Triangle Area Psychology Clinic, Durham, North Carolina, USA.
Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Clin Psychol Psychother. 2024 Sep-Oct;31(5):e3051. doi: 10.1002/cpp.3051.
The advent of multiple transdiagnostic treatments in recent decades has advanced the field of clinical psychology while also raising questions for clinicians and patients about how to decide between treatments and how to best deliver a chosen treatment. The purpose of this paper is to review two prominent transdiagnostic treatments that target emotion dysregulation: dialectical behaviour therapy and the unified protocol for transdiagnostic treatment for emotional disorders. First, we review the theoretical underpinnings, research support and proposed mechanisms of action for these treatments. Next, we discuss patient and therapist variables that might indicate which treatment is more appropriate for a given patient and discuss decision-making guidelines to help make this determination with an emphasis on complex patients who may present with risk and/or clinical comorbidities. Finally, we discuss areas for future research that can help further ensure we work to match patients to the treatment that is most likely to benefit them.
近几十年来，多种跨诊断治疗方法的出现推动了临床心理学领域的发展，但也让临床医生和患者对如何在治疗方法之间做出选择以及如何最好地实施所选治疗方法产生了疑问。本文旨在回顾两种针对情绪失调的突出跨诊断治疗方法：辩证行为疗法和情绪障碍跨诊断统一治疗方案。首先，我们回顾了这些治疗方法的理论基础、研究支持和提出的作用机制。接下来，我们讨论了可能表明哪种治疗方法更适合特定患者的患者和治疗师变量，并讨论了决策指南，以帮助做出这一决定，重点是可能存在风险和/或临床共病的复杂患者。最后，我们讨论了未来的研究领域，这可以帮助进一步确保我们努力将患者与最有可能使他们受益的治疗方法相匹配。
