Paulus Frank W, Ohmann Susanne, Möhler Eva, Plener Paul, Popow Christian
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Saarland University Medical Center, Homburg, Germany.
Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Front Psychiatry. 2021 Oct 25;12:628252. doi: 10.3389/fpsyt.2021.628252. eCollection 2021.
Emotional dysregulation (ED) is a transdiagnostic construct defined as the inability to regulate the intensity and quality of emotions (such as, fear, anger, sadness), in order to generate an appropriate emotional response, to handle excitability, mood instability, and emotional overreactivity, and to come down to an emotional baseline. Because ED has not been defined as a clinical entity, and because ED plays a major role in child and adolescent psychopathology, we decided to summarize current knowledge on this topic based on a narrative review of the current literature. This narrative review is based on a literature search of peer-reviewed journals. We searched the databases ERIC, PsycARTICLES, PsycINFO and PSYNDEX on June 2, 2020 for peer reviewed articles published between 2000 and 2020 in English language for the preschool, school, and adolescent age (2-17 years) using the following search terms: "emotional dysregulation" OR "affect dysregulation," retrieving 943 articles. The results of the literature search are presented in the following sections: the relationship between ED and psychiatric disorders (ADHD, Mood Disorders, Psychological Trauma, Posttraumatic Stress Disorder, Non-suicidal Self-Injury, Eating Disorders, Oppositional Defiant Disorder, Conduct Disorder, Disruptive Disruptive Mood Dysregulation Disorder, Personality Disorders, Substance Use Disorder, Developmental Disorders, Autism Spectrum Disorder, Psychosis and Schizophrenia, and Gaming Disorder), prevention, and treatment of ED. Basic conditions of ED are genetic disposition, the experience of trauma, especially sexual or physical abuse, emotional neglect in childhood or adolescence, and personal stress. ED is a complex construct and a comprehensive concept, aggravating a number of various mental disorders. Differential treatment is mandatory for individual and social functioning.
情绪调节障碍（ED）是一种跨诊断概念，被定义为无法调节情绪（如恐惧、愤怒、悲伤）的强度和性质，以产生适当的情绪反应，处理易激惹性、情绪不稳定和情绪过度反应，并恢复到情绪基线状态。由于ED尚未被定义为一种临床实体，且ED在儿童和青少年精神病理学中起着重要作用，我们决定基于对当前文献的叙述性综述来总结该主题的现有知识。 本叙述性综述基于对同行评审期刊的文献检索。我们于2020年6月2日在教育资源信息中心（ERIC）、心理学文摘数据库（PsycARTICLES）、心理学文摘数据库（PsycINFO）和德国心理学文摘数据库（PSYNDEX）中搜索了2000年至2020年期间以英文发表的针对学龄前、学龄和青少年年龄（2至17岁）的同行评审文章，使用了以下搜索词：“情绪调节障碍”或“情感调节障碍”，共检索到943篇文章。文献检索结果在以下部分呈现：ED与精神障碍（注意力缺陷多动障碍、情绪障碍、心理创伤、创伤后应激障碍、非自杀性自伤、饮食障碍、对立违抗障碍、品行障碍、破坏性情绪失调障碍、人格障碍、物质使用障碍、发育障碍、自闭症谱系障碍、精神病和精神分裂症以及游戏障碍）之间的关系、ED的预防和治疗。ED的基本条件包括遗传倾向、创伤经历，尤其是性虐待或身体虐待、童年或青少年时期的情感忽视以及个人压力。ED是一个复杂的概念和综合的观念，会加重多种精神障碍。针对个体和社会功能，必须进行差异化治疗。
