积极情绪与青年成年人的功能性躯体症状。
Positive affect and functional somatic symptoms in young adults.
机构信息
University of Groningen, University Medical Center Groningen, Departments of Psychiatry and Internal Medicine, Interdisciplinary Center Psychopathology and Emotion regulation, Groningen, the Netherlands.
University of Groningen, University Medical Center Groningen, Departments of Psychiatry and Internal Medicine, Interdisciplinary Center Psychopathology and Emotion regulation, Groningen, the Netherlands.
出版信息
J Psychosom Res. 2019 Dec;127:109847. doi: 10.1016/j.jpsychores.2019.109847. Epub 2019 Oct 23.
BACKGROUND
Functional Somatic Symptoms (FSS) are symptoms for which an underlying pathology cannot be found. High negative affect (NA) has been linked to the etiology of FSS, but little is known about the role of Positive Affect (PA).
OBJECTIVE
The aim of this study was to test if PA is related to current and future lower levels of FSS. We also examined the interactions between PA and NA, and PA and sex on FSS.
METHOD
Data from the Dutch Tracking Adolescents' Individual Lives Survey (TRAILS) cohort were used (N = 1247 cases, 60% females, mean age T5 = 22.2, T6 = 25.6). PA was measured with the PANAS schedule and FSS with the Adult Self Report questionnaire (ASR). A Principal Component Analysis (PCA) was performed on the physical complaints subscale of the ASR. Regression analyses with bootstrapping were performed to assess the associations and interactions.
RESULTS
PA had a significant negative association with current FSS when adjusted for NA, age, sex and socioeconomic status (B = -0.004; BCa 95% CI = [-0.006; -0.002]), but the association was not significant longitudinally. No interactions were found. In secondary analysis, PA was significantly related to the component "General Physical Symptoms" (B = -0.019; BCa 95% CI = [-0.0028; -0.011]) but not to the component "Gastrointestinal Symptoms" (B = -0.008; BCa 95% CI = [-0.016;0.001]) in the cross-sectional analysis.
CONCLUSION
In conclusion, high PA was significantly related to current lower levels of FSS, but the effect was small. Further research on individual variations in affect is needed to obtain more insight in their contribution to FSS.
背景
功能性躯体症状（FSS）是指无法找到潜在病理原因的症状。高负性情绪（NA）与 FSS 的病因有关，但对正性情绪（PA）的作用知之甚少。
目的
本研究旨在检验 PA 是否与当前和未来较低水平的 FSS 有关。我们还研究了 PA 与 NA 之间以及 PA 与性别之间对 FSS 的相互作用。
方法
使用荷兰青少年个体生活追踪研究（TRAILS）队列的数据（N=1247 例，女性占 60%，T5 时的平均年龄为 22.2，T6 时的平均年龄为 25.6）。PA 使用 PANAS 量表测量，FSS 使用成人自我报告问卷（ASR）测量。对 ASR 身体症状子量表进行主成分分析（PCA）。使用 Bootstrap 进行回归分析以评估关联和相互作用。
结果
在调整了 NA、年龄、性别和社会经济地位后，PA 与当前 FSS 呈显著负相关（B=-0.004；BCa 95%CI=-0.006 至-0.002），但纵向关联不显著。未发现相互作用。在二次分析中，PA 与“一般躯体症状”成分显著相关（B=-0.019；BCa 95%CI=-0.0028 至-0.011），但与“胃肠道症状”成分不相关（B=-0.008；BCa 95%CI=-0.016 至 0.001）。
结论
综上所述，高 PA 与当前较低水平的 FSS 显著相关，但影响较小。需要进一步研究个体差异的影响，以更深入了解其对 FSS 的贡献。
Zotero 插件