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认知情绪调节策略与青少年和成年早期抑郁、焦虑和失眠的关联差异。

Differential Associations of Cognitive Emotion Regulation Strategies with Depression, Anxiety, and Insomnia in Adolescence and Early Adulthood.

机构信息

Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy.

Department of Psychology, University of Bologna, 40136 Bologna, Italy.

出版信息

Int J Environ Res Public Health. 2023 May 18;20(10):5857. doi: 10.3390/ijerph20105857.

Abstract

While difficulties with emotion regulation (ER) are consistently linked to poor mental health in adulthood, findings in adolescence have been more mixed. Cognitive ER strategies, which involve the ability to manage emotions through mental processes, may be particularly important during different stages of development due to age-specific adjustments. We conducted two exploratory and cross-sectional studies to examine the relationships between cognitive ER strategies and mental health (i.e., depressive, anxiety, and insomnia symptoms) in two samples: 431 young adults (M = 20.66 ± 2.21; 70% women and 30% men) and 271 adolescents (M = 14.80 ± 0.0.59; 44.6% girls and 55.4% boys). The participants completed a group of questionnaires, including the Cognitive Emotion Regulation Questionnaire, the Insomnia Severity Index, the Beck Depression Inventory-II, the State-Trait Anxiety Inventory, and the Youth Self Report. We employed hierarchical multiple regressions to assess the unique contribution of cognitive ER strategies to mental health outcomes. Maladaptive strategies (such as rumination and catastrophizing) were consistently associated with impaired mental health in both samples, while adaptive strategies (such as positive refocusing and positive reappraisal) were only associated with better mental health in young adults. These findings support the importance of cognitive ER strategies as potential risk factors for psychopathology and suggest that interventions aimed at improving emotion regulation may be beneficial. The age-specific differences in the relationship between cognitive ER strategies and mental health may reflect the refinement of emotion regulation abilities across the lifespan.

摘要

虽然情绪调节(ER)困难与成年后的心理健康不良密切相关,但在青少年中的发现则更为复杂。认知 ER 策略,即通过心理过程管理情绪的能力,由于特定年龄的调整,在不同的发展阶段可能特别重要。我们进行了两项探索性和横断面研究,以检查两种样本中认知 ER 策略与心理健康(即抑郁、焦虑和失眠症状)之间的关系:431 名年轻成年人(M = 20.66 ± 2.21;70%女性和 30%男性)和 271 名青少年(M = 14.80 ± 0.05;44.6%女孩和 55.4%男孩)。参与者完成了一组问卷,包括认知情绪调节问卷、失眠严重程度指数、贝克抑郁量表-II、状态-特质焦虑量表和青少年自我报告。我们采用分层多元回归来评估认知 ER 策略对心理健康结果的独特贡献。适应不良的策略(如沉思和灾难化)在两个样本中都与心理健康受损有关,而适应的策略(如积极的重新聚焦和积极的重新评价)仅与年轻成年人的更好的心理健康有关。这些发现支持认知 ER 策略作为潜在心理病理学风险因素的重要性,并表明旨在改善情绪调节的干预措施可能是有益的。认知 ER 策略与心理健康之间的关系在年龄上的差异可能反映了情绪调节能力在整个生命周期中的精细化。

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