Parnassia Group: Youz, Child and Adolescent Psychiatry, The Hague, Netherlands.
Department of Child and Adolescent Psychiatry, Curium-Leiden University Medical Centre, Leiden, Netherlands.
Clin Psychol Psychother. 2022 Nov;29(6):1897-1904. doi: 10.1002/cpp.2758. Epub 2022 Jun 6.
The aim of this study was to examine cognitive emotion regulation strategies (CERS) of help-seeking adolescents diagnosed with personality disorders. At pre-treatment, patients (N = 116) were found to use some maladaptive but also some adaptive CERS more often than adolescents from the general population. Less than 4% of these pre-treatment CERS predicted treatment outcome. In patients whose treatment outcome according to the Symptom Checklist-90 (SCL-90) showed significant improvement (N = 75), a reduction of maladaptive CERS and an increase of adaptive CERS occurred. Patients that were unchanged or deteriorated (N = 41) showed no significant changes in CERS. In conclusion, pre-treatment CERS are not predictive for treatment outcome in this sample of adolescents diagnosed with personality disorders. Even though patients who use more adaptive and less maladaptive CERS have fewer symptoms, the relationship between these CERS and symptoms in this group of severe patients remains unclear.
本研究旨在探讨求助青少年人格障碍患者的认知情绪调节策略（CERS）。在治疗前，患者（N=116）被发现比一般人群更频繁地使用一些适应不良但也有一些适应的 CERS。这些治疗前的 CERS 中，不到 4%预测了治疗效果。在根据症状清单-90（SCL-90）显示治疗效果显著改善的患者中（N=75），适应不良的 CERS 减少，适应的 CERS 增加。治疗无变化或恶化的患者（N=41）在 CERS 方面没有显著变化。总之，在这个被诊断为人格障碍的青少年样本中，治疗前的 CERS 并不能预测治疗效果。尽管使用更多适应性和更少适应不良的 CERS 的患者症状较少，但在这群严重患者中，这些 CERS 与症状之间的关系仍不清楚。
