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Constructing and Preliminary Testing a Narrative Therapy Programme for Posttraumatic Growth in Chinese Patients With Inflammatory Bowel Disease—A Pilot Study 针对中国炎症性肠病患者创伤后成长的叙事疗法方案的构建与初步测试--一项试点研究
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1002/cpp.3013
Dandan Chen, Tianrong Zhu, Yunxian Zhou

Background

The research on posttraumatic growth (PTG) promotion programmes, particularly narrative therapy (NT), for patients with inflammatory bowel disease (IBD) remains limited. This pilot study aims to develop an NT programme to promote PTG and evaluate its feasibility, preliminary effectiveness, participants' experiences and improvement suggestions.

Methods

The NT programme was initially developed through literature review, interviews with IBD patients and expert panel discussions. A randomized controlled pilot trial was conducted to assess the feasibility and preliminary effectiveness of the programme. Participants in the NT group received five consecutive weekly sessions of the programme, while the control group received standard care. Outcomes including PTG, anxiety, depression and quality of life were measured. Qualitative interviews were conducted to explore participants' experiences and suggestions for programme modifications.

Results

The NT programme was developed with scientific rigour. The recruitment rate and retention rate were 62.5% and 96.7%, respectively. A significant reduction in anxiety levels was observed, and manifestations of PTG were reported in the NT group. Suggestions for improvement of the NT programme were received from the participants.

Conclusion

The NT programme was constructed to promote PTG in IBD patients in this study, further offering preliminary evidence for its feasibility and potential positive psychological change. However, large-scale research is needed to validate its effectiveness for broader applications.

背景:针对炎症性肠病(IBD)患者的创伤后成长(PTG)促进计划,尤其是叙事疗法(NT)的研究仍然有限。本试验性研究旨在开发一个促进创伤后成长(PTG)的叙事疗法项目,并评估其可行性、初步效果、参与者的体验和改进建议:通过文献回顾、IBD 患者访谈和专家小组讨论,初步制定了 NT 计划。为了评估该计划的可行性和初步效果,我们开展了一项随机对照试点试验。NT组的参与者每周连续接受五次该计划的治疗,而对照组则接受标准护理。试验结果包括 PTG、焦虑、抑郁和生活质量。此外,还进行了定性访谈,以了解参与者的经验和对计划修改的建议:NT计划是以科学严谨的态度制定的。招募率和保留率分别为 62.5%和 96.7%。据观察,NT 组的焦虑水平明显降低,并出现了 PTG 的表现。参与者对 NT 计划提出了改进建议:在这项研究中,NT 计划的构建促进了 IBD 患者的 PTG,为其可行性和潜在的积极心理变化提供了初步证据。然而,还需要进行大规模的研究,以验证其在更广泛应用中的有效性。
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引用次数: 0
‘The Relentless Nature of Whiteness’: Black Psychologists' Experiences of Racial Microaggressions in Cross-Cultural Supervision 白人的无情本质":黑人心理学家在跨文化督导中的种族微冒犯经历》(Black Psychologists' Experiences of Racial Microaggressions in Cross-Cultural Supervision)。
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1002/cpp.3011
Ngozi Ebubedike, Margie Callanan, Anna Oldershaw

Objectives

Research suggests that cross-cultural supervision can be prone to microaggressions with deleterious effects for ethno-racial minorities. There are currently no known studies examining the impact of racial microaggressions in supervision on qualified psychologists. This study aimed to explore Black psychologists' experiences of microaggressions in supervision with a White supervisor and their impact.

Methods

Semi-structured interviews were conducted with 10 individuals who had completed clinical or counselling psychology doctoral training. Interviews were transcribed and analysed using interpretative phenomenological analysis.

Results

Three superordinate themes and 12 subthemes were derived from the analysis. The superordinate themes were: ‘It's the subtle things’, ‘It's an ordeal’ and ‘Surviving Whiteness in psychology’. The findings illustrate the complex nature of racial microaggressions and their profound and lasting impact on individuals. The cumulative impact of these experiences resulted in significant negative psychological outcomes.

Conclusions

The results suggest that there are common microaggressions that recur in supervision. Encountering microaggressions impeded the supervisory relationship, supervision and professional development. Clinical implications include recommendations for including multicultural competency in psychology trainings and ongoing professional development plans.

