Affective reactivity to daily life stress: Relationship to positive psychotic and depressive symptoms in a general population sample
Affective reactivity to daily life stress: Relationship to positive psychotic and depressive symptoms in a general population sample
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DOI：
10.1016/j.jad.2017.08.051
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发表时间：
2018-01-01
影响因子：
6.6
通讯作者：
Wigman, Johanna T. W.
中科院分区：
文献类型：
--
作者：
Booij, Sanne H.;Snippe, Evelien;Wigman, Johanna T. W.
简介：对日常生活压力的情感反应增加已在精神病和抑郁症患者中发现，以及那些有这些疾病风险的人。由于抑郁和精神病症状经常同时出现，这些疾病中情感反应性的增加可以解释为抑郁症状，精神病症状或两者兼而有之。因此，我们研究是否情感反应日常压力与积极的精神病症状，独立的抑郁症状，反之亦然。方法：我们使用的数据从一个密集的抽样研究在一般人群（n = 411），每天三次测量（t = 90）。评估了以下主观压力源：活动评价、社会交往评价和身体不适。情感反应被定义为对这些压力的积极情感（PA）和消极情感（NA）反应。通过混合模型分析，它被检查是否情感反应是独立相关的抑郁和/或阳性psychotic symptoms.Results：PA反应的活动和NA反应的社会交往分别呈负相关和正相关的抑郁症状，独立的精神病性症状。与此相反，没有（在）依赖协会被发现之间的积极精神病症状和情感反应的任何日常生活的压力。这些发现在症状增加的子样本中得到证实。局限性：阳性精神病性症状的患病率相对较低，在这个一般人群sample.Conclusions：增加情感反应预测抑郁症状，但不是积极的精神病性症状。情感反应仍然可能通过其对抑郁症状的影响促进精神病性精神障碍的发展。
Introduction: Increased affective reactivity to daily life stress has been found in individuals with psychosis and depression, and in those at risk for these conditions. Because depressive and psychotic symptoms often co-occur, increased affective reactivity in these disorders may be explained by the presence of depressive symptoms, psychotic symptoms, or both. Therefore, we examined whether affective reactivity to daily stress is related to positive psychotic symptoms, independently of depressive symptoms, and vice versa.Methods: We used data from an intensive sampling study in the general population (n = 411), with three measurements a day (t = 90). The following subjective stressors were assessed: appraisal of activities, appraisal of social interactions, and experienced physical discomfort. Affective reactivity was conceptualized as both the positive affect (PA) and negative affect (NA) response to these stressors. By means of mixed model analyses, it was examined whether affective reactivity was independently related to depressive and/or positive psychotic symptoms.Results: The PA response to activities and NA response to social interactions were negatively and positively related to depressive symptoms, respectively, independent of psychotic symptoms. In contrast, no (in) dependent association was found between positive psychotic symptoms and affective reactivity to any of the daily life stressors. These findings were confirmed in a subsample with increased symptoms. Limitations: The prevalence of positive psychotic symptoms was relatively low in this general population sample.Conclusions: Increased affect reactivity predicts depressive symptoms, but not positive psychotic symptoms. Affective reactivity may still facilitate the development of psychotic symptomatology via its impact on depressive symptoms.