情绪调节作为心理干预中潜在的改变机制：一项系统综述
情绪调节作为心理干预中潜在的改变机制：一项系统综述
Emotion Regulation as a Potential Mechanism of Change in Psychological Interventions: A Systematic Review
——《临床心理学：科学与实践》第33卷第3期，2026年9月——
【摘要】情绪调节（ER）与精神病理的发展密切相关，也是心理干预的关键目标。本系统综述旨在确定情绪调节是否在治疗结果中起中介作用，并考察这些效应如何随干预类型、情绪调节构念、结果领域及研究设计而变化。纳入标准为经同行评审的随机对照试验，这些研究采用正式的中介分析，考察了情绪调节作为治疗对心理健康或行为结果产生影响的中介变量的作用。我们于2025年3月29日检索了Medline、Web of Science和PsycINFO数据库。共有62项研究（61篇论文）符合纳入标准，涵盖了202项独立的中介分析。大多数研究的参与者为西方国家的成年人。在所有分析中，50%的研究显示治疗通过情绪调节产生了显著的间接效应。对于明确针对情绪调节的干预措施——特别是那些基于既定情绪调节模型的干预措施——观察到了更强的中介效应。与采用主动对照组的研究相比，采用被动对照组的研究报告了更高比例的显著中介效应。结果表明，在相当数量的试验中，情绪调节似乎介导了治疗结果，尤其是在其作为干预核心目标时。然而，测量方法、干预设计及方法学严谨性方面的显著异质性，限制了得出确凿因果结论的可能性。这些发现支持情绪调节作为一种潜在的跨诊断改变机制，同时也强调了需要更稳健和多样化的研究设计，以阐明其在不同情境下的作用。
【关键词】中介作用；干预；情绪调节；改变机制；心理健康
[Abstract] Emotion regulation (ER) has been implicated in the development of psychopathology and is a key target in psychological interventions. This systematic review aimed to determine whether ER mediates treatment outcomes and to examine how these effects vary by intervention type, ER construct, outcome domain, and study design. Eligible studies were peer-reviewed randomized controlled trials that tested ER as a mediator of treatment effects on mental health or behavioral outcomes, using a formal mediation analysis. We searched Medline, Web of Science, and PsycINFO on March 29, 2025. Sixty-two studies (61 articles) met the inclusion criteria, yielding 202 unique mediation analyses. Most studies included adult participants from Western countries. Across all analyses, 50% showed significant indirect effects of treatment via ER. Stronger mediation effects were observed for interventions explicitly targeting ER—especially those grounded in established ER models. Studies using passive control conditions reported a greater proportion of significant mediation effects than those with active controls. ER appears to mediate treatment outcomes in a substantial number of trials, particularly when it is a core target of the intervention. However, considerable heterogeneity in measurement, intervention design, and methodological rigor limits strong causal conclusions. These findings support ER as a potential transdiagnostic mechanism of change but highlight the need for more robust and diverse designs to clarify its role across contexts.
[Key words] mediation; intervention; emotion regulation; mechanism of change; mental health
论文原文：Martin Bellander, Olivia Ojala, Johan Bjureberg (2026). Emotion regulation as a potential mechanism of change in psychological interventions: A systematic review. Clinical Psychology: Science and Practice, Volume 33, Issue 3, Pages 318–328. September 2026.
https://doi.org/10.1037/cps0000342
（翻译兼责任编辑：MARY）
（需要英文原文的朋友，请联系微信：millerdeng95或iacmsp）
