OBJECTIVE The potential prognostic role of emotion regulation in the treatment of major depressive disorder (MDD) has been highlighted by transtheoretical literature and supported by promising empirical findings. The majority of the literature is based on self-report observations at a single snapshot, thus little is known about the prognostic value of moment-to-moment dynamic evolvement of emotion. The present study is the first to examine the prognostic value of both intra- and interpersonal, moment-to-moment emotion regulation dynamics, and the potential moderating effect of the type of treatment. METHOD To assess the prognostic value of emotion regulation dynamics, we focused on the first session, using 6,780 talk-turns within 52 patient-therapist dyads. Emotion regulation dynamics were measured using fundamental frequencies of the voice and were calculated using empirical Bayes residuals of the actor-partner interdependence model. Symptomatic change was measured using the Hamilton Rating Scale for Depression across 16 weeks of supportive treatment (ST) or supportive-expressive treatment (SET). RESULTS Findings suggest that patients who show less regulated intrapersonal dynamics during the first session show less reduction of symptoms throughout treatment (β = .26, p = .019). Findings further suggest that this association is mitigated when these patients receive SET, as opposed to ST (β = .72, p = .020). CONCLUSIONS The findings demonstrate the ability of first-session emotion regulation dynamics to serve as a prognostic variable. The findings further suggest that the adverse effect of emotion regulation dynamics on the patient's prognosis can be mitigated by explicit work on changing maladaptive emotional patterns. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

---

情绪调节动力学在重度抑郁症治疗中的预后作用。

目的 跨理论文献强调了情绪调节在重度抑郁症 (MDD) 治疗中的潜在预后作用，并得到了有希望的实证研究结果的支持。大多数文献都是基于对单个快照的自我报告观察，因此人们对情绪的每时每刻动态演变的预后价值知之甚少。本研究首次探讨了人体内和人际间、瞬间情绪调节动态的预后价值，以及治疗类型的潜在调节作用。方法 为了评估情绪调节动态的预后价值，我们重点关注第一次会议，在 52 名患者与治疗师之间进行了 6,780 次谈话。使用声音的基频测量情绪调节动态，并使用演员-伴侣相互依赖模型的经验贝叶斯残差进行计算。使用汉密尔顿抑郁量表测量 16 周支持治疗 (ST) 或支持表达治疗 (SET) 的症状变化。结果 研究结果表明，在第一次治疗期间表现出较少调节的个人动态的患者在整个治疗过程中症状减轻较少（β = .26，p = .019）。研究结果进一步表明，当这些患者接受 SET（而不是 ST）时，这种关联会减轻（β = .72，p = .020）。结论 研究结果证明了首次情绪调节动态作为预后变量的能力。研究结果进一步表明，情绪调节动态对患者预后的不利影响可以通过改变适应不良情绪模式的明确工作来减轻。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。