Department of Psychology, Yale University.
Department of Psychology, Stanford University.
Emotion. 2014 Apr;14(2):388-396. doi: 10.1037/a0035249. Epub 2013 Dec 23.
Bipolar disorder involves difficulties with emotion regulation, yet the precise nature of these emotion regulatory difficulties is unclear. The current study examined whether individuals with remitted bipolar I disorder (n = 23) and healthy controls (n = 23) differ in their ability to use one effective and common form of emotion regulation, cognitive reappraisal. Positive, negative, and neutral films were used to elicit emotion, and participants were cued to watch the film carefully (i.e., uninstructed condition) or reappraise while measures of affect, behavior, and psychophysiology were obtained. Results showed that reappraisal was associated with reductions in emotion reactivity across subjective (i.e., positive and negative affect), behavioral (i.e., positive facial displays), and physiological (i.e., skin conductance) response domains across all participants. Results suggest that reappraisal may be an effective regulation strategy for both negative and positive emotion across both healthy adults and individuals with bipolar disorder. Discussion focuses on clinical and treatment implications for bipolar disorder.
双相情感障碍涉及情绪调节困难，但这些情绪调节困难的确切性质尚不清楚。本研究考察了缓解期双相情感障碍 I 型患者（n=23）和健康对照组（n=23）在使用一种有效且常见的情绪调节方式——认知重评方面是否存在差异。正性、负性和中性影片被用来引发情绪，参与者被提示仔细观看影片（即无指导条件）或在进行情绪评估的同时，测量他们的情绪、行为和生理反应。结果表明，在所有参与者中，重评与主观（即正性和负性情绪）、行为（即正性面部表情）和生理（即皮肤电传导）反应领域的情绪反应性降低有关。结果表明，重评可能是一种对健康成年人和双相情感障碍患者的正负情绪都有效的调节策略。讨论重点关注双相情感障碍的临床和治疗意义。
