University of Illinois at Urbana-Champaign, Champaign, IL, USA.
University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Psychiatry Res. 2021 Mar;297:113739. doi: 10.1016/j.psychres.2021.113739. Epub 2021 Jan 19.
Affective dysregulation is present in those with subsyndromal symptoms of hypomania and mania and prospectively predicts the development of bipolar spectrum disorders. A crucial, understudied area related to the experience and regulation of emotion in this population is emotional awareness - emotional clarity (Clarity) and attention to emotion (Attention). We examined whether scores on the Hypomanic Personality Scale (HPS) were associated with deficits in emotional awareness and whether these deficits were associated with heightened intensity and instability of negative (NA) and positive affect (PA). Young adults (n=233), oversampled for high HPS scores completed self-reports and 14 days of experience sampling assessing high and low arousal NA and PA. HPS scores were associated with low Clarity and unassociated with Attention. High HPS scores were associated with greater high and low arousal NA intensity and instability only for those at low and mean levels of Attention. In contrast, there was a significant indirect association between HPS scores and intensity of high and low arousal NA and PA, as well as instability of high arousal NA, through low Clarity. Results highlighted that individual differences exist in the extent to which facets of emotional awareness differentially link scores on the HPS to emotional outcomes.
情感调节障碍存在于亚双相情感和躁狂症状的人群中，并前瞻性地预测了双相情感障碍谱系障碍的发展。在这一人群中，与情绪体验和调节相关的一个关键但研究不足的领域是情绪意识——情绪清晰度（Clarity）和对情绪的注意力（Attention）。我们研究了躁狂人格量表（HPS）的得分是否与情绪意识缺陷有关，以及这些缺陷是否与增强的负性（NA）和正性（PA）情感的强度和不稳定性有关。年轻成年人（n=233），高 HPS 得分的样本被纳入，完成了自我报告和 14 天的体验抽样，评估了高和低唤醒的 NA 和 PA。HPS 得分与低清晰度相关，与注意力无关。只有在低注意力和平均注意力水平的个体中，高 HPS 得分与高和低唤醒 NA 强度和不稳定性相关，而与高唤醒 NA 的不稳定性相关。相比之下，通过低清晰度，HPS 得分与高和低唤醒 NA 和 PA 的强度以及高唤醒 NA 的不稳定性之间存在显著的间接关联。研究结果强调了情绪意识的各个方面在多大程度上使 HPS 得分与情绪结果相关存在个体差异。
