Department of Psychology, University of Virginia, Charlottesville, VA, USA.
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Anxiety Stress Coping. 2022 Jul;35(4):395-408. doi: 10.1080/10615806.2021.1977797. Epub 2021 Sep 15.
Depersonalization is common in anxiety disorders, but little is known about factors that influence co-occurring anxiety and depersonalization.
We investigated trait moderators of the relationships between state and trait anxiety and depersonalization to better understand their co-occurrence and to identify potential points of intervention.
Adults recruited on Amazon Mechanical Turk ( = 303) completed two computer tasks designed to increase variability in state anxiety and depersonalization as well as several self-report questionnaires.
As hypothesized, anxiety positively predicted depersonalization at both a state level and trait level. Moreover, as hypothesized, the trait anxiety-trait depersonalization relationship was strengthened by greater anxiety sensitivity; distress intolerance; and negative interpretation bias for anxiety sensations, and for depersonalization sensations. None of these hypothesized trait moderators significantly strengthened the state anxiety-state depersonalization relationship.
These findings suggest that, on a trait level, anxiety and depersonalization more frequently co-occur when people catastrophically misinterpret their symptoms or have lower emotional distress tolerance.
人格解体在焦虑障碍中很常见,但人们对影响焦虑和人格解体共病的因素知之甚少。
我们研究了特质因素对状态和特质焦虑与人格解体之间关系的调节作用,以更好地理解它们的共病,并确定潜在的干预点。
在亚马逊土耳其机器人上招募的成年人(n=303)完成了两个旨在增加状态焦虑和人格解体变异性的计算机任务,以及几个自我报告问卷。
正如假设的那样,焦虑在状态和特质水平上都正向预测人格解体。此外,正如假设的那样,焦虑敏感性、痛苦耐受力、对焦虑感觉和人格解体感觉的负面解释偏差越强,特质焦虑-特质人格解体关系越强。这些假设的特质调节因素都没有显著增强状态焦虑-状态人格解体关系。
这些发现表明,在特质水平上,当人们对自己的症状进行灾难性的误解或情绪痛苦耐受力较低时,焦虑和人格解体更常共病。