Interventions targeting emotion regulation: A systematic umbrella review

Journal of Psychiatric Research, Год журнала: 2024, Номер 174, С. 263 - 274

Опубликована: Апрель 18, 2024

Emotion dysregulation (ED), the difficulty in modulating which emotions are felt, and when how they expressed or experienced, has been implicated an array of psychological disorders. Despite potentially different manifestations depending on disorder, this symptom is emerging as a transdiagnostic construct that can should be targeted early, given associations with various maladaptive behaviors early childhood adolescence. As such, our goal was to investigate psychotherapeutic interventions used address ED gauge their effectiveness, safety, potential mechanisms across populations. This umbrella systematic review, pre-registered under PROSPERO (registration: CRD42023411452), consolidates evidence from reviews meta-analyses targeting ED, accordance PRISMA guidelines. Our synthesis quantitative qualitative 21 (including 11 meta-analyses) points—with moderate overall risk bias—to effectiveness Dialectical Behavior Therapy Cognitive Behavioral reducing wide range adult psychiatric patients healthy participants. Similar results have emerged other less extensively researched methods well. However, adolescents children sparse, highlighting need for additional research tailor these unique challenges younger populations diverse externalizing internalizing These demonstrated advantages psychotherapy underscore specifically designed issue directly, particularly high-risk individuals. In individuals, core dimensions may mitigate emergence full-blown Future mediating factors, durability intervention effects, exploration understudied enhance prevention treatment efficiency, enhancing quality life those affected by varied ED.

Язык: Английский

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Decoding Neural Circuit Dysregulation in Bipolar Disorder: Toward an Advanced Paradigm for Multidimensional Cognitive, Emotional, and Psychomotor Treatment

Neuroscience & Biobehavioral Reviews, Год журнала: 2025, Номер 169, С. 106030 - 106030

Опубликована: Фев. 1, 2025

Bipolar disorder (BD) is characterized by a complex constellation of emotional, cognitive, and psychomotor disturbances, each deeply intertwined with underlying dysfunctions in large-scale brain networks neurotransmitter systems. This manuscript integrates recent advances neuroimaging, neuromodulation, pharmacological research to provide comprehensive view BD's pathophysiology, emphasizing the role network-specific their clinical manifestations. We explore how dysregulation within fronto-limbic network, particularly involving prefrontal cortex (PFC) amygdala, underpins emotional instability that defines both manic depressive episodes. Additionally, impairments central executive network (CEN) default mode (DMN) are linked cognitive deficits, hyperactivity DMN driving rumination inflexibility, while CEN underactivity contributes attentional lapses impaired function. Psychomotor symptoms, which oscillate between mania retardation depression, closely associated imbalances systems, dopamine serotonin, basal ganglia-thalamo-cortical motor pathway. Recent studies indicate these disturbances further exacerbated disruptions connectivity, leading control regulation. Emerging therapeutic strategies discussed, focus on neuromodulation techniques such as transcranial magnetic stimulation (TMS) deep (DBS), show promise restoring balance critical networks. Furthermore, interventions modulate synaptic functioning neuronal plasticity offer potential for addressing symptoms BD. underscores need an integrative treatment approach simultaneously targets neural circuits systems address full spectrum Drawing advancements neurobiological models frameworks, this proposal outlines pathway development precision-tailored interventions. These approaches designed optimize outcomes, ultimately striving elevate quality life individuals living bipolar (BD), remaining firmly grounded latest empirical evidence theoretical insights.

Язык: Английский

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Shared and unique characteristics of metabolic syndrome in psychotic disorders: a review

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Март 4, 2024

Introduction People with psychosis spectrum disorders (PSD) face an elevated risk of metabolic syndrome (MetS), which may reduce their life expectancy by nearly 20%. Pinpointing the shared and specific characteristics clinical implications MetS in PSD is crucial for designing interventions to this risk, but up-to-date review on across lacking. Methods This narrative fills gap examining literature both distinct transdiagnostically, i.e., traditional categorical diagnoses, a focus psychiatric cardio-metabolic management. Results We discuss common PSD, as well factors contributing development patients, including unhealthy lifestyle factors, genetic predisposition, pro-inflammatory state, drugs consumption, antipsychotic medication, psychotic symptoms. highlight importance early identification management existing gaps literature, instance screening younger patients. compare hypotheses-generating associations different concluding reviewing recommendations challenges screening, monitoring, managing PSD. Conclusion Early are mitigate long-term toll Interventions should healthy appropriate pharmacological behavioral interventions. Further translational research needed develop targeted personalized treatment approaches vulnerable population, aiming at improving physical health overall well-being.

Язык: Английский

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Emotion dysregulation links pathological eating styles and psychopathological traits in bariatric surgery candidates

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Март 28, 2024

Objectives Approximately one-third of bariatric surgery patients experience weight regain or suboptimal loss within five years post-surgery. Pathological eating styles and psychopathological traits (e.g., emotion dysregulation) are recognized as potential hindrances to sustain efforts implicated in obesity development. A comprehensive understanding these variables their interplays is still lacking, despite significance developing more effective clinical interventions for patients. We investigate the prevalence interactions between pathological this population. Materials methods 110 candidates were characterized using Binge Eating Scale (BES), Hamilton Depression/Anxiety Scales (HAM-D/A), Barratt Impulsiveness (BIS-11), Experiences Close Relationships (ECR), Difficulties Emotion Regulation (DERS). analyzed with multiple logistic regression analyses network analysis. Results Patients showed pronounced anxiety/depressive symptoms dysregulation. Network analysis revealed strong connections BES DERS, DERS also displaying robust HAM-A/D ECR scales. attention impulsivity (BIS-11-A) emerged strongest nodes network. Discussion Our findings demonstrate mediating role dysregulation traits, supporting existing literature on association insecure attachment styles, behaviors. This research emphasizes regulation complex contributing obesity, its impact outcomes. Interventions focusing may thus lead improved outcomes

