Cognitive and Interpersonal Moderators of Daily Co-Occurrence of Anxious and Depressed Moods in Generalized Anxiety Disorder.
Cognitive and Interpersonal Moderators of Daily Co-Occurrence of Anxious and Depressed Moods in Generalized Anxiety Disorder.
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广泛性焦虑症中焦虑和抑郁情绪日常共现的认知和人际调节因素。
DOI：
10.1007/s10608-011-9434-3
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发表时间：
2012
影响因子：
2.8
通讯作者：
Davila,Joanne
中科院分区：
文献类型：
--
作者：
Starr,LisaR;Davila,Joanne
焦虑和抑郁在疾病和症状水平上同时发生，并且在焦虑症中，日常焦虑情绪的波动在时间上与抑郁情绪的波动相对应。然而，对于哪些因素或条件最有可能同时出现焦虑和抑郁症状，人们知之甚少。目前的研究调查了认知因素（日常沉思和关于焦虑症状的认知归因）和人际功能（日常感知的拒绝、支持、批评和人际问题）作为焦虑和抑郁情绪之间日常关联的调节因素的作用。 55 名患有广泛性焦虑症的人完成了为期 21 天的日记，评估日常情绪以及认知和人际功能。当参与者反思自己的焦虑或更加消极地看待焦虑症状时，焦虑和抑郁情绪的评级之间的关联更为密切。此外，当参与者报告更严重的人际问题和更明显的拒绝时，焦虑情绪预示着后来的抑郁情绪。结果表明，认知和人际因素可能会增加焦虑抑郁同时发生的可能性。
Anxiety and depression co-occur, both at the disorder and symptom levels, and within anxiety disorders, fluctuations in daily anxious mood correspond temporally to fluctuations in depressed mood. However, little is known about the factors or conditions under which anxiety and depressive symptoms are most likely to co-occur. The current study investigated the role of cognitive factors (daily rumination and cognitive attributions about anxiety symptoms) and interpersonal functioning (daily perceived rejection, support, criticism, and interpersonal problems) as moderators of the daily association between anxious and depressed moods. Fifty-five individuals with generalized anxiety disorder completed a 21-day diary assessing daily mood and cognitive and interpersonal functioning. Ratings of anxious and depressed mood were more closely associated on days when participants ruminated about their anxiety or viewed anxiety symptoms more negatively. Furthermore, anxious mood predicted later depressed mood on days when participants reported greater interpersonal problems and more perceived rejection. Results suggest that cognitive and interpersonal factors may elevate the likelihood of anxiety-depression co-occurrence.