Extreme sensory processing patterns show a complex association with depression, and impulsivity, alexithymia, and hopelessness
Extreme sensory processing patterns show a complex association with depression, and impulsivity, alexithymia, and hopelessness
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DOI：
10.1016/j.jad.2016.12.019
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发表时间：
2017-03-01
影响因子：
6.6
通讯作者：
Engel-Yeger, Batya
中科院分区：
文献类型：
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作者：
Serafini, Gianluca;Gonda, Xenia;Engel-Yeger, Batya
简介：极端感觉处理模式、冲动性、述情障碍和绝望感的参与被假设为导致重度抑郁症和双相情感障碍的复杂病理生理学。然而，这些变量之间的关系的性质还没有得到彻底的调查。目的：本研究旨在探讨极端的感觉处理模式，冲动，述情障碍，抑郁症，和hopeless.Methods之间的关联：我们招募了281 euthymic参与者（平均年龄=47.4 +/- 12.1），其中62.3%的单相抑郁症和37.7%的双相情感障碍。所有参与者完成了青少年/成人感觉特征（AASP），多伦多述情障碍量表（TAS-20），贝克抑郁量表（BDI-II），Barratt冲动量表（BIS），贝克绝望量表（BHS）的第二版。它在绝望程度升高的参与者中更常见，占抑郁严重程度方差的22%，更冲动的15%，述情障碍的36%和绝望的3%。感觉寻求的提高与运动冲动性的增强和非计划冲动性的降低相关。更高的感官敏感性和感官回避与抑郁症，冲动性，述情障碍。局限性：这项研究是有限的样本量相对较小，横截面性质的研究。此外，只有自我报告的措施，可能是潜在的偏见社会desirations.Conclusion：极端的感觉处理模式，冲动，述情障碍，抑郁症，绝望可能会显示出一个特征性的模式，在患者的主要情感障碍。仔细评估的感觉配置文件可能有助于制定有针对性的干预措施，并改善功能/适应性策略。
Introduction: The involvement of extreme sensory processing patterns, impulsivity, alexithymia, and hopelessness was hypothesized to contribute to the complex pathophysiology of major depression and bipolar disorder. However, the nature of the relation between these variables has not been thoroughly investigated. Aims: This study aimed to explore the association between extreme sensory processing patterns, impulsivity, alexithymia, depression, and hopelessness.Methods: We recruited 281 euthymic participants (mean age=47.4 +/- 12.1) of which 62.3% with unipolar major depression and 37.7% with bipolar disorder. All participants completed the Adolescent/Adult Sensory Profile (AASP), Toronto Alexithymia Scale (TAS-20), second version of the Beck Depression Inventory (BDI-II), Barratt Impulsivity Scale (BIS), and Beck Hopelessness Scale (BHS).Results: Lower registration of sensory input showed a significant correlation with depression, impulsivity, attentional/motor impulsivity, and alexithymia. It was significantly more frequent among participants with elevated hopelessness, and accounted for 22% of the variance in depression severity, 15% in greater impulsivity, 36% in alexithymia, and 3% in hopelessness. Elevated sensory seeking correlated with enhanced motor impulsivity and decreased non-planning impulsivity. Higher sensory sensitivity and sensory avoiding correlated with depression, impulsivity, and alexithymia.Limitations: The study was limited by the relatively small sample size and cross-sectional nature of the study. Furthermore, only self-report measures that may be potentially biased by social desirability were used.Conclusion: Extreme sensory processing patterns, impulsivity, alexithymia, depression, and hopelessness may show a characteristic pattern in patients with major affective disorders. The careful assessment of sensory profiles may help in developing targeted interventions and improve functional/adaptive strategies.