积极情绪失调:一种元认知视角
Positive Emotion Dysregulation: A Metacognitive Perspective.
作者信息
Mansueto Giovanni, Palmieri Sara, Salatini Lucia, Piccioni Sofia, Ruggiero Giovanni Maria, Sassaroli Sandra, Spada Marcantonio M, Caselli Gabriele
机构信息
Department of Health Sciences, University of Florence, Florence, Italy.
School of Applied Sciences, London South Bank University, London, UK.
出版信息
Clin Psychol Psychother. 2025 Jul-Aug;32(4):e70109. doi: 10.1002/cpp.70109.
INTRODUCTION
Using the metacognitive model of emotion dysregulation as a basis, this study explored whether metacognitive beliefs are associated with positive emotion dysregulation.
METHOD
A total of 436 participants from the general population and 133 outpatients seeking psychological treatment were recruited. Positive emotion dysregulation, metacognitive beliefs, and affective symptoms were assessed. Tt test, chi-square test, correlation, and hierarchical multiple linear regression analyses were run.
RESULTS
In the general population, over and above age, sex, and affective symptoms, a higher endorsement on positive beliefs about worry, negative beliefs about thoughts concerning uncontrollability and danger, and beliefs about the need to control thoughts were associated with a poor acceptance of positive emotions (F = 13.66, p < 0.001), with difficulties in engaging in goal-directed behavior (F = 9.06, p < 0.001), and with difficulties in controlling behaviors when experiencing positive emotions (F = 10.61, p < 0.001). In the clinical sample, over and above age, sex, and affective symptoms, a higher endorsement of negative beliefs about thoughts concerning uncontrollability and danger and lack of cognitive confidence were associated with difficulties in engaging in goal-directed behavior (F = 5.74, p < 0.001) and with difficulties in controlling behaviors when experiencing positive emotions (F = 6.54, p < 0.001). Outpatients seeking psychological treatment also reported more severe positive emotion dysregulation and higher endorsement of metacognitive beliefs when compared with the general population (p < 0.001).
CONCLUSION
Positive emotion dysregulation appears to be associated with the tendency to endorse metacognitive beliefs. Metacognitive beliefs could be a potential therapeutic target for reducing difficulties in the regulation of positive emotions.
SUMMARY
Among participants from the general population, the tendency to endorse metacognitive beliefs is associated with greater positive emotion dysregulation. Among outpatients seeking psychological treatment, the tendency to endorse metacognitive beliefs is associated with greater positive emotion dysregulation. Assessing metacognitive beliefs may allow clinicians to gain a clearer understanding of treatment trajectories to reduce difficulties in the regulation of positive emotions. Metacognitive beliefs could be the potential therapeutic target to reduce positive emotion dysregulation. Metacognitive Therapy techniques could be suitable approaches to reduce positive emotion dysregulation.
引言
本研究以情绪失调的元认知模型为基础,探讨元认知信念是否与积极情绪失调相关。
方法
招募了436名普通人群参与者和133名寻求心理治疗的门诊患者。评估了积极情绪失调、元认知信念和情感症状。进行了t检验、卡方检验、相关性分析和分层多元线性回归分析。
结果
在普通人群中,除年龄、性别和情感症状外,对担忧的积极信念、对关于不可控性和危险的思维的消极信念以及对控制思维必要性的信念的更高认同,与对积极情绪的接受度低相关(F = 13.66,p < 0.001),与从事目标导向行为困难相关(F = 9.06,p < 0.001),以及与在体验积极情绪时控制行为困难相关(F = 10.61,p < 0.001)。在临床样本中,除年龄、性别和情感症状外,对关于不可控性和危险的思维的消极信念的更高认同以及缺乏认知信心,与从事目标导向行为困难相关(F = 5.74,p < 0.001),以及与在体验积极情绪时控制行为困难相关(F = 6.54,p < 0.001)。与普通人群相比,寻求心理治疗的门诊患者也报告了更严重的积极情绪失调和更高的元认知信念认同(p < 0.001)。
结论
积极情绪失调似乎与认同元认知信念的倾向相关。元认知信念可能是减少积极情绪调节困难的潜在治疗靶点。
总结
在普通人群参与者中,认同元认知信念的倾向与更大的积极情绪失调相关。在寻求心理治疗的门诊患者中,认同元认知信念的倾向与更大的积极情绪失调相关。评估元认知信念可能使临床医生更清楚地了解治疗轨迹,以减少积极情绪调节困难。元认知信念可能是减少积极情绪失调的潜在治疗靶点。元认知治疗技术可能是减少积极情绪失调的合适方法。