Positive emotion dysregulation across mood disorders: How amplifying versus dampening predicts emotional reactivity and illness course
Positive emotion dysregulation across mood disorders: How amplifying versus dampening predicts emotional reactivity and illness course
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DOI：
10.1016/j.brat.2013.08.004
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发表时间：
2013-11-01
影响因子：
4.1
通讯作者：
Gruber, June
中科院分区：
文献类型：
--
作者：
Gilbert, Kirsten E.;Nolen-Hoeksema, Susan;Gruber, June
积极情绪的适应不良调节越来越多地与精神病理学有关。然而，很少有人知道，如何个人的策略来管理积极情绪预测并发的情绪反应和前瞻性的疾病过程中的情绪障碍。本研究考察了积极情绪的放大和抑制调节策略（即，自我为中心的积极反刍，情绪为中心的积极反刍，和阻尼）在缓解的个人与双相I型障碍（BD; n = 31）和重性抑郁症（MDD：n = 31）。在实验性反刍诱导过程中，对积极情绪状态的反刍同时预测了两个情绪障碍组的积极情绪增加。然而，抑制积极情绪同时预测了情绪反应的增加（即，心率和负面情绪），以及仅BD组躁狂和抑郁症状的预期增加。这表明，放大积极情绪transdiagnosically增加积极情绪的情绪障碍群体，而试图抑制积极情绪可能会矛盾地加剧情绪反应和疾病过程中的BD。对于BD患者来说，对积极情绪的负面思考（通过抑制）可能特别不适应。(C)2013爱思唯尔有限公司保留所有权利。
Maladaptive regulation of positive emotion has increasingly been associated with psychopathology. Little is known, however, about how individual strategies used to manage positive emotion predict concurrent emotional responding and prospective illness course across mood disorders. The present study examined the concurrent and prospective influence of amplification and dampening regulation strategies of positive emotion (i.e., self-focused positive rumination, emotion-focused positive rumination, and dampening) among remitted individuals with bipolar I disorder (BD; n = 31) and major depressive disorder (MDD: n = 31). Rumination over positive emotional states concurrently predicted increased positive emotion across both mood disordered groups during an experimental rumination induction. However, dampening positive emotion concurrently predicted increased emotional reactivity (i.e., heart rate and negative affect) and prospective increases in manic and depressive symptoms for the BD group only. This suggests that amplifying positive emotion transdiagnostically increases positive emotion across mood disordered groups, while attempts to dampen positive emotion may paradoxically exacerbate emotional reactivity and illness course in BD. For individuals with BD, negative thinking about one's positive emotion (via dampening) may be particularly maladaptive. (C) 2013 Elsevier Ltd. All rights reserved.