Emotion Regulation in Depression: The Role of Biased Cognition and Reduced Cognitive Control

Emotion Regulation in Depression: The Role of Biased Cognition and Reduced Cognitive Control
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DOI:
10.1177/2167702614536163
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发表时间:
2014-07-01
影响因子:
4.8
通讯作者:
Vanderlind, W. Michael
Vanderlind, W. Michael
中科院分区:
医学1区
文献类型:
--
作者:
Joormann, Jutta;Vanderlind, W. Michael

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持续的消极情感和体验积极情感的困难是重性抑郁症的标志性特征。最近的研究表明,情绪调节困难是重性抑郁症这些主要症状的核心;抑郁症患者表现出更频繁地使用适应不良的情绪调节和难以有效地实施适应性策略。然而,情绪调节困难的原因仍不清楚。抑郁症的认知理论有一个长期的传统,专注于认知因素,增加抑郁症的风险和维持抑郁发作,但认知和情感方面的严重抑郁症之间的联系仍有待探讨。我们认为,认知偏差和认知控制的缺陷与抑郁症的影响情绪调节的关键方式,从而为保持负面影响和减少积极影响的水平。最后,我们讨论了在这一领域的治疗和未来的研究方向的影响。
Sustained negative affect and difficulties experiencing positive affect are hallmark features of major depressive disorder. Recent research has suggested that difficulties in emotion regulation are at the core of these cardinal symptoms of major depressive disorder; depressed patients exhibit more frequent use of maladaptive emotion regulation and difficulties effectively implementing adaptive strategies. It remains unclear, however, what underlies these difficulties in emotion regulation. Cognitive theories of depression have a long tradition of focusing on cognitive factors that increase depression risk and maintain depressive episodes, but the link between cognitive and affective aspects of major depressive disorder remains to be explored. We propose that cognitive biases and deficits in cognitive control putatively associated with depression affect emotion regulation in critical ways, thereby setting the stage for maintained negative affect and diminished levels of positive affect. We close with a discussion of implications for treatment and future directions for research in this area.