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Three recommendations based on a comparison of the reliability and validity of the predominant models used in research on the empirical structure of psychopathology. 基于对精神病理学经验结构研究中使用的主要模型的可靠性和有效性的比较的三个建议。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-04-01 DOI: 10.1037/abn0000533
Miriam K Forbes, Ashley L Greene, Holly F Levin-Aspenson, Ashley L Watts, Michael Hallquist, Benjamin B Lahey, Kristian E Markon, Christopher J Patrick, Jennifer L Tackett, Irwin D Waldman, Aidan G C Wright, Avshalom Caspi, Masha Ivanova, Roman Kotov, Douglas B Samuel, Nicholas R Eaton, Robert F Krueger

The present study compared the primary models used in research on the structure of psychopathology (i.e., correlated factor, higher-order, and bifactor models) in terms of structural validity (model fit and factor reliability), longitudinal measurement invariance, concurrent and prospective predictive validity in relation to important outcomes, and longitudinal consistency in individuals' factor score profiles. Two simpler operationalizations of a general factor of psychopathology were also examined-a single-factor model and a count of diagnoses. Models were estimated based on structured clinical interview diagnoses in two longitudinal waves of nationally representative data from the United States (n = 43,093 and n = 34,653). Models that included narrower factors (fear, distress, and externalizing) were needed to capture the observed multidimensionality of the data. In the correlated factor and higher-order models these narrower factors were reliable, largely invariant over time, had consistent associations with indicators of adaptive functioning, and had moderate stability within individuals over time. By contrast, the fear- and distress-specific factors in the bifactor model did not show good reliability or validity throughout the analyses. Notably, the general factor of psychopathology (p factor) performed similarly well across tests of reliability and validity regardless of whether the higher-order or bifactor model was used; the simplest (single factor) model was also comparable across most tests, with the exception of model fit. Given the limitations of categorical diagnoses, it will be important to repeat these analyses using dimensional measures. We conclude that when aiming to understand the structure and correlates of psychopathology it is important to (a) look beyond model fit indices to choose between different models, (b) examine the reliability of latent variables directly, and (c) be cautious when isolating and interpreting the unique effects of specific psychopathology factors, regardless of which model is used. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

本研究从结构效度(模型拟合和因子信度)、纵向测量不变性、与重要结果相关的并发效度和前瞻性预测效度、个体因子得分剖面的纵向一致性等方面比较了精神病理学结构研究中常用的主要模型(即相关因子模型、高阶模型和双因子模型)。精神病理学一般因素的两个更简单的操作化也被检查-单因素模型和诊断计数。模型的估计是基于结构化临床访谈诊断的两个纵向波的全国代表性数据(n = 43,093和n = 34,653)。需要包含较窄因素(恐惧、痛苦和外化)的模型来捕捉观察到的数据的多维性。在相关因子和高阶模型中,这些较窄的因子是可靠的,随着时间的推移在很大程度上是不变的,与适应功能的指标有一致的关联,并且随着时间的推移在个体内具有适度的稳定性。相比之下,双因素模型中的恐惧和痛苦特定因素在整个分析中没有显示出良好的信度或效度。值得注意的是,无论使用高阶模型还是双因素模型,精神病理学的一般因素(p因素)在信度和效度测试中表现相似;除了模型拟合外,最简单的(单因素)模型在大多数测试中也具有可比性。鉴于分类诊断的局限性,使用量纲测量重复这些分析将是重要的。我们得出的结论是,当旨在了解精神病理学的结构和相关因素时,重要的是(a)超越模型拟合指数来选择不同的模型,(b)直接检查潜在变量的可靠性,以及(c)在分离和解释特定精神病理学因素的独特影响时要谨慎,无论使用哪种模型。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 42
Do suicidal desire and facets of capability for suicide predict future suicidal behavior? A longitudinal test of the desire-capability hypothesis. 自杀欲望和自杀能力的各个方面是否能预测未来的自杀行为?期望-能力假设的纵向检验。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-04-01 DOI: 10.1037/abn0000595
Jessica D Ribeiro, Kathryn P Linthicum, Thomas E Joiner, Xieyining Huang, Lauren M Harris, Chloe P Bryen