目的:研究表明,跨文化督导很容易产生微词,从而对少数民族产生有害影响。目前还没有任何已知的研究来探讨督导中的种族微观诽谤对合格心理学家的影响。本研究旨在探究黑人心理学家在与白人督导进行督导时遭遇微词的经历及其影响:对 10 名已完成临床或咨询心理学博士培训的人员进行了半结构式访谈。采用解释现象学分析方法对访谈进行了记录和分析:结果:分析得出了 3 个上位主题和 12 个下位主题。上位主题是这是微妙的事情"、"这是一种折磨 "和 "心理学中的白人生存"。研究结果表明了种族微攻击的复杂性及其对个人的深刻而持久的影响。这些经历的累积影响导致了严重的负面心理后果:结论:研究结果表明,在督导工作中经常会出现一些常见的微观诽谤。微观诽谤阻碍了督导关系、督导工作和专业发展。临床影响包括建议将多元文化能力纳入心理学培训和持续的专业发展计划中。
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引用次数: 0
Internet-Based Cognitive Behavioural Treatments for Obsessive–Compulsive Disorder: A Systematic Review and Meta-Analysis 基于互联网的认知行为治疗强迫症:系统回顾与元分析》。
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-21 DOI: 10.1002/cpp.2989
Martin Polak, Norbert K. Tanzer

Obsessive–compulsive disorder (OCD) is a common mental health condition characterized by distressing, intrusive thoughts (obsessions) and repetitive behaviours (compulsions) aimed at reducing anxiety. Internet-based cognitive behavioural therapy (ICBT) has emerged as an effective treatment modality for various mental health disorders. This meta-analysis evaluates the efficacy of guided self-help ICBT (GSH ICBT) and unguided self-help ICBT (SH ICBT) against active and passive control conditions in adults with OCD. A comprehensive systematic literature search yielded 12 randomized controlled trials (RCTs) comprising 15 comparison arms (N = 1416) that met the inclusion criteria. Results indicate that GSH ICBT significantly reduced OCD symptomatology posttreatment compared to active controls (g = 0.378, k = 9), with no significant effects maintained at follow-up (g = 0.153, k = 4). GSH ICBT was also found to be as effective as active CBT interventions in reducing comorbid anxiety and depression symptoms posttreatment (g = 0.278, k = 6) and at follow-up (g = 0.124, k = 4). However, improvements in quality of life were not significant posttreatment (g = 0.115, k = 4) nor at follow-up (g = 0.179, k = 3). Combined GSH and SH ICBT demonstrated large effects on reducing OCD symptoms (g = 0.754, k = 6), medium effects on comorbid symptoms (g = 0.547, k = 6) and small effects on quality of life (g = 0.227, k = 2) when compared to inactive controls. No significant differences were found between GSH and SH ICBT in all measured outcomes posttreatment (OCD: g = 0.098, k = 3; AD: g = 0.070, k = 3; QoL: g = −0.030, k = 1) and at follow-up (OCD: g = 0.265, k = 2; AD: g = 0.084, k = 2; QoL: g = 0.00, k = 1). Sample size was identified as a significant moderator of treatment effects. This paper further explores clinical significance, treatment adherence, therapist time investment and moderator influences of the ICBT. The limitations of the study and recommendations for future research are thoroughly discussed.

