How does emotion regulation change during psychotherapy? A daily diary study of adults in a transdiagnostic partial hospitalization program.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2023-12-01 DOI:10.1037/ccp0000838

Fallon R Goodman, Andrew D Peckham, Elizabeth T Kneeland, Alexandria M Choate, Katharine E Daniel, Courtney Beard, Thröstur Björgvinsson

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引用次数: 1

Abstract

Objective: Improvement in emotion regulation is a proposed transdiagnostic mechanism of change. However, treatment research is limited by disorder-specific investigations that assess a narrow number of emotion regulation strategies. Moreover, most assess pre-to-post-treatment change without examining short-term changes throughout psychotherapy that might influence treatment response.

Method: To address these gaps, this study uses daily diary methodology to examine trajectories of change in use of six emotion regulation strategies during partial hospitalization psychiatric treatment. Treatment was rooted in cognitive behavioral principles and included skills adapted from empirically supported cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) manuals. Participants were adults (N = 364; Mage = 34.6 years; 60% female; 85% non-Hispanic White) with various profiles of mood, anxiety, and obsessive-compulsive disorders who completed symptom measures at baseline and discharge and daily measures of emotion regulation.

Results: In the first 7 treatment days, patients increased use of engagement strategies (reappraisal, acceptance) and decreased use of disengagement (expressive suppression) and cognitive perseveration (experiential avoidance, rumination) strategies. Day-to-day trajectories found that decreased use of experiential avoidance predicted next-day changes in distraction and suppression use. In predicting treatment outcomes, steeper rates of decreased suppression use predicted reductions in anxiety, depression, and general psychopathology symptoms; similar patterns were observed for decreased rumination and experiential avoidance use and increased reappraisal use.

Conclusion: Results add to a growing literature on the value of intentional, constructive engagement with emotional experiences as a mechanism of psychological health. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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在心理治疗过程中情绪调节是如何改变的?跨诊断部分住院项目中成人的每日日记研究。

目的:情绪调节能力的改善是一种被提出的跨诊断性改变机制。然而，治疗研究受到特定障碍调查的限制，这些调查评估的情绪调节策略数量有限。此外，大多数评估治疗前到治疗后的变化，没有检查整个心理治疗过程中可能影响治疗反应的短期变化。方法:为了解决这些空白，本研究使用每日日记的方法来检查在部分住院精神病治疗期间使用六种情绪调节策略的变化轨迹。治疗植根于认知行为原则，包括从经验支持的认知行为疗法(CBT)和辩证行为疗法(DBT)手册中改编的技能。参与者为成年人(N = 364;法师= 34.6岁;60%的女性;85%非西班牙裔白人)，有各种情绪、焦虑和强迫症的特征，他们在基线和出院时完成了症状测量，并完成了情绪调节的日常测量。结果:治疗前7天，患者参与策略(重评、接纳)的使用增加，脱离策略(表达抑制)和认知坚持策略(体验回避、反刍)的使用减少。日常轨迹研究发现，经验回避使用的减少预示着第二天注意力分散和抑制使用的变化。在预测治疗结果时，抑制药物使用减少的速率越快，预测焦虑、抑郁和一般精神病理症状的减少;反刍和体验性回避使用减少，重新评估使用增加，也观察到类似的模式。结论:这些结果为越来越多的文献增加了关于有意识的、建设性的参与情感体验作为心理健康机制的价值。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.