An experimental study on the effectiveness of emotion regulation in patients with acute delusions
An experimental study on the effectiveness of emotion regulation in patients with acute delusions
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急性妄想症患者情绪调节有效性的实验研究
DOI：
10.1016/j.schres.2020.11.054
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发表时间：
2021
影响因子：
4.5
通讯作者：
Lincoln
中科院分区：
文献类型：
--
作者：
Ludwig;Lincoln
背景与健康对照组相比，精神病患者报告应用更多的适应不良和更少的适应性情绪调节（ER）策略。然而，很少有研究使用实验设计来调查ER的成功，并且手头的结果是模棱两可的。AimThis study investigated whether patients with delusions show problems in downregulating negative affect via cognitive ER-strategies.MethodPatients with schizophrenia spectrum disorders and acute delusions（n= 78）and healthy controlls（n= 41）were particularly in an ER-experiment，其中，他们被指示通过三种ER策略（重新评估，分心，接受）或不调节他们的情绪（控制条件）来下调焦虑和悲伤。以主观情绪强度和生理指标的变化来衡量ER成功结果我们发现ER策略的显著效果是在应用再评价策略和分心策略后主观情绪强度显著低于仅观察条件后（p < .001）。在接受策略中未发现该效应（p= 0.060）。没有ER策略与时间和组间的相互作用效应F（4.918，575.416）= 0.778，p = 0.564，p2partial = 0.007。在所有条件下，皮肤电导下降，从前到后regulation（p< .001）。在研究这一发现的相关临床意义之前，需要进一步研究来探索教学类型对ER成功的作用，以及研究结果在多大程度上可以推广到真实的生活环境。
BackgroundPatients with psychotic disorders report to apply more maladaptive and less adaptive emotion-regulation (ER) strategies compared to healthy controls. However, few studies have used experimental designs to investigate the success in ER and the results of those at hand are equivocal.AimThis study investigated whether patients with delusions show problems in downregulating negative affect via cognitive ER-strategies.MethodPatients with schizophrenia spectrum disorders and acute delusions (n= 78) and healthy controls (n= 41) took part in an ER-experiment, in which they were instructed to downregulate anxiety and sadness via three ER-strategies (reappraisal, distraction, acceptance) or not to regulate their emotions (control-condition). ER-success was measured as the change in subjective emotion-intensity and physiological indicators (skin conductance and heart rate) from before to after regulation and was analyzed with mixed-repeated-measures ANOVAs.ResultsWe found a significant effect of the ER-strategy in the sense that the subjective emotion-intensity was significantly lower after applying the reappraisal- and distraction-strategies than after the just view-condition (p's< .001). This effect was not found for the acceptance strategy (p= .060). There was no ER-strategy ∗ time ∗ group interaction-effectF(4.918, 575.416) = 0.778,p= .564,ƞ2partial= 0.007. In all conditions, skin conductance decreased from pre- to post regulation (p< .001).ConclusionOur results indicate that patients with acute delusions can successfully apply cognitive ER-strategies. Before pursuing the relevant clinical implications of this finding, further research is needed to explore the role that the type of instruction has on ER-success and the extent to which the findings can be generalized to real life settings.
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