强迫症(OCD)是一种常见的精神疾病,其特征是令人痛苦的、侵入性的想法(强迫症)和旨在减轻焦虑的重复性行为(强迫症)。基于互联网的认知行为疗法(ICBT)已成为治疗各种精神疾病的有效方法。本荟萃分析评估了有指导的自助 ICBT(GSH ICBT)和无指导的自助 ICBT(SH ICBT)在主动和被动控制条件下对成人强迫症患者的疗效。通过全面系统的文献检索,共有 12 项随机对照试验 (RCT),包括 15 个对比臂(N = 1416)符合纳入标准。结果表明,与主动对照组相比,GSH ICBT 在治疗后明显减轻了强迫症症状(g = 0.378,k = 9),但在后续治疗中没有显著效果(g = 0.153,k = 4)。研究还发现,在减少治疗后(g = 0.278,k = 6)和随访时(g = 0.124,k = 4)的合并焦虑和抑郁症状方面,GSH ICBT 与积极的 CBT 干预一样有效。然而,治疗后(g = 0.115,k = 4)和随访时(g = 0.179,k = 3)生活质量的改善并不显著。与非活动对照组相比,GSH 和 SH ICBT 联合疗法对减少强迫症症状有较大影响(g = 0.754,k = 6),对合并症状有中等影响(g = 0.547,k = 6),对生活质量有较小影响(g = 0.227,k = 2)。在治疗后(强迫症:g = 0.098,k = 3;注意力缺失症:g = 0.070,k = 3;生活质量:g = -0.030,k = 1)和随访时(强迫症:g = 0.265,k = 2;注意力缺失症:g = 0.084,k = 2;生活质量:g = 0.00,k = 1)的所有测量结果中,GSH 和 SH ICBT 之间均未发现明显差异。样本大小被认为是治疗效果的重要调节因素。本文进一步探讨了 ICBT 的临床意义、治疗依从性、治疗师的时间投入和调节因素的影响。本文对研究的局限性和未来研究的建议进行了深入探讨。
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引用次数: 0
Interventions Targeting Negative Mental Imagery in Social Anxiety: A Systematic Review and Meta-Analysis of Characteristics and Outcomes 针对社交焦虑的消极心理想象干预:对特征和结果的系统回顾和元分析》(A Systematic Review and Meta-Analysis of Characteristics and Outcomes.
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-21 DOI: 10.1002/cpp.2996
Marjolein R. Thunnissen, Peter J. de Jong, Marleen M. Rijkeboer, Marisol J. Voncken, Maaike H. Nauta

Psychological treatment for social anxiety disorder (SAD) has been found to be less effective than for other anxiety disorders. Targeting the vivid and distressing negative mental images typically experienced by individuals with social anxiety could possibly enhance treatment effectiveness. To provide both clinicians and researchers with an overview of current applications, this systematic review and meta-analysis aimed to evaluate the possibilities and effects of imagery-based interventions that explicitly target negative images in (sub)clinical social anxiety. Based on a prespecified literature search, we included 21 studies, of which 12 studies included individuals with a clinical diagnosis of SAD. Imagery interventions (k = 28 intervention groups; only in adults) generally lasted one or two sessions and mostly used imagery rescripting with negative memories. Others used eye movement desensitization and reprocessing and imagery exposure with diverse intrusive images. Noncontrolled effects on social anxiety, imagery distress and imagery vividness were mostly large or medium. Meta-analyses with studies with control groups resulted in significant medium controlled effects on social anxiety (d = −0.50, k = 10) and imagery distress (d = −0.64, k = 8) and a nonsignificant effect on imagery vividness. Significant controlled effects were most evident in individuals with clinically diagnosed versus subclinical social anxiety. Overall, findings suggest promising effects of sessions targeting negative mental images. Limitations of the included studies and the analyses need to be considered. Future research should examine the addition to current SAD treatments and determine the relevance of specific imagery interventions. Studies involving children and adolescents are warranted.

与其他焦虑症相比,社交焦虑症(SAD)的心理治疗效果较差。针对社交焦虑症患者通常会经历的生动而痛苦的负面心理图像可能会提高治疗效果。为了向临床医生和研究人员提供当前应用的概况,本系统综述和荟萃分析旨在评估明确针对(亚)临床社交焦虑症中负面形象的意象干预的可能性和效果。根据事先指定的文献检索,我们纳入了 21 项研究,其中 12 项研究纳入了临床诊断为 SAD 的患者。意象干预(k = 28 个干预组;仅针对成人)一般持续一到两个疗程,大多使用负面记忆的意象重描。其他干预则使用眼动脱敏和再处理疗法,以及对各种侵入性图像进行意象暴露。非对照研究对社交焦虑、意象困扰和意象生动性的影响大多为较大或中等。通过对有对照组的研究进行元分析,发现对社交焦虑(d = -0.50,k = 10)和意象困扰(d = -0.64,k = 8)有显著的中等对照效应,而对意象生动性无显著效应。显著的控制效果在临床诊断的社交焦虑症患者与亚临床社交焦虑症患者中最为明显。总之,研究结果表明,针对负面心理图像的训练具有良好的效果。需要考虑到所纳入研究和分析的局限性。未来的研究应检查当前 SAD 治疗方法的补充情况,并确定特定意象干预的相关性。有必要对儿童和青少年进行研究。
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引用次数: 0
Psychotherapy on an Acute Psychiatric Ward: Preliminary Findings From a Controlled Study 急性精神病病房的心理治疗:一项对照研究的初步结果。
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-21 DOI: 10.1002/cpp.3002
Yael Cohen-Chazani, Libby Igra, Jay A. Hamm, Bethany L. Leonhardt, Reid Klion, Simone Cheli, Ilanit Hasson-Ohayon

