Department of Psychology, George Mason University.
Emotion. 2013 Dec;13(6):1150-9. doi: 10.1037/a0033278. Epub 2013 Jun 24.
Recent acceptance- and mindfulness-based cognitive-behavioral interventions explicitly target the clarification and commitment to a purpose in life. Yet, scant empirical evidence exists on the value of purpose as a mechanism relevant to psychopathology or well-being. The present research explored daily (within-person) fluctuations in purposeful pursuits and well-being in a community sample of 84 adults with (n = 41) and without (n = 43) the generalized subtype of social anxiety disorder (SAD). After completing an idiographic measure of purpose in life, participants monitored their effort and progress toward this purpose, along with their well-being each day. Across 2 weeks of daily reports, we found that healthy controls reported increased self-esteem, meaning in life, positive emotions, and decreased negative emotions. People with SAD experienced substantial boosts in well-being indicators on days characterized by significant effort or progress toward their life purpose. We found no evidence for the reverse direction (with well-being boosting the amount of effort or progress that people with SAD devote to their purpose), and effects could not be attributed to comorbid mood or anxiety disorders. Results provide evidence for how commitment to a purpose in life enriches the daily existence of people with SAD. The current study supports principles that underlie what many clinicians are already doing with clients for SAD.
最近的接受和正念认知行为干预明确针对生活目标的澄清和承诺。然而,关于目标作为与精神病理学或幸福感相关的机制的价值,几乎没有实证证据。本研究在一个有(n=41)和没有(n=43)广泛性社交焦虑障碍(SAD)的社区样本中,探索了有目的的追求和幸福感的日常(个体内)波动。在完成生活目标的个体化测量后,参与者每天监测他们为实现这一目标所付出的努力和进展情况,以及他们的幸福感。在两周的日常报告中,我们发现健康对照组报告自尊心、生活意义、积极情绪增加,消极情绪减少。在有重大努力或进展的日子里,SAD 患者的幸福感指标显著提高。我们没有发现相反的情况(幸福感提高 SAD 患者为实现目标所付出的努力或进展),而且这些效果不能归因于共病的情绪或焦虑障碍。研究结果为生活目标的承诺如何丰富 SAD 患者的日常生活提供了证据。本研究支持了许多临床医生已经在 SAD 患者身上应用的原则。