Язык: Английский

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The Role of Chronic Tinnitus in Hearing Loss-Related Depression: Insights for Middle-Aged and Older Adults

Clinical Gerontologist, Год журнала: 2025, Номер unknown, С. 1 - 17

Опубликована: Март 25, 2025

This study examines whether chronic tinnitus mediates the relationship between hearing loss and depression in middle-aged older adults, providing insights into pathways linking auditory impairment mental health challenges. Data from 3,241 adults aged 50 were obtained 2011-2012, 2015-2016, 2017-2018 NHANES cycles analyzed. Logistic regression assessed - association, mediation analysis tested mediating role of tinnitus. Subgroup analyses explored age differences. Hearing increased odds depressive symptoms, with 16.83% this effect. In served as a full mediator pathway, acted partial 60-69, showed no effect those 70 older. loss, tinnitus, are closely linked adults. Age-sensitive screening integrated care addressing both crucial to improve well-being. Combining rehabilitation counseling support may psychological outcomes

Язык: Английский

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Heart–Brain Axis: A Narrative Review of the Interaction between Depression and Arrhythmia

Biomedicines, Год журнала: 2024, Номер 12(8), С. 1719 - 1719

Опубликована: Авг. 1, 2024

Arrhythmias and depression are recognized as diseases of the heart brain, respectively, both major health threats that often co-occur with a bidirectional causal relationship. The autonomic nervous system (ANS) serves crucial component heart–brain axis (HBA) pathway interoception. Cardiac activity can influence emotional states through ascending interoceptive pathways, while psychological stress precipitate arrhythmias via ANS. However, HBA interoception frameworks considered overly broad, precise mechanisms underlying relationship between remain unclear. This narrative review aims to synthesize existing literature, focusing on pathological ANS in arrhythmia integrating other potential detail interactions. In communication we emphasize considering various internal factors such genes, personality traits, stress, endocrine system, inflammation, 5-hydroxytryptamine, behavioral factors. Current research employs multidisciplinary knowledge elucidate relationships, deeper understanding these interactions help optimize clinical treatment strategies. From broader perspective, this study emphasizes importance body complex, interconnected rather than treating organs isolation. Investigating enhance our disease pathogenesis advances medical science, ultimately improving human quality life.

Язык: Английский

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Hippocampal temporal dynamics and spatial heterogeneity unveil vulnerability markers in the offspring of bipolar patients

Bipolar Disorders, Год журнала: 2024, Номер unknown

Опубликована: Авг. 12, 2024

Bipolar disorder (BD) is a highly heritable characterized by emotion dysregulation and recurrent oscillations between mood states. Despite the proven efficacy of early interventions, vulnerability markers in high-risk individuals are still lacking. BD patients present structural alterations hippocampus, pivotal hub regulation networks composed multiple subregions with different projections. However, hippocampal dynamic functional connectivity (dFC) remains unclear. We aim to investigate whether dFC subdivisions differentiates patients, offspring (BDoff), healthy controls (HC); it correlates symptoms differently these groups.

Язык: Английский

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A Narrative Review of the Efficacy of Interventions for Emotional Dysregulation, and Underlying Bio–Psycho–Social Factors

Brain Sciences, Год журнала: 2024, Номер 14(5), С. 453 - 453

Опубликована: Апрель 30, 2024

In this narrative, comprehensive, and updated review of the literature, we summarize evidence about effectiveness interventions aimed at reducing emotion dysregulation improving regulation in children, adolescents, adults. After introducing from a theoretical standpoint, discuss factors commonly associated with regulation, including neurobiological neuropsychological mechanisms, role childhood adverse experiences psycho–social onset dysregulation. We then present pharmacological non-pharmacological aiming promoting across lifespan. Although our was not intended as traditional systematic review, search only restricted to reviews meta-analyses, highlighted important implications provided recommendations for clinical practice future research field.

Язык: Английский

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Emotion dysregulation and right pars orbitalis constitute a neuropsychological pathway to attention deficit hyperactivity disorder

Nature Mental Health, Год журнала: 2024, Номер 2(7), С. 840 - 852

Опубликована: Май 13, 2024

Язык: Английский

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Unraveling emotional regulation through multimodal neuroimaging techniques

Brainbridge, Год журнала: 2024, Номер 1(1), С. 1 - 26

Опубликована: Май 30, 2024

Neuroimaging techniques have significantly advanced our understanding of emotional regulation by elucidating the neural mechanisms involved. This review synthesizes findings across multiple modalities—functional Magnetic Resonance Imaging (fMRI), Electroencephalography (EEG), Magnetoencephalography (MEG), Positron Emission Tomography (PET), and Spectroscopy (MRS)—to highlight key insights into processing. The prefrontal cortex (PFC), amygdala, hippocampus, insula emerge as critical brain regions in regulating emotions. fMRI studies demonstrate increased PFC activity decreased amygdala responses during effective emotion regulation, indicating top-down control mechanisms. EEG MEG provide temporal dynamics responses, capturing rapid changes tasks. PET MRS reveal neurochemical basis emphasizing roles neurotransmitters like serotonin dopamine. Integration multimodal approaches, such fMRI-EEG fMRI-PET, enhances combining spatial, temporal, specificity. Challenges include methodological limitations need for diverse participant samples to improve generalizability. Future research should focus on improving spatial resolution, adopting longitudinal ecologically valid designs, fostering interdisciplinary collaborations. These advancements hold promise developing personalized interventions treatments disorders leveraging neuroimaging biomarkers underpinnings regulation.

Язык: Английский

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