Effectiveness of emotion regulation in daily life in individuals with psychosis and nonclinical controls-An experience-sampling study.

Effectiveness of emotion regulation in daily life in individuals with psychosis and nonclinical controls-An experience-sampling study.
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精神病患者日常生活中情绪调节的有效性和非临床对照——一项经验抽样研究

DOI:
10.1037/abn0000505
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发表时间:
2020
影响因子:
4.6
通讯作者:
Lincoln
Lincoln
中科院分区:
心理学1区
文献类型:
--
作者:
Ludwig;Krkovic;Lincoln

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与非临床对照组(NC)相比,精神病患者报告采用更多的适应不良和更少的适应性情绪调节(ER)策略。然而,目前尚不清楚这是否可以预测日常生活中经历的情感,以及精神病患者在日常生活中使用ER策略的频率和有效性是否较低。患有精神病和当前妄想(PD; n= 71)和NC(n= 42)的个体连续6天完成了习惯性ER和经验采样的问卷,其中他们每天报告10次消极和积极影响的存在以及ER策略的部署(重新评估,接受,意识,抑制,反刍,分心和社会分享)。策略使用的有效性是通过检查积极和消极影响的连续差异来操作的。进行多水平回归分析。习惯性ER量表在很大程度上预测了日常生活中的情感。有迹象表明,更频繁地使用pupelessly适应不良的策略,但无论是在个人的适应策略没有差异,甚至更频繁地使用(重新评估)相比,在PD NC。几种ER策略(例如,重新评价,反刍)被证明有效地减少了下一个提示,独立于组的负面影响,但抑制是有效的,只有PD和接受在两组都有不利的影响。因此,PD表现出在日常生活中更多地使用ER策略,其中大多数有助于他们减少负面影响。这表明,他们的负面影响水平的增加是无法解释的困难,在部署明确的ER战略。
Individuals with psychosis report employing more maladaptive and less adaptive emotion regulation (ER) strategies compared to nonclinical controls (NCs). However, it is unknown whether this is predictive of affect experienced in daily life and whether ER strategies are used less frequently and effectively by individuals with psychosis in daily life. Individuals with psychosis and current delusions (PDs; n= 71) and NCs (n= 42) completed questionnaires of habitual ER and experience sampling over 6 consecutive days, in which they reported 10 times a day on the presence of negative and positive affect and deployment of ER strategies (reappraisal, acceptance, awareness, suppression, rumination, distraction, and social sharing). Effectiveness of strategy use was operationalized by examining successive differences in positive and negative affect. Multilevel regression analyses were conducted. Questionnaires of habitual ER were largely predictive of affect in daily life. There was indication of a more frequent use of putatively maladaptive strategies but either no differences in individual adaptive strategies or even a more frequent use (reappraisal) in PDs compared to NCs. Several ER strategies (eg, reappraisal, rumination) proved effective in reducing negative affect by the next prompt, independent of group, but suppression was effective in only PDs and acceptance had unfavorable effects in both groups. Thus, PDs demonstrated an increased use of ER strategies in daily life, of which the majority helped them to reduce negative affect. This indicates that their increased levels of negative affect are not explicable by difficulties in deploying explicit ER strategies.
精神分裂症和双相情感障碍的负面影响的认知调节
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