探讨情绪失调和重复性消极思维对酒精宿醉焦虑和抑郁的影响。
Investigating the effects of emotion dysregulation and repetitive negative thinking on alcohol hangover anxiety and depression.
机构信息
School of Public Health, University of Nevada, Reno, United States.
Division of Gastroenterology, Washington University in Saint Louis School of Medicine, United States.
出版信息
Addict Behav. 2023 May;140:107619. doi: 10.1016/j.addbeh.2023.107619. Epub 2023 Jan 11.
INTRODUCTION
Underlying factors associated with alcohol hangover psychological symptoms, such as anxiety and depression, have not been identified. Emotion dysregulation and repetitive negative thinking (RNT) are transdiagnostic factors associated with psychopathology, including non-hangover anxiety and depression. The current study prospectively examined the role of emotion dysregulation on subsequent alcohol hangover anxiety and depression symptoms, as well as the moderating role of RNT on this relation among university students.
METHODS
One hundred thirty-six participants completed baseline assessments of emotion dysregulation (DERS-16) and non-hangover anxiety and depression (DASS-21). Thirty-nine participants reported experiencing alcohol hangover at 2-week follow up and completed assessments of RNT (PTQ) and hangover anxiety and depression (modified DASS-21). Two independent regression-based moderation analyses were conducted to examine the relation of baseline emotion dysregulation, 2-week follow-up RNT, and hangover anxiety and depression symptoms after accounting for baseline non-hangover anxiety and depression symptoms.
RESULTS
Among those experiencing alcohol hangover (n = 39), emotion dysregulation and RNT were not associated with hangover related anxiety beyond non-hangover anxiety. Emotion dysregulation significantly predicted hangover depression but was rendered non-significant by the addition of RNT, which was significantly associated with hangover depression. RNT moderated the emotion dysregulation-hangover depression relation such that emotion dysregulation was not associated with future hangover depression at low levels of RNT but was positively associated with hangover depression at moderate to high levels of RNT.
CONCLUSION
Results provide preliminary support for the role of emotion dysregulation and RNT in hangover depression severity.
简介
与酒精宿醉心理症状（如焦虑和抑郁）相关的潜在因素尚未确定。情绪调节障碍和重复消极思维（RNT）是与精神病理学相关的跨诊断因素，包括非宿醉性焦虑和抑郁。本研究前瞻性地考察了情绪调节障碍对随后的酒精宿醉焦虑和抑郁症状的作用，以及 RNT 在大学生群体中对这种关系的调节作用。
方法
136 名参与者在基线时完成了情绪调节障碍（DERS-16）和非宿醉性焦虑和抑郁（DASS-21）的评估。39 名参与者在 2 周随访时报告了经历酒精宿醉，并完成了 RNT（PTQ）和宿醉焦虑和抑郁（改良 DASS-21）的评估。基于回归的两个独立的调节分析被用来检验基线时的情绪调节障碍、2 周随访时的 RNT 与宿醉相关的焦虑和抑郁症状之间的关系，同时考虑到基线时的非宿醉性焦虑和抑郁症状。
结果
在经历酒精宿醉的个体中（n = 39），情绪调节障碍和 RNT 与宿醉相关的焦虑无关，超出了非宿醉性焦虑的范围。情绪调节障碍显著预测了宿醉性抑郁，但在加入 RNT 后变得不显著，RNT 与宿醉性抑郁显著相关。RNT 调节了情绪调节障碍与宿醉性抑郁之间的关系，即当 RNT 水平较低时，情绪调节障碍与未来的宿醉性抑郁无关，但当 RNT 水平处于中等到较高水平时，情绪调节障碍与宿醉性抑郁呈正相关。
结论
结果初步支持了情绪调节障碍和 RNT 在宿醉性抑郁严重程度中的作用。
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