The role of emotion regulation in auditory hallucinations
The role of emotion regulation in auditory hallucinations
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DOI：
10.1016/j.psychres.2010.07.011
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发表时间：
2011-02-28
影响因子：
11.3
通讯作者：
Maybery, Murray T.
中科院分区：
文献类型：
--
作者：
Badcock, Johanna C.;Paulik, Georgie;Maybery, Murray T.
情绪调节涉及使用策略来影响情绪的体验和表达。焦虑和抑郁与精神分裂症的阳性症状（如幻听）密切相关。个体通常试图下调（减少）这些情绪，因此一个或多个这些下调过程的异常或适应不良使用（例如，增加使用表达抑制或适应不良的注意力部署，即沉思/担忧）可能在AH中发挥重要作用（例如，增加AH的严重程度和痛苦）。本研究调查了精神分裂症患者和当前AH（SZ AH; N=34）和健康对照组（N=34）自我报告的一系列情绪调节策略的使用情况。两个可分离的维度的幻觉经验（严重性和痛苦）进行了评估，与焦虑，抑郁和幸福的措施。在SZ AH组中，更多地使用表达抑制与AH严重程度的增加和日常生活的更大破坏相关。此外，反刍是显着正相关的痛苦（但不与严重程度）与AH。在对照组中，表达抑制、沉思和担忧与更多的焦虑/抑郁和更少的幸福感相关，正如预测的那样。不同的情绪调节策略治疗精神分裂症和AH的个人的影响进行了讨论。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Emotion regulation involves the use of strategies to influence the experience and expression of emotions. Anxiety and depression are strongly associated with the positive symptoms of schizophrenia, such as auditory hallucinations (AHs). Individuals usually try to down-regulate (decrease) such emotions, consequently abnormal or maladaptive use of one or more of these down-regulatory processes (e.g. increased use of expressive suppression or maladaptive attentional deployment, i.e. rumination/worry) may play an important role in AHs (e.g. increasing AH severity and distress). This study examined the self-reported use of a range of emotion regulation strategies in individuals with schizophrenia and current AHs (SZ AH; N=34) and healthy controls (N=34). Two separable dimensions of hallucinatory experiences (severity and distress) were assessed together with measures of anxiety, depression and happiness. Within the SZ AH group, greater use of expressive suppression was associated with an increase in severity of AHs and greater disruption in daily life. In addition, rumination was significantly positively correlated with the distress (but not with the severity) associated with AHs. Within the control group, expressive suppression, rumination and worry were associated with more anxiety/depression and less happiness, as predicted. The implications of different emotion regulation strategies for the treatment of individuals with schizophrenia and AHs are discussed. (C) 2010 Elsevier Ireland Ltd. All rights reserved.