Emotion regulation as a moderator of the interplay between self-reported and physiological stress and paranoia
Emotion regulation as a moderator of the interplay between self-reported and physiological stress and paranoia
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DOI：
10.1016/j.eurpsy.2017.12.002
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发表时间：
2018-03-01
影响因子：
7.8
通讯作者：
Lincoln, Tania M.
中科院分区：
文献类型：
--
作者：
Krkovic, Katarina;Krink, Stephanie;Lincoln, Tania M.
经验抽样法（ESM）研究发现日常压力和偏执症状之间存在关联，但不确定这些发现是否适用于压力的生理指标。此外，关联的时间性及其调节因素需要进一步研究。在这里，我们调查是否生理和自我评定的日常压力预测随后的偏执症状和分析的作用，情绪调节作为一个假定的调解人。我们应用ESM在24小时内反复评估心率，自评压力，和亚临床偏执狂的样本中的67个精神病倾向的个人与精神病经验的社区评估（CAPE）测量。采用情绪调节技能问卷（ERSQ-ES）和认知情绪调节问卷（CERQ）在基线时评估适应性和适应不良情绪调节。采用线性混合模型对数据进行分析。心率（B = 0.004，p < 0.05）和自我评定的压力（B = 0.238，p < 0.001）预测随后的偏执狂。相反的影响，偏执狂作为随后心率的预测因子（B = 0.230，p = 0.615）或自我应激（B =-0.009，p = 0.751）不显著。适应不良的情绪调节是偏执狂的一个重要预测因子（B = 0.740，p < 0.01），并且调节了从自评压力到偏执狂的路径（B = 0.188，p < 0.05），但没有调节从心率到偏执狂的路径（B = 0.005，p = 0.09）。我们的研究结果表明，日常压力和偏执狂之间存在单向的时间联系，并强调了情绪调节作为与此过程相关的脆弱性因素的重要性。(c)2017 Elsevier Masson SAS。All rights reserved.
Experience sampling method (ESM) studies have found an association between daily stress and paranoid symptoms, but it is uncertain whether these findings generalize to physiological indicators of stress. Moreover, the temporality of the association and its moderating factors require further research. Here, we investigate whether physiological and self-rated daily stress predict subsequent paranoid symptoms and analyze the role of emotion regulation as a putative moderator. We applied ESM during 24 h to repeatedly assess heart rate, self-rated stress, and subclinical paranoia in a sample of 67 psychosis-prone individuals as measured with Community Assessment for Psychotic Experiences (CAPE). Adaptive and maladaptive emotion regulation was assessed at baseline with the Emotion Regulation Skills Questionnaire (ERSQ-ES) and the Cognitive Emotion Regulation Questionnaire (CERQ). Linear mixed models were used to analyze the data. Heart rate (b = 0.004, p < 0.05) and self-rated stress (b = 0.238, p < 0.001) predicted subsequent paranoia. The reverse effect, paranoia as a predictor of subsequent heart rate (b = 0.230, p = 0.615) or selfrated stress (b = -0.009, p = 0.751) was non-significant. Maladaptive emotion regulation was a significant predictor of paranoia (b = 0.740, p < 0.01) and moderated the path from self-rated stress to paranoia (b = 0.188, p < 0.05) but not the path from heart rate to paranoia (b = 0.005, p = 0.09). Our findings suggest a one-way temporal link between daily stress and paranoia and highlight the importance of emotion regulation as a vulnerability factor relevant to this process. (c) 2017 Elsevier Masson SAS. All rights reserved.