title: Emotion suppression, not reappraisal, predicts psychotherapy outcome.
abstract: The aim of this study was to identify whether trait emotion regulation strategies predict successful or unsuccessful psychotherapy outcomes in cognitive behaviour therapy.
  
  
  
  Three emotion regulation strategies (reappraisal, suppression, and externalizing behaviour) were assessed in 358 in- and outpatients. Patients were then grouped by therapy outcome. Emotion regulation strategies and confounding variables were entered as predictors in multinomial logistic regression analyses.
  
  
  
  Emotion suppression, but not reappraisal, was found to predict therapy outcomes for in- and outpatients, with patients high in suppression experiencing worse outcomes. Externalizing behaviour was only relevant in inpatient treatment.
  
  
  
  High suppression might be detrimental to psychotherapy outcome and should be assessed early on. Further research should investigate the influence of suppression on the mechanisms that facilitate change in psychotherapy.
authors.affiliation: a Institute of Medical Psychology and Medical Sociology, Uniklinik RWTH Aachen , Aachen , Germany.
authors.forename: Anne
authors.initials: A
authors.lastname: Scherer
authors.affiliation: a Institute of Medical Psychology and Medical Sociology, Uniklinik RWTH Aachen , Aachen , Germany.
authors.forename: Maren
authors.initials: M
authors.lastname: Boecker
authors.affiliation: b EOS Hospital , Münster , Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Pawelzik
authors.affiliation: a Institute of Medical Psychology and Medical Sociology, Uniklinik RWTH Aachen , Aachen , Germany.
authors.forename: Siegfried
authors.initials: S
authors.lastname: Gauggel
authors.affiliation: a Institute of Medical Psychology and Medical Sociology, Uniklinik RWTH Aachen , Aachen , Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Forkmann
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy; D004644:Emotions / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods; D000068356:Self-Control; D055815:Young Adult
keywords: cognitive behaviour therapy; emotion in therapy; outcome research