Allostasis, Action, and Affect in Depression: Insights from the Theory of Constructed Emotion.

IF 17.8 1区心理学 Q1 PSYCHOLOGY

Annual Review of Clinical Psychology Pub Date : 2022-05-09 DOI:10.1146/annurev-clinpsy-081219-115627

Clare Shaffer, Christiana Westlin, Karen S Quigley, Susan Whitfield-Gabrieli, Lisa Feldman Barrett

{"title":"Allostasis, Action, and Affect in Depression: Insights from the Theory of Constructed Emotion.","authors":"Clare Shaffer, Christiana Westlin, Karen S Quigley, Susan Whitfield-Gabrieli, Lisa Feldman Barrett","doi":"10.1146/annurev-clinpsy-081219-115627","DOIUrl":null,"url":null,"abstract":"<p><p>The theory of constructed emotion is a systems neuroscience approach to understanding the nature of emotion. It is also a general theoretical framework to guide hypothesis generation for how actions and experiences are constructed as the brain continually anticipates metabolic needs and attempts to meet those needs before they arise (termed allostasis). In this review, we introduce this framework and hypothesize that allostatic dysregulation is a trans-disorder vulnerability for mental and physical illness. We then review published findings consistent with the hypothesis that several symptoms in major depressive disorder (MDD), such as fatigue, distress, context insensitivity, reward insensitivity, and motor retardation, are associated with persistent problems in energy regulation. Our approach transforms the current understanding of MDD as resulting from enhanced emotional reactivity combined with reduced cognitive control and, in doing so, offers novel hypotheses regarding the development, progression, treatment, and prevention of MDD.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":"18 ","pages":"553-580"},"PeriodicalIF":17.8000,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247744/pdf/nihms-1818495.pdf","citationCount":"16","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annual Review of Clinical Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1146/annurev-clinpsy-081219-115627","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY","Score":null,"Total":0}

引用次数: 16

Abstract

The theory of constructed emotion is a systems neuroscience approach to understanding the nature of emotion. It is also a general theoretical framework to guide hypothesis generation for how actions and experiences are constructed as the brain continually anticipates metabolic needs and attempts to meet those needs before they arise (termed allostasis). In this review, we introduce this framework and hypothesize that allostatic dysregulation is a trans-disorder vulnerability for mental and physical illness. We then review published findings consistent with the hypothesis that several symptoms in major depressive disorder (MDD), such as fatigue, distress, context insensitivity, reward insensitivity, and motor retardation, are associated with persistent problems in energy regulation. Our approach transforms the current understanding of MDD as resulting from enhanced emotional reactivity combined with reduced cognitive control and, in doing so, offers novel hypotheses regarding the development, progression, treatment, and prevention of MDD.

Abstract Image

查看原文本刊更多论文

抑郁症的适应、行动和情感:来自建构情绪理论的见解。

建构情绪理论是一种理解情绪本质的系统神经科学方法。它也是一个通用的理论框架，指导假设的产生，即当大脑不断预测代谢需求并试图在这些需求出现之前满足这些需求时，如何构建行动和经验(称为异稳态)。在这篇综述中，我们介绍了这一框架，并假设适应失调是精神和身体疾病的跨障碍易感性。然后，我们回顾了与以下假设一致的已发表的研究结果:重度抑郁症(MDD)的几种症状，如疲劳、痛苦、环境不敏感、奖励不敏感和运动迟缓，与能量调节的持续性问题有关。我们的方法改变了目前对重度抑郁症的理解，即情绪反应增强与认知控制减弱相结合，并在此过程中，为重度抑郁症的发展、进展、治疗和预防提供了新的假设。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Annual Review of Clinical Psychology 医学-心理学

CiteScore

31.50

自引率

0.50%

发文量

期刊介绍： The Annual Review of Clinical Psychology is a publication that has been available since 2005. It offers comprehensive reviews on significant developments in the field of clinical psychology and psychiatry. The journal covers various aspects including research, theory, and the application of psychological principles to address recognized disorders such as schizophrenia, mood, anxiety, childhood, substance use, cognitive, and personality disorders. Additionally, the articles also touch upon broader issues that cut across the field, such as diagnosis, treatment, social policy, and cross-cultural and legal issues. Recently, the current volume of this journal has transitioned from a gated access model to an open access format through the Annual Reviews' Subscribe to Open program. All articles published in this volume are now available under a Creative Commons Attribution License (CC BY), allowing for widespread distribution and use. The journal is also abstracted and indexed in various databases including Scopus, Science Citation Index Expanded, MEDLINE, EMBASE, CINAHL, PsycINFO, and Academic Search, among others.