兴奋度上升，兴奋度下降。情绪调节、特质焦虑、反刍和担忧作为心理意象后恢复时间的预测因子

IF 2.2 4区医学 Q3 PSYCHIATRY

Journal of Behavior Therapy and Experimental Psychiatry Pub Date : 2025-08-23 DOI:10.1016/j.jbtep.2025.102059

Rosita Borlimi , Irene Brianzoni , Greta Riboli , Mattia Nese , Gianni Brighetti , Giancarlo Dimaggio

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引用次数: 0

摘要

引导意象干预有效的一个关键因素是它们增加情绪唤起的能力。然而，个体的反应各不相同，因为有些人可能有负面的经历，破坏了治疗的依从性或有效性。需要研究来了解在想象过程中经历负面事件的负面反应的预测因素。一种观点认为，有些人很难回到基线，这让他们的经历变得不愉快或痛苦。哪些预测因素有助于负面事件想象后较慢的恢复？目的和假设我们在非临床样本中测试了以下假设：（H1）参与者在回忆不愉快的自传体事件时经历了生理唤醒的增加，（H2）参与者在恢复期间自发地恢复到基线生理水平，但（H3）情绪失调、抑郁和特质焦虑预测了恢复唤醒，（H4）重复思考（反刍和担忧）也与恢复唤醒有关。方法参与者完成重复性思维（反刍和担忧）、特质焦虑、抑郁和情绪失调的问卷调查。唤醒通过连续记录皮肤电导反应（SCR）和心率变异性（HRV）来测量。结果在想象后预期的觉醒增加后，参与者回到基线。SCR测量的平均生理恢复基线存在个体差异，但HRV没有。情绪调节、特质焦虑、反刍和担忧显著预测生理恢复。结论：具有严重重复思维倾向的个体，以及在较小程度上具有较高的特质焦虑和情绪失调的个体，可能需要在进行旨在通过痛苦记忆进行图像处理之前进行初步工作。

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Arousal grows up, arousal goes down. Emotion regulation, trait anxiety, rumination and worry as predictors of recovery time after mental imagery

Background

One key ingredient for guided imagery interventions’ effectiveness is their capacity to increase emotional arousal. However, individual responses vary, as some people can have negative experiences that undermine treatment adherence or effectiveness. Research is needed to understand predictors of negative reactions to experiencing negative events during imagery. One idea suggests that some individuals struggle to return to baseline, making the experience unpleasant or distressing. Which predictors contribute to slower recovery after imagery of negative events?

Aims and hypothesis

We tested the following hypotheses in a non-clinical sample: (H1) participants experienced an increase in physiological arousal upon recalling an unpleasant autobiographical event, (H2) participants returned spontaneously to baseline physiological levels during the recovery period, but (H3) emotion dysregulation, depression and trait anxiety predicted recovery arousal, and (H4) repetitive thinking (rumination and worry) was also associated with recovery arousal.

Methods

Participants completed questionnaires assessing repetitive thinking (rumination and worry), trait anxiety, depression, and emotion dysregulation. Arousal was measured through continuous recording of Skin Conductance Response (SCR) and Heart Rate Variability (HRV).

Results

After the predicted arousal increase following imagery, participants returned to baseline. There were individual differences in average physiological return to baseline as measured by SCR, but not HRV. Emotion regulation, trait anxiety, rumination and worry significantly predicted physiological recovery.

Conclusions

Individuals with severe tendencies towards repetitive thinking and, to a lesser extent, with higher trait anxiety and emotion dysregulation may require preliminary work before undergoing imagery aimed at working through distressing memories.

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来源期刊

Journal of Behavior Therapy and Experimental Psychiatry Multiple-

CiteScore

3.60

自引率

5.60%

发文量

期刊介绍： The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.