Daily manifestations of psychopathology in response to stress.

IF 3.1 Q2 PSYCHIATRY Journal of psychopathology and clinical science Pub Date : 2024-10-21 DOI:10.1037/abn0000954
Whitney R Ringwald, Elizabeth A Edershile, Janan Mostajabi, Sienna R Nielsen, William C Woods, Leonard J Simms, Aidan G C Wright
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Abstract

Psychological functioning is shaped by how people navigate their environment. Accordingly, psychopathology is often caused and maintained by patterns of responding to the environment that do not meet situational demands. In particular, psychopathology is often expressed in an inflexible or intense manner of coping with stressful situations. Prior research on psychopathology and daily life stress is limited by an overreliance on negative affect reactivity, which neglects the myriad responses that can create problems in a person's life. In this study, we assessed a broad range of daily manifestations of psychopathology to examine daily psychopathology-stress associations. We conceptualized individual differences in functioning as psychopathology traits and daily fluctuations in the interrelated thoughts, behaviors, and emotions as psychopathology states, with traits and states corresponding to the same domains of functioning (i.e., antagonism, detachment, disinhibition, negative affectivity, anankastia, psychoticism). Data have been taken from two samples enriched for psychopathology (N = 112, N = 294 participants) who completed daily assessments of stressors and psychopathological states (n = 9,201, n = 4,292 days). We used multilevel structural equation models to examine average, within-person associations between stressors and psychopathological states and correlations between psychopathological traits and stress responses. Results showed that (a) most people experience increases in psychopathological states when stressed and (b) psychopathological traits relate to more consistent and stronger increases in psychopathological states. Our study suggests that psychopathology reflects how people cope with stressful situations, and what distinguishes people with high-trait psychopathology from those who experience typical upticks in psychopathology when stressed is the consistency and extremity of their responses. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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心理病理学在应对压力时的日常表现。
心理功能是由人们如何驾驭环境所决定的。因此,心理病态往往是由于对环境的反应模式不符合情境要求而引起和维持的。特别是,精神病理学通常表现为以不灵活或激烈的方式应对压力环境。之前关于精神病理学和日常生活压力的研究由于过度依赖负面情绪反应而受到限制,忽略了可能给个人生活带来问题的各种反应。在这项研究中,我们对精神病理学的各种日常表现进行了评估,以研究日常精神病理学与压力之间的关联。我们将个体功能差异概念化为精神病理特征,将相互关联的思想、行为和情绪的日常波动概念化为精神病理状态,特征和状态对应于相同的功能领域(即对抗、疏离、抑制、负性情感、厌世、精神病)。数据来自两个富含精神病理学的样本(N = 112,N = 294 名参与者),他们完成了对压力源和精神病理学状态的日常评估(n = 9,201 天,n = 4,292 天)。我们使用多层次结构方程模型来研究压力源和精神病理状态之间的平均、人内关联,以及精神病理特征和压力反应之间的相关性。结果表明:(a) 大多数人在受到压力时心理病理状态都会增加;(b) 心理病理特征与心理病理状态的增加有更一致、更强烈的关系。我们的研究表明,精神病理学反映了人们如何应对压力情境,而高特质精神病理学患者与那些在压力下精神病理学会典型上升的人的区别在于他们反应的一致性和极端性。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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