Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, LIP/PC2S, Grenoble, France.
Teachers College, Columbia University, New York, USA.
Br J Clin Psychol. 2024 Mar;63(1):54-72. doi: 10.1111/bjc.12443. Epub 2023 Oct 17.
Flexibility in self-regulation has emerged as an important component of mental health. Previous findings found that deficits in two components of regulatory flexibility were linked cross-sectionally to psychosis-proneness. We aimed to replicate and extend these findings longitudinally.
We measured psychosis-proneness and components of emotion regulation flexibility (i.e. context sensitivity, repertoire and feedback) at two time points with three months in between.
Two flexibility components predicted psychotic-like experiences. The ability to detect the absence of contextual cues was implicated in both positive and negative dimensions but through opposite pathways. Expressive suppression ability-a subcomponent of repertoire-predicted positive symptoms. None of the flexibility components predicted distress related to the symptoms.
The current study provides further evidence on the implication of emotion regulation flexibility in the longer-term maintenance of psychotic-like experiences. Future studies can advance this work further by evaluating possible bidirectional relationships between psychotic-like experiences and deficits in emotion regulation flexibility.
自我调节的灵活性已成为心理健康的一个重要组成部分。先前的研究发现，两种调节灵活性成分的缺陷与精神病倾向存在横向关联。我们旨在纵向复制和扩展这些发现。
我们在两个时间点测量了精神病倾向和情绪调节灵活性的两个成分（即情境敏感性、范围和反馈），两次测量之间间隔三个月。
两个灵活性成分预测了类精神病体验。缺乏情境线索的检测能力与正性和负性维度都有关，但通过相反的途径。表达抑制能力——范围的一个子成分——预测了阳性症状。灵活性的任何成分都没有预测与症状相关的痛苦。
本研究进一步证明了情绪调节灵活性在类精神病体验的长期维持中的意义。未来的研究可以通过评估类精神病体验和情绪调节灵活性缺陷之间可能存在的双向关系，进一步推进这项工作。
