积极的力量:通过积极的效价治疗焦虑或抑郁,探索情感和社会变化过程

Madeleine Rassaby , Samantha N. Adams , Murray B. Stein , Charles T. Taylor
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引用次数: 0

摘要

目的社交脱节是焦虑或抑郁患者常见的致残症状,但在治疗研究中仍未得到充分探讨。社会脱节的潜在机制包括负效价系统激活的增强(负性情感[NA]和对社会威胁的敏感性增加)和正效价系统激活的减弱(正性情感[PA]和对社会奖励的敏感性降低)。更好地了解在整个治疗过程中情感的变化是否以及如何与社会联系相关,可能会为补救的目标提供信息。本研究在具有临床显著的焦虑或抑郁、社会联系和功能受损的个体中解决了这个问题,这些个体完成了积极的价值导向的社会心理干预,即积极性放大(AMP)。方法使用两项试验(NCT03196544; NCT049452390)的数据进行二次分析,其中98名参与者随机分配到AMP。纵向交叉滞后面板模型,考虑自回归,检验了在整个治疗过程中,PA和NA(同时输入)之间的人际关系,时间依赖性关系以及随后的社会联系(孤独和友谊)(目的1)。反向模型检验了连通性与随后的PA和NA之间的关系(目的2)。一项探索性分析用焦虑和抑郁症状代替了NA。结果高PA预示着在接下来的时间点对友谊和孤独感的感知更强;当与PA同时检查时,NA与两种结果均无显著相关性。更大的感知友谊预测更高的后续PA;孤独的影响不显著。友谊和孤独水平都不能预测随后的NA。在探索性症状模型中观察到相同的模式,除了较低的焦虑(以及较高的PA)预测较低的后续孤独感。结论在整个治疗过程中,较高的PA(而非NA)预示着更高的后续感知友谊和更低的孤独感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The power of positivity: Exploring affective and social processes of change throughout a positive valence treatment for anxiety or depression

Objective

Social disconnection is common and disabling in persons with anxiety or depression, yet remains underexplored in treatment research. Proposed mechanisms underlying social disconnection include heightened negative valence system activation (increased negative affect [NA] and sensitivity to social threats) and diminished positive valence system activation (reduced positive affect [PA] and sensitivity to social rewards). Better understanding whether and how changes in affect relate to social connectedness throughout treatment may inform targets for remediation. This study addressed this question among individuals with clinically significant anxiety or depression and impaired social connectedness and functioning who completed a positive valence-targeted psychosocial intervention, Amplification of Positivity (AMP).

Method

A secondary analysis was conducted using data from two trials (NCT03196544; NCT049452390), comprising 98 participants randomized to AMP. Longitudinal cross-lagged panel models, accounting for autoregression, examined the within-person, time-dependent relationships between PA and NA (entered concurrently) and subsequent social connectedness (loneliness and friendship) throughout treatment (Aim 1). Reverse models examined the relationships between connectedness and subsequent PA and NA (Aim 2). An exploratory analysis substituted anxiety and depressive symptoms for NA.

Results

Higher PA predicted greater perceptions of friendship and lower loneliness at the following time point; NA was not significantly related to either outcome when examined concurrently with PA. Greater perceived friendship predicted higher subsequent PA; the effect of loneliness was non-significant. Neither friendship nor loneliness levels predicted subsequent NA. The same patterns were observed in exploratory symptom models, except lower anxiety (as well as higher PA) predicted lower subsequent loneliness.

Conclusions

Higher PA (but not NA) predicted greater subsequent perceived friendship and lower loneliness throughout treatment.
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来源期刊
Journal of mood and anxiety disorders
Journal of mood and anxiety disorders Applied Psychology, Experimental and Cognitive Psychology, Clinical Psychology, Psychiatry and Mental Health, Psychology (General), Behavioral Neuroscience
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