压力反应性反刍与负面情绪之间的双向动态关系:来自高特质焦虑个体的多方法研究证据

IF 3.3 2区 医学 Q1 PSYCHIATRY
Zhu Qingzi, Peng Lanxin, Niu Lijing, Zeng Yuanyuan, Chen Xiayan, Chen Zini, Dai Haowei, Zhang Ruibin
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引用次数: 0

摘要

背景:应激反应性反刍(Stress-reactive rumination, SR)是一种重复思考压力源的倾向,被认为是特质焦虑与持续负面影响之间的关键认知机制。然而,这种关系的动态和上下文依赖性质仍不清楚。本研究采用多方法实验设计,探讨高特质焦虑(HTA)个体在不同情境下SR的表现,并检验SR和NA是否随时间的推移表现出双向预测关系。方法:共有62名参与者(高特质焦虑31名,低特质焦虑31名)完成了为期14天的生态瞬间评估(EMA),每天4次,记录日常生活中SR和NA随时间的动态波动。随后,参与者进行了特里尔社会压力测试(TSST),以检测急性实验室压力下SR和NA的反应。交叉滞后模型评估了两种情况下SR和NA之间的时间关联。结果:EMA数据显示,HTA患者报告的SR和NA显著高于低焦虑患者(p < 0.001)。交叉滞后分析显示,SR和NA之间存在显著的双向预测关系,尽管这种关系仅存在于HTA组(SR→NA: b = 0.159, p < 0.001; NA→SR: b = 0.072, p = 0.038)。在实验室中,应激可成功诱导SR和NA,特别是HTA组(p < 0.001),但未观察到交叉滞后效应。结论:在HTA患者中,SR表现出持久性和情境依赖性反应性。在现实生活中观察到的SR和NA之间的相互动态关系强调了注意控制缺陷在维持情绪失调中的作用。针对SR的干预可能会破坏这种适应不良的循环,减少焦虑脆弱性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Bidirectional Dynamics Between Stress-Reactive Rumination and Negative Affect: Evidence From a Multimethods Study in Individuals With High Trait Anxiety

Bidirectional Dynamics Between Stress-Reactive Rumination and Negative Affect: Evidence From a Multimethods Study in Individuals With High Trait Anxiety

Background: Stress-reactive rumination (SR)—the tendency to repetitively think about stressors—has been proposed as a key cognitive mechanism linking trait anxiety to persistent negative affect (NA). However, the dynamic and context-dependent nature of this relationship remains unclear. This study employed a multimethod experimental design to investigate the manifestation of SR in individuals with high trait anxiety (HTA) across different contexts and to examine whether SR and NA demonstrate a bidirectional predictive relationship over time.

Methods: A total of 62 participants (31 with high and 31 with low trait anxiety (LTA), respectively) completed a 14-day ecological momentary assessment (EMA) four times/day to record dynamic fluctuations in SR and NA over time in daily life. Afterward, participants underwent the Trier social stress test (TSST) to examine SR and NA responses under acute laboratory stress. Cross-lagged models assessed temporal associations between SR and NA in both contexts.

Results: EMA data showed that individuals with HTA reported significantly higher SR and NA than their low anxiety counterparts (p < 0.001). Cross-lagged analyses revealed a significant bidirectional predictive relationship between SR and NA, although this relationship was present only in the HTA group (SR → NA: b = 0.159, p < 0.001; NA → SR: b = 0.072, p = 0.038). In the laboratory, SR and NA were successfully induced by stress, particularly in the HTA group (p < 0.001), but cross-lagged effects were not observed.

Conclusions: In individuals with HTA, SR demonstrates both persistence and context-dependent reactivity. The observed reciprocal dynamics between SR and NA in real-life settings underscore the role of attentional control deficits in maintaining emotional dysregulation. Interventions targeting SR may disrupt this maladaptive cycle and reduce anxiety vulnerability.

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来源期刊
Depression and Anxiety
Depression and Anxiety 医学-精神病学
CiteScore
15.00
自引率
1.40%
发文量
81
审稿时长
4-8 weeks
期刊介绍: Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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