This study investigated the efficacy of psychotherapy during hospitalization on an acute psychiatric ward. A controlled trial was conducted to assess the effects of Metacognitive Reflection and Insight Therapy (MERIT) upon metacognition and psychiatric symptoms. Data from 40 inpatient women were analysed. Findings included significant interaction effects between group (intervention or control group) and time (preintervention and postintervention) in regard to the metacognitive abilities and general psychiatric symptoms. Participating in MERIT seems to improve one's ability to use reflective knowledge to cope with psychological challenges and to improve symptomatology level.

本研究调查了急性精神病病房住院期间心理疗法的疗效。研究人员进行了一项对照试验,以评估元认知反思与洞察疗法(MERIT)对元认知和精神症状的影响。对 40 名住院妇女的数据进行了分析。研究结果显示,在元认知能力和一般精神症状方面,组别(干预组或对照组)和时间(干预前和干预后)之间存在明显的交互效应。参加 MERIT 似乎可以提高一个人利用反思性知识应对心理挑战的能力,并改善症状水平。
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引用次数: 0
Self-Compassion and Self-Forgiveness in Alcohol Risk, Treatment and Recovery: A Systematic Review 酒精风险、治疗和康复中的自我同情和自我宽恕:系统回顾。
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-21 DOI: 10.1002/cpp.2987
Sophia J. Berg, Michelle J. Zaso, Kaitlyn M. Biehler, Jennifer P. Read

Introduction

Self-compassion and self-forgiveness are two self-focused, positive coping approaches that may reduce risk of problem drinking and/or aid in treatment/recovery from alcohol use disorder. The present systematic review aimed to evaluate support for the unique and complementary roles of self-compassion and self-forgiveness in alcohol outcomes.

Methods

A systematic literature search yielded 18 studies examining self-compassion, 18 studies examining self-forgiveness and 1 study examining both constructs in alcohol outcomes.

Results

Findings suggest greater self-compassion and self-forgiveness relate to lower likelihood of problem drinking. Self-forgiveness was considerably more researched in treatment/recovery outcomes than self-compassion; self-forgiveness-based interventions appear able to improve drinking-adjacent outcomes, and self-forgiveness may increase across various alcohol treatments. Finally, research suggests that associations of self-compassion and/or self-forgiveness with alcohol outcomes could be driven by numerous factors, including coping-motivated drinking, depression, psychache, social support perceptions, mental health status and/or psychiatric distress.

Conclusions

Self-compassion and self-forgiveness both appear protective against harmful alcohol outcomes. Nevertheless, many questions remain about the role of self-forgiveness and, particularly, self-compassion in alcohol treatment and recovery outcomes. Future research should examine whether targeted interventions and/or adjunctive therapeutic supports designed to increase self-compassion or self-forgiveness can reduce alcohol use disorder symptoms to facilitate alcohol treatment and recovery success.

