COGNITIVE REAPPRAISAL, AFFIRMATION, AND EMOTIONAL INTEGRATION AS MECHANISMS ENHANCING THE EFFECTIVENESS OF PSYCHOTHERAPY: A NEUROPLASTICITY PERSPECTIVE

Keywords: Psychotherapy, Neuroplasticity, Affirmation, Cognitive Reappraisal, Emotional Integration

Abstract

The aim of this paper is to present mechanisms that may strengthen the process of psychotherapy, taking into account the neuroplasticity of the brain. The paper discusses issues of cognitive reappraisal, affirmation, and emotional integration, emphasizing their influence on neuronal remodeling and the durability of therapeutic effects. A literature review was conducted using PubMed and Google Scholar databases, including studies published between 2006 and 2025 in English and Polish. The analysis focused on neurological, imaging and clinical research exploring how psychological interventions induce measurable brain changes. Results indicate that both psychotherapy and pharmacotherapy contribute to neuroplastic modifications, particularly within the prefrontal cortex, hippocampus and limbic structures, which correspond to improved emotion regulation and cognitive processing. Furthermore - optimism and positive self-affirmation appear to reinforce adaptive neural patterns and enhance therapeutic outcomes. These findings suggest that the integration of neuroplastic principles into psychotherapeutic practice may strengthen resilience, promote emotional balance and improve long-term treatment efficacy.

References

Psychotherapy for Depression Across Different Age Groups: A Systematic Review and Meta-analysis doi:10.1001/jamapsychiatry.2020.0164

Psychotherapies for Generalized Anxiety Disorder in Adults. A Systematic Review and Network Meta-Analysis of Randomized Clinical Trials doi:10.1001/jamapsychiatry.2023.3971

Perspectives on Personalized Treatment in Difficult-to-Treat Depression: A Case Report https://doi.org/10.1155/crps/5538951

Evidence-Based Psychotherapy: Advantages and Challenges doi:10.1007/s13311-017-0549-4

Barriers and Facilitators of Evidence-Based Psychotherapies for Chronic Pain in Adults: A Systematic Review DOI: 10.1016/j.jpain.2023.02.026

Effectiveness of training methods for delivery of evidence-based psychotherapies: a systematic review https://doi.org/10.1186/s13012-020-00998-w

Effectiveness and comparative effectiveness of evidence-based psychotherapies for posttraumatic stress disorder in clinical practice DOI: https://doi.org/10.1017/S0033291721001628

Within‐ and between‐person relationships between spontaneous self‐affirmations, coping style, and wellbeing https://doi.org/10.1002/smi.3145

Diversity and Inclusion in Psychiatry: The Pursuit of Health Equity DOI: 10.1176/appi.focus.20190029

Mechanizm neuroplastyczności: jego znaczenie dla psychoterapii oraz oceny jej skuteczności

Writing Technique Across Psychotherapies—From Traditional Expressive Writing to New Positive Psychology Interventions: A Narrative Review https://doi.org/10.1007/s10879-021-09520-9

Healthcare Workers' Well-Being: A Systematic Review of Positive Psychology Interventions DOI: 10.7759/cureus.34102

The Effectiveness of Positive Psychology Interventions for Promoting Well-being of Adults Experiencing Depression Compared to Other Active Psychological Treatments: A Systematic Review and Meta-analysis https://doi.org/10.1007/s10902-022-00598-z

Positive Self-Talk in Adolescent: A Systematic Literature Review https://doi.org/10.51214/002024061034000

A systematic review and meta-ethnography to explore people's experiences of psychotherapy for self-harm https://doi.org/10.1111/bjc.12414

Cognitive Behavioral Therapy of Patients with Somatic Symptoms—Diagnostic and Therapeutic Difficulties https://doi.org/10.3390/jcm10143159

Psychedelics and Psychotherapy: Cognitive-Behavioral Approaches as Default https://doi.org/10.3389/fpsyg.2022.873279

How psychotherapy changes the brain - the contribution of functional neuroimaging doi:10.1038/sj.mp.4001816

