Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta‐Analysis

ABSTRACT Context Several studies have shown that emotional regulation (ER) is a transdiagnostic construct of emotional disorders. Therefore, if therapy improves ER, it would improve psychological distress. Objective This review assesses and compares the changes in ER due to psychological treatment i...

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Veröffentlicht in:Clinical psychology and psychotherapy 2024-05, Vol.31 (3), p.e2997-n/a
Hauptverfasser: Antuña‐Camblor, Celia, Gómez‐Salas, Francisco J., Burgos‐Julián, Francisco A., González‐Vázquez, Anabel, Juarros‐Basterretxea, Joel, Rodríguez‐Díaz, Francisco Javier
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container_title Clinical psychology and psychotherapy
container_volume 31
creator Antuña‐Camblor, Celia
Gómez‐Salas, Francisco J.
Burgos‐Julián, Francisco A.
González‐Vázquez, Anabel
Juarros‐Basterretxea, Joel
Rodríguez‐Díaz, Francisco Javier
description ABSTRACT Context Several studies have shown that emotional regulation (ER) is a transdiagnostic construct of emotional disorders. Therefore, if therapy improves ER, it would improve psychological distress. Objective This review assesses and compares the changes in ER due to psychological treatment in different therapies. Methods A systematic review and meta‐analysis of RCTs published in the databases PubMed, PsycINFO and Web of Science was performed. It was registered in PROSPERO under the number CRD42023387317. Two independent experts in the field reviewed the articles. Results A total of 18 articles met the criteria for inclusion in the review. Analysis of these studies suggests that in unified protocol (UP), cognitive behaviour therapy, dialectical behaviour therapy (DBT) and mindfulness, there is evidence to support that a moderate effect occurs during treatment. Furthermore, in mindfulness and DBT, the effect was moderate in the follow‐up period, while in UP, it was high. Limitations Given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution. Conclusions UP, cognitive behaviour therapy, DBT and mindfulness can improve ER after therapy, while UP, DBT and mindfulness in the follow‐up period. Other therapies, such as SKY or Flotation REST, require more research. Resumen Introducción Varios estudios han demostrado que la regulación emocional es un constructo transdiagnóstico de los trastornos emocionales. Por lo tanto, si la terapia mejora la regulación emocional, también mejorará el malestar psicológico. Objetivo Evaluar y comparar el cambio en la regulación emocional debido al tratamiento psicológico en diferentes terapias. Método Se realizó una revisión sistemática y metaanálisis de ECA publicados en las bases de datos PubMed, PsycINFO y Web of Science. Se registró en PROSPERO con el número CRD42023387317. Dos expertos independientes en la materia revisaron los artículos. Resultados Un total de 18 artículos cumplieron los criterios de inclusión en la revisión. El análisis de estos estudios sugiere que en el Protocolo Unificado, la Terapia Cognitivo Conductual, la Terapia Dialéctica Conductual y terapias basadas en mindfulness existen evidencias que apoyan que se produce un efecto moderado durante el tratamiento. Además, en las terapias basadas en mindfulness y en la Terapia Dialéctica Conductual, el efecto se moduló en el periodo de seguimiento, mi
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Therefore, if therapy improves ER, it would improve psychological distress. Objective This review assesses and compares the changes in ER due to psychological treatment in different therapies. Methods A systematic review and meta‐analysis of RCTs published in the databases PubMed, PsycINFO and Web of Science was performed. It was registered in PROSPERO under the number CRD42023387317. Two independent experts in the field reviewed the articles. Results A total of 18 articles met the criteria for inclusion in the review. Analysis of these studies suggests that in unified protocol (UP), cognitive behaviour therapy, dialectical behaviour therapy (DBT) and mindfulness, there is evidence to support that a moderate effect occurs during treatment. Furthermore, in mindfulness and DBT, the effect was moderate in the follow‐up period, while in UP, it was high. Limitations Given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution. Conclusions UP, cognitive behaviour therapy, DBT and mindfulness can improve ER after therapy, while UP, DBT and mindfulness in the follow‐up period. Other therapies, such as SKY or Flotation REST, require more research. Resumen Introducción Varios estudios han demostrado que la regulación emocional es un constructo transdiagnóstico de los trastornos emocionales. Por lo tanto, si la terapia mejora la regulación