精神障碍患者情绪调节与幸福感的关系：一项荟萃分析。
The relationship between emotion regulation and well-being in patients with mental disorders: A meta-analysis.
机构信息
University of Twente, Centre for eHealth and Well-being Research, Department of Psychology, Health, and Technology, Enschede, the Netherlands.
University of Twente, Centre for eHealth and Well-being Research, Department of Psychology, Health, and Technology, Enschede, the Netherlands.
出版信息
Compr Psychiatry. 2020 Oct;102:152189. doi: 10.1016/j.comppsych.2020.152189. Epub 2020 Jun 18.
BACKGROUND
The importance of both specific emotion regulation strategies and overall deficits in emotion regulation in the context of psychopathology is widely recognized. Besides alleviating psychological symptoms, improving mental well-being is increasingly considered important in treatment of people with mental disorders. However, no comprehensive meta-analysis on the relationship between emotion regulation and well-being in people with mental disorders has been conducted yet.
OBJECTIVE
The aim of the current study was to synthesize and meta-analyze evidence regarding the relationship between emotion regulation and well-being in clinical samples across studies.
METHOD
A systematic literature search was conducted in PsycINFO, PubMed and Scopus and 94 cross-sectional effect sizes from 35 studies were meta-analyzed to explore this relationship. To be eligible for the meta-analysis, studies had to include a clinical sample, assess at least one specific emotion regulation strategy or overall deficits in emotion regulation and include well-being as outcome.
RESULTS
The findings showed significant small to moderate negative relationships with well-being for the strategies avoidance (r = -0.31) and rumination (r = -0.19) and positive relationships with reappraisal (r = 0.19) and acceptance (r = 0.42). Grouping together putative adaptive and maladaptive strategies revealed similar sized relationships with well-being in the expected direction. Overall deficits in emotion regulation showed a negative moderate correlation with well-being (r = -0.47). No substantial difference in relationships was found when clustering studies into hedonic and eudaimonic well-being.
CONCLUSION
Our findings suggest that emotion regulation is not merely related with psychopathology, but also with well-being in general as well as hedonic and eudaimonic well-being. Therefore, it might also be important to improve emotion regulation when aiming to improve well-being in people with mental disorders.
背景
特定的情绪调节策略和情绪调节整体缺陷在精神病理学背景下的重要性已得到广泛认可。除了缓解心理症状外，改善心理健康在精神障碍患者的治疗中也越来越受到重视。然而，目前尚未对精神障碍患者的情绪调节与幸福感之间的关系进行全面的荟萃分析。
目的
本研究旨在综合和荟萃分析跨研究临床样本中情绪调节与幸福感之间关系的证据。
方法
在 PsycINFO、PubMed 和 Scopus 中进行了系统的文献检索，对 35 项研究中的 94 个横断面效应量进行了荟萃分析，以探讨这种关系。为了进行荟萃分析，研究必须包括临床样本，评估至少一种特定的情绪调节策略或情绪调节整体缺陷，并将幸福感作为结果。
结果
研究结果表明，回避（r=-0.31）和反刍（r=-0.19）策略与幸福感呈显著的小到中度负相关，而重新评估（r=0.19）和接受（r=0.42）策略与幸福感呈正相关。将假定的适应性和不适应性策略组合在一起，发现与幸福感的关系在预期的方向上具有相似的大小。情绪调节的整体缺陷与幸福感呈负中等相关（r=-0.47）。将研究聚类为享乐和幸福时，关系没有显著差异。
结论
我们的研究结果表明，情绪调节不仅与精神病理学有关，而且与一般幸福感以及享乐和幸福有关。因此，在精神障碍患者中，改善情绪调节可能对于改善幸福感也很重要。
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