Capability-based models propose that people die by suicide because they want to, and they can. Despite the intuitive appeal of this hypothesis, longitudinal evidence testing its predictive validity has been limited. This study tested the predictive validity of the desire-capability hypothesis. A total of 1,020 self-injuring and/or suicidal adults were recruited worldwide online from suicide, self-injury, and mental health web forums. After baseline assessment, participants completed follow-up assessments at 3, 14, and 28 days after baseline. Participant retention was high (>90%) across all follow-up assessments. Analyses examined the effect of the statistical interaction between suicidal desire and indices of capability for suicide on future nonfatal suicide attempts. Main analyses focused on the fearlessness about death facet of capability for suicide; exploratory analyses examined preparations for suicide. Logistic regression was used to predict suicide attempt status at follow-up; zero-inflated negative binomial models were implemented to predict the frequency of nonfatal suicide attempts at follow-up. Results were consistent across models, finding very little evidence of the desire-capability interaction as a significant predictor of suicide attempt status or frequency at follow-up. We close with a discussion of the limitations of this study as well as the implications of our findings for future suicide science. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

基于能力的模型认为,人们自杀是因为他们想自杀,而且他们可以自杀。尽管这一假设具有直观的吸引力,但检验其预测有效性的纵向证据有限。本研究检验了欲望-能力假设的预测有效性。共有1020名自残和/或有自杀倾向的成年人在网上从世界各地的自杀、自残和心理健康网络论坛上被招募。基线评估后,参与者在基线后3、14和28天完成随访评估。在所有随访评估中,参与者保留率很高(>90%)。分析了自杀欲望和自杀能力指数之间的统计交互作用对未来非致命性自杀企图的影响。主要分析了自杀能力的“死亡无畏”方面;探索性分析考察了自杀的准备情况。采用Logistic回归预测随访时的自杀企图状态;采用零膨胀负二项模型预测随访时非致命性自杀企图的频率。各个模型的结果是一致的,在随访中发现很少有证据表明欲望-能力相互作用是自杀企图状态或频率的重要预测因子。我们最后讨论了这项研究的局限性,以及我们的发现对未来自杀科学的影响。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 8
The structure of peritraumatic reactions and their relationship with PTSD among disaster survivors. 灾难幸存者创伤后应激反应的结构及其与PTSD的关系。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-04-01 Epub Date: 2021-02-04 DOI: 10.1037/abn0000663
Alessandro Massazza, Helene Joffe, Philip Hyland, Chris R Brewin

Peritraumatic reactions such as fear, psychic and somatoform dissociation, tonic immobility, data-driven processing, and mental defeat are important in the etiology of posttraumatic stress disorder (PTSD). However, current measures of such reactions overlap conceptually and do not clearly identify distinct peritraumatic processes. It is not known which processes are uniquely associated with PTSD. We investigated the factor structure of six standard peritraumatic measures and their relationship with the four Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013) PTSD symptom clusters. Measures were administered to 308 earthquake survivors with high levels of exposure to traumatic events. Items comprising the six measures were investigated using exploratory structural equation modeling, which identified five peritraumatic response factors. Items from most measures loaded on multiple factors. Mental defeat and somatoform dissociation significantly predicted all PTSD symptom clusters. Cognitive overload significantly predicted intrusions, avoidance, and alterations in arousal and reactivity. Immobility significantly predicted intrusions and avoidance, whereas distress significantly predicted negative alterations in cognition and mood and alterations in arousal and reactivity. Because of the key role such reactions play in the development of PTSD, the findings are likely to benefit the study of etiological mechanisms, the prediction of those at greatest risk, and the design of preventative interventions. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

创伤周围反应,如恐惧、精神和躯体形式分离、强直不动、数据驱动处理和精神失败在创伤后应激障碍(PTSD)的病因学中很重要。然而,目前对这些反应的测量在概念上是重叠的,并且不能清楚地确定不同的创伤周围过程。目前尚不清楚哪些过程与创伤后应激障碍有关。我们研究了六种标准创伤后测量的因素结构及其与四种精神障碍诊断与统计手册(第5版;dsm - 5,美国精神病学协会,2013)PTSD症状群。研究人员对308名遭受严重创伤事件的地震幸存者进行了测量。采用探索性结构方程模型对包含这六项措施的项目进行了研究,确定了五个创伤周围响应因素。大多数测量的项目都包含多个因素。精神挫败和躯体形式分离显著预测所有PTSD症状群。认知超载显著预测了入侵、回避和觉醒和反应性的改变。静止能显著预测入侵和回避,而痛苦能显著预测认知和情绪的负面改变,以及觉醒和反应的改变。由于这些反应在PTSD的发展中起着关键作用,因此这些发现可能有助于研究病因机制、预测高危人群以及设计预防性干预措施。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 13
Neuroticism and reward-related ventral striatum activity: Probing vulnerability to stress-related depression. 神经质和奖励相关的腹侧纹状体活动:探究对压力相关抑郁的脆弱性。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-04-01 Epub Date: 2021-02-04 DOI: 10.1037/abn0000618
Erin Bondy, David A A Baranger, Jared Balbona, Kendall Sputo, Sarah E Paul, Thomas F Oltmanns, Ryan Bogdan