emocional, también mejorará el malestar psicológico. Objetivo Evaluar y comparar el cambio en la regulación emocional debido al tratamiento psicológico en diferentes terapias. Método Se realizó una revisión sistemática y metaanálisis de ECA publicados en las bases de datos PubMed, PsycINFO y Web of Science. Se registró en PROSPERO con el número CRD42023387317. Dos expertos independientes en la materia revisaron los artículos. Resultados Un total de 18 artículos cumplieron los criterios de inclusión en la revisión. El análisis de estos estudios sugiere que en el Protocolo Unificado, la Terapia Cognitivo Conductual, la Terapia Dialéctica Conductual y terapias basadas en mindfulness existen evidencias que apoyan que se produce un efecto moderado durante el tratamiento. Además, en las terapias basadas en mindfulness y en la Terapia Dialéctica Conductual, el efecto se moduló en el periodo de seguimiento, mientras que en el Protocolo Unificado fue mayor. Limitaciones Dada la heterogeneidad de las intervenciones aplicadas y las limitaciones metodológicas encontradas en los ensayos revisados, los resultados podrán interpretarse con cautela. Conclusiones UP, CBT, DBT y mindfulness pueden mejorar la ER tras la terapia, mientras que UP, DBT y mindfulness pueden mejorar la recuperación tras un tiempo de seguimiento. Otras terapias, como SKY o Flotation REST, requieren más investigación.</description><identifier>ISSN: 1063-3995</identifier><identifier>EISSN: 1099-0879</identifier><identifier>DOI: 10.1002/cpp.2997</identifier><identifier>PMID: 38747373</identifier><language>eng</language><publisher>England: John Wiley and Sons, Limited</publisher><subject>Behavior modification ; Behavior therapy ; Cognition &amp; reasoning ; Cognitive Behavioral Therapy - methods ; Dialectical Behavior Therapy - methods ; emotion regulation therapy ; Emotional disorders ; Emotional Regulation ; Emotions ; Humans ; Meta-analysis ; metanálisis ; Mindfulness ; Mindfulness - methods ; regulación emocional ; Reviews ; revisión sistemática ; Systematic review ; terapia ; transdiagnostic ; transdiagnóstico</subject><ispartof>Clinical psychology and psychotherapy, 2024-05, Vol.31 (3), p.e2997-n/a</ispartof><rights>2024 John Wiley &amp; Sons Ltd.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3837-a9e41ed1d1c37140ce1ca309951f86102c7a6dda2021030efd2579983a0938053</citedby><cites>FETCH-LOGICAL-c3837-a9e41ed1d1c37140ce1ca309951f86102c7a6dda2021030efd2579983a0938053</cites><orcidid>0000-0002-5899-439X ; 0000-0002-0555-6441 ; 0000-0001-7142-9435 ; 0009-0002-8616-9415 ; 0000-0002-7739-5421 ; 0000-0001-8816-3960</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcpp.2997$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcpp.2997$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38747373$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Antuña‐Camblor, Celia</creatorcontrib><creatorcontrib>Gómez‐Salas, Francisco J.</creatorcontrib><creatorcontrib>Burgos‐Julián, Francisco A.</creatorcontrib><creatorcontrib>González‐Vázquez, Anabel</creatorcontrib><creatorcontrib>Juarros‐Basterretxea, Joel</creatorcontrib><creatorcontrib>Rodríguez‐Díaz, Francisco Javier</creatorcontrib><title>Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta‐Analysis</title><title>Clinical psychology and psychotherapy</title><addtitle>Clin Psychol Psychother</addtitle><description>ABSTRACT Context Several studies have shown that emotional regulation (ER) is a transdiagnostic construct of emotional disorders. Therefore, if therapy improves ER, it would improve psychological distress. Objective This review assesses and compares the changes in ER due to psychological treatment in different therapies. Methods A systematic review and meta‐analysis of RCTs published in the databases PubMed, PsycINFO and Web of Science was performed. It was registered in PROSPERO under the number CRD42023387317. Two independent experts in the field reviewed the articles. Results A total of 18 articles met the criteria for inclusion in the review. Analysis of these studies suggests that in unified protocol (UP), cognitive behaviour therapy, dialectical behaviour therapy (DBT) and mindfulness, there is evidence to support that a moderate effect occurs during treatment. Furthermore, in mindfulness and DBT, the effect was moderate in the follow‐up period, while in UP, it was high. Limitations Given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution. Conclusions UP, cognitive behaviour therapy, DBT and mindfulness can improve ER after therapy, while UP, DBT and mindfulness in the follow‐up period. Other therapies, such as SKY or Flotation REST, require more research. Resumen Introducción Varios estudios han demostrado que la regulación emocional es un constructo transdiagnóstico de los trastornos emocionales. Por lo