González Anabel, Del Río-Casanova Lucía, Justo-Alonso Ania
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Rev Neurosci. 2017 May 24;28(4):431-440. doi: 10.1515/revneuro-2016-0070.
Emotion dysregulation is a frequent feature in trauma-related disorders. Different kinds of emotion dysregulation seem to be linked to particular psychiatric conditions, and there is growing evidence of the association between neurobiological correlates and those dysregulation patterns. Nevertheless, many of the recent findings from the field of the neurobiology have not been translated into clinical practice and are insufficiently contemplated in trauma-oriented therapies. The aim of this article is to review recent developments in the field of emotion regulation connecting these issue with the practical implementation of psychotherapeutic procedures. The evaluation of emotion dysregulation patterns can guide decision making during the therapy independently to the approach, but there are some findings that can be especially useful for some concrete modalities of therapy. In this article we will focus our discussion on how emotion dysregulation may influence eye movement desensitization and reprocessing (EMDR) treatment in trauma-related disorders. EMDR is a well-defined and protocol-based intervention, with a strong empirical support for post-traumatic stress disorder (PTSD). We describe how different patterns of emotion dysregulation may influence EMDR treatment and procedures, and also how the application of EMDR beyond non-dissociative PTSD should take into account the predominant emotion-regulation strategies in specific posttraumatic disorders.
情绪调节障碍是创伤相关障碍的常见特征。不同类型的情绪调节障碍似乎与特定的精神疾病有关，并且越来越多的证据表明神经生物学相关因素与这些调节障碍模式之间存在关联。然而，神经生物学领域的许多最新发现尚未转化为临床实践，在以创伤为导向的治疗中也未得到充分考虑。本文的目的是回顾情绪调节领域的最新进展，将这些问题与心理治疗程序的实际应用联系起来。对情绪调节障碍模式的评估可以独立于治疗方法指导治疗过程中的决策，但有些发现对某些具体的治疗方式可能特别有用。在本文中，我们将重点讨论情绪调节障碍如何影响创伤相关障碍的眼动脱敏再处理（EMDR）治疗。EMDR是一种定义明确且基于方案的干预措施，对创伤后应激障碍（PTSD）有强有力的实证支持。我们描述了不同的情绪调节障碍模式如何影响EMDR治疗及程序，以及EMDR在非分离性PTSD之外的应用如何考虑特定创伤后障碍中主要的情绪调节策略。
