Centre for Emotional Health, Macquarie University, North Ryde, Australia.
Mood Disorders Research Centre, Sir Henry Wellcome Building for Mood Disorders Research, University of Exeter, Exeter, United Kingdom.
J Affect Disord. 2020 Nov 1;276:212-219. doi: 10.1016/j.jad.2020.06.061. Epub 2020 Jul 15.
Affective dysregulation is central to depression. However, emotion regulation (ER) tendencies in depression remain poorly understood. It is critical, therefore, to validate measures of habitual ER in clinical populations. The current study aimed to validate the Cognitive Emotion Regulation Questionnaire (CERQ) in a sample of individuals with a history of recurrent depression who are currently in remission.
The CERQ measures ER tendencies with 36 self-report items that are divided into nine subscales. Each subscale is purported to assess one of five adaptive and four maladaptive ER strategies. The CERQ was administered to 476 adults (mean age = 46.76 years; 75% female) that were currently in remission with a history of recurrent depression, who were recruited from primary care settings. We first investigated the CERQ's nine factor structure, internal consistency, convergent and criterion validity.
The nine-factor structure did not fit the CERQ structure in a sample of individuals with recurrent depression and convergent validity was poor. Instead, a five-factor structure fit the data best and showed acceptable convergent and criterion validity.
The generalisability of the findings may be limited due to relative lack of diversity in terms of gender and ethnicity of the sample.
These results suggest that the taxonomic structure of the CERQ does not fit emotion regulation patterns in adults with a history of depression. These findings highlight the importance of validating measures in clinical samples.
情感失调是抑郁症的核心。然而,抑郁症患者的情绪调节(ER)倾向仍知之甚少。因此,在临床人群中验证习惯性 ER 的测量方法至关重要。本研究旨在验证认知情绪调节问卷(CERQ)在目前处于缓解期的反复发作抑郁症患者样本中的有效性。
CERQ 通过 36 个自我报告项目来衡量 ER 倾向,这些项目分为九个分量表。每个分量表旨在评估五种适应性和四种适应性不良的 ER 策略之一。该问卷对 476 名目前处于缓解期且有反复发作抑郁症病史的成年人(平均年龄为 46.76 岁,75%为女性)进行了测试,这些人是从初级保健环境中招募来的。我们首先调查了 CERQ 的九因子结构、内部一致性、收敛性和标准有效性。
在反复发作抑郁症患者样本中,九因子结构不符合 CERQ 结构,收敛效度较差。相反,五因子结构最适合数据,表现出可接受的收敛性和标准有效性。
由于样本在性别和种族方面相对缺乏多样性,研究结果的普遍性可能受到限制。
这些结果表明,CERQ 的分类结构不符合有抑郁病史的成年人的情绪调节模式。这些发现强调了在临床样本中验证测量方法的重要性。