Sarawgi Shivali, Mathews Rachel E
Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
College of Medicine, University of Cincinnati, Cincinnati, OH 45221, USA.
Children (Basel). 2025 Mar 21;12(4):400. doi: 10.3390/children12040400.
BACKGROUND/OBJECTIVES: Maladaptive emotion regulation (ER) and emotion dysregulation (ED) have long been associated with obsessive-compulsive disorder (OCD) as etiological and maintaining factors. Despite building interest in the field along with ancillary research into "rage OCD" (likely an example of ED), targeting the relationship between OCD and ER/ED has been understudied in pediatric OCD populations. The aim of this review was to elucidate the current state of the literature regarding ER/ED, its relationship to pediatric OCD, and related interventions.
A scoping review examined how ER/ED are related to OCD, particularly in pediatric populations, and the efficacy of interventions to affect ER/ED for youth, with a focus on youth diagnosed with OCD.
A total of 182 publications were reviewed. While not always consistent, a majority of studies found a significant relationship between measures of ER or ED and OCD broadly, as well as with specific OCD symptom dimensions. A number of previously existing interventions, adaptations of those interventions, and newly presented interventions were found to affect ER/ED in youth; however, few studies have effectively targeted ER/ED for pediatric OCD, specifically. As such, the mechanism of change is not well understood.
Findings from this review suggest that the increasing focus on ER/ED in pediatric OCD is warranted and in need of continued research. ER/ED can be effectively changed by interventions in youth, but the role ER/ED-change plays in pediatric OCD symptom improvement remains unclear. Implications for future study are examined.
背景/目的：长期以来，适应不良的情绪调节（ER）和情绪失调（ED）一直被认为是强迫症（OCD）的病因及维持因素。尽管该领域的关注度不断提高，同时对“愤怒型强迫症”（可能是情绪失调的一个例子）也有相关辅助研究，但针对强迫症与情绪调节/情绪失调之间的关系，在儿童强迫症群体中仍研究不足。本综述的目的是阐明关于情绪调节/情绪失调、其与儿童强迫症的关系以及相关干预措施的当前文献状况。
一项范围综述研究了情绪调节/情绪失调与强迫症的关系，特别是在儿童群体中的关系，以及影响青少年情绪调节/情绪失调的干预措施的效果，重点是被诊断为强迫症的青少年。
共审查了182篇出版物。虽然结果并不总是一致，但大多数研究发现，情绪调节或情绪失调的测量指标与广义上的强迫症以及特定的强迫症症状维度之间存在显著关系。发现一些现有的干预措施、这些干预措施的改编版本以及新提出的干预措施会影响青少年的情绪调节/情绪失调；然而，很少有研究专门有效地针对儿童强迫症的情绪调节/情绪失调。因此，改变的机制尚不清楚。
本综述的结果表明，在儿童强迫症中对情绪调节/情绪失调的日益关注是有必要的，并且需要继续研究。情绪调节/情绪失调可以通过针对青少年的干预措施有效改变，但情绪调节/情绪失调的改变在儿童强迫症症状改善中所起的作用仍不清楚。本文探讨了对未来研究的启示。
