双相情感障碍中对抑郁情绪的应对方式。
Response styles to depressed mood in bipolar affective disorder.
作者信息
Thomas Justin, Knowles Rebecca, Tai Sara, Bentall Richard P
机构信息
School of Psychological Sciences, University of Manchester, Coupland 1 Building, Oxford Road, Manchester M13 9PL, United Kingdom.
出版信息
J Affect Disord. 2007 Jun;100(1-3):249-52. doi: 10.1016/j.jad.2006.10.017. Epub 2006 Nov 28.
BACKGROUND
It has been hypothesised that dysfunctional strategies for avoiding depression play an important role in the pathway to mania. Support for this hypothesis comes from studies demonstrating that remitted and manic bipolar patients show similar cognitive biases to currently depressed patients.
METHOD
Manic patients, depressed bipolar patients, remitted bipolar patients and healthy controls were compared on an expanded version of Nolen-Hoeksema's [Nolen-Hoeksema, S., 1991. Responses to depression and their effects on the duration of depressed mood. Journal of Abnormal Psychology, 100, 569-582.] Response Styles Questionnaire, measuring strategies for coping with depression.
RESULTS
Manic patients reported greater use of active-coping and risk-taking compared to the depressed, remitted and healthy controls. Bipolar remitted patients reported greater rumination.
CONCLUSIONS
The findings are consistent with the hypothesis that mania is associated with dysfunctional strategies for regulating negative emotion.
背景
有假设认为，避免抑郁的功能失调策略在躁狂症发病过程中起重要作用。支持这一假设的研究表明，缓解期和躁狂期的双相情感障碍患者与当前抑郁患者表现出相似的认知偏差。
方法
采用诺伦-霍克西玛[诺伦-霍克西玛，S.，1991年。对抑郁的反应及其对抑郁情绪持续时间的影响。《变态心理学杂志》，100，569-582。]反应方式问卷的扩展版，对躁狂症患者、抑郁双相情感障碍患者、缓解期双相情感障碍患者和健康对照者进行比较，以测量应对抑郁的策略。
结果
与抑郁、缓解期和健康对照组相比，躁狂症患者报告更多地使用积极应对和冒险策略。双相情感障碍缓解期患者报告更多的沉思。
结论
这些发现与躁狂症与调节负面情绪的功能失调策略有关的假设一致。
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