易怒与内化症状：情绪调节中介作用的模型构建
Irritability and internalizing symptoms: Modeling the mediating role of emotion regulation.
作者信息
Malhi Gin S, Byrow Yulisha, Outhred Tim, Das Pritha, Fritz Kristina
机构信息
Academic Department of Psychiatry, Northern Sydney Local Health District, St Leonards, NSW 2065 Australia; Sydney Medical School Northern, University of Sydney, NSW 2006, Australia; CADE Clinic, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, NSW 2065, Australia.
Academic Department of Psychiatry, Northern Sydney Local Health District, St Leonards, NSW 2065 Australia; Sydney Medical School Northern, University of Sydney, NSW 2006, Australia; CADE Clinic, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, NSW 2065, Australia.
出版信息
J Affect Disord. 2017 Mar 15;211:144-149. doi: 10.1016/j.jad.2016.12.021. Epub 2016 Dec 19.
BACKGROUND
Irritability and emotion regulation are both important transdiagnostic factors that contribute to the development of internalizing symptoms during adolescence. The current study examined whether emotion regulation mediates the relationship between irritability and internalizing symptoms.
METHODS
To examine this relationship we analysed the indirect effect of irritability (measured using a single item from the Goldberg Mania Questionnaire) on internalizing symptoms (anxiety and depression) via the mediator, emotion regulation (Difficulties in Emotion Regulation Scale) in 112 adolescent females.
RESULTS
Mediation analysis, using bootstrapping, showed a significant indirect effect and suggests that the relationship between irritability and internalizing symptoms is mediated by emotion dysregulation.
LIMITATIONS
These include measuring irritability using a single item and employing a cross sectional design.
CONCLUSIONS
These novel findings add to our understanding of the processes and mechanisms by which irritability contributes to the development of internalizing symptoms.
背景
易怒和情绪调节都是重要的跨诊断因素，它们在青少年内化症状的发展过程中发挥作用。本研究探讨情绪调节是否介导了易怒与内化症状之间的关系。
方法
为了检验这种关系，我们分析了在112名青春期女性中，易怒（使用戈德堡躁狂问卷中的一个单项进行测量）通过中介变量情绪调节（情绪调节困难量表）对内化症状（焦虑和抑郁）的间接影响。
结果
使用自抽样法进行的中介分析显示出显著的间接效应，表明易怒与内化症状之间的关系是由情绪失调介导的。
局限性
这些局限性包括使用单个项目测量易怒以及采用横断面设计。
结论
这些新发现增进了我们对易怒导致内化症状发展的过程和机制的理解。
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