Brain and Psychological Sciences Research Centre (BPsyC), School of Health Sciences, Swinburne University, Melbourne, Australia; Cognitive Neuropsychiatry Laboratory, Monash Alfred Psychiatry Research Centre (MAPrc), The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.
Brain and Psychological Sciences Research Centre (BPsyC), School of Health Sciences, Swinburne University, Melbourne, Australia.
Psychiatry Res. 2015 Feb 28;225(3):425-32. doi: 10.1016/j.psychres.2014.12.001. Epub 2014 Dec 11.
Current emotion regulation research in BD has tended to focus on the extent to which patients control their emotions using different cognitive strategies. Fewer studies have investigated whether patients with BD have difficulties in regulating other dimensions of emotion that serve a functional purpose and are thereby more amenable to change. To overcome this paucity of research we utilised a multi-dimensional measure of emotion regulation to characterise the emotion regulation profile of BD, and examine its utility in predicting trait mania and depression propensity. Fifty BD patients and 52 healthy controls completed the Difficulties in Emotion Regulation Scale (DERS) and the General Behaviour Inventory (GBI). Results indicated that patients had difficulties in emotion regulation across a range of dimensions. Impulse control difficulties most parsimoniously predicted trait (hypo)mania propensity in BD patients, whilst poor access to mood regulation strategies predicted depressive propensity. Predictors of the propensity to experience these moods differed in the control group. These findings represent an important step toward informing the development of new treatment strategies to remediate emotion regulation difficulties and improve BD symptomatology.
目前，BD 中的情绪调节研究倾向于关注患者使用不同认知策略来控制情绪的程度。较少的研究调查了 BD 患者是否在调节其他具有功能目的的情绪维度方面存在困难，而这些维度更容易改变。为了克服这一研究不足，我们使用了多维情绪调节测量方法来描述 BD 的情绪调节特征，并研究其在预测特质躁狂和抑郁倾向方面的作用。50 名 BD 患者和 52 名健康对照组完成了情绪调节困难量表（DERS）和一般行为量表（GBI）。结果表明，患者在多个维度上存在情绪调节困难。冲动控制困难最能简洁地预测 BD 患者的特质（低）躁狂倾向，而情绪调节策略的获取能力差则预测抑郁倾向。在对照组中，预测这些情绪体验倾向的因素不同。这些发现代表了朝着为新的治疗策略提供信息以改善情绪调节困难和改善 BD 症状迈出的重要一步。
