情绪聚焦疗法治疗情绪障碍的研究进展

Research progress on emotion-focused therapy in the treatment of emotional disorders

  • 摘要: 情绪聚焦疗法(emotion-focused therapy,EFT)作为以“情绪为改变核心”的体验式取向,在情绪障碍跨诊断化与心理治疗整合化的趋势下受到广泛关注。本文梳理了近年来EFT在抑郁、焦虑、复杂创伤、人格障碍与跨诊断情绪障碍中的应用证据,并从机制、文化与实践层面总结其研究进展。现有研究表明,EFT能够促进不适应性情绪向适应性情绪的转化,从而改善核心症状、提升情绪调节与自我功能。过程—结果研究进一步揭示,情绪觉察增强、情绪转换路径形成及治疗关系质量是其关键作用机制。尽管疗效证据不断积累,EFT在我国的推广仍面临挑战,国内大样本、多中心、长期随访的循证研究仍相对缺乏,限制了疗效普适性与跨诊断机制的系统验证。未来研究应从本土化、循证化与技术化3个方向推进。总体而言,EFT凭借其独特的情绪加工理论与体验性技术,为情绪障碍干预提供了重要的发展路径,并有望在综合性心理治疗体系中发挥更深远的影响。

     

    Abstract: Emotion-focused therapy(EFT), an experiential approach centered on emotions as the core agent of change, has received increasing attention amid the trends of transdiagnostic conceptualization of emotional disorders and the integration of psychological therapies. This review summarizes recent evidence on the application of EFT for depression, anxiety, complex trauma, personality disorder, and transdiagnostic emotional disorders, and discusses its progress from mechanistic, cultural, and clinical practice perspectives. Current research indicates that EFT facilitates the transformation of maladaptive emotions into adaptive ones, thereby alleviating core symptoms, enhancing emotional regulation, and improving self-functioning. Process-outcome studies further highlight that enhanced emotional awareness, the establishment of emotion transformation pathways, and the quality of the therapeutic relationship are key mechanisms underlying its effectiveness. Despite accumulating evidence for its efficacy, the implementation of EFT in China faces challenges, including the lack of large-scale, multi-center, long-term randomized studies, which limits the generalizability of its efficacy and the systematic validation of transdiagnostic mechanisms. Future research should advance EFT along three directions: localization, evidencebased development, and technological integration. Overall, with its unique emotional processing theory and experiential techniques, EFT provides a valuable framework for intervening in emotional disorders and is poised to play an increasingly influential role in integrative psychological treatment.

     

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