Emotional reactivity to daily life stress in psychosis and affective disorder: an experience sampling study
Emotional reactivity to daily life stress in psychosis and affective disorder: an experience sampling study
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DOI：
10.1034/j.1600-0447.2003.02025.x
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发表时间：
2003-02-01
影响因子：
6.7
通讯作者：
van Os, J
中科院分区：
文献类型：
--
作者：
Myin-Germeys, I;Peeters, F;van Os, J
目的：探讨非情感性精神病（NAP）、双相情感障碍（BD）和重度抑郁症（MDD）患者对日常生活中小干扰的情绪反应。方法：采用经验抽样法对42例NAP患者、38例BD患者、46例MDD患者和49例健康对照进行评估(i)日常生活小干扰的主观应激评价（ii）积极情绪（PA）和消极情绪（NA）变化所反映的情绪反应。结果：与对照组相比，多水平回归分析显示，与主观应激情境相比，MDD组NA升高，BD组PA降低，NAP组NA升高和PA降低。结论：NAP、MDD和BD患者的情绪应激反应存在差异。心境障碍类型可能对MDD和BD患者的情绪反应产生致病作用。NAP患者可能最容易受到日常生活压力的影响。
Objective: To investigate the emotional reactivity to small disturbances in daily life in patients with non-affective psychosis (NAP), bipolar disorder (BD) and major depression [major depressive disorder (MDD)].Method: Forty-two patients with NAP, 38 with BD, 46 with MDD, and 49 healthy controls were studied with the experience sampling method to assess (i) appraised subjective stress of small disturbances in daily life and (ii) emotional reactivity, reflected in changes in positive affect (PA) and negative affect (NA).Results: Multilevel regression analyses showed an increase in NA in MDD, a decrease in PA in BD and both an increase in NA and a decrease in PA in NAP in association with the subjectively stressful situations, compared with the control subjects.Conclusion: Individuals with NAP, MDD and BD display differences in emotional stress reactivity. Type of mood disorder may exert a pathoplastic effect on emotional reactivity in individuals with MDD and BD. Individuals with NAP may be most vulnerable to the effects of daily life stress.