Oussi Abdellah, Hamid Karim, Bouvet Cyrille
CLIPSYD Research Unit, UFR SPSE, Paris Nanterre University, 200 avenue de la République, 92001, Nanterre Cedex, France.
CHU Mohamed VI, Marrakech, Morocco.
J Behav Ther Exp Psychiatry. 2023 Jun;79:101835. doi: 10.1016/j.jbtep.2023.101835. Epub 2023 Jan 11.
Panic disorder is defined by recurring and unexpected panic attacks, accompanied by anticipatory anxiety about future attacks and their consequences. This generally involves avoiding situations and behaviors that can produce panic attacks (American Psychiatric Association [APA], 2013). Among anxiety disorders, panic disorder is associated with some of the greatest burdens in terms of personal suffering, occupational disability, and societal cost. The objective of this article is to systematically identify and review the empirical literature on emotional management processes and strategies associated with panic disorder, with the aim of evaluating their role in the development and maintenance of panic disorder, in order to better understand the pathogenesis of the disorder and guide clinicians to improve their current treatments.
Four databases were searched for studies which were based on self-reported questionnaires or a methodology based on an experimental procedure.
Of the 1719 articles identified, 61 referred to different aspects of emotional management. People living with PD are characterized by low emotional intelligence levels, excessive use of suppression, impaired cognitive reappraisal, high levels of alexithymia and maladaptive coping strategies.
Most of the reviewed studies used measures of emotional management in cross-sectional models and were based on self-assessment reports.
Improving emotional intelligence levels is key to increasing emotion regulation flexibility for people living with PD. Automatic cognitive reappraisal impairment in these people indicates low importance of cognitive restructuring in psychotherapeutic treatment.
惊恐障碍的定义为反复出现且不可预期的惊恐发作，并伴有对未来发作及其后果的预期性焦虑。这通常涉及回避可能引发惊恐发作的情境和行为（美国精神病学协会[APA]，2013）。在焦虑症中，惊恐障碍在个人痛苦、职业残疾和社会成本方面带来了一些最为沉重的负担。本文的目的是系统地识别和综述与惊恐障碍相关的情绪管理过程及策略的实证文献，旨在评估它们在惊恐障碍的发生和维持中的作用，以便更好地理解该障碍的发病机制，并指导临床医生改进当前治疗方法。
检索了四个数据库，查找基于自我报告问卷或基于实验程序方法开展的研究。
在识别出的1719篇文章中，61篇涉及情绪管理的不同方面。惊恐障碍患者的特点是情商水平低、过度使用压抑、认知重评受损、述情障碍水平高以及应对策略 maladaptive（此处原文有误，推测可能是maladaptive意为适应不良的）。
大多数综述研究在横断面模型中使用情绪管理测量方法，并基于自我评估报告。
提高情商水平是增加惊恐障碍患者情绪调节灵活性 的关键。这些人自动认知重评受损表明认知重构在心理治疗中重要性较低。 （注：最后一句中“增加惊恐障碍患者情绪调节灵活性 ”原文“increasing emotion regulation flexibility for people living with PD”中“for people living with PD”翻译时前置了使表达更符合中文习惯；最后一句中推测原文单词有误已标注并按推测正确意思翻译）
