Zhang Peiyu, Long Manling, Shi Jingyu
School of Medicine, Tongji University, Shanghai 200331, China.
Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai 200124, China.
Behav Sci (Basel). 2024 Aug 11;14(8):698. doi: 10.3390/bs14080698.
(1) Background: Although abnormal emotion regulation is a key characteristic of youth with prodromal psychotic symptoms and is closely related to the degree of distress caused by these symptoms, research on the internal heterogeneity of emotion regulation within this clinically high-risk population has been insufficient. (2) Methods: The current study analyzed data from 394 college students with prodromal psychotic symptoms, using latent profile analysis (LPA) to identify emotion regulation profiles based on differences in expressive suppression and cognitive reappraisal. One-way ANOVA was employed to examine the relationship between the identified latent profiles and distress of symptoms. (3) Results: Three latent profiles were identified: "high cognitive reappraisal group" ( = 117, 29.70%), "moderate cognitive reappraisal group" ( = 233, 59.14%), and "low cognitive reappraisal group" ( = 44, 11.16%). Significant differences in distress of negative symptoms ( = 9.122, < 0.05) and perceptual abnormalities ( = 3.103, < 0.05) were observed across the latent profiles but not in unusual thought content and specific perceptual abnormalities (both > 0.05). The "low cognitive reappraisal group" exhibited the most severe distress of symptoms, followed by the "moderate cognitive reappraisal group", while the "high cognitive reappraisal group" experienced the least distress. (4) Conclusions: The current study provides evidence for the heterogeneity of emotion regulation among youth with prodromal psychotic symptoms and reveals differences in distress of perceptual abnormalities and negative symptoms between the latent profiles of emotion regulation. These findings support the development of targeted psychological interventions to alleviate the distress of symptoms and improve quality of life.
(1) 背景：尽管异常情绪调节是有前驱精神病性症状青年的关键特征，且与这些症状所导致的痛苦程度密切相关，但针对这一临床高危人群情绪调节的内部异质性研究尚不充分。(2) 方法：本研究分析了394名有前驱精神病性症状的大学生的数据，采用潜在剖面分析（LPA），根据表达抑制和认知重评的差异来识别情绪调节剖面。采用单因素方差分析来检验所识别的潜在剖面与症状痛苦之间的关系。(3) 结果：识别出三个潜在剖面：“高认知重评组”（n = 117，29.70%）、“中等认知重评组”（n = 233，59.14%）和“低认知重评组”（n = 44，11.16%）。在各潜在剖面中，阴性症状的痛苦程度（F = 9.122，p < 0.05）和感知异常（F = 3.103，p < 0.05）存在显著差异，但在异常思维内容和特定感知异常方面均无显著差异（p均> 0.05）。“低认知重评组”表现出最严重的症状痛苦，其次是“中等认知重评组”，而“高认知重评组”经历的痛苦最少。(4) 结论：本研究为有前驱精神病性症状青年的情绪调节异质性提供了证据，并揭示了情绪调节潜在剖面之间在感知异常和阴性症状痛苦方面的差异。这些发现支持开展有针对性的心理干预，以减轻症状痛苦并改善生活质量。
