DEHB Tanılı Yetişkinlerde Psikoterapi Müdahalelerinin Duygu Düzenleme Üzerindeki Etkisi: Sistematik Bir Gözden Geçirme

Abstract

Bu sistematik derlemenin amacı, dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) tanılı yetişkin bireylerde uygulanan psikoterapi temelli müdahalelerin duygu düzenleme üzerindeki etkilerini inceleyen randomize kontrollü araştırmaları sistematik bir şekilde gözden geçirmektir. Sistematik İncelemeler ve Meta-Analizler İçin Tercih Edilen Raporlama Öğeleri (PRISMA) yönergelerine uygun olarak Web of Science, PubMed, Science Direct, Scopus, TR Dizin ve ULAKBİM veritabanları Mayıs 2025’e kadar taranmış, ve kriterlere uygun altı çalışma sistematik derlemeye dahil edilmiştir. Araştırmaların yanlılık riski Cochrane Yanlılık Riski Değerlendirme aracı kullanılarak değerlendirilmiştir. Ele alınan araştırmalar daha sonra örneklem özellikleri, araştırma desenleri, ölçüm araçları ve elde edilen bulgular açısından değerlendirilerek incelenmiştir. Bulgular, psikoterapi müdahalelerinin müdahale grubunda duygu düzenleme becerilerini genel olarak artırdığını ortaya koymakla birlikte, yalnızca üç çalışmada bu gelişmenin kontrol grubuna kıyasla istatistiksel olarak anlamlı olduğunu göstermiştir. Sadece öz bildirim araçlarının kullanıldığı, pozitif duyguların düzenlenmesine yönelik ölçümlerin ve DEHB alt tiplerine göre analizlerin eksik olduğu görülmüştür. Bu doğrultuda, gelecek çalışmalarda daha objektif ölçüm yöntemlerine yer verilmesi, pozitif duyguların düzenlenme süreçlerinin de değerlendirilmesi ve DEHB alt tiplerine özgü etkilerin ayrıştırılması önerilmektedir.

Keywords

• DEHB
• yetişkin
• duygu düzenleme
• psikoterapi

Effect of Psychotherapy Interventions on Emotion Regulation in Adults with ADHD: A Systematic Review

Abstract

The aim of this systematic review is to systematically review randomized controlled trials examining the effects of psychotherapy-based interventions on emotion regulation in adults diagnosed with attention deficit hyperactivity disorder (ADHD). The Web of Science, PubMed, Science Direct, Scopus, TR Dizin, and ULAKBİM databases were searched up to May 2025 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Based on criteria, six studies were included in the systematic review. The risk of bias in the studies was assessed using the Cochrane Risk of Bias Assessment (Cochrane Rob 2) tool. The studies reviewed were subsequently examined and evaluated in terms of sample characteristics, research designs, measurement tools, and findings. The findings revealed that psychotherapy interventions generally increased emotion regulation skills in the intervention group; however, only three studies showed that this improvement was statistically significant compared to the control group. It was observed that only self-report instruments were used, measurements of positive emotion regulation were lacking, and analyses according to ADHD subtypes were absent. Accordingly, it is recommended that future studies should incorporate more objective measurement methods, evaluate positive emotion regulation processes, and distinguish effects specific to ADHD subtypes.

Keywords

• ADHD
• adults
• emotion regulation
• psychotherapy

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