Emotion processing in intermittent explosive disorder.
Emotion processing in intermittent explosive disorder.
复制标题
间歇性爆发性障碍的情绪处理。
DOI：
10.1016/j.psychres.2019.01.046
复制
发表时间：
2019
影响因子：
11.3
通讯作者：
McCloskey,MichaelS
中科院分区：
文献类型：
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作者：
Fahlgren,MarthaK;Puhalla,AlexanderA;Sorgi,KristenM;McCloskey,MichaelS
间歇性爆发性障碍（IED）是一种以情感攻击性爆发为特征的疾病，与情绪调节缺陷有关。然而，人们对简易爆炸装置中理解和处理情绪的具体缺陷知之甚少。这项研究试图通过检查简易爆炸装置患者的情绪处理成分（沉思、述情障碍和同理心）来填补这一空白。参与者完成了诊断访谈和自我报告措施，并被分为三个诊断组：IED (n=177)、精神病控制组 (PC;n=171) 和健康志愿者 (HV;n=144)。与 PC 或 HV 参与者相比，患有简易爆炸装置的参与者报告了更多的愤怒沉思，并且更难以识别自己的感受。有趣的是，患有 IED 的人比 HV 组的人表现出更高的情感共情得分，而其他组在共情测量方面没有差异。在患有简易爆炸装置的人中，愤怒沉思的增加和悲伤沉思的减少预示着一生中更大的攻击性，而悲伤沉思的增加则预示着生活质量较差。这些发现表明，尽管患有简易爆炸装置的人更难识别自己的情绪，但一旦他们识别出愤怒的感觉，他们就会比患有其他疾病的人花更多的时间专注于这种情绪。这些发现还表明认知干预技术可能对简易爆炸装置患者有益。
Intermittent explosive disorder (IED), a disorder characterized by outbursts of affective aggression, is associated with deficits in regulating emotions. However, less is known about specific deficits in understanding and processing emotions in IED. This study sought to fill that gap by examining components of emotion processing (rumination, alexithymia, and empathy) in those with IED. Participants completed diagnostic interviews and self-report measures, and were categorized into three diagnostic groups: IED (n= 177), Psychiatric Control (PC;n= 171), and Healthy Volunteer (HV;n= 144). Those with IED reported more anger rumination and greater difficulty identifying their feelings than PC or HV participants. Interestingly, those with IED reported higher affective empathy scores than those in the HV group, with no other group differences on measures of empathy. Amongst those with IED, increased anger rumination and decreased sadness rumination predicted greater lifetime aggression, while increased sadness rumination predicted poorer quality of life. These findings suggest that although those with IED have a harder time recognizing their emotions, once they identify feeling angry, they spend more time focused this emotion than those with other disorders. These findings also suggest that cognitive intervention techniques may be beneficial for those with IED.