A tale of two systems: Testing a positive and negative valence systems framework to understand social disconnection across anxiety and depressive disorders
A tale of two systems: Testing a positive and negative valence systems framework to understand social disconnection across anxiety and depressive disorders
复制标题
DOI：
10.1016/j.jad.2020.01.041
复制
发表时间：
2020-04-01
影响因子：
6.6
通讯作者：
Stein, Murray B.
中科院分区：
文献类型：
--
作者：
Taylor, Charles T.;Pearlstein, Sarah L.;Stein, Murray B.
背景资料：社交脱节是焦虑和抑郁症的一个常见和有害的特征，但我们现有的最佳治疗方法并没有充分解决这个问题。为了更好地理解为什么焦虑和抑郁的人会感到社会脱节，我们测试了一个积极和消极的效价系统框架，该框架由关于规范社会联系如何发展和繁荣的研究提供信息。方法：寻求焦虑或抑郁治疗的个体（N = 150）完成了感知社会联系、积极和消极效价气质、社会目标、情感、症状、结果：社会联系减少与生活满意度下降有关，超出了临床症状的严重程度。回归分析表明，积极效价降低和消极效价升高的气质及其相应的动机和情感输出，局限性：数据是横截面的，基于自我报告限制的结论，在不同的分析单位，因果关系和社会断开过程。结论：通过积极和消极的效价系统框架的透镜理解社会脱节，可以为transdiagnosis模型和治疗方法提供信息。
Background: Social disconnection is a common and pernicious feature of anxiety and depressive disorders, yet is insufficiently addressed by our best available treatments. To better understand why people with anxiety and depression feel socially disconnected, we tested a positive and negative valence systems framework informed by research on how normative social connections develop and flourish.Method: Individuals seeking treatment for anxiety or depression (N = 150) completed measures of perceived social connectedness, positive and negative valence temperament, social goals, affect, symptoms, and life satisfaction.Results: Feeling less socially connected was associated with diminished life satisfaction, beyond clinical symptom severity. Regression analyses revealed that both diminished positive valence and heightened negative valence temperament, and their corresponding motivational and affective outputs, were significantly and uniquely (with no significant interaction between them) associated with lower perceived connectedness.Limitations: Data was cross-sectional and based on self-report-limiting conclusions about causality and social disconnection processes at different units of analysis.Conclusions: Understanding social disconnection through the lens of a positive and negative valence systems framework may inform transdiagnostic models and treatment approaches.