tanto, si la terapia mejora la regulación emocional, también mejorará el malestar psicológico. Objetivo Evaluar y comparar el cambio en la regulación emocional debido al tratamiento psicológico en diferentes terapias. Método Se realizó una revisión sistemática y metaanálisis de ECA publicados en las bases de datos PubMed, PsycINFO y Web of Science. Se registró en PROSPERO con el número CRD42023387317. Dos expertos independientes en la materia revisaron los artículos. Resultados Un total de 18 artículos cumplieron los criterios de inclusión en la revisión. El análisis de estos estudios sugiere que en el Protocolo Unificado, la Terapia Cognitivo Conductual, la Terapia Dialéctica Conductual y terapias basadas en mindfulness existen evidencias que apoyan que se produce un efecto moderado durante el tratamiento. Además, en las terapias basadas en mindfulness y en la Terapia Dialéctica Conductual, el efecto se moduló en el periodo de seguimiento, mientras que en el Protocolo Unificado fue mayor. Limitaciones Dada la heterogeneidad de las intervenciones aplicadas y las limitaciones metodológicas encontradas en los ensayos revisados, los resultados podrán interpretarse con cautela. Conclusiones UP, CBT, DBT y mindfulness pueden mejorar la ER tras la terapia, mientras que UP, DBT y mindfulness pueden mejorar la recuperación tras un tiempo de seguimiento. Otras terapias, como SKY o Flotation REST, requieren más investigación.</description><subject>Behavior modification</subject><subject>Behavior therapy</subject><subject>Cognition &amp; reasoning</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Dialectical Behavior Therapy - methods</subject><subject>emotion regulation therapy</subject><subject>Emotional disorders</subject><subject>Emotional Regulation</subject><subject>Emotions</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>metanálisis</subject><subject>Mindfulness</subject><subject>Mindfulness - methods</subject><subject>regulación emocional</subject><subject>Reviews</subject><subject>revisión sistemática</subject><subject>Systematic review</subject><subject>terapia</subject><subject>transdiagnostic</subject><subject>transdiagnóstico</subject><issn>1063-3995</issn><issn>1099-0879</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1TAQRi1ERX9A4gmQJTZs0o7jm9hmd3VpKVIRV-WyjgZ7UlwlcbATqkgseASekSdpQguVkFh5LJ3vaEYfY88FHAuA_MT2_XFujHrEDgQYk4FW5vEylzKTxhT77DClawBQSqsnbF9qtVJSyQP2_bQNgw8dNvySrsYGlw_HxJHvInbJebzqQhq85dsYLKXEQ80fQm98CtFRTNx3fPeFIvbTa77mH6c0UItL7pK-ebrh2Dn-ngb89ePnek5OyaenbK_GJtGz-_eIfTo73W3Os4sPb99t1heZlVqqDA2tBDnhhJVKrMCSsCjnOwtR61JAbhWWzmEOuQAJVLu8UMZoiWCkhkIesVd33j6GryOloWp9stQ02FEYUyWhKFaF1FrP6Mt_0OswxnnfhVKiLApTwoPQxpBSpLrqo28xTpWAammkmhuplkZm9MW9cPzckvsL_qlgBrI74MY3NP1XVG2229_CW4O_lUs</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Antuña‐Camblor, Celia</creator><creator>Gómez‐Salas, Francisco J.</creator><creator>Burgos‐Julián, Francisco A.</creator><creator>González‐Vázquez, Anabel</creator><creator>Juarros‐Basterretxea, Joel</creator><creator>Rodríguez‐Díaz, Francisco Javier</creator><general>John Wiley and Sons, Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5899-439X</orcidid><orcidid>https://orcid.org/0000-0002-0555-6441</orcidid><orcidid>https://orcid.org/0000-0001-7142-9435</orcidid><orcidid>https://orcid.org/0009-0002-8616-9415</orcidid><orcidid>https://orcid.org/0000-0002-7739-5421</orcidid><orcidid>https://orcid.org/0000-0001-8816-3960</orcidid></search><sort><creationdate>202405</creationdate><title>Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta‐Analysis</title><author>Antuña‐Camblor, Celia ; Gómez‐Salas, Francisco J. ; Burgos‐Julián, Francisco A. ; González‐Vázquez, Anabel ; Juarros‐Basterretxea, Joel ; Rodríguez‐Díaz, Francisco Javier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3837-a9e41ed1d1c37140ce1ca309951f86102c7a6dda2021030efd2579983a0938053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Behavior modification</topic><topic>Behavior therapy</topic><topic>Cognition &amp; reasoning</topic><topic>Cognitive Behavioral Therapy - methods</topic><topic>Dialectical Behavior Therapy - methods</topic><topic>emotion regulation therapy</topic><topic>Emotional disorders</topic><topic>Emotional Regulation</topic><topic>Emotions</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>metanálisis</topic><topic>Mindfulness</topic><topic>Mindfulness - methods</topic><topic>regulación emocional</topic><topic>Reviews</topic><topic>revisión sistemática</topic><topic>Systematic review</topic><topic>terapia</topic><topic>transdiagnostic</topic><topic>transdiagnóstico</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Antuña‐Camblor, Celia</creatorcontrib><creatorcontrib>Gómez‐Salas, Francisco J.</creatorcontrib><creatorcontrib>Burgos‐Julián, Francisco A.