Emotion-regulation skills as a treatment target in psychotherapy
Emotion-regulation skills as a treatment target in psychotherapy
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DOI：
10.1016/j.brat.2008.08.005
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发表时间：
2008-11-01
影响因子：
4.1
通讯作者：
Znoj, Hansjorg
中科院分区：
文献类型：
--
作者：
Berking, Matthias;Wupperman, Peggilee;Znoj, Hansjorg
背景：情绪调节技能的缺陷已被证明是一系列精神障碍发展和维持不可或缺的因素。目的：评估这些技能在心理治疗干预中作为治疗靶点的重要性。方法：对289例住院患者进行认知行为治疗前后的9项情绪调节技能评定。我们首先比较了246名非临床控制组和自我报告的前处理技能应用的成功情况。治疗前的技能应用和治疗过程中技能应用的变化与各种结果指标相关。结果：单因素和多因素分析表明，接受、容忍和积极调整负面情绪的技能对当前的心理健康和治疗结果尤为重要。用情绪调节训练取代部分标准的CBT治疗，提高了CBT治疗在技能应用和其他心理健康测量方面的效果。结论：结合直接针对一般情绪调节技能的干预措施，可以提高心理治疗干预的有效性。(C)2008爱思唯尔有限公司。保留所有权利。
Background: Deficits in emotion-regulation skills have been shown to be integral to the development and maintenance of a wide range of mental disorders.Aim: To evaluate the importance of these skills as a treatment target in psychotherapeutic interventions. Method: Nine specific emotion-regulation skills were assessed in a sample of 289 inpatients before and after cognitive-behavioural treatment. Self-reports of success in pretreatment skills application were first compared to those of 246 non-clinical controls. Pretreatment skills application and change in skills application during therapy were then related to a variety of outcome measures. Finally, the effects of integrating a brief training of general emotion-regulation skills into the CBT-based treatment were evaluated in a controlled trial.Results: Uni- and multivariate analyses identified the skills of acceptance, tolerance, and active modification of negative emotions as particularly important for current mental health and treatment outcome. Replacing parts of the standard CBT treatment with the emotion-regulation training enhanced the effects of the CBT treatment on skills application and on other measures of mental health.Conclusion: Incorporating interventions that directly target general emotion-regulation skills may improve the effectiveness of psychotherapeutic interventions. (c) 2008 Elsevier Ltd. All rights reserved.