Peking University School of Nursing, China.
Peking University School of Nursing, China.
Asian J Psychiatr. 2024 Sep;99:104151. doi: 10.1016/j.ajp.2024.104151. Epub 2024 Jul 10.
Clarifying the effect size of the association between somatic symptom disorders (SSDs) and defects in emotional regulation (ER) dimensions through a meta-analysis may improve ER-related treatment for SSD patients. SSDs exhibited a lower level of adaptive ER (overall Hedge's g = -0.618, 95 %CI [0.872, -0.365]; Hedge's g for ER dimensions of Awareness, Description, Clarity, Acceptance, Tolerance, Self-efficacy belief, and Cognitive Reappraisal ranged from -0.451 to -1.344). Maladaptive ER dimensions (catastrophizing and expressive inhibition) showed no significant associations with SSDs. Psychotherapy focusing on developing adaptive ER rather than reducing maladaptive ER may be a more promising approach for treating SSD patients.
通过荟萃分析澄清躯体症状障碍（SSD）与情绪调节（ER）维度缺陷之间的关联效应大小，可能会改善 SSD 患者的 ER 相关治疗。SSD 患者表现出较低水平的适应性 ER（总体 Hedge's g = -0.618，95%CI [0.872，-0.365]；ER 维度的觉察、描述、清晰、接受、宽容、自我效能信念和认知重评的 Hedge's g 范围为-0.451 至-1.344）。适应性 ER 维度（灾难化和表达抑制）与 SSD 无显著关联。关注发展适应性 ER 而不是减少适应性 ER 的心理治疗可能是治疗 SSD 患者的更有前途的方法。
