Vine Vera, Marroquín Brett
Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA.
Department of Psychology, Loyola Marymount University, Los Angeles, CA.
Cognit Ther Res. 2018 Feb;42(1):1-15. doi: 10.1007/s10608-017-9870-9. Epub 2017 Sep 21.
Depression is associated with subjective difficulties identifying one's emotions, known as low emotional clarity, but the mediators and moderators of this relationship are not well understood. We hypothesized that the role of emotional clarity in emotion regulation and, in turn, depression depends on individual differences in negative affect intensity. In Study 1, conducted in an unselected sample (=119), low emotional clarity more strongly predicted depression symptoms among individuals higher in affect intensity. In Study 2, conducted in a clinically diagnosed, treatment-seeking sample (=245), we examined whether affect intensity moderated an indirect path of clarity through emotion regulation strategy use that has emerged in previous work. When affect intensity was very low, emotional clarity did not predict reappraisal, and when affect intensity was very high, emotional clarity did not predict non-acceptance or experiential avoidance. By contrast, rumination mediated associations of emotional clarity with depressive symptoms regardless of affect intensity. Findings support a process model of low emotional clarity in depression that integrates (1) emotion regulatory mediators and (2) moderation by negative affect intensity. Trait differences in affect intensity may determine whether and how emotional clarity and regulation processes factor into mood psychopathology.
抑郁症与识别自身情绪的主观困难相关,即所谓的情绪清晰度低,但这种关系的中介因素和调节因素尚未得到充分理解。我们假设情绪清晰度在情绪调节以及抑郁症中所起的作用取决于消极情绪强度的个体差异。在研究1中,对一个未经过筛选的样本(n = 119)进行研究,结果显示,在消极情绪强度较高的个体中,情绪清晰度低更能强烈地预测抑郁症状。在研究2中,对一个临床诊断为寻求治疗的样本(n = 245)进行研究,我们检验了消极情绪强度是否调节了在先前研究中出现的通过情绪调节策略使用而产生的情绪清晰度间接路径。当消极情绪强度非常低时,情绪清晰度并不能预测认知重评;而当消极情绪强度非常高时,情绪清晰度也不能预测不接受或经验性回避。相比之下,无论消极情绪强度如何,沉思都介导了情绪清晰度与抑郁症状之间的关联。研究结果支持了一个抑郁症中情绪清晰度低的过程模型,该模型整合了(1)情绪调节中介因素和(2)消极情绪强度的调节作用。消极情绪强度的特质差异可能决定了情绪清晰度和调节过程是否以及如何影响情绪心理病理学。