Optymizm a zdrowie; Medycyna Ogólna i Nauki o Zdrowiu, 2013, Tom 19, Nr 2, 130–134 www.monz.pl

A new science of emotion: implications for functional neurological disorder https://doi.org/10.1093/brain/awac204

Lasting effects of cognitive emotion regulation: neural correlates of reinterpretation and distancing https://doi.org/10.1093/scan/nsaa159

The influence of an emotion regulation intervention on challenges in emotion regulation and cognitive strategies in patients with depression https://doi.org/10.1186/s40359-024-01949-6

23.The association between child maltreatment, cognitive reappraisal, negative coping styles, and non‑suicidal self‑injury in adolescents with major depressive disorder https://doi.org/10.1186/s12888-024-06041-2

Are Changes in Beliefs About Rumination and in Emotion Regulation Skills Mediators of the Effects of Internet‑Delivered Cognitive‑Behavioral Therapy for Depression and Anxiety? Results from a Randomized Controlled TriaL https://doi.org/10.1007/s10608-020-10200-6

Associations of negative cognitions, emotional regulation, and depression symptoms across four continents: International support for the cognitive model of depression https://doi.org/10.1186/s12888-019-2423-x

Psychotherapy Research Domain Criteria: functional mechanisms of treatment and a basic theory of the mind doi:10.3389/fpsyt.2025.1549976

Emotion‑Regulation in Psychosis: Patients with Psychotic Disorders Apply Reappraisal Successfully https://doi.org/10.1007/s10608-020-10163-8

Brain Activation and Functional Connectivity of Reappraisal and Acceptance for Anxious Events https://doi.org/10.1523/ENEURO.0033-23.2023

Transdiagnostic alterations in neural emotion regulation circuits – neural substrates of cognitive reappraisal in patients with depression and post-traumatic stress disorder https://doi.org/10.1186/s12888-022-03780-y

Organizacja osobowości a tendencja do ruminacji w grupie osób uzależnionych od alkoholu / Personality organisation and the tendency to rumination in a group of alcohol-dependent persons DOI: 10.15557/PiPK.2023.0032

Self-affirmation activates brain systems associated with self-related processing and reward and is reinforced by future orientation doi: 10.1093/scan/nsv136

Helping the self help others: self-affirmation increases self-compassion and pro-social behaviors doi: 10.3389/fpsyg.2014.00421

Altered neural activities during emotion regulation in depression: a meta-analysis https://doi.org/10.1503/jpn.240046

It’s Time to Go Quantum in Medicine https://doi.org/10.3390/jcm12134506

https://www.termedia.pl/neurologia/WHO-Do-2030-r-depresja-bedzie-najczesciej-wystepujaca-choroba-na-swiecie,50568.html

Coherent and Incoherent Light Scattering by Single-Atom Wave Packets DOI: https://doi.org/10.1103/zwhd-1k2t

The Role of Exercise in Management of Mental Health Disorders: An Integrative Review https://doi.org/10.1146/annurev-med-060619-022943

Autosuggestion: a cognitive process that empowers your brain? https://doi.org/10.1007/s00221-021-06265-8

Neuroplastyczność – podstawowe mechanizmy/ Basic mechanism of neuroplasticity DOI: https://doi.org/10.5114/nan.2019.87727

Published
2025-12-21
Citations
How to Cite
Julia Rarok, Katarzyna Kleszczewska, Agnieszka Pruska, Natalia Senatorska, Daria Godlewska, Hanna Pietruszewska, Monika Banaszek, Agata Panfil, Julia Błocka, & Agata Lurka. (2025). COGNITIVE REAPPRAISAL, AFFIRMATION, AND EMOTIONAL INTEGRATION AS MECHANISMS ENHANCING THE EFFECTIVENESS OF PSYCHOTHERAPY: A NEUROPLASTICITY PERSPECTIVE. International Journal of Innovative Technologies in Social Science, 3(4(48). https://doi.org/10.31435/ijitss.4(48).2025.4253

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