Increased suppression of negative and positive emotions in major depression

Increased suppression of negative and positive emotions in major depression
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DOI:
10.1016/j.jad.2012.03.019
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发表时间:
2012-12-10
影响因子:
6.6
通讯作者:
Driessen, Martin
Driessen, Martin
中科院分区:
医学2区
文献类型:
--
作者:
Beblo, Thomas;Fernando, Silvia;Driessen, Martin

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背景:重性抑郁症(MDD)患者表现出更强的负性情绪抑制。情绪抑制与抑郁情绪、快感缺乏等抑郁症状有关。目前尚不清楚MDD患者是否也会抑制积极情绪。本研究旨在探讨抑郁症患者的负性和正性情绪抑制以及情绪抑制与抑郁症状的关系。方法:采用情绪接受问卷(Emotion Acceptance Questionnaire,EAQ)对39例MDD患者和41例健康对照者进行情绪抑制和情绪恐惧的调查。此外,我们采用了额外的问卷调查,以验证情绪抑制的结果,并评估抑郁症状。结果:抑郁症患者报告增加抑制的消极和积极的情绪。消极和积极情绪的抑制与抑郁症状有关。患者还报告了更多的恐惧情绪比健康的科目,这种恐惧与情绪抑制在两个研究samples.Limitations:由于横截面和相关性研究设计,测试变量之间的因果关系的方向不能states.Conclusions:恐惧情绪可能是一个原因,为什么抑郁症患者抑制情绪。关于积极的情绪,我们的研究结果强烈表明,治疗方法不仅应该鼓励患者参与潜在的愉快的情况下,但患者也可以受益于练习愉快的情绪津贴。(C)2012年爱思唯尔B。V.保留所有权利。
Background: Patients with major depression (MDD) show increased suppression of negative emotions. Emotion suppression is related to depressive symptoms such as depressive mood and anhedonia. It is not clear whether MDD patients also suppress positive emotions. In the present study we aim to investigate suppression of both negative and positive emotions in MDD patients as well as the relation between emotion suppression and depressive symptoms. In addition, we suggest that emotion suppression might be associated with fear of emotions.Methods: 39 MDD patients and 41 matched healthy control subjects were investigated for emotion suppression and fear of emotions with the Emotion Acceptance Questionnaire (EAQ). In addition, we applied additional questionnaires to validate emotion suppression findings and to assess depressive symptoms.Results: MDD patients reported increased suppression of both negative and positive emotions. Suppression of negative and positive emotions was related to depressive symptoms. Patients also reported more fear of emotions than healthy subjects and this fear was related to emotion suppression in both study samples.Limitations: Due to the cross-sectional and correlational study design, causal directions between the variables tested cannot be stated.Conclusions: Fear of emotion might be one reason why MDD patients suppress emotions. With regard to positive emotions, our results strongly suggest that therapeutic approaches should not only encourage patients to participate in potentially enjoyable situations but that patients may also benefit from practicing the allowance of pleasant emotions. (C) 2012 Elsevier B. V. All rights reserved.