Emotion Dysregulation and Negative Affect: Association With Psychiatric Symptoms
Emotion Dysregulation and Negative Affect: Association With Psychiatric Symptoms
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DOI：
10.4088/jcp.10m06409blu
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发表时间：
2011-05-01
影响因子：
5.3
通讯作者：
Westen, Drew
中科院分区：
文献类型：
--
作者：
Bradley, Bekh;DeFife, Jared A.;Westen, Drew
目的：越来越多的研究集中在情绪失调的发展和相关性上，或者说是调节强烈和变化的情绪状态的能力的缺陷。目前的精神病理学模型已经纳入了情绪失调的结构，表明其独特的和互动的贡献沿着童年的破坏性经验和负面影响，在产生症状性的痛苦。一些研究人员认为，情绪失调只是高负面情绪的一种变体。本研究的目的是评估的结构和增量有效性自我报告的情绪失调以上和儿童创伤和负面影响预测范围的psychopathology.Method：530个人年龄在18至77岁（62%女性）被招募从等候区的一般医疗和产科/妇科诊所在亚特兰大，格鲁吉亚的城市公立医院。参与者完成了一系列通过访谈获得的自我报告措施，包括儿童创伤问卷，积极和消极的情感时间表和情绪失调量表。回归分析研究了这些自我报告的童年创伤经历，负面影响和情绪失调的测量与同时结构化的访谈为基础的精神痛苦和自我毁灭行为的历史测量的独特和增量的关联。这些措施包括临床医生管理的创伤后应激障碍量表，酒精使用障碍识别测试，短期药物滥用筛选测试，贝克抑郁量表，和全球适应功能量表的纵向间隔随访评估。结果：年龄、性别、童年创伤、负性情感、情绪失调等因素对儿童心理健康的影响有显著性差异（P
Objective: A growing body of research focuses on the development and correlates of emotion dysregulation, or deficits in the ability to regulate intense and shifting emotional states. Current models of psychopathology have incorporated the construct of emotion dysregulation, suggesting its unique and interactive contributions, along with childhood disruptive experiences and negative affect, in producing symptomatic distress. Some researchers have suggested that emotion dysregulation is simply a variant of high negative affect. The aim of this study was to assess the construct and incremental validity of self-reported emotion dysregulation over and above childhood trauma and negative affect in predicting a range of psychopathology.Method: Five hundred thirty individuals aged 18 to 77 years (62% female) were recruited from the waiting areas of the general medical and obstetric/gynecologic clinics in an urban public hospital in Atlanta, Georgia. Participants completed a battery of self-report measures obtained by interview, including the Childhood Trauma Questionnaire, the Positive and Negative Affect Schedule, and the Emotion Dysregulation Scale. Regression analyses examined the unique and incremental associations of these self-report measurements of childhood traumatic experiences, negative affect, and emotion dysregulation with concurrent structured interview-based measurements of psychiatric distress and history of self-destructive behaviors. These measures included the Clinician-Administered PTSD Scale, the Alcohol Use Disorders Identification Test, the Short Drug Abuse Screening Test, the Beck Depression Inventory, and the Global Adaptive Functioning Scale from the Longitudinal Interval Follow-Up Evaluation. The presented data were collected between 2005 and 2009.Results: Regression models including age, gender, childhood trauma, negative affect, and emotion dysregulation were significantly (P