Decentering as a core component in the psychological treatment and prevention of youth anxiety and depression: a narrative review and insight report.

Decentering as a core component in the psychological treatment and prevention of youth anxiety and depression: a narrative review and insight report.
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DOI:
10.1038/s41398-021-01397-5
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发表时间:
2021-05-14
影响因子:
6.8
通讯作者:
Dalgleish T
Dalgleish T
中科院分区:
医学1区
文献类型:
--
作者:
Bennett MP;Knight R;Patel S;So T;Dunning D;Barnhofer T;Smith P;Kuyken W;Ford T;Dalgleish T

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去中心化是一个普遍存在的治疗概念,在心理干预和科学的多个流派中都有体现。它描述了一种从客观的自我角度注意到日常心理压力源(消极的想法、感觉和记忆)的能力,而不是坚持它们所代表的主题。因此,去中心化减轻了与心理压力源相关的影响和痛苦,否则这些压力源会增加弱势群体的精神疾病。重要的是,加强与去中心化相关的能力已被标记为治疗和预防焦虑和抑郁的心理干预的核心组成部分。我们提供了一个深入的审查证据去中心化的有益影响,特别关注青少年心理健康。这是因为青春期是精神病理学发展的关键窗口,但在这一研究领域往往代表性不足。叙述综合提出了整合和总结了一系列与去中心化相关的能力的发现。第1节回顾了分散和数据驱动方法的现有概念,以表征其特征。然后提出了一个新的定义,以指导未来的实证研究。第2节概述了去中心化的发展及其与焦虑和抑郁的关系的实验室研究。第3节探讨了去中心化相关技能在焦虑和抑郁心理干预中的作用。重要的是,我们回顾了治疗相关的去中心化增加预测焦虑和抑郁严重程度的降低的证据。每个部分都强调了未来研究的重要领域。该报告最后解决了一些至关重要的问题,即去中心化是否、如何、为什么以及何时减轻了青少年的焦虑和抑郁。
Decentering is a ubiquitous therapeutic concept featuring in multiple schools of psychological intervention and science. It describes an ability to notice to day-to-day psychological stressors (negative thoughts, feelings, and memories) from an objective self-perspective and without perseverating on the themes they represent. Thus, decentering dampens the impact and distress associated with psychological stressors that can otherwise increase mental ill health in vulnerable individuals. Importantly, the strengthening of decentering-related abilities has been flagged as a core component of psychological interventions that treat and prevent anxiety and depression. We provide an in-depth review evidence of the salutary effects of decentering with a special focus on youth mental health. This is because adolescence is a critical window for the development of psychopathology but is often under-represented in this research line. A narrative synthesis is presented that integrates and summarizes findings on a range of decentering-related abilities. Section 1 reviews extant conceptualizations of decentering and data-driven approaches to characterize its characteristic. A novel definition is then offered to guide future empirical research. Section 2 overviews laboratory-based research into the development of decentering as well as its relationship with anxiety and depression. Section 3 examines the role decentering-related skills play in psychological interventions for anxiety and depression. Critically, we review evidence that treatment-related increases in decentering predict latter reductions in anxiety and depression severity. Each section highlights important areas for future research. The report concludes by addressing the vital questions of whether, how, why and when decentering alleviates youth anxiety and depression.
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