Emotion regulation difficulties link trait resilience and symptoms of depression and anxiety in psychiatric outpatients.

IF 1.1 4区 医学 Q3 PSYCHIATRY
Joseph M Diehl, Moria J Smoski, Mark Zimmerman
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引用次数: 0

Abstract

Background: Despite negative associations of trait resilience with depression and anxiety symptoms, the mechanisms by which resilience may buffer against these symptoms remain underexplored. This study investigated emotion regulation difficulties as a potential link in the relationship between trait resilience and depression and anxiety severity in psychiatric outpatients (N = 353).

Methods: Participants diagnosed with primary depression or anxiety disorders were evaluated prior to treatment initiation with the Connor-Davidson Resilience Scale, Difficulties in Emotion Regulation Scale (DERS), Clinically Useful Depression Outcome Scale (CUDOS), and Clinically Useful Anxiety Outcome Scale (CUXOS).

Results: In the depression sample, the effect of resilience on CUDOS scores was fully mediated by total DERS scores. In the anxiety sample, the effect of resilience on CUXOS scores was partially mediated by total DERS scores. Exploratory parallel mediation analyses showed only the DERS subscale strategies had a significant effect on CUDOS scores, while only goals had a significant effect on CUXOS scores.

Conclusions: Emotion regulation difficulties are a mediator of trait resilience in psychiatric outpatients. For patients seeking treatment for depression, difficulties with accessing emotion regulation strategies may be particularly relevant, while difficulties meeting one's goals may be most relevant for patients seeking treatment for anxiety.

精神科门诊病人的情绪调节困难与特质恢复力、抑郁和焦虑症状有关。
背景:尽管心理弹性特质与抑郁和焦虑症状呈负相关,但心理弹性缓冲这些症状的机制仍未得到充分探讨。本研究调查了精神科门诊患者情绪调节困难作为特质弹性与抑郁和焦虑严重程度之间关系的潜在联系(N = 353)。方法:在治疗开始前,对诊断为原发性抑郁或焦虑障碍的参与者使用Connor-Davidson弹性量表、情绪调节困难量表(DERS)、临床有用抑郁结局量表(CUDOS)和临床有用焦虑结局量表(CUXOS)进行评估。结果:在抑郁样本中,心理韧性对抑郁量表得分的影响完全由抑郁量表总分介导。在焦虑样本中,心理弹性对CUXOS得分的影响部分被DERS总分介导。探索性平行中介分析显示,只有DERS子量表策略对CUDOS得分有显著影响,而只有目标对CUXOS得分有显著影响。结论:情绪调节困难是精神科门诊患者特质弹性的中介因素。对于寻求抑郁症治疗的患者来说,难以获得情绪调节策略可能特别相关,而难以实现自己的目标可能与寻求焦虑症治疗的患者最相关。
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来源期刊
CiteScore
1.80
自引率
7.70%
发文量
47
审稿时长
>12 weeks
期刊介绍: The ANNALS publishes up-to-date information regarding the diagnosis and /or treatment of persons with mental disorders. Preferred manuscripts are those that report the results of controlled clinical trials, timely and thorough evidence-based reviews, letters to the editor, and case reports that present new appraisals of pertinent clinical topics.
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