Relationships among adaptive and maladaptive emotion regulation strategies and psychopathology during the treatment of comorbid anxiety and alcohol use disorders.
Relationships among adaptive and maladaptive emotion regulation strategies and psychopathology during the treatment of comorbid anxiety and alcohol use disorders.
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DOI：
10.1016/j.brat.2015.08.001
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发表时间：
2015-10
影响因子：
4.1
通讯作者：
Barlow DH
中科院分区：
文献类型：
--
作者：
Conklin LR;Cassiello-Robbins C;Brake CA;Sauer-Zavala S;Farchione TJ;Ciraulo DA;Barlow DH
适应不良和适应性情绪调节策略都与精神病理学有关。然而，以前的研究在很大程度上分别研究了它们，很少有研究在接受心理治疗的患者中横向或纵向研究这些策略的相互作用。本研究探讨了81例接受认知行为干预的共病饮酒和焦虑症患者的适应性和适应不良情绪调节策略的使用和相互作用。患者完成情绪调节策略的使用和治疗前后的精神病理学症状的测量。在横截面上，更多地使用适应不良的策略（例如，否认）与治疗前和治疗后较高的精神病理学显著相关，而较高的适应性策略使用（例如，接受）仅与治疗后较低的精神病理学显著相关。适应不良策略的改变，而不是适应策略的改变，与治疗后的精神病理学显著相关。然而，对于治疗前使用适应不良策略的患者，适应策略的增加与治疗后较低的精神病理学显著相关。这些研究结果表明，心理治疗可以通过在治疗开始时考虑患者的技能使用来最大限度地提高疗效。通过更好地了解患者的初始情绪调节技能，临床医生可以更好地通过强调适应不良策略的使用减少为主，或与增加适应技能的使用相结合，以优化治疗效果。
Both maladaptive and adaptive emotion regulation strategies have been linked with psychopathology. However, previous studies have largely examined them separately, and little research has examined the interplay of these strategies cross-sectionally or longitudinally in patients undergoing psychological treatment. This study examined the use and interplay of adaptive and maladaptive emotion regulation strategies in 81 patients receiving cognitive-behavioral interventions for comorbid alcohol use and anxiety disorders. Patients completed measures of emotion regulation strategy use and symptoms of psychopathology pre- and post-treatment. Cross-sectionally, higher use of maladaptive strategies (e.g., denial) was significantly related to higher psychopathology pre- and post-treatment, whereas higher use of adaptive strategies (e.g., acceptance) only significantly related to lower psychopathology post-treatment. Prospectively, changes in maladaptive strategies, but not changes in adaptive strategies, were significantly associated with post-treatment psychopathology. However, for patients with higher pre-treatment maladaptive strategy use, gains in adaptive strategies were significantly associated with lower post-treatment psychopathology. These findings suggest that psychological treatments may maximize efficacy by considering patient skill use at treatment outset. By better understanding a patient's initial emotion regulation skills, clinicians may be better able to optimize treatment outcomes by emphasizing maladaptive strategy use reduction predominately, or in conjunction with increasing adaptive skill use.