Colonnello Valentina, Castellano Paola, Mazzetti Michela, Russo Paolo Maria
Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Front Psychol. 2024 Aug 14;15:1432318. doi: 10.3389/fpsyg.2024.1432318. eCollection 2024.
Several studies indicate a link between personal distress and vulnerability to depression. The literature also suggests that personal distress is associated with emotion dysregulation and that emotion dysregulation plays a role in depression. However, which of the various emotion regulation difficulties mediates the relationship between personal distress and depression remains unexplored. This study therefore aims to investigate the mediating role of specific emotion regulation difficulties in the relationship between personal distress and depression. Of the 702 initially recruited participants, 635 completed a survey comprising the Interpersonal Reactivity Index, the Difficulties in Emotion Regulation Scale, and the Beck Depression Inventory. A mediation analysis was used to explore which emotion regulation difficulties mediate the relationship between personal distress and depression. Over a quarter (27%) of participants reported moderate-severe depression symptoms. Difficulties in accessing adaptive emotion regulation strategies and in having a clear understanding about one's own emotions partly mediated the relationship between personal distress and depression symptoms. Our results are the first to indicate that personal distress is linked to depression risk through specific emotion regulation difficulties in medical students. They also highlight possible modifiable skills that could be targeted by prevention intervention.
多项研究表明个人困扰与易患抑郁症之间存在联系。文献还表明，个人困扰与情绪失调有关，且情绪失调在抑郁症中起作用。然而，各种情绪调节困难中哪一种介导了个人困扰与抑郁症之间的关系仍未得到探索。因此，本研究旨在调查特定情绪调节困难在个人困扰与抑郁症关系中的中介作用。在最初招募的702名参与者中，635人完成了一项包括人际反应指针、情绪调节困难量表和贝克抑郁量表的调查。采用中介分析来探索哪些情绪调节困难介导了个人困扰与抑郁症之间的关系。超过四分之一（27%）的参与者报告有中度至重度抑郁症状。在获取适应性情绪调节策略和清楚了解自己情绪方面的困难部分介导了个人困扰与抑郁症状之间的关系。我们的结果首次表明，在医学生中，个人困扰通过特定的情绪调节困难与抑郁风险相关联。它们还突出了预防干预可能针对的可改变技能。
