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当前和缓解后的重度抑郁症患者日常情绪调节目标、动机和策略:一项经验抽样研究。

Everyday emotion regulation goals, motives, and strategies in current and remitted major depressive disorder: An experience sampling study.

机构信息

Department of Psychological and Brain Sciences, Washington University in St. Louis.

出版信息

J Psychopathol Clin Sci. 2023 Jul;132(5):594-609. doi: 10.1037/abn0000831. Epub 2023 May 18.

Abstract

People with major depressive disorder (MDD) report difficulties with emotion regulation (ER), particularly in habitual strategy use. We examined ER strategy use and other aspects of ER-desired emotional states (emotion goals) and reasons for ER (ER motives)-in current and remitted MDD. In a 2-week experience sampling study, adults with current MDD ( = 48), remitted MDD ( = 80), and healthy controls (n = 87) reported their negative affect (NA) and positive affect (PA), emotion goals (frequency, direction), ER motives (hedonic, instrumental), and ER strategy use (social sharing, acceptance, savoring, reappraisal, suppression, distraction). Multilevel modeling and Bayes factors were used to assess differences and similarities across groups. Compared to the remitted MDD and control groups, the current MDD group regulated emotion more frequently in general but showed weakened associations between initiating regulation and momentary affect and reported different emotion goal directions. Although all groups mostly reported emotion goals to regulate prohedonically (decrease NA, increase or maintain PA), the current MDD group was the most likely to try to amplify NA and PA simultaneously. Current MDD and remitted MDD groups endorsed hedonic motives more than controls, but the three groups did not differ in instrumental motives. The only group difference in ER strategy use was that the current MDD group used distraction more than controls. Most group differences in ER were between the current MDD group and controls, with the remitted MDD group and controls being quite similar. ER in current MDD is characterized by frequent regulation, weakened association between initiating regulation and momentary affect, increased hedonic-focused ER motives, and a greater use of distraction. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

患有重度抑郁症(MDD)的人报告说,他们在情绪调节(ER)方面存在困难,尤其是在习惯性策略的使用上。我们研究了当前和缓解期 MDD 患者的 ER 策略使用情况,以及其他 ER 相关情绪状态(情绪目标)和 ER 动机(ER 目的)方面。在为期两周的体验抽样研究中,当前 MDD 患者(n=48)、缓解期 MDD 患者(n=80)和健康对照组(n=87)报告了他们的负性情绪(NA)和正性情绪(PA)、情绪目标(频率、方向)、ER 动机(享乐、工具)和 ER 策略使用(社交分享、接受、品味、重评、抑制、分心)。多层次模型和贝叶斯因子用于评估各组之间的差异和相似性。与缓解期 MDD 和对照组相比,当前 MDD 组通常更频繁地调节情绪,但在启动调节与即时情绪之间的关联较弱,并报告了不同的情绪目标方向。尽管所有组大多报告情绪目标是为了调节享乐(降低 NA,增加或维持 PA),但当前 MDD 组最有可能同时试图放大 NA 和 PA。当前 MDD 和缓解期 MDD 组比对照组更倾向于享乐动机,但三组在工具动机方面没有差异。ER 策略使用方面的唯一组间差异是当前 MDD 组比对照组更倾向于分心。ER 方面的大多数组间差异是当前 MDD 组与对照组之间的差异,缓解期 MDD 组与对照组非常相似。当前 MDD 中的 ER 表现为频繁的调节、启动调节与即时情绪之间的关联减弱、享乐型 ER 动机增加,以及更多地使用分心。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。

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