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精神病理学途径:在临床样本中模拟特质情绪智力、正念和非理性信念的影响。

Pathways into psychopathology: Modeling the effects of trait emotional intelligence, mindfulness, and irrational beliefs in a clinical sample.

机构信息

University College London, 4919, London Psychometric Laboratory, London, UK.

Universidad de Barcelona, Faculty of Psychology, Barcelona, Spain.

出版信息

Clin Psychol Psychother. 2017 Sep;24(5):1130-1141. doi: 10.1002/cpp.2079. Epub 2017 Feb 21.

Abstract

UNLABELLED

We investigated possible pathways into mental illness via the combined effects of trait emotional intelligence (trait EI), mindfulness, and irrational beliefs. The sample comprised 121 psychiatric outpatients (64.5% males, mean age = 38.8 years) with a variety of formal clinical diagnoses. Psychopathology was operationalized by means of 3 distinct indicators from the Millon Clinical Multi-Axial Inventory (mild pathology, severe pathology, and clinical symptomatology). A structural equation model confirmed significant direct trait EI and mindfulness effects on irrational beliefs and psychopathology. Trait EI also had a significant indirect effect on psychopathology via mindfulness. Together, the 3 constructs accounted for 44% of the variance in psychopathology. A series of hierarchical regressions demonstrated that trait EI is a stronger predictor of psychopathology than mindfulness and irrational beliefs combined. We conclude that the identified pathways can provide the basis for the development of safe and effective responses to the ongoing mental health and overmedication crises.

KEY PRACTITIONERS MESSAGES

Self-perception constructs concerning one's beliefs about oneself have a major impact on the likelihood of developing psychopathological symptoms. Emotional perceptions captured by trait emotional intelligence were stronger predictors of psychopathology than either or both mindfulness and irrational beliefs in a clinical sample of adults. If the seed factors of psychopathology are mainly psychological, rather than mainly biological, and given that psychological constructs, like trait emotional intelligence, mindfulness, and irrational beliefs, are amenable to training and optimization, the findings herein provide the impetus for a much needed shift of emphasis from pharmacological to psychological treatments.

摘要

未加标签

我们通过特质情绪智力(特质 EI)、正念和不合理信念的综合影响,研究了可能导致精神疾病的途径。样本包括 121 名精神病门诊患者(64.5%为男性,平均年龄 38.8 岁),他们有各种正式的临床诊断。通过 Millon 临床多轴清单(轻度病理、严重病理和临床症状学)的 3 个不同指标来操作精神病理学。结构方程模型证实特质 EI 和正念对不合理信念和精神病理学有显著的直接影响。特质 EI 也通过正念对精神病理学有显著的间接影响。这 3 个构念共解释了精神病理学 44%的方差。一系列分层回归表明,特质 EI 是精神病理学的一个更强的预测指标,比正念和不合理信念的综合预测指标更强。我们得出结论,所确定的途径可以为开发针对当前心理健康和过度用药危机的安全有效的应对措施提供基础。

主要从业者信息

关于一个人对自己的信念的自我感知构念对发展出精神病理症状的可能性有重大影响。在一个成年人的临床样本中,特质情绪智力所捕捉到的情绪感知比正念和不合理信念对精神病理学的预测作用更强。如果精神病理学的种子因素主要是心理的,而不是主要是生物的,并且鉴于心理构念,如特质情绪智力、正念和不合理信念,是可以训练和优化的,那么这些发现为从药理学治疗向心理治疗的急需转变提供了动力。

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