Department of Psychology, Ludwig Maximilian University of Munich.
Teachers College, Columbia University.
Emotion. 2020 Feb;20(1):37-42. doi: 10.1037/emo0000646.
The current article addresses the consequences of emotion regulation (ER) for mental health. A large body of research has shown that alterations in ER are related to psychological disorders across different diagnostic categories. Because of the apparent ubiquity of ER difficulties in psychopathology, several authors have proposed that ER should be regarded as a transdiagnostic process. This article critically examines evidence regarding alterations in the use of cognitive ER strategies as a transdiagnostic process. Cognitive ER strategies are examined as 1 example of several possible ER-related processes that could be involved in psychopathology. There is consistent evidence showing that a reduced use of cognitive reappraisal and an increased use of negative rumination are present across a number of disorders, whereas increased levels of positive rumination appear to be confined to bipolar disorder. However, there is only preliminary evidence from prospective and/or experimental studies on the causal nature of altered ER strategy use in the development or maintenance of psychopathology. The article concludes by discussing future directions, including methodological and design issues, as well as implications for assessment and treatment when studying alterations in ER from a transdiagnostic perspective. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
本文探讨了情绪调节（ER）对心理健康的影响。大量研究表明，ER 的改变与不同诊断类别的心理障碍有关。由于 ER 困难在精神病理学中明显普遍存在，一些作者提出 ER 应该被视为一种跨诊断过程。本文批判性地考察了将认知 ER 策略的改变作为一种跨诊断过程的证据。认知 ER 策略被视为可能涉及精神病理学的若干 ER 相关过程之一。有一致的证据表明，在许多障碍中，认知重评的使用减少和消极反刍的使用增加，而积极反刍的水平增加似乎仅限于双相情感障碍。然而，只有初步的证据来自前瞻性和/或实验研究，关于改变 ER 策略在精神病理学的发展或维持中的因果性质。文章最后讨论了未来的方向，包括从跨诊断角度研究 ER 改变时的方法学和设计问题，以及对评估和治疗的影响。（APA，2020，所有权利保留）。
