Noda Shota, Masaki Mina, Kishimoto Tomokazu, Kaiya Hisanobu
Panic Disorder Research Center, Warakukai Medical Corporation, Tokyo, Japan.
Tokyo Mindfulness Center, Tokyo, Japan.
Front Psychol. 2022 Nov 30;13:1016879. doi: 10.3389/fpsyg.2022.1016879. eCollection 2022.
Anxious-depressive attack (ADA) is a cluster of symptoms, including sudden and intense anxiety or depression, intrusive rumination about negative memories or future worries, prominent agitation, impatient behavior, and/or loneliness; in some cases, symptoms include a wide range of violent coping behaviors to manage emotional distress. Four characteristics-rejection sensitivity, rumination, social anxiety symptoms, and depressive symptoms-are thought to be associated with the development of ADA. However, the complex relationships among these factors have not been clarified. In this study, we aimed to examine the mechanism by which these four characteristics influence the development of ADA.
We conducted a structured interview about ADA with 332 outpatients, who completed several self-report measures, to assess rejection sensitivity, rumination, social anxiety symptoms, and depressive symptoms.
A structural equation model showed goodness-of-fit with the data. These findings suggest that rejection sensitivity may demonstrate a direct effect on the occurrence of ADA. Furthermore, rejection sensitivity might affect depressive symptoms through rumination and social anxiety symptoms and consequently contribute to the development of ADA.
These results provide preliminary evidence that rejection sensitivity contributes to the development of ADA.
焦虑抑郁发作（ADA）是一组症状，包括突然且强烈的焦虑或抑郁、对负面记忆或未来担忧的侵入性沉思、明显的烦躁不安、急躁行为和/或孤独感；在某些情况下，症状还包括一系列用于应对情绪困扰的暴力行为。拒绝敏感性、沉思、社交焦虑症状和抑郁症状这四个特征被认为与ADA的发展有关。然而，这些因素之间的复杂关系尚未阐明。在本研究中，我们旨在探讨这四个特征影响ADA发展的机制。
我们对332名门诊患者进行了关于ADA的结构化访谈，这些患者完成了几项自我报告测量，以评估拒绝敏感性、沉思、社交焦虑症状和抑郁症状。
一个结构方程模型显示与数据拟合良好。这些发现表明，拒绝敏感性可能对ADA的发生有直接影响。此外，拒绝敏感性可能通过沉思和社交焦虑症状影响抑郁症状，从而促进ADA的发展。
这些结果提供了初步证据，表明拒绝敏感性促进了ADA的发展。