</creatorcontrib><creatorcontrib>González‐Vázquez, Anabel</creatorcontrib><creatorcontrib>Juarros‐Basterretxea, Joel</creatorcontrib><creatorcontrib>Rodríguez‐Díaz, Francisco Javier</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical psychology and psychotherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Antuña‐Camblor, Celia</au><au>Gómez‐Salas, Francisco J.</au><au>Burgos‐Julián, Francisco A.</au><au>González‐Vázquez, Anabel</au><au>Juarros‐Basterretxea, Joel</au><au>Rodríguez‐Díaz, Francisco Javier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta‐Analysis</atitle><jtitle>Clinical psychology and psychotherapy</jtitle><addtitle>Clin Psychol Psychother</addtitle><date>2024-05</date><risdate>2024</risdate><volume>31</volume><issue>3</issue><spage>e2997</spage><epage>n/a</epage><pages>e2997-n/a</pages><issn>1063-3995</issn><eissn>1099-0879</eissn><abstract>ABSTRACT Context Several studies have shown that emotional regulation (ER) is a transdiagnostic construct of emotional disorders. Therefore, if therapy improves ER, it would improve psychological distress. Objective This review assesses and compares the changes in ER due to psychological treatment in different therapies. Methods A systematic review and meta‐analysis of RCTs published in the databases PubMed, PsycINFO and Web of Science was performed. It was registered in PROSPERO under the number CRD42023387317. Two independent experts in the field reviewed the articles. Results A total of 18 articles met the criteria for inclusion in the review. Analysis of these studies suggests that in unified protocol (UP), cognitive behaviour therapy, dialectical behaviour therapy (DBT) and mindfulness, there is evidence to support that a moderate effect occurs during treatment. Furthermore, in mindfulness and DBT, the effect was moderate in the follow‐up period, while in UP, it was high. Limitations Given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution. Conclusions UP, cognitive behaviour therapy, DBT and mindfulness can improve ER after therapy, while UP, DBT and mindfulness in the follow‐up period. Other therapies, such as SKY or Flotation REST, require more research. Resumen Introducción Varios estudios han demostrado que la regulación emocional es un constructo transdiagnóstico de los trastornos emocionales. Por lo tanto, si la terapia mejora la regulación emocional, también mejorará el malestar psicológico. Objetivo Evaluar y comparar el cambio en la regulación emocional debido al tratamiento psicológico en diferentes terapias. Método Se realizó una revisión sistemática y metaanálisis de ECA publicados en las bases de datos PubMed, PsycINFO y Web of Science. Se registró en PROSPERO con el número CRD42023387317. Dos expertos independientes en la materia revisaron los artículos. Resultados Un total de 18 artículos cumplieron los criterios de inclusión en la revisión. El análisis de estos estudios sugiere que en el Protocolo Unificado, la Terapia Cognitivo Conductual, la Terapia Dialéctica Conductual y terapias basadas en mindfulness existen evidencias que apoyan que se produce un efecto moderado durante el tratamiento. Además, en las terapias basadas en mindfulness y en la Terapia Dialéctica Conductual, el efecto se moduló en el periodo de seguimiento, mientras que en el Protocolo Unificado fue mayor. Limitaciones Dada la heterogeneidad de las intervenciones aplicadas y las limitaciones metodológicas encontradas en los ensayos revisados, los resultados podrán interpretarse con cautela. Conclusiones UP, CBT, DBT y mindfulness pueden mejorar la ER tras la terapia, mientras que UP, DBT y mindfulness pueden mejorar la recuperación tras un tiempo de seguimiento. Otras terapias, como SKY o Flotation REST, requieren más investigación.</abstract><cop>England</cop><pub>John Wiley and Sons, Limited</pub><pmid>38747373</pmid><doi>10.1002/cpp.2997</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-5899-439X</orcidid><orcidid>https://orcid.org/0000-0002-0555-6441</orcidid><orcidid>https://orcid.org/0000-0001-7142-9435</orcidid><orcidid>https://orcid.org/0009-0002-8616-9415</orcidid><orcidid>https://orcid.org/0000-0002-7739-5421</orcidid><orcidid>https://orcid.org/0000-0001-8816-3960</orcidid><oa>free_for_read</oa></addata></record>
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subjects Behavior modification
Behavior therapy
Cognition & reasoning
Cognitive Behavioral Therapy - methods
Dialectical Behavior Therapy - methods
emotion regulation therapy
Emotional disorders
Emotional Regulation
Emotions
Humans
Meta-analysis
metanálisis
Mindfulness
Mindfulness - methods
regulación emocional
Reviews
revisión sistemática
Systematic review
terapia
transdiagnostic
transdiagnóstico
title Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta‐Analysis
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