导言:自我同情和自我宽恕是两种以自我为中心的积极应对方法,可降低问题饮酒的风险和/或帮助酒精使用障碍的治疗/康复。本系统综述旨在评估自我同情和自我宽恕在酒精治疗中的独特和互补作用:方法:通过系统性文献检索,得出了 18 项关于自我同情的研究、18 项关于自我宽恕的研究以及 1 项关于这两种构建在酒精结果中的作用的研究:结果:研究结果表明,更多的自我同情和自我宽恕与降低问题饮酒的可能性有关。与自我同情相比,自我宽恕在治疗/康复结果方面的研究要多得多;基于自我宽恕的干预似乎能够改善与饮酒相关的结果,而且自我宽恕可能会在各种酒精治疗中得到增强。最后,研究表明,自我同情和/或自我宽恕与酗酒结果之间的关联可能受多种因素的影响,包括应对动机型饮酒、抑郁、心理痛苦、社会支持感、心理健康状况和/或精神痛苦:结论:自我同情和自我宽恕似乎都对有害的酒精结果具有保护作用。然而,关于自我宽恕,尤其是自我同情在酒精治疗和康复结果中的作用,仍存在许多问题。未来的研究应探讨旨在增加自我同情或自我宽恕的针对性干预措施和/或辅助治疗支持是否能减少酒精使用障碍症状,从而促进酒精治疗和康复的成功。
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引用次数: 0
Contexts Matter in ‘a Distress Shared Is a Distress Halved’: A Meta-Analysis of Distress Sharing–Psychological Distress Relations 情境在 "分担的痛苦减半 "中很重要:压力分担与心理压力关系的元分析》(Meta-Analysis of Distress Sharing-Psychological Distress Relations.
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-20 DOI: 10.1002/cpp.2999
Sooyeon Kim, Sunkyung Yoon

Can ‘a distress shared is a distress halved’ be universally applied? The relationship between sharing distress with others and individuals' psychological health may oscillate depending on how and where it is shared. This meta-analysis aimed to examine (1) whether the relationship between sharing distress and psychological distress is moderated by the manner of sharing (i.e. general tendency to share distress with others [general distress sharing] vs. ruminatively fixating on the negatives during the sharing [co-rumination]) and (2) cultural context (Eastern vs. Western). A total of 110 effect sizes from 105 studies (91 articles on general distress sharing and 84 articles on co-rumination) were included in the analysis with sharing manner as a moderator. For the cross-cultural analyses, 61 studies were included with 47 studies conducted in Western cultures and 15 studies conducted in Eastern cultures. Whereas generally sharing distress was negatively related to psychological distress, co-rumination showed a positive correlation with psychological distress. Culture significantly moderated co-rumination but not general distress sharing in relation to psychological distress. General distress sharing was consistently associated with decreased psychological distress across cultures. In contrast, co-rumination was related to deleterious psychological health only among Westerners, while Easterners showed a non-significant association with psychological distress. Our results align with the increasing importance of taking contextual factors into account in the field of emotion regulation literature.

与他人分担痛苦就是将痛苦减半 "能否普遍适用?与他人分担痛苦与个人心理健康之间的关系可能会因分担痛苦的方式和地点而摇摆不定。本荟萃分析旨在研究:(1) 与他人分担困扰与心理困扰之间的关系是否会受到分担方式(即与他人分担困扰的一般倾向[一般困扰分担]与在分担过程中专注于负面情绪的反刍[共同反刍])和(2) 文化背景(东方与西方)的影响。共有来自 105 项研究的 110 个效应大小(91 篇关于一般苦恼分担的文章和 84 篇关于共同发泄的文章)被纳入以分担方式为调节因子的分析中。在跨文化分析中,共纳入了 61 项研究,其中 47 项研究在西方文化中进行,15 项研究在东方文化中进行。一般来说,分享痛苦与心理痛苦呈负相关,而共同辱骂与心理痛苦呈正相关。文化在很大程度上调节了共同倾诉与心理困扰之间的关系,但没有调节一般的困扰分担与心理困扰之间的关系。在不同的文化中,一般苦恼分担始终与心理压力的减少相关。相反,只有西方人的共同倾诉与有害的心理健康有关,而东方人的共同倾诉与心理困扰的关系并不明显。我们的研究结果表明,在情绪调节研究领域,考虑情境因素越来越重要。
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引用次数: 0
A Brief Cognitive Analytic Therapy–Informed Approach for Young People That Have Self-Injured (CATCH-Y): A Case Series 针对自伤青少年的简易认知分析疗法 (CATCH-Y):病例系列
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-17 DOI: 10.1002/cpp.2976
R. Haw, M. Marsden, S. Hartley, C. Turpin, P. J. Taylor

Background

Non-suicidal self-injury (NSSI) presents an increasingly prevalent problem for young people; however, there remains a scarce evidence base for effective, scalable treatments for adolescents. This study aimed to assess the feasibility and acceptability of a brief, cognitive analytic therapy (CAT)–informed intervention for young people who engage in NSSI (CATCH-Y).

