Emotional intensity reduces later generalized anxiety disorder symptoms when fear of anxiety and negative problem-solving appraisal are low
Emotional intensity reduces later generalized anxiety disorder symptoms when fear of anxiety and negative problem-solving appraisal are low
复制标题
当对焦虑的恐惧和解决问题的消极评价较低时，情绪强度会减轻后来的广泛性焦虑症症状
DOI：
10.1016/j.brat.2015.05.015
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发表时间：
2015
影响因子：
4.1
通讯作者：
Y.
中科院分区：
文献类型：
--
作者：
Sugiura;T.;& Sugiura;Y.
虽然基于情绪失调模型的研究表明，强烈的情绪与广泛性焦虑症(GAD)症状之间存在正相关关系，但以情绪为重点的干预涉及使用技术来增强情绪体验，其基础是GAD患者采用回避策略的概念。为了揭示强烈情绪导致GAD症状减轻的条件，我们设计了一项纵向研究，以监测学生(N？129)在3个月内GAD症状的变化。我们的重点放在情绪强度影响的可能调节因素上。结果表明，当对情绪的恐惧和对解决问题的负面评价较低时，负性情绪强度会减轻后来的GAD症状。而且，在高责任感持续思考的条件下，情绪强度有减轻后期GAD症状的趋势。结果表明，减少对情绪的恐惧，减少对解决问题的负面评价，可能会增强情绪处理技术的使用(例如，情绪暴露)。持续思考的责任感和情绪强度之间的相互作用需要进一步研究。由爱思唯尔有限公司出版。这是一篇CC BY-NC-ND许可证(http://creativecommons.)下的开放获取文章广泛性焦虑症(GAD)使人虚弱，难以治疗，其特点是长期、普遍和无法控制的担忧(Andrews等人，2010年)。尽管有证据支持认知行为疗法(CBT)在治疗广泛性AD方面的有效性，但仍有改进的空间(元分析，见Cuijpers等人，2014；Hanrahan，field，Jones，&Davey，2013)。因此，有必要进一步了解病因学过程，特别是在研究与情绪相关的机制方面，因为尽管最近的理论建议了增强情绪处理的技术(Borkovec&Sharpless，2004；Mennin，2006)，但关于担忧和情绪在广泛性AD中的作用，存在相当大的理论辩论，这意味着在治疗中暴露的最佳目标并不总是明确的(Newman&Llera，2011)。
While research based on the emotion dysregulation model indicates a positive relationship between intense emotions and generalized anxiety disorder (GAD) symptoms, emotion-focused intervention involves the use of techniques to enhance emotional experiences, based on the notion that GAD patients are engaging in avoidance strategies. To reveal the conditions under which intense emotions lead to reduced GAD symptoms, we designed a longitudinal study to monitor changes in GAD symptoms among students (N ¼ 129) over 3 months. Our focus was on possible moderators of the effect of emotional intensity. Results indicated that when fear of emotions and negative appraisals about problem solving were low, negative emotional intensity reduced later GAD symptoms. Moreover, under the condition of high responsibility to continue thinking, emotional intensity tended to reduce later GAD symptoms. Results suggest that reduced fear of emotions and reduced negative appraisals about problem solving may enhance the use of emotional processing techniques (eg, emotional exposure). The interaction between responsibility to continue thinking and emotional intensity requires further examination.© 2015 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons. org/licenses/by-nc-nd/4.0/).Generalized anxiety disorder (GAD) is debilitating and difficult to treat, and is characterized by long-lasting, pervasive, and uncontrollable worrying (Andrews et al., 2010). Although there is evidence supporting the efficacy of cognitive behavioral therapy (CBT) in treating GAD, there is room for improvement (for a metaanalysis, see Cuijpers et al., 2014; Hanrahan, Field, Jones, & Davey, 2013). Therefore, further understanding of the etiological process is required, especially with regard to investigating mechanisms related to emotions, because although techniques for enhancing emotional processing are recommended in recent theories (Borkovec & Sharpless, 2004; Mennin, 2006), there is considerable theoretical debate over the function of worry and emotion in GAD, which means that the optimal target of exposure in treatment is not always clear (Newman & Llera, 2011).