Emotional Regulation and Depression: A Potential Mediator between Heart and Mind.

Author: Compare A1, Zarbo C2, Shonin E3, Van Gordon W3, Marconi C2.
Affiliation: 1Department of Human and Social Sciences, University of Bergamo, Piazza S. Agostino 2, 24124 Bergamo, Italy ; Human Factors and Technologies in Healthcare Centre, University of Bergamo, Italy. 2Department of Human and Social Sciences, University of Bergamo, Piazza S. Agostino 2, 24124 Bergamo, Italy. 3Psychology Division, Nottingham Trent University, UK.
Conference/Journal: Cardiovasc Psychiatry Neurol.
Date published: 2014
Other: Volume ID: 2014 , Pages: 324374 , Special Notes: doi: 10.1155/2014/324374 , Word Count: 159



A narrative review of the major evidence concerning the relationship between emotional regulation and depression was conducted. The literature demonstrates a mediating role of emotional regulation in the development of depression and physical illness. Literature suggests in fact that the employment of adaptive emotional regulation strategies (e.g., reappraisal) causes a reduction of stress-elicited emotions leading to physical disorders. Conversely, dysfunctional emotional regulation strategies and, in particular, rumination and emotion suppression appear to be influential in the pathogenesis of depression and physiological disease. More specifically, the evidence suggests that depression and rumination affect both cognitive (e.g., impaired ability to process negative information) and neurobiological mechanisms (e.g., hypothalamic pituitary adrenal axis overactivation and higher rates of cortisol production). Understanding the factors that govern the variety of health outcomes that different people experience following exposure to stress has important implications for the development of effective emotion-regulation interventional approaches (e.g., mindfulness-based therapy, emotion-focused therapy, and emotion regulation therapy).
PMID: 25050177