具有外化和内化精神病理学的不同形式冲动性的路径模型：迈向更高的特异性。
A path model of different forms of impulsivity with externalizing and internalizing psychopathology: Towards greater specificity.
作者信息
Johnson Sheri L, Tharp Jordan A, Peckham Andrew D, Carver Charles S, Haase Claudia M
机构信息
Department of Psychology, University of California, Berkeley, California, USA.
Department of Psychology, University of Miami, Coral Gables, Florida, USA.
出版信息
Br J Clin Psychol. 2017 Sep;56(3):235-252. doi: 10.1111/bjc.12135. Epub 2017 May 11.
OBJECTIVES
A growing empirical literature indicates that emotion-related impulsivity (compared to impulsivity that is unrelated to emotion) is particularly relevant for understanding a broad range of psychopathologies. Recent work, however, has differentiated two forms of emotion-related impulsivity: A factor termed Pervasive Influence of Feelings captures tendencies for emotions (mostly negative emotions) to quickly shape thoughts, and a factor termed Feelings Trigger Action captures tendencies for positive and negative emotions to quickly and reflexively shape behaviour and speech. This study used path modelling to consider links from emotion-related and non-emotion-related impulsivity to a broad range of psychopathologies.
DESIGN AND METHODS
Undergraduates completed self-report measures of impulsivity, depression, anxiety, aggression, and substance use symptoms.
RESULTS
A path model (N = 261) indicated specificity of these forms of impulsivity. Pervasive Influence of Feelings was related to anxiety and depression, whereas Feelings Trigger Action and non-emotion-related impulsivity were related to aggression and substance use.
CONCLUSIONS
The findings of this study suggest that emotion-relevant impulsivity could be a potentially important treatment target for a set of psychopathologies.
PRACTITIONER POINTS
Recent work has differentiated two forms of emotion-related impulsivity. This study tests a multivariate path model linking emotion-related and non-emotion-related impulsivity with multiple forms of psychopathology. Impulsive thoughts in response to negative emotions were related to anxiety and depression. Impulsive actions in response to emotions were related to aggression and substance use, as did non-emotion-related impulsivity. The study was limited by the reliance on self-report measures of impulsivity and psychopathology. There is a need for longitudinal work on how these forms of impulsivity predict the onset and course of psychopathology.
目的
越来越多的实证文献表明，与情绪相关的冲动性（与与情绪无关的冲动性相比）对于理解广泛的精神病理学尤为重要。然而，最近的研究区分了两种与情绪相关的冲动性形式：一个被称为“情感的普遍影响”的因素反映了情绪（主要是负面情绪）迅速塑造思维的倾向，另一个被称为“情感引发行动”的因素反映了积极和消极情绪迅速且自发地塑造行为和言语的倾向。本研究使用路径模型来探讨与情绪相关和与非情绪相关的冲动性与广泛的精神病理学之间的联系。
设计与方法
大学生完成了关于冲动性、抑郁、焦虑、攻击性和物质使用症状的自我报告测量。
结果
一个路径模型（N = 261）表明了这些冲动性形式的特异性。“情感的普遍影响”与焦虑和抑郁有关，而“情感引发行动”和与非情绪相关的冲动性与攻击性和物质使用有关。
结论
本研究结果表明，与情绪相关的冲动性可能是一系列精神病理学潜在的重要治疗靶点。
从业者要点
最近的研究区分了两种与情绪相关的冲动性形式。本研究测试了一个多变量路径模型，该模型将与情绪相关和与非情绪相关的冲动性与多种形式的精神病理学联系起来。对负面情绪做出反应的冲动性思维与焦虑和抑郁有关。对情绪做出反应的冲动性行为与攻击性和物质使用有关，与非情绪相关的冲动性也是如此。该研究的局限性在于依赖冲动性和精神病理学的自我报告测量。需要进行纵向研究，以了解这些冲动性形式如何预测精神病理学的发作和病程。
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