The contributory role of worry in emotion generation and dysregulation in generalized anxiety disorder
The contributory role of worry in emotion generation and dysregulation in generalized anxiety disorder
复制标题
DOI：
10.1016/j.brat.2006.12.004
复制
发表时间：
2007-08-01
影响因子：
4.1
通讯作者：
Farach, Frank J.
中科院分区：
文献类型：
--
作者：
McLaughlin, Katie A.;Mennin, Douglas S.;Farach, Frank J.
焦虑在广泛性焦虑症(GAD)中的作用被认为是一种情绪体验的回避，先前的几项研究发现GAD的情绪调节缺陷。目前尚不清楚患有广泛性焦虑症的人是否在欣快期和积极情绪时期经历了更多的失调情绪，或者这些缺陷是否只发生在担忧时期。患有广泛性焦虑症(伴有或不伴有焦虑症)和非焦虑对照组的患者被随机分配接受焦虑、中性或放松诱导。在接受诱导后，所有参与者都观看了一段记录在案的引发悲伤的电影剪辑。在诱导期和电影片段之后检测情绪强度和情绪调节。研究结果显示，无论是否有焦虑症共生，焦虑状态下的广泛性焦虑症患者都比其他条件下的广泛性焦虑症患者和对照组参与者体验到更强烈的抑郁情绪。相比之下，焦虑的存在对情绪失调指数的影响似乎较小，与对照组相比，患有广泛性AD的参与者的情绪失调指数更大，但对焦虑或放松的背景影响基本不敏感。在观看电影之后，有或没有焦虑症的GAD参与者表现出比对照组更差的对情绪的理解、接受和管理。然而，接受和管理缺陷在同时患有广泛性焦虑症和共发焦虑症的个体中最为明显。对情绪在广泛性AD的概念化和治疗中的作用进行了讨论。(C)2007爱思唯尔有限公司。保留所有权利。
The role of worry in generalized anxiety disorder (GAD) has been posited to serve as an avoidance of emotional experience, and emotion regulation deficits in GAD have been found in several previous studies. It remains unclear whether those with GAD experience more dysregulated emotions during periods of euthymia and positive affect or whether these deficits occur only during periods of worry. Individuals with GAD (with and without co-occurring dysphoria) and non-anxious controls were randomly assigned to receive a worry, neutral, or relaxation induction. Following the induction, all participants viewed a film clip documented to elicit sadness. Intensity of emotions and emotion regulation were examined following the induction period and film clip. The results revealed that, regardless of co-occurring dysphoria, individuals with GAD in the worry condition experienced more intense depressed affect than GAD participants in the other conditions and controls participants. In contrast, presence of worry appeared to have less impact on indices of emotion dysregulation, which were greater in participants with GAD compared to controls, but largely insensitive to contextual effects of worry or of relaxation. Following film viewing, both GAD participants with and without dysphoria displayed poorer understanding, acceptance, and management of emotions than did controls. However, acceptance and management deficits were most pronounced in individuals with both GAD and co-occurring dysphoria. Implications for the role of emotions in conceptualization and treatment of GAD are discussed. (c) 2007 Elsevier Ltd. All rights reserved.