“…In this context, the present systematic review and metaanalysis published in this issue of the journal by Oliva et al 5 fills this knowledge gap, as it was previously unknown whether ER strategies can change according to the mood state in BD. 5 They showed that ED and maladaptive strategies were significantly higher during periods of more severe mood symptoms, especially depressive symptoms, while adaptive strategies were lower. Manic symptoms were also correlated with ED, but less than were depressive symptoms.…”