a Psychology Department , Royal Holloway University of London , Egham , UK.
Psychol Health Med. 2017 Dec;22(10):1203-1209. doi: 10.1080/13548506.2017.1307996. Epub 2017 Mar 22.
Suppression of undesirable emotions, as well as beliefs about the unacceptability of experiencing and expressing emotions, have both been shown to be related to poorer health-related outcomes in several clinical groups. Potential models through which these variables relate have yet to be tested in those with irritable bowel syndrome (IBS) and are therefore examined in the current article. Online questionnaires were administered to people with IBS (n = 84) to test a mediation model in which beliefs about the unacceptability of emotions are associated with greater emotional suppression, which in turn relates to increased affective distress and consequently poorer quality of life. An alternate model to test the direction of effect along with two further models using support-seeking as mediators of the same predictor and outcome were also tested. Emotional suppression and affective distress (in that particular order) mediate the relationship between beliefs about emotions and quality of life IBS. The models using support-seeking as mediators of the relationship between beliefs about emotions and the two outcomes were not supported. These findings suggest a role for emotional processing in medically unexplained symptoms and imply the need to address such beliefs about emotions in psychological therapies.
抑制不良情绪，以及对体验和表达情绪的不可接受性的信念，都已被证明与多个临床群体的健康相关结果较差有关。在患有肠易激综合征 (IBS) 的人群中，这些变量之间的潜在关联模型尚未得到检验，因此在本文中进行了检验。对 IBS 患者（n=84）进行了在线问卷调查，以测试一种中介模型，其中对情绪不可接受性的信念与更强的情绪抑制有关，而情绪抑制又与情感痛苦增加有关，进而导致生活质量下降。还测试了一种用于检验沿相同方向的影响的替代模型，以及使用支持寻求作为相同预测因素和结果的中介的另外两个模型。情绪抑制和情感痛苦（按特定顺序）中介了情绪信念与 IBS 生活质量之间的关系。使用支持寻求作为情绪信念与两个结果之间关系的中介的模型没有得到支持。这些发现表明情绪处理在医学上无法解释的症状中起作用，并暗示需要在心理治疗中解决对情绪的这种信念。
