Decker Melissa L, Turk Cynthia L, Hess Brian, Murray Casey E
La Salle University, Philadelphia, PA, United States.
J Anxiety Disord. 2008;22(3):485-94. doi: 10.1016/j.janxdis.2007.04.002. Epub 2007 Apr 21.
Generalized anxiety disorder (GAD) has been conceptualized as being characterized by the experience of intense emotion, limited understanding of the emotional experience, poor ability to adaptively modulate emotions, and an aversive response to emotions [Mennin, D. S., Turk, C. L., Heimberg, R. G., & Carmin, C. N. (2004). Focusing on the regulation of emotion: a new direction for conceptualizing and treating generalized anxiety disorder. In: M. A. Reinecke, & D. A. Clark (Eds.), Cognitive therapy over the lifespan: theory, research and practice (pp. 60-89). New York: Wiley]. In order to test aspects of this model, participants completed daily diaries and a questionnaire measuring emotion regulation strategies. As hypothesized, relative to controls, individuals classified as having GAD reported more intense daily emotional experiences. Contrary to predictions and previous research, those with GAD did not show poor emotion differentiation and used several emotion regulation strategies more often than control participants. The implications for both the emotion dysregulation model and treatment of GAD are discussed.
广泛性焦虑障碍(GAD)被概念化为具有以下特征:强烈情绪体验、对情绪体验的理解有限、适应性调节情绪的能力较差以及对情绪的厌恶反应[Mennin, D. S., Turk, C. L., Heimberg, R. G., & Carmin, C. N.(2004年)。关注情绪调节:概念化和治疗广泛性焦虑障碍的新方向。载于:M. A. Reinecke和D. A. Clark(编),《认知疗法的一生:理论、研究与实践》(第60 - 89页)。纽约:威利出版社]。为了检验该模型的各个方面,参与者完成了每日日记以及一份测量情绪调节策略的问卷。正如所假设的,相对于对照组,被归类为患有广泛性焦虑障碍的个体报告了更强烈的日常情绪体验。与预测和先前的研究相反,患有广泛性焦虑障碍的人并未表现出情绪区分能力差,并且比对照组参与者更频繁地使用几种情绪调节策略。文中讨论了情绪调节障碍模型和广泛性焦虑障碍治疗的相关影响。