OBJECTIVE The aim of this study was to disaggregate the between-patient and within-patient effects of emotion regulation (ER) on treatment outcome and explore relevant trait-like moderators of the within-patient effects. METHOD Three hundred thirty-nine patients with heterogenous clinical conditions were admitted to psychotherapy at a clinical center. During the intake evaluation, patients completed the Inventory of Interpersonal Problems, the Outcome Questionnaire 30, and the State Difficulties of Emotion Regulation Scale. Subsequently, patients responded to the Outcome Questionnaire 30 and State Difficulties of Emotion Regulation Scale every session for the initial five sessions, followed by assessments every two sessions until the 15th session and then every four sessions until the end of treatment. RESULTS Multilevel models revealed significant between- and within-patient effects of ER on clinical distress. That is, patients with lower average levels of ER difficulties showed greater benefit from treatment, and lower ER difficulties over the course of treatment were associated with lower clinical distress. Furthermore, interactive models demonstrated that lower average levels of ER throughout treatment and fewer interpersonal problems at the beginning of treatment were associated with better treatment outcome. CONCLUSION These findings provide evidence supporting the role of ER as a mechanism of change. The interaction between trait-like components and state-like fluctuations of ER suggests a capitalization model for the role of ER in psychotherapy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

---

解开患者之间和患者内部的情绪调节对自然主义心理治疗结果的影响。


目的 本研究的目的是分解情绪调节 （ER） 对治疗结果的患者间和患者内影响，并探讨患者内部效应的相关特征样调节因子。方法 339 例具有不同临床条件的患者在临床中心接受心理治疗。在摄入评估期间，患者完成了人际问题清单、结果问卷 30 和情绪调节状态困难量表。随后，患者在最初的 5 次会议中每次回答结果问卷 30 和情绪调节困难量表，然后每 2 次评估一次，直到第 15 次，然后每 4 次评估一次，直到治疗结束。结果 多级模型揭示了 ER 对临床痛苦的显着患者间和患者内影响。也就是说，平均 ER 困难水平较低的患者从治疗中显示出更大的益处，并且治疗过程中较低的 ER 困难与较低的临床痛苦相关。此外，交互式模型表明，整个治疗过程中 ER 的平均水平较低，治疗开始时人际关系问题较少，与更好的治疗结果相关。结论 这些发现提供了支持 ER 作为变化机制的作用的证据。ER 的特征样成分和状态样波动之间的交互作用表明 ER 在心理治疗中的作用有一个资本化模型。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。