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当前心理干预措施改善青少年情绪调节效果的元分析。

Effectiveness of current psychological interventions to improve emotion regulation in youth: a meta-analysis.

机构信息

Division of Psychology and Language Sciences, University College London, 26 Bedford Way, Bloomsbury, London, WC1H 0AP, UK.

Anna Freud National Centre for Children and Families, London, UK.

出版信息

Eur Child Adolesc Psychiatry. 2021 Jun;30(6):829-848. doi: 10.1007/s00787-020-01498-4. Epub 2020 Feb 27.

Abstract

Research investigating the role of emotion regulation (ER) in the development and treatment of psychopathology has increased in recent years. Evidence suggests that an increased focus on ER in treatment can improve existing interventions. Most ER research has neglected young people, therefore the present meta-analysis summarizes the evidence for existing psychosocial intervention and their effectiveness to improve ER in youth. A systematic review and meta-analysis was conducted according to the PRISMA guidelines. Twenty-one randomized-control-trials (RCTs) assessed changes in ER following a psychological intervention in youth exhibiting various psychopathological symptoms. We found moderate effect sizes for current interventions to decrease emotion dysregulation in youth (g = - 0.46) and small effect sizes to improve emotion regulation (g = 0.36). Significant differences between studies including intervention components, ER measures and populations studied resulted in large heterogeneity. This is the first meta-analysis that summarizes the effectiveness for existing interventions to improve ER in youth. The results suggest that interventions can enhance ER in youth, and that these improvements correlate with improvements in psychopathology. More RCTs including larger sample sizes, different age groups and psychopathologies are needed to increase our understanding of what works for who and when.

摘要

近年来,研究情绪调节(ER)在精神病理学发展和治疗中的作用的研究有所增加。有证据表明,在治疗中更加关注 ER 可以改善现有的干预措施。大多数 ER 研究都忽视了年轻人,因此本荟萃分析总结了现有心理社会干预措施的证据及其在改善年轻人 ER 方面的有效性。根据 PRISMA 指南进行了系统评价和荟萃分析。21 项随机对照试验(RCT)评估了在表现出各种精神病理学症状的年轻人中进行心理干预后 ER 的变化。我们发现,当前干预措施在降低年轻人的情绪失调方面具有中等效应量(g = - 0.46),而在改善情绪调节方面具有较小的效应量(g = 0.36)。研究中包括干预成分、ER 测量和研究人群的差异导致了很大的异质性。这是第一个总结现有干预措施在改善年轻人 ER 方面的有效性的荟萃分析。结果表明,干预措施可以增强年轻人的 ER,并且这些改善与精神病理学的改善相关。需要更多包括更大样本量、不同年龄组和精神病理学的 RCT 来增加我们对什么对谁和何时有效的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49a7/8140974/a4535f12d4f3/787_2020_1498_Fig1_HTML.jpg

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