Faculty of Health, School of Psychology, Deakin University, Geelong, Australia.
Faculty of Health, School of Psychology, Deakin University, Geelong, Australia; Centre of Drug, Alcohol and Addiction Research, Deakin University, Australia.
Clin Psychol Rev. 2017 Nov;57:141-163. doi: 10.1016/j.cpr.2017.09.002. Epub 2017 Sep 11.
A large body of research has implicated difficulties in emotion regulation as central to the development and maintenance of psychopathology. Emotion regulation has therefore been proposed as a transdiagnostic construct or an underlying mechanism in psychopathology. The transdiagnostic role of emotion regulation has yet to be systematically examined within the psychological treatment outcome literature. It can be proposed that if emotion regulation is indeed a transdiagnostic construct central to the maintenance of psychopathology, then changes in emotion regulation difficulties will occur after effective treatment and this will occur for different disorders. We conducted a systematic review, identifying 67 studies that measured changes in both emotion regulation and symptoms of psychopathology following a psychological intervention for anxiety, depression, substance use, eating pathology or borderline personality disorder. Results demonstrated that regardless of the intervention or disorder, both maladaptive emotion regulation strategy use and overall emotion dysregulation were found to significantly decrease following treatment in all but two studies. Parallel decreases were also found in symptoms of anxiety, depression, substance use, eating pathology and borderline personality disorder. These results contribute to the growing body of evidence supporting the conceptualization of emotion regulation as a transdiagnostic construct. The present study discusses the important implications of these findings for the development of unified treatments that target emotion regulation for individuals who present with multiple disorders.
大量研究表明,情绪调节困难是精神病理学发展和维持的核心。因此,情绪调节被提出作为一种跨诊断结构或精神病理学的潜在机制。情绪调节的跨诊断作用在心理治疗结果文献中尚未得到系统检验。可以提出,如果情绪调节确实是一个跨诊断结构,是精神病理学维持的核心,那么有效的治疗后,情绪调节困难就会发生变化,而且这种变化会发生在不同的障碍中。我们进行了一项系统综述,确定了 67 项研究,这些研究在焦虑、抑郁、物质使用、饮食失调或边缘型人格障碍的心理干预后测量了情绪调节和精神病理学症状的变化。结果表明,无论干预措施或障碍如何,在除了两项研究之外的所有研究中,适应不良的情绪调节策略的使用和整体情绪失调在治疗后都明显减少。焦虑、抑郁、物质使用、饮食失调和边缘型人格障碍的症状也出现了平行下降。这些结果为情绪调节作为一种跨诊断结构的概念化提供了越来越多的证据支持。本研究讨论了这些发现对开发针对多种障碍患者的情绪调节统一治疗的重要意义。
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