacognitive abilities such as decentering and cognitive reappraisal. A few studies thus far have demonstrated a mediating role for these metacognitive abilities in other cognitive behavioral therapies (CBTs) for GAD. However, a drawback to most of these has been the ability to demonstrate a causal role for improved metacognitive abilities in outcome. In the present study, we utilized multilevel time-lagged segment analyses to explore the temporal dynamics between session-by-session changes in metacognition and anxiety outcomes from ERT. Thirty-one young adults diagnosed with GAD with and without co-occurring depression received 16 sessions of ERT. Prior to each session, participants completed questionnaires pertaining to metacognition (i.e., decentering and cognitive reappraisal) and anxiety symptoms (i.e., worry, trait anxiousness, and generalized anxiety). Changes in decentering temporally preceded changes in worry and trait anxiousness of a medium to large magnitude, and changes in cognitive reappraisal temporally preceded changes in all three outcomes of a medium to large magnitude. The reverse direction, where mediators were predicted by outcomes, was nonsignificant. These findings support the notion that adaptive metacognitive emotion regulation is involved in reducing worry and anxiety in GAD. Having a clearer understanding of the temporal dynamics between metacognitive abilities and symptoms of anxiety can inform and improve not only ERT but other CBTs for GAD, as well.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.