Psychology Department, University of Southampton, Building 44, Highfield Campus, SouthamptonSO17 1BJ, UK.
Psychology Department, Southern Health NHS Foundation Trust, College Keep, Terminus Terrace, SouthamptonSO14 3DT, UK.
Behav Cogn Psychother. 2021 May;49(3):302-313. doi: 10.1017/S1352465820000788. Epub 2020 Oct 19.
Current psychological interventions for psychosis focus primarily on cognitive and behavioural management of delusions and hallucinations, with modest outcomes. Emotions are not usually targeted directly, despite evidence that people with psychosis have difficulty identifying, accepting and modifying affective states.
This study assessed the impact of emotion regulation skills practice on affect and paranoia in seven people who met criteria for a diagnosis of schizophrenia or schizoaffective disorder.
The study utilised a single case ABA design and measured emotion regulation skills, affect and paranoia over baseline, intervention and withdrawal of intervention phases. We predicted that eight sessions of skills rehearsal would lead to improved emotion regulation, reduced negative affect, increased positive affect, and reduced paranoia.
Most participants were able to learn to regulate their emotions, and reported reduced negative affect and paranoia. There was no clear pattern of change for positive affect.
These findings suggest that emotion can be targeted in psychosis, and is associated with reduced paranoia. Emotion regulation may constitute a key treatment target in cognitive behavioural therapy for psychosis.
目前针对精神病的心理干预主要集中在认知和行为管理妄想和幻觉上，效果有限。尽管有证据表明精神病患者难以识别、接受和改变情绪状态，但情绪通常不是直接针对的目标。
本研究评估了情绪调节技能练习对符合精神分裂症或分裂情感障碍诊断标准的七个人的情绪和妄想的影响。
该研究采用了单一案例 ABA 设计，在基线、干预和干预退出阶段测量了情绪调节技能、情绪和妄想。我们预测，八次技能排练将导致情绪调节改善，负面情绪减少，积极情绪增加，妄想减少。
大多数参与者能够学会调节自己的情绪，并报告负面情绪和妄想减少。积极情绪没有明显的变化模式。
这些发现表明可以针对精神病患者的情绪进行干预，并且与妄想减少有关。情绪调节可能是精神病认知行为治疗的一个关键治疗目标。
