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抑郁和危险饮酒:创伤暴露个体中积极情绪调节困难的作用研究。

Depression and risky alcohol use: an examination of the role of difficulties regulating positive emotions in trauma-exposed individuals.

机构信息

a Department of Psychology , University of Rhode Island , Kingston , RI , USA.

b Department of Psychology , University of North Texas , Denton , TX , USA.

出版信息

Am J Drug Alcohol Abuse. 2019;45(3):323-332. doi: 10.1080/00952990.2019.1572759. Epub 2019 Mar 8.

Abstract

BACKGROUND

The co-occurrence of depression and risky alcohol use is clinically relevant given their high rates of comorbidity and reciprocal negative impact on outcomes. Emotion dysregulation is one factor that has been shown to underlie this association. However, literature in this area has been limited in its exclusive focus on emotion dysregulation stemming from negative emotions.

OBJECTIVES

The goal of the current study was to extend research by exploring the role of difficulties regulating positive emotions in depression symptom severity, risky alcohol use, and their association.

METHODS

Participants were 395 trauma-exposed adults recruited from Amazon's Mechanical Turk (MTurk) platform (56.20% female, M = 35.55) who completed self-report questionnaires.

RESULTS

Zero-order correlations among depression symptom severity, the three subscales of difficulties regulating positive emotions, and risky alcohol use were positive. Two subscales of difficulties regulating positive emotions-nonacceptance of positive emotions and difficulties controlling impulsive behavior when experiencing positive emotions-accounted for the relationship between depression symptom severity and risky alcohol use.

CONCLUSION

Results suggest the importance of incorporating techniques focused on improving positive emotion regulation skills in interventions for risky alcohol use among individuals with depression.

摘要

背景

鉴于抑郁和危险饮酒的高共病率和对结果的相互负面影响,抑郁和危险饮酒的同时发生在临床上具有重要意义。情绪调节障碍是一个被证明与这种关联有关的因素。然而,该领域的文献仅限于对源于负面情绪的情绪调节障碍的研究。

目的

本研究的目的是通过探索调节积极情绪的困难在抑郁症状严重程度、危险饮酒及其关联中的作用,扩展研究。

方法

参与者是从亚马逊的 Mechanical Turk(MTurk)平台上招募的 395 名经历过创伤的成年人(56.20%为女性,M=35.55),他们完成了自我报告问卷。

结果

抑郁症状严重程度、调节积极情绪的三个分量表和危险饮酒之间的零阶相关为正相关。调节积极情绪的两个分量表——非接受积极情绪和体验积极情绪时难以控制冲动行为——解释了抑郁症状严重程度与危险饮酒之间的关系。

结论

结果表明,在针对抑郁个体的危险饮酒干预中,纳入专注于改善积极情绪调节技能的技术非常重要。

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Examining emotion regulation in depression: A review and future directions.抑郁情绪调节的研究:回顾与展望。
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