消极情绪反应和适应不良的情绪调节策略对失眠患者的抑郁症状和失眠症状之间的前瞻性关系起着中介作用

Q3 Psychology

Journal of Affective Disorders Reports Pub Date : 2024-03-26 DOI:10.1016/j.jadr.2024.100766

Helen Tsz Ching Tsui, Wai Sze Chan

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引用次数: 0

摘要

背景经常有人提出用情绪反应性和调节来解释失眠症状和抑郁症状之间的关系。然而，还没有一项纵向研究同时考察了失眠症状、抑郁症状、情绪反应性和调节性，并评估了情绪反应性和调节性的中介作用。本研究在为期三个月的三波纵向研究中，调查了情绪反应性和调节作为失眠症状和抑郁症状之间关系的潜在中介因素的作用。方法招募了924名有临床症状的失眠患者（年龄在16至69岁之间，72.9%为女性）。结果表明，抑郁症状会通过消极情绪反应、反刍和灾难化来预测失眠症状（但反之亦然）。局限性这项研究受到自然减员率（52.9%）和自我报告测量方法的限制。结论这些新发现强调了在评估和治疗失眠症和抑郁症患者时以情绪过程为目标的重要性。

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Negative emotional reactivity and maladaptive emotional regulation strategies mediate the prospective relationship between depressive symptoms and insomnia symptoms in individuals with insomnia

Background

Emotional reactivity and regulation have been frequently proposed to explain the relationship between insomnia symptoms and depressive symptoms. However, no longitudinal study has examined insomnia symptoms, depressive symptoms, and emotional reactivity and regulation simultaneously and evaluated the mediating role of emotional reactivity and regulation. The current study investigated emotional reactivity and regulation as potential mediators of the relationship between insomnia symptoms and depressive symptoms in a three-wave longitudinal study over three months.

Methods

Nine hundred and twenty-four participants with clinically significant insomnia were recruited (ages ranging from 16 to 69 years, 72.9 % female). They filled out questionnaires that measured insomnia symptoms, depressive symptoms, emotional reactivity, and the use of emotion regulation strategies once per month for three months.

Results

The results showed that depressive symptoms predicted insomnia symptoms (but not vice versa) via negative emotional reactivity, rumination, and catastrophizing.

Limitations

This study is limited by its attrition rate (52.9 %) and self-report measures. Participants were individuals with insomnia and mainly young, educated adults, so the generalizability of the findings to other populations might also be limited.