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风险行为中情绪失调与冲动性的初步实验研究

A Preliminary Experimental Investigation of Emotion Dysregulation and Impulsivity in Risky Behaviours.

作者信息

Weiss Nicole H, Tull Matthew T, Davis Lindsey T, Searcy Jasmin, Williams Iman, Gratz Kim L

机构信息

Yale University, School of Medicine.

University of Mississippi Medical Center, Department of Psychiatry and Human Behavior.

出版信息

Behav Change. 2015 Jun;32(2):127-142. doi: 10.1017/bec.2015.5. Epub 2015 May 29.

Abstract

This prospective experimental study sought to examine the unique effects of emotion dysregulation and impulsivity on risky behaviors over time. To this end, 20 African American women enrolled in a historically black university in the southern United States were randomly assigned to receive one of two brief empirically-supported skills training modules (i.e., emotion modulation [EM] or impulsivity reduction [IR]). Participants completed measures of emotion dysregulation, impulsivity, and past-week risky behaviors before (pre-) and one week after (post-) the experimental manipulation. Participants assigned to the EM condition reported significant improvements from pre- to post-manipulation in overall emotion dysregulation (as well as all specific dimensions of emotion dysregulation other than lack of emotional awareness), as well as two dimensions of impulsivity: negative and positive urgency. Participants assigned to the IR condition reported a significant decrease in one dimension of impulsivity (lack of premeditation) from pre- to post-manipulation. Findings also revealed a significant effect of time on risky behaviors, with participants reporting significantly fewer past-week risky behaviors at the post- (vs. pre-) manipulation assessment. Finally, changes in emotion dysregulation from pre- to post-manipulation accounted for the observed reduction in risky behaviors over time (above and beyond changes in impulsivity dimensions). Results highlight the relevance of emotion dysregulation to risky behaviors and suggest that treatments targeting emotion dysregulation may be useful in reducing risky behaviors.

摘要

这项前瞻性实验研究旨在考察情绪失调和冲动性对风险行为随时间推移的独特影响。为此,在美国南部一所历史悠久的黑人大学就读的20名非裔美国女性被随机分配接受两种简短的、经实证支持的技能培训模块之一(即情绪调节[EM]或冲动性降低[IR])。参与者在实验操作前(前测)和一周后(后测)完成了情绪失调、冲动性和过去一周风险行为的测量。被分配到EM组的参与者在前测到后测期间,整体情绪失调(以及除缺乏情绪意识外的所有情绪失调具体维度)以及冲动性的两个维度:消极紧迫性和积极紧迫性均有显著改善。被分配到IR组的参与者在前测到后测期间,冲动性的一个维度(缺乏预谋)显著降低。研究结果还显示时间对风险行为有显著影响,参与者在后测(相对于前测)评估中报告的过去一周风险行为显著减少。最后,从操作前到操作后情绪失调的变化解释了随时间观察到的风险行为减少(超出冲动性维度的变化)。结果突出了情绪失调与风险行为的相关性,并表明针对情绪失调的治疗可能有助于减少风险行为。

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