Allen Laura B, Barlow David H
David Geffen School of Medicine at UCLA, USA.
Behav Modif. 2009 Nov;33(6):743-62. doi: 10.1177/0145445509344180.
Research has highlighted the role of emotion regulation as a common factor underlying emotional disorders. The current study examined the relationship of emotion regulation skills to obsessive-compulsive disorder (OCD) symptoms. Seven participants with a principal diagnosis of OCD in a multiple-baseline across subjects design were taught the skill of prevention of emotional avoidance in the context of emotion provocation procedures to clinically irrelevant (nonspecific) cues prior to practicing this skill with clinically relevant (OCD-specific) cues. Results suggested successful acquisition of emotion regulation skills (as evidenced by decreased thought suppression and increased acceptance of thoughts and feelings) in clinically irrelevant contexts. Acquisition of this skill was associated with decreases in obsessive-compulsive symptoms, even though clinically relevant cues were not introduced during this phase. Implementation of skills in clinically relevant contexts was associated with greater reductions in OCD symptoms. Discussion focuses on implications for emotion regulatory processes in the maintenance and treatment of emotional disorders.
研究强调了情绪调节作为情绪障碍潜在共同因素的作用。本研究考察了情绪调节技能与强迫症(OCD)症状之间的关系。在一项跨受试者多基线设计中,对7名主要诊断为强迫症的参与者,在针对临床无关(非特异性)线索的情绪激发程序背景下,教授他们预防情绪回避的技能,之后再针对临床相关(OCD特异性)线索练习该技能。结果表明,在临床无关情境中成功获得了情绪调节技能(表现为思维抑制减少以及对思维和感受的接纳增加)。即使在此阶段未引入临床相关线索,该技能的获得也与强迫症症状的减轻相关。在临床相关情境中实施该技能与强迫症症状的更大程度减轻相关。讨论聚焦于情绪调节过程在情绪障碍维持和治疗中的意义。