Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta-Analysis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-05-15 DOI:10.1002/cpp.2997

Celia Antuña-Camblor, Francisco J. Gómez-Salas, Francisco A. Burgos-Julián, Anabel González-Vázquez, Joel Juarros-Basterretxea, Francisco Javier Rodríguez-Díaz

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Abstract

Context

Several studies have shown that emotional regulation (ER) is a transdiagnostic construct of emotional disorders. Therefore, if therapy improves ER, it would improve psychological distress.

Objective

This review assesses and compares the changes in ER due to psychological treatment in different therapies.

Methods

A systematic review and meta-analysis of RCTs published in the databases PubMed, PsycINFO and Web of Science was performed. It was registered in PROSPERO under the number CRD42023387317. Two independent experts in the field reviewed the articles.

Results

A total of 18 articles met the criteria for inclusion in the review. Analysis of these studies suggests that in unified protocol (UP), cognitive behaviour therapy, dialectical behaviour therapy (DBT) and mindfulness, there is evidence to support that a moderate effect occurs during treatment. Furthermore, in mindfulness and DBT, the effect was moderate in the follow-up period, while in UP, it was high.

Limitations

Given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution.

Conclusions

UP, cognitive behaviour therapy, DBT and mindfulness can improve ER after therapy, while UP, DBT and mindfulness in the follow-up period. Other therapies, such as SKY or Flotation REST, require more research.

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情绪调节是治疗情绪失调的跨诊断过程：系统回顾与元分析》。

背景：多项研究表明，情绪调节（ER）是情绪障碍的一种跨诊断结构。因此，如果治疗能改善情绪调节，就能改善心理困扰：本综述评估并比较了不同疗法中心理治疗对情绪调节的影响：方法：对发表在 PubMed、PsycINFO 和 Web of Science 数据库中的 RCT 进行了系统回顾和荟萃分析。该研究已在 PROSPERO 登记，编号为 CRD42023387317。两位该领域的独立专家对文章进行了审阅：共有 18 篇文章符合纳入综述的标准。对这些研究的分析表明，在统一方案（UP）、认知行为疗法、辩证行为疗法（DBT）和正念疗法中，有证据支持在治疗过程中会产生适度的效果。此外，正念疗法和辩证行为疗法在随访期间的效果一般，而统一方案的效果较高：鉴于所采用干预措施的异质性以及所审查试验在方法上的局限性，在解释结果时应谨慎：UP、认知行为疗法、DBT和正念可以在治疗后改善ER，而UP、DBT和正念则可以在随访期间改善ER。其他疗法，如 SKY 或 Flotation REST，还需要更多的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.