Relating psychiatric symptoms and self-regulation during the COVID-19 crisis.
Relating psychiatric symptoms and self-regulation during the COVID-19 crisis.
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DOI：
10.1038/s41398-022-02030-9
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发表时间：
2022-07-11
影响因子：
6.8
通讯作者：
Poldrack, Russell A.
中科院分区：
文献类型：
--
作者：
Vaghi, Matilde M.;Hagen, McKenzie P.;Jones, Henry M.;Mumford, Jeanette A.;Bissett, Patrick G.;Poldrack, Russell A.
自我调节的中断是许多精神疾病的一个标志。在这里，我们研究了精神病理学的跨诊断维度与COVID-19大流行早期自我调节变化之间的关系。我们在训练数据集中对大量认知任务和自我报告调查使用了数据驱动的方法。然后，我们在一个独立的人群样本（N = 102）中推导了自我调节和精神功能的测量方法，在COVID-19大流行爆发前后进行了测试，当时的限制对心理健康构成威胁，并迫使人们灵活地适应日常生活的变化。我们发现精神病理学的跨诊断维度与使用扩散决策模型定义的自我调节特定领域的纵向改变之间存在独立的关系。与大流行发生之前的时期相比，与焦虑和抑郁有关的症状维度的特点是行为更加谨慎，在做出决定之前需要积累更多证据。相反，社交退缩与更快的非决策过程有关。自我调节的自我报告测量同时和前瞻性地预测了精神病学症状的差异，揭示了与精神病学单独的跨诊断维度相关的心理维度，但任务没有。综上所述，我们的研究结果表明，面对现实生活中的压力源，有潜在精神障碍的人在自我调节领域存在潜在的认知脆弱性。更一般地说，他们还建议，认知研究需要考虑到现实世界事件的动态性质，以及随着时间的推移，主体内部的可变性。
Disruptions of self-regulation are a hallmark of numerous psychiatric disorders. Here, we examine the relationship between transdiagnostic dimensions of psychopathology and changes in self-regulation in the early phase of the COVID-19 pandemic. We used a data-driven approach on a large number of cognitive tasks and self-reported surveys in training datasets. Then, we derived measures of self-regulation and psychiatric functioning in an independent population sample (N = 102) tested both before and after the onset of the COVID-19 pandemic, when the restrictions in place represented a threat to mental health and forced people to flexibly adjust to modifications of daily routines. We found independent relationships between transdiagnostic dimensions of psychopathology and longitudinal alterations in specific domains of self-regulation defined using a diffusion decision model. Compared to the period preceding the onset of the pandemic, a symptom dimension related to anxiety and depression was characterized by a more cautious behavior, indexed by the need to accumulate more evidence before making a decision. Instead, social withdrawal related to faster non-decision processes. Self-reported measures of self-regulation predicted variance in psychiatric symptoms both concurrently and prospectively, revealing the psychological dimensions relevant for separate transdiagnostic dimensions of psychiatry, but tasks did not. Taken together, our results are suggestive of potential cognitive vulnerabilities in the domain of self-regulation in people with underlying psychiatric difficulties in face of real-life stressors. More generally, they also suggest that the study of cognition needs to take into account the dynamic nature of real-world events as well as within-subject variability over time.
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