一项关于统一方案（一种基于情绪调节的跨诊断干预方法）的系统评价和荟萃分析。
A systematic review and meta-analysis of the Unified Protocol as a transdiagnostic emotion regulation based intervention.
机构信息
Discipline of Clinical Psychology, University of Technology Sydney, Sydney, Australia.
Discipline of Clinical Psychology, University of Technology Sydney, Sydney, Australia; School of Psychiatry, University of New South Wales, Sydney, Australia.
出版信息
Clin Psychol Rev. 2019 Aug;72:101751. doi: 10.1016/j.cpr.2019.101751. Epub 2019 Jun 25.
Recent advances in clinical practice emphasise transdiagnostic interventions as an effective alternative to single disorder approaches. This current systematic review and meta-analysis evaluated the treatment efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) across internalising disorders, as an emotion regulation (ER) based intervention program. Across 15 studies and 1244 participants, large effect size reductions were found across symptoms of anxiety, depression, generalised anxiety disorder, obsessive-compulsive disorder, panic disorder with/without agoraphobia, social anxiety disorder, and borderline personality disorder. In addition, there were moderate effect sizes indicating increased use of adaptive and decreased use of maladaptive ER strategies, highlighting the UP as an effective ER based intervention. Secondary treatment benefits in functional impairment and quality of life were also evident. Implications on future transdiagnostic ER based research are discussed.
近年来的临床实践进展强调了跨诊断干预作为一种替代单一障碍方法的有效手段。本系统评价和荟萃分析评估了跨诊断情绪障碍统一治疗方案（UP）的治疗效果，该方案是一种基于情绪调节（ER）的干预计划。在 15 项研究和 1244 名参与者中，发现焦虑、抑郁、广泛性焦虑障碍、强迫症、伴有/不伴有广场恐怖症的惊恐障碍、社交焦虑障碍和边缘型人格障碍的症状均有较大程度的减轻。此外，还存在中等程度的效果大小，表明适应性 ER 策略的使用增加，而适应不良的 ER 策略的使用减少，这突出了 UP 作为一种有效的基于 ER 的干预措施。在功能障碍和生活质量方面也有明显的次要治疗益处。还讨论了未来基于跨诊断 ER 的研究的意义。
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