Department of Psychiatry, University Medical Center Groningen, the Netherlands.
Clin Psychol Psychother. 2009 Nov-Dec;16(6):467-78. doi: 10.1002/cpp.637.
Emotion Regulation Training (ERT) was developed for adolescents with symptoms of borderline personality disorder (BPD) and emotion dysregulation. ERT is an adaptation of the Systems Training for Emotional Predictability and Problem Solving (STEPPS) programme. This paper describes the background of the programme, and gives an outline of the treatment programme. The effectiveness of ERT was examined in a randomized controlled pilot study with 43 youth (aged 14-19 years) in five mental health centres in the Netherlands. Subjects were assessed before and after random assignment to ERT plus treatment as usual (TAU) (n = 23) or to TAU alone (n = 20). Outcome measures included assessment of BPD symptoms, locus of control, and internalizing and externalizing behaviour. Both groups showed equal reductions in BPD symptoms over time. The group receiving ERT plus TAU (and not the TAU-only group) had a significant increase in internal locus of control: ERT participants reported more sense of control over their own mood swings, and attributed changes in mood swings not only to external factors. The study was complicated by a high attrition. The implications of the findings are discussed, including the difficulties inherent in treating and researching an adolescent population, and the need for researchers to develop age-appropriate assessments.
情绪调节训练（ERT）针对有边缘型人格障碍（BPD）和情绪失调症状的青少年而开发。ERT 是系统情绪可预测性和问题解决训练（STEPPS）计划的改编版。本文介绍了该计划的背景，并概述了治疗计划。ERT 的有效性在荷兰五个心理健康中心的一项随机对照试点研究中进行了检验，共有 43 名青少年（14-19 岁）参与。参与者在随机分配到 ERT 加常规治疗（TAU）（n=23）或单独接受 TAU（n=20）之前和之后接受评估。评估指标包括 BPD 症状、控制源以及内化和外化行为。两组在随时间推移均表现出 BPD 症状的同等减少。接受 ERT 加 TAU 的组（而非仅接受 TAU 的组）的内部控制源显著增加：ERT 参与者报告对自己情绪波动的控制感增强，并且不仅将情绪波动的变化归因于外部因素。该研究因高退出率而变得复杂。讨论了研究结果的意义，包括治疗和研究青少年人群所固有的困难，以及研究人员开发适合年龄的评估方法的必要性。
