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暴露于自然应激源后反复出现的消极思维,前瞻性地预测了实验室中应激反应和决策的改变。

Repetitive negative thinking following exposure to a natural stressor prospectively predicts altered stress responding and decision-making in the laboratory.

机构信息

Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA.

California Institute of Technology, 1200 E California Blvd, Pasadena, CA, 91125, USA.

出版信息

Behav Res Ther. 2020 Jun;129:103609. doi: 10.1016/j.brat.2020.103609. Epub 2020 Mar 27.

DOI:10.1016/j.brat.2020.103609
PMID:32283350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9881836/
Abstract

Repetitive negative thinking (RNT) represents a transdiagnostic risk factor for affective disorders, and stress is theorized to exacerbate this vulnerability. One mechanism by which stress may influence individual differences in psychiatric symptoms is through altered decision-making, and loss aversion in particular. The present study uses multiple methods to investigate the relationships between RNT, stress, and decision-making. We measured RNT in young adults (N = 90) recently exposed to a natural stressor, Hurricane Irma, and tested the influence of RNT on changes in affect, cortisol, and decision-making during a laboratory stress induction two months later. Post-hurricane RNT predicted greater increases in loss averse decision-making (β = 0.30 [0.14, 0.47], p < .001; rp = 0.079) and negative affect (β = 0.59 [0.37, 0.81], p < .001; rp = 0.319) during the early-phase response to the laboratory stressor, as well as poorer cortisol recovery (β = 0.32, [0.10, 0.54], p = .005; rp = 0.095) in the late-phase stress response. Results highlight the role of loss aversion and stress in understanding RNT as an affective vulnerability factor.

摘要

重复性消极思维(RNT)代表了情感障碍的一种跨诊断风险因素,而压力被认为会加剧这种脆弱性。压力影响精神症状个体差异的一种机制是通过改变决策,特别是损失厌恶。本研究使用多种方法来研究 RNT、压力和决策之间的关系。我们在最近经历了自然灾害飓风伊尔玛的年轻人(N=90)中测量了 RNT,并在两个月后进行的实验室压力诱导中测试了 RNT 对情绪、皮质醇和决策变化的影响。飓风后 RNT 预测了在实验室应激源的早期反应中,损失厌恶决策(β=0.30 [0.14, 0.47],p<0.001;rp=0.079)和消极情绪(β=0.59 [0.37, 0.81],p<0.001;rp=0.319)的更大增加,以及在晚期应激反应中皮质醇恢复较差(β=0.32,[0.10, 0.54],p=0.005;rp=0.095)。研究结果强调了损失厌恶和压力在理解 RNT 作为情感脆弱性因素中的作用。

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