Peeters Frenk, Nicolson Nancy A, Berkhof Johannes, Delespaul Philippe, deVries Marten
Department of Psychiatry and Neuropsychology, Maastricht University, The Netherlands.
J Abnorm Psychol. 2003 May;112(2):203-11. doi: 10.1037/0021-843x.112.2.203.
Major depressive disorder (MDD) is characterized by high negative affect (NA) and low positive affect (PA), but little is known about emotional reactivity in daily life. The authors used experience sampling methodology to investigate changes in NA and PA following minor daily events in MDD compared with healthy participants. Contrary to expectation, MDD participants did not report more frequent negative events, although they did report fewer positive events. Multilevel regression showed that both NA and PA responses to negative events were blunted in the MDD group, whereas responses to positive events were enhanced. NA responses to negative events persisted longer in MDD participants. Depressed participants with a positive family history or longer current episodes showed relatively greater NA responses to negative events.
重度抑郁症(MDD)的特征是高消极情绪(NA)和低积极情绪(PA),但对于日常生活中的情绪反应却知之甚少。作者采用经验取样法,研究了与健康参与者相比,MDD患者在日常小事后的NA和PA变化。与预期相反,MDD参与者虽报告较少的积极事件,但并未报告更频繁的消极事件。多层回归分析显示,MDD组对消极事件的NA和PA反应均减弱,而对积极事件的反应增强。MDD参与者对消极事件的NA反应持续时间更长。有阳性家族史或当前发作时间较长的抑郁参与者对消极事件的NA反应相对更大。