Methods

A case series design recruited 13 young people who met the inclusion and exclusion criteria to participate in the five-session intervention. Eligible participants were aged 13–17 years (M = 15.15, SD = 1.28) and had engaged in NSSI at least once in the previous 6 months. Feasibility and acceptability were measured via recruitment, retention, qualitative feedback and missing data. The secondary outcome measures of personal recovery and motivation were administered pre- and post-assessment, with measures of depressive symptoms and urges to self-injure.

Results

The intervention was found to be largely feasible and acceptable with high rates of recruitment, retention and pre-/post-assessment data completeness. Measures showed preliminary support for positive change in rates of NSSI, urges to self-harm, low mood and personal recovery, although results were mixed. Completion rates for remote assessments were low.

Conclusions

The findings of this study support further evaluation of the CATCH-Y intervention on a larger scale. In-person assessments may be preferable to remote to ensure good completion rates.

背景 非自杀性自伤(NSSI)在青少年中是一个日益普遍的问题;然而,针对青少年的有效、可扩展的治疗方法的证据基础仍然很少。本研究旨在评估针对 NSSI 青少年的简短认知分析疗法(CAT)干预(CATCH-Y)的可行性和可接受性。 方法 采用病例系列设计,招募 13 名符合纳入和排除标准的青少年参加为期五节课的干预。符合条件的参与者年龄为 13-17 岁(M = 15.15,SD = 1.28),在过去 6 个月中至少有过一次 NSSI 行为。可行性和可接受性通过招募、保留、定性反馈和缺失数据来衡量。个人康复和动机的次要结果测量是在评估前后进行的,同时还测量了抑郁症状和自我伤害冲动。 结果干预措施基本可行且可接受,招募率、保留率和评估前/后数据完整率都很高。测量结果显示,尽管结果参差不齐,但初步支持在非自伤行为、自伤冲动、情绪低落和个人康复方面出现积极变化。远程评估的完成率较低。 结论 本研究的结果支持对 CATCH-Y 干预进行更大规模的进一步评估。为确保良好的完成率,面对面评估可能比远程评估更可取。
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引用次数: 0
Correction to ‘Development and Validation of a Short Version of the Questionnaire of Stressful Life Events (QSLE)’ Butjosa, A., Usall, J., Vila-Badia, R., Del Cacho, N., Gómez-Benito, J., Barajas, A., Banos, I., Grau, N., Granell, L., Sola, A., Hami-Carlson, J., Dolz, M., Sanchez, B., GENIPE group, & Ochoa, S. (2023). Development and validation of a short version of the questionnaire of stressful life events (QSLE). Clinical Psychology & Psychotherapy, 30(6), 1464–1470. https://doi.org/10.1002/cpp.2886. 生活压力事件问卷(QSLE)简易版的开发与验证 "的更正 Butjosa, A., Usall, J., Vila-Badia, R.、 Del Cacho, N., Gómez-Benito, J., Barajas, A., Banos, I., Grau, N., Granell, L., Sola, A., Hami-Carlson, J., Dolz, M., Sanchez, B., GENIPE group, & Ochoa, S. (2023). 生活压力事件调查问卷(QSLE)简版的开发与验证》。 临床心理学与心理治疗》,30(6),1464-1470。https://doi.org/10.1002/cpp.2886。
IF 3.6 3区 心理学 Q2 Psychology Pub Date : 2024-05-17 DOI: 10.1002/cpp.2994
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引用次数: 0
Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta-Analysis 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》。
IF 3.6 3区 心理学 Q2 Psychology 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

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.

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。
{"title":"Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta-Analysis","authors":"Celia Antuña-Camblor,&nbsp;Francisco J. Gómez-Salas,&nbsp;Francisco A. Burgos-Julián,&nbsp;Anabel González-Vázquez,&nbsp;Joel Juarros-Basterretxea,&nbsp;Francisco Javier Rodríguez-Díaz","doi":"10.1002/cpp.2997","DOIUrl":"10.1002/cpp.2997","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Context</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This review assesses and compares the changes in ER due to psychological treatment in different therapies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Limitations</h3>\u0000 \u0000 <p>Given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Clinical psychology & psychotherapy
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