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情绪调节缺陷与抑郁相关的适应不良人际行为。

Emotion regulation deficits and depression-related maladaptive interpersonal behaviours.

机构信息

Department of Psychology, University of Maine, Orono, ME, USA.

出版信息

Cogn Emot. 2021 Dec;35(8):1559-1572. doi: 10.1080/02699931.2021.1989668.

Abstract

Coyne's interpersonal theory of depression posits that those with depressive symptoms engage in maladaptive interpersonal behaviours that, although intended to assuage distress, push away social supports and increase depressive symptoms (Coyne, 1976). Excessive reassurance seeking, negative feedback seeking, and conversational self-focus are three behaviours implicated in Coyne's theory, yet their correlates- apart from depressive symptoms- are poorly understood. The current study considered the potential role of intrapersonal emotion regulation deficits as an additional vulnerability factor for these behaviours. Mediation models further tested whether linkages between emotion regulation deficits and maladaptive interpersonal behaviours helped to explain short-term increases in depressive symptoms, as further suggested by theory. Older adolescents (= 291, age = 18.9) completed self-report measures of emotion regulation deficits, depressive symptoms, and the three maladaptive interpersonal behaviours during an initial lab visit and again four weeks later. A series of multiple regression models suggested that emotion regulation difficulties are uniquely associated with each of the behaviours over and above the impact of depressive symptoms. Mediation analyses suggested that only excessive reassurance seeking mediated the association between initial emotion regulation deficits and increased depressive symptoms over time. The clinical implications of these findings are discussed.

摘要

科恩的人际理论认为,那些有抑郁症状的人会采取适应不良的人际行为,尽管这些行为旨在缓解痛苦,但却会推开社会支持,增加抑郁症状(Coyne,1976)。过度寻求保证、寻求负面反馈和对话自我关注是科恩理论中涉及的三种行为,但除了抑郁症状之外,它们的相关性还知之甚少。本研究考虑了内在情绪调节缺陷作为这些行为的另一个脆弱性因素的潜在作用。中介模型进一步测试了情绪调节缺陷与适应不良的人际行为之间的联系是否有助于解释理论所进一步表明的抑郁症状的短期增加。在最初的实验室访问和四周后,青少年(= 291,年龄= 18.9)完成了自我报告的情绪调节缺陷、抑郁症状和三种适应不良的人际行为的测量。一系列多元回归模型表明,情绪调节困难与每种行为都有独特的关联,而不仅仅是抑郁症状的影响。中介分析表明,只有过度寻求保证才会在初始情绪调节缺陷和随时间增加的抑郁症状之间产生关联。讨论了这些发现的临床意义。

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