Trosper Sarah E, Buzzella Brian A, Bennett Shannon M, Ehrenreich Jill T
Department of Psychology, Boston University, Boston, MA, USA.
Clin Child Fam Psychol Rev. 2009 Sep;12(3):234-54. doi: 10.1007/s10567-009-0043-6.
Given the relationship between internalizing disorders and deficits in emotion regulation in youth, the emotion science literature has suggested several avenues for increasing the efficacy of interventions for youth presenting with anxiety and depression. These possibilities include the identification and addition of emotion-regulation skills to existing treatment packages and broadening the scope of those emotions addressed in cognitive-behavioral treatments. Current emotion-focused interventions designed to meet one or both of these goals are discussed, and the developmental influences relevant to the selection of emotion-focused treatment goals are explored using the framework of a modal model of emotion regulation. These various lines of evidence are woven together to support the utility of a novel emotion-focused, cognitive-behavioral intervention, the Unified Protocol for the Treatment of Emotional Disorders in Youth, a transdiagnostic treatment protocol that aims to treat the range of emotional disorders (i.e., anxiety and depression) simultaneously. Avenues for future directions in treatment outcome and assessment of emotion regulation are also discussed.
鉴于内化障碍与青少年情绪调节缺陷之间的关系,情绪科学文献提出了几种提高针对焦虑和抑郁青少年干预措施效果的途径。这些可能性包括识别并将情绪调节技能添加到现有的治疗方案中,以及扩大认知行为治疗中所涉及情绪的范围。本文讨论了旨在实现上述一个或两个目标的当前以情绪为中心的干预措施,并使用情绪调节模态模型框架探讨了与选择以情绪为中心的治疗目标相关的发展影响因素。这些不同的证据线索交织在一起,以支持一种新颖的以情绪为中心的认知行为干预措施——《青少年情绪障碍治疗统一方案》的效用,这是一种旨在同时治疗一系列情绪障碍(即焦虑和抑郁)的跨诊断治疗方案。本文还讨论了治疗结果和情绪调节评估未来方向的途径。