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情绪的自主反应性:亚临床焦虑和抑郁症状的一个指标?

Autonomic reactivity to emotion: A marker of sub-clinical anxiety and depression symptoms?

作者信息

De Zorzi Lucas, Ranfaing Stéphane, Honoré Jacques, Sequeira Henrique

机构信息

UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, CNRS, University of Lille, Lille, France.

出版信息

Psychophysiology. 2021 Apr;58(4):e13774. doi: 10.1111/psyp.13774. Epub 2021 Feb 3.

Abstract

Anxiety and depression are both characterized by dysregulated autonomic reactivity to emotion. However, most experiments until now have focused on autonomic reactivity to stimuli presented in central vision (CV) even if affective saliency is also observed in peripheral vision (PV). We compared autonomic reactivity to CV and PV emotional stimulation in 58 participants with high anxious (HA) or low anxious (LA) and high depressive (HD) or low depressive (LD) symptomatology, based on STAI-B and BDI scores, respectively. Unpleasant (U), pleasant (P), and neutral (N) pictures from IAPS were presented at three eccentricities (0°: CV; -12 and 12°: PV). Skin conductance (SC), skin temperature, pupillary diameter, and heart rate (HR) were recorded. First, HA participants showed greater pupil dilation to emotional than to neutral stimuli in PV than in CV. Second, in contrast to HD, the valence effect indexed by SC and emotional arousal effect indexed by skin temperature were observed in LD. Third, both anxiety and depression lead to a valence effect indexed by pupillary light reflex and heart rate. These results suggest a hyperreactivity to emotion and hypervigilance to PV in anxiety. Depression is associated with an attenuation of positive effect and a global blunted autonomic reactivity to emotion. Moreover, anxiety mostly modulates the early processes of autonomic reactivity whereas depression mainly affects the later processes. The differential impact of emotional information over the visual field suggests the use of new stimulation strategies in order to attenuate anxious and depressive symptoms.

摘要

焦虑和抑郁都具有对情绪的自主反应失调的特征。然而,迄今为止,大多数实验都集中在对中央视觉(CV)中呈现的刺激的自主反应上,即使在外周视觉(PV)中也观察到了情感显著性。我们根据状态特质焦虑量表第二版(STAI-B)和贝克抑郁量表(BDI)得分,比较了58名具有高焦虑(HA)或低焦虑(LA)以及高抑郁(HD)或低抑郁(LD)症状的参与者对CV和PV情绪刺激的自主反应。从国际情绪图片系统(IAPS)中选取的不愉快(U)、愉快(P)和中性(N)图片在三个偏心率(0°:CV;-12°和12°:PV)下呈现。记录皮肤电导率(SC)、皮肤温度、瞳孔直径和心率(HR)。首先,HA参与者在PV中对情绪刺激的瞳孔扩张比对中性刺激的更大,且在PV中的反应比在CV中更明显。其次,与HD参与者不同,LD参与者中观察到了由SC指标的效价效应和由皮肤温度指标的情绪唤醒效应。第三,焦虑和抑郁都会导致由瞳孔光反射和心率指标的效价效应。这些结果表明,焦虑状态下对情绪反应过度且对外周视觉过度警觉。抑郁与积极效应的减弱以及对情绪的整体自主反应迟钝有关。此外,焦虑主要调节自主反应的早期过程,而抑郁主要影响后期过程。情绪信息在视野上的不同影响表明,为了减轻焦虑和抑郁症状,需要采用新的刺激策略。

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