Department of Psychology, National University of Singapore, Block AS4, 9 Arts Link, Singapore, 117570, Singapore.
Department of Psychology, National University of Singapore, Block AS4, 9 Arts Link, Singapore, 117570, Singapore.
J Psychiatr Res. 2022 Oct;154:341-353. doi: 10.1016/j.jpsychires.2022.07.023. Epub 2022 Jul 7.
Growing evidence suggests a link between emotion regulation (ER) deficits and obsessive-compulsive symptoms (OCS).
A systematic review was conducted to integrate empirical research on the nature of ER difficulties associated with obsessive-compulsive disorder (OCD), validated measures of ER for OCD and evidence base for psychological interventions targeting ER difficulties in OCD.
Database searches were conducted on CINAHL, Cochrane Library, EMBASE, MEDLINE, PUBMED, PsycINFO and Scopus with keywords related to ER and OCD. 2609 articles were found, six were identified from other sources and 21 studies were included in this review. The review was registered on PROSPERO (CDR42020184076).
The non-acceptance of emotions was the most consistently related to OCS - albeit not uniformly with all OCS dimensions. There was also some evidence suggesting that difficulties in impulse-control, accessing effective ER strategies and engaging in goal-directed behaviours to be related to OCS. No OCD-specific ER measure was identified. Interventions with ER components appeared to be promising for the treatment of OCD.
Recommendations on how to build on the existing literature and improve the quality of evidence were provided.
越来越多的证据表明情绪调节（ER）缺陷与强迫症症状（OCS）之间存在关联。
系统综述旨在整合与强迫症（OCD）相关的 ER 困难的实证研究，验证针对 OCD 的 ER 的测量工具，并为针对 OCD 的 ER 困难的心理干预提供证据基础。
使用 CINAHL、Cochrane 图书馆、EMBASE、MEDLINE、PUBMED、PsycINFO 和 Scopus 数据库，使用与 ER 和 OCD 相关的关键词进行检索。共发现 2609 篇文章，另有 6 篇来自其他来源，共有 21 项研究纳入本综述。本综述已在 PROSPERO（CDR42020184076）上注册。
尽管并非所有 OCS 维度都一致，但情绪的不接受最与 OCS 相关。也有一些证据表明，冲动控制、获取有效的 ER 策略以及从事有目标的行为以应对 OCS 方面存在困难。没有发现专门针对 OCD 的 ER 测量工具。包含 ER 成分的干预措施似乎对 OCD 的治疗有希望。
提供了关于如何利用现有文献和提高证据质量的建议。
