Emotional Regulation and Depression: A Potential Mediator between Heart and Mind.
Emotional Regulation and Depression: A Potential Mediator between Heart and Mind.
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DOI：
10.1155/2014/324374
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发表时间：
2014-01-01
期刊：
影响因子：
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通讯作者：
Marconi, Chiara
中科院分区：
文献类型：
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作者：
Compare, Angelo;Zarbo, Cristina;Marconi, Chiara
对情绪调节与抑郁之间关系的主要证据进行了叙述性回顾。文献表明，情绪调节在抑郁症和躯体疾病的发展中起着中介作用。事实上，文献表明，适应性情绪调节策略的使用(例如，重新评估)可以减少压力引发的情绪，从而导致身体障碍。相反，功能失调的情绪调节策略，特别是沉思和情绪抑制，似乎在抑郁症和生理性疾病的发病机制中具有影响。更具体地说，证据表明，抑郁和沉思影响认知(例如，处理负面信息的能力受损)和神经生物学机制(例如，下丘脑-垂体-肾上腺轴过度激活和更高的皮质醇生成率)。了解控制不同人在压力下经历的各种健康结果的因素对于开发有效的情绪调节干预方法(例如，基于正念的治疗、情绪集中治疗和情绪调节治疗)具有重要意义。
A narrative review of the major evidence concerning the relationship between emotional regulation and depression was conducted. The literature demonstrates a mediating role of emotional regulation in the development of depression and physical illness. Literature suggests in fact that the employment of adaptive emotional regulation strategies (e.g., reappraisal) causes a reduction of stress-elicited emotions leading to physical disorders. Conversely, dysfunctional emotional regulation strategies and, in particular, rumination and emotion suppression appear to be influential in the pathogenesis of depression and physiological disease. More specifically, the evidence suggests that depression and rumination affect both cognitive (e.g., impaired ability to process negative information) and neurobiological mechanisms (e.g., hypothalamic pituitary adrenal axis overactivation and higher rates of cortisol production). Understanding the factors that govern the variety of health outcomes that different people experience following exposure to stress has important implications for the development of effective emotion-regulation interventional approaches (e.g., mindfulness-based therapy, emotion-focused therapy, and emotion regulation therapy).