抑郁症的情绪调节困难会延伸到社会环境吗?重度抑郁障碍的日常人际情绪调节。

IF 3.1 Q2 PSYCHIATRY
Journal of psychopathology and clinical science Pub Date : 2024-01-01 Epub Date: 2023-12-07 DOI:10.1037/abn0000877
Daphne Y Liu, Michael J Strube, Renee J Thompson
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引用次数: 0

摘要

患有重度抑郁症(MDD)的人很难自己调节情绪。由于人们也使用社会资源来调节情绪(即人际情绪调节[IER]),我们研究了与没有精神障碍的人(即对照组)相比,这些困难是否会扩展到当前和缓解的重度抑郁症患者的情绪调节。目前患有重度抑郁症(n = 48)、已缓解重度抑郁症(n = 80)和对照组(n = 87)的成年人通过诊断性访谈进行评估,他们完成了为期2周的经验抽样,报告了他们寻求重度抑郁症的频率(IER频率)、从谁那里(共享伴侣)以及为什么(IER目标);分享伙伴如何回应(分享伙伴的外在IER策略和温暖度);以及他们对问题和分享伴侣的感受在IER (IER结果)之后是如何变化的。使用多层模型,当前MDD组在情感情感频率和分享伴侣方面与对照组没有差异,但当前MDD组在接受情感情感策略方面表现出更混合的(尽管通常是适应性的)特征,并且从某些情感情感策略中获得的收益与其他两组相似或更多,这表明情感情感可能是当前MDD中有效情绪调节的有希望的途径。缓解mdd组最频繁地寻求IER,并展示了所接受的IER策略的最适应性,并且他们和当前mdd组报告寻求比对照组更多类型的IER目标。抑郁症缓解的人似乎有很高的动机去寻求情感上的支持,他们的追求发生在特别支持性的社会环境中。需要研究驱动这些群体差异的机制,以及IER如何预测重度抑郁症的病程。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Do emotion regulation difficulties in depression extend to social context? Everyday interpersonal emotion regulation in current and remitted major depressive disorder.

Individuals with major depressive disorder (MDD) have difficulties regulating emotion on their own. As people also use social resources to regulate emotion (i.e., interpersonal emotion regulation [IER]), we examined whether these difficulties extend to IER in current and remitted MDD compared to those with no psychiatric disorders (i.e., controls). Adults with current MDD (n = 48), remitted MDD (n = 80), and controls (n = 87) assessed via diagnostic interviewing completed 2-week experience sampling, reporting on how frequently (IER frequency), from whom (sharing partners), and why (IER goals) they sought IER; how the sharing partners responded (sharing partner's extrinsic IER strategies and warmth); and how their feelings about the problem and the sharing partner changed following IER (IER outcomes). Using multilevel modeling, the current-MDD group did not differ from controls in IER frequency and sharing partners, but the current-MDD group demonstrated a more mixed (albeit generally adaptive) profile of received IER strategies and benefited similarly or more from certain IER strategies than the other two groups, suggesting that IER may be a promising avenue for effective emotion regulation in current MDD. The remitted-MDD group sought IER most frequently and demonstrated the most adaptive profile of received IER strategies, and they and the current-MDD group reported seeking more types of IER goals than controls. People with remitted MDD seem highly motivated to pursue IER support and their pursuit takes place in particularly supportive social contexts. Research is needed to examine mechanisms driving these group differences and how IER predicts the course of MDD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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