How I think about how I feel: Personal beliefs about emotion prospectively predict suicide-related outcomes and depression symptoms

IF 3.7 2区 医学 Q1 PSYCHIATRY Journal of psychiatric research Pub Date : 2024-09-24 DOI:10.1016/j.jpsychires.2024.09.033
Elizabeth T. Kneeland, Chéla Cunningham, Isabella Lattuada, Maya Cwalina, Mabel Shanahan
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Abstract

One transdiagnostic process that may be critical to depression and suicidal ideation is beliefs about the nature of one's own emotions, both concurrently and longitudinally. In a sample of community adults (n = 143), we assessed personal emotion beliefs about the degree to which one's own emotions are malleable, unique, and last a long time. There were significant associations between stronger views that one's own emotions were fixed, unique to you, and had a longer duration and higher clinical symptom severity, including higher levels of current suicidal ideation, and less adaptive emotion regulation. Mediation analyses using longitudinal data clarified that the differential engagement in emotion regulation, specifically rumination, represented the link tying specific personal emotion beliefs to clinical symptoms and that, in certain cases, the opposite pathway is also significant – differences in clinical symptoms mediated the relationship between specific personal emotion beliefs and emotion regulation (rumination) longitudinally. Additionally, personal emotion beliefs varied based on depression status, as determined using a semi-structured clinical interview. For example, individuals meeting current criteria for Major Depressive Disorder (MDD) held stronger views that their emotions were unique to them compared to individuals with remitted MDD or no history of MDD. The current study's findings highlight the important role of specific personal emotion beliefs in clinical symptoms concurrently and longitudinally and mechanisms in these relationships. These results could guide future research on interventions to promote more adaptive beliefs about emotion to improve clinical outcomes.
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我如何看待自己的感受?关于情绪的个人信念可前瞻性地预测与自杀相关的结果和抑郁症状。
一个可能对抑郁和自杀意念至关重要的跨诊断过程是对自身情绪性质的信念,包括并发信念和纵向信念。在一个社区成人样本(n = 143)中,我们评估了个人情绪信念,即自己的情绪在多大程度上具有可塑性、独特性和持久性。认为自己的情绪是固定的、独一无二的、持续时间较长的观点与较高的临床症状严重程度(包括较高的当前自杀意念水平)和较差的适应性情绪调节之间存在明显的关联。利用纵向数据进行的中介分析表明,参与情绪调节(特别是反刍)的差异代表了特定个人情绪信念与临床症状之间的联系,而且在某些情况下,相反的途径也很重要--临床症状的差异从纵向上中介了特定个人情绪信念与情绪调节(反刍)之间的关系。此外,个人情绪信念因抑郁状态而异,抑郁状态是通过半结构化临床访谈确定的。例如,与抑郁症缓解或无抑郁症病史的人相比,目前符合重度抑郁症(MDD)标准的人更倾向于认为自己的情绪是独一无二的。目前的研究结果凸显了特定个人情绪信念在临床症状中的并发和纵向重要作用,以及这些关系中的机制。这些结果可以指导未来的干预研究,以促进对情绪的更多适应性信念,从而改善临床结果。
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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