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A Meta-Analytic Review of Emotion Regulation Focused Psychosocial Interventions for Adolescents
Clinical Child and Family Psychology Review ( IF 7.410 ) Pub Date : 2021-07-18 , DOI: 10.1007/s10567-021-00362-4
Hana-May Eadeh 1 , Rosanna Breaux 2 , Molly A Nikolas 1
Affiliation  

Emotion regulation (ER) is the ability to monitor, evaluate, and modify one’s emotional responses to be appropriate for environmental demands. Poor ER has been considered a transdiagnostic risk factor for a range of internalizing and externalizing disorders and overall decreased well-being in adolescents. A range of evidence-based interventions exist which may improve ER. However, much of the intervention research to date does not include a measure of ER to assess change pre and post treatment, with limited information about the efficacy of these interventions in youth across a range of sample types. There is a clear need for a comprehensive review of the literature examining ER-focused interventions in adolescents with a wide range of presenting disorders. A literature search was originally conducted in January 2020 and an updated search was conducted in February 2021 which elicited 1245 articles, of which 605 were duplicates and were removed. Abstracts of the remaining 640 articles were screened with 121 articles being reviewed in full. Of note, 16 additional articles were identified through references and other sources during this process and were also included in the full review. Of the 137 articles reviewed in full, 41 studies were ultimately included in the present review. The present paper provides a descriptive review of intervention approaches and findings from community prevention programs, programs for war-affected youth, programs for clinical populations, and programs for incarcerated and delinquent adolescents. The overall pooled effect was significantly different from zero based on the pre/post effects [Hedge’s g = 0.29, 95% CI (0.22, 0.36)] and the intervention/control effects [Hedge’s g = 0.19, 95% CI (0.06–0.32)]. Although neither sex nor age significantly accounted for heterogeneity in effect sizes, there were significant findings for population type (clinical vs. community), with community samples having significantly lower effect sizes on average. Impacts of the different ER measures used and significant methodological variability (e.g., use of control groups, length of intervention) across included studies are discussed. Implications and suggestions for future research are reviewed, specifically, that additional understanding of moderators of effects are needed and that measures used to assess change in ER, both dysregulation and adaptive skill use, may need to more directly align with the intervention’s focus and the strategies taught as part of the intervention.



中文翻译:

以情绪调节为中心的青少年心理社会干预的荟萃分析综述

情绪调节 (ER) 是监测、评估和修改一个人的情绪反应以适应环境需求的能力。ER 差被认为是一系列内化和外化障碍以及青少年总体幸福感下降的跨诊断危险因素。存在一系列可以改善 ER 的循证干预措施。然而,迄今为止的大部分干预研究不包括用于评估治疗前后变化的 ER 测量,关于这些干预措施在一系列样本类型中对青少年的疗效的信息有限。显然需要对研究以 ER 为中心的干预措施对患有多种疾病的青少年进行全面审查的文献进行全面审查。最初于 2020 年 1 月进行了文献检索,并于 2021 年 2 月进行了更新检索,共检索到 1245 篇文章,其中 605 篇重复并被删除。筛选了其余 640 篇文章的摘要,其中 121 篇文章进行了全面审查。值得注意的是,在此过程中通过参考文献和其他来源确定了另外 16 篇文章,这些文章也包含在完整审查中。在完整审查的 137 篇文章中,41 项研究最终被纳入本次审查。本文对社区预防计划、受战争影响青年计划、临床人群计划以及被监禁和犯罪青少年计划的干预方法和结果进行了描述性审查。g  = 0.29, 95% CI (0.22, 0.36)] 和干预/控制效果 [Hedge's g = 0.19,95% CI (0.06–0.32)]。尽管性别和年龄都不能显着解释效应量的异质性,但人口类型(临床与社区)有重要发现,社区样本的平均效应量明显较低。讨论了纳入研究中使用的不同 ER 措施的影响和显着的方法学差异(例如,使用对照组、干预时间长短)。对未来研究的影响和建议进行了审查,特别是需要对影响的调节剂有更多的了解,并且用于评估 ER 变化的措施,包括失调和适应性技能的使用,可能需要更直接地与干预的重点和策略保持一致作为干预的一部分进行教学。

更新日期:2021-07-19
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