Center for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
CNS Neurosci Ther. 2009 Summer;15(2):100-6. doi: 10.1111/j.1755-5949.2009.00080.x.
Emotional regulation deficits are described as a core component of anxiety disorders (ADs), yet there remains a paucity of data examining this issue in patients diagnosed with ADs. We hypothesized that help-seeking individuals with ADs would report lower levels of emotional approach coping (EAC), which includes emotional processing (EP) and emotional expression (EE), than nonanxious controls. Diagnostic interviews and a validated self-report scale assessing emotional approaches to coping (emotional approach coping scale [EACS]) were administered to 101 nonanxious controls and 92 patients with a primary AD (29 generalized anxiety disorder, 40 social anxiety disorder, and 23 panic disorder). Patients with each AD demonstrated significantly lower EAC, including both EP and EE, than nonanxious controls. Lower EAC was also associated with higher anxiety sensitivity and higher anxiety symptom severity. Overall, gender did not moderate the anxiety-EAC effect, but the results suggested that women utilize EAC to a greater degree than men. Clinical techniques designed to improve emotional coping may be beneficial to individuals with ADs.
情绪调节缺陷被描述为焦虑障碍（AD）的核心组成部分，但仍缺乏对诊断为 AD 的患者进行这方面研究的数据。我们假设，寻求帮助的 AD 患者的情绪趋近应对（EAC）水平较低，包括情绪处理（EP）和情绪表达（EE），低于无焦虑对照者。对 101 名无焦虑对照者和 92 名患有原发性 AD（29 名广泛性焦虑障碍、40 名社交焦虑障碍和 23 名惊恐障碍）的患者进行了诊断访谈和经过验证的评估情绪趋近应对的自我报告量表（情绪趋近应对量表[EACS]）。每种 AD 的患者 EAC 均显著较低，包括 EP 和 EE。较低的 EAC 也与较高的焦虑敏感性和较高的焦虑症状严重程度相关。总的来说，性别并没有调节焦虑-EAC 效应，但结果表明，女性比男性更多地利用 EAC。旨在改善情绪应对的临床技术可能对 AD 患者有益。
