Cognitive regulation of negative affect in schizophrenia and bipolar disorder
Cognitive regulation of negative affect in schizophrenia and bipolar disorder
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精神分裂症和双相情感障碍的负面影响的认知调节
DOI：
10.1016/j.psychres.2013.02.021
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发表时间：
2013
影响因子：
11.3
通讯作者：
Melissa J. Green
中科院分区：
文献类型：
--
作者：
Jesseca E. Rowland;M. K. Hamilton;Bianca J. Lino;Patricia Ly;Kelsey Denny;Eun;P. Mitchell;V. Carr;Melissa J. Green
精神分裂症（SZ）和双相情感障碍（BD）表现出共同的认知缺陷，可能会阻碍自我调节的能力。我们研究了使用特定的认知策略来调节SZ和BD的负面影响，以及它们与情绪波动水平的关系。参与者包括126名SZ，97名BD和81名健康对照（HC），他们完成了认知情绪调节问卷（CERQ），抑郁焦虑压力量表（DASS）和轻躁狂人格量表（HPS）。与HC相比，SZ和BD患者报告更频繁的反刍，灾难化和自责，以及更少使用透视。此外，与HC相比，SZ患者更可能参与他人指责。最一致的预测因子为自我责备和灾难性的，而BD是反刍和减少积极的重新评价。这些研究结果表明，适应不良的使用认知策略，自我调节的负面影响，在SZ和BD，类似于以前报道的单相抑郁症。适应性认知重构策略在两组患者中的无效使用可能反映了他们共同认知缺陷的影响，需要进一步调查。有助于无效的自我调节的认知能力的补救可能有助于减少SZ和BD的情绪波动。
Schizophrenia (SZ) and bipolar disorder (BD) exhibit common cognitive deficits that may impede the capacity for self-regulating affect. We examined the use of particular cognitive strategies for regulating negative affect in SZ and BD, and their associations with levels of mood symptomatology. Participants were 126 SZ, 97 BD, and 81 healthy controls (HC) who completed the Cognitive Emotion Regulation Questionnaire (CERQ), the Depression Anxiety Stress Scales (DASS) and the Hypomanic Personality Scale (HPS). Patients with SZ and BD reported more frequent rumination, catastrophising and self-blame, and less use of putting into perspective, relative to HC. Additionally, SZ patients were more likely to engage in other-blame, compared to HC. The most consistent predictors of symptomatology for SZ were self-blame and catastrophising, while for BD were rumination and reduced positive reappraisal. These findings demonstrate maladaptive use of cognitive strategies to self-regulate negative affect in SZ and BD, resembling those reported previously for unipolar depression. The ineffective use of adaptive cognitive reframing strategies in both patient groups may reflect the impact of their shared cognitive deficits, and requires further investigation. Remediation of cognitive capacities contributing to ineffective self-regulation may facilitate reduced mood symptomatology in SZ and BD.
影响因子：
6.6
作者：
Gur, RE;Kohler, CG;Gur, RC
通讯作者：
Gur, RC