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重性和轻性抑郁症患者对日常事件的情绪反应。

Emotional reactivity to daily events in major and minor depression.

机构信息

Department of Psychology, University of South Florida, PCD4118G, 4202 East Fowler Avenue, Tampa, FL 33620-7200, USA.

出版信息

J Abnorm Psychol. 2011 Feb;120(1):155-67. doi: 10.1037/a0021662.

Abstract

Although emotional dysfunction is an important aspect of major depressive disorder (MDD), it has rarely been studied in daily life. Peeters, Nicolson, Berkhof, Delespaul, and deVries (2003) observed a surprising mood-brightening effect when individuals with MDD reported greater reactivity to positive events. To better understand this phenomenon, we conducted a multimethod assessment of emotional reactivity to daily life events, obtaining detailed reports of appraisals and event characteristics using the experience-sampling method and the Day Reconstruction Method (Kahneman, Krueger, Schkade, Schwarz, & Stone, 2004) in 35 individuals currently experiencing a major depressive episode, 26 in a minor depressive (mD) episode, and 38 never-depressed healthy controls. Relative to healthy controls, both mood-disordered groups reported greater daily negative affect and lower positive affect and reported events as less pleasant, more unpleasant, and more stressful. Importantly, MDD and mD individuals reported greater reductions in negative affect following positive events, an effect that converged across assessment methods and was not explained by differences in prevailing affect, event appraisals, or medications. Implications of this curious mood-brightening effect are discussed.

摘要

虽然情感功能障碍是重性抑郁障碍(MDD)的一个重要方面,但在日常生活中很少对其进行研究。Peeters、Nicolson、Berkhof、Delespaul 和 deVries(2003)观察到,当 MDD 患者报告对积极事件有更高的反应性时,他们的情绪有令人惊讶的改善。为了更好地理解这一现象,我们采用多种方法评估了对日常生活事件的情绪反应,使用经验采样法和日重建法(Kahneman、Krueger、Schkade、Schwarz 和 Stone,2004)详细报告了评估和事件特征,在 35 名当前患有重性抑郁发作的个体、26 名轻度抑郁(mD)发作的个体和 38 名从未抑郁的健康对照者中进行了评估。与健康对照组相比,这两个情绪障碍组报告的日常消极情绪更多,积极情绪更少,并且报告的事件不那么愉快、更不愉快和更有压力。重要的是,MDD 和 mD 个体报告称,积极事件后消极情绪的减少幅度更大,这种影响在不同的评估方法中都得到了体现,并且不能用当前情绪、事件评估或药物治疗的差异来解释。讨论了这种奇怪的情绪改善效应的含义。

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