Elevated neuroticism may confer vulnerability to the depressogenic effects of stressful life events (SLEs). However, the mechanisms underlying this susceptibility remain poorly understood. Accumulating evidence suggests that stress-related disruptions in neural reward processing might undergird links between stress and depression. Using data from the Saint Louis Personality and Aging Network (SPAN) study and Duke Neurogenetics Study (DNS), we examined whether neuroticism moderates links between stressful life events (SLE) and depression as well as SLEs and ventral striatum (VS) response to reward. In the longitudinal SPAN sample (n = 971 older adults), SLEs prospectively predicted future depressive symptoms, especially among those reporting elevated neuroticism, even after accounting for prior depressive symptoms and previous SLE exposure (NxSLE interaction: p = .016, ΔR² = 0.003). Cross-sectional analyses of the DNS, a young adult college sample with neuroimaging data, replicated this interaction (n = 1,343: NxSLE interaction: p = .019, ΔR² = 0.003) and provided evidence that neuroticism moderates the association between SLEs and reward-related VS response (n = 1,195, NxSLE: p = .017, ΔR² = 0.0048). Blunted left VS response to reward was associated with a lifetime depression diagnosis, r = -0.07, p = .02, but not current depressive symptoms, r = -0.003, p = .93. These data suggest that neuroticism may promote vulnerability to stress-related depression and that sensitivity to stress-related reductions in VS response may be a potential neural mechanism underlying vulnerability to clinically significant depression. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

升高的神经质可能使人容易受到压力生活事件(SLEs)的抑郁影响。然而,这种易感性背后的机制仍然知之甚少。越来越多的证据表明,与压力相关的神经奖励处理中断可能巩固了压力和抑郁之间的联系。利用圣路易斯人格与衰老网络(SPAN)研究和杜克神经遗传学研究(DNS)的数据,我们研究了神经质是否调节应激性生活事件(SLE)和抑郁之间的联系,以及SLE和腹侧纹状体(VS)对奖励的反应。在纵向SPAN样本(n = 971名老年人)中,即使考虑了既往抑郁症状和既往SLE暴露(NxSLE相互作用:p = 0.016, ΔR²= 0.003),SLEs也能前瞻性地预测未来的抑郁症状,特别是那些报告神经质升高的人。DNS的横断面分析,一个具有神经成像数据的年轻成人大学样本,重复了这种相互作用(n = 1343: NxSLE相互作用:p = 0.019, ΔR²= 0.003),并提供了神经质调节SLEs和奖励相关VS反应之间的关联的证据(n = 1195, NxSLE: p = 0.017, ΔR²= 0.0048)。左VS对奖励的迟钝反应与终生抑郁诊断相关,r = -0.07, p = 0.02,但与当前抑郁症状无关,r = -0.003, p = 0.93。这些数据表明,神经质可能会促进应激相关抑郁的易感性,而应激相关VS反应的敏感性降低可能是临床显著抑郁易感性的潜在神经机制。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 0
The distinct role of body image aspects in predicting eating disorder onset in adolescents after one year. 身体形象方面在预测一年后青少年饮食失调发病中的独特作用。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-04-01 Epub Date: 2021-03-11 DOI: 10.1037/abn0000537
Katarina Prnjak, Phillipa Hay, Jonathan Mond, Kay Bussey, Nora Trompeter, Alexandra Lonergan, Deborah Mitchison

Recent research suggests specific body image aspects, namely weight/shape dissatisfaction, overvaluation of weight/shape, weight/shape preoccupation, and fear of weight gain, have distinct roles in eating disorder (ED) onset and maintenance. The aim of this study was to investigate unique associations between these body image aspects and ED onset, distress, and quality of life in a community sample of adolescents prospectively after 1 year. Adolescents (n = 1,327; 51% female; age range 11-19 years) who completed Waves 1 and 2 of the EveryBODY Study and did not meet criteria for an ED at Wave 1 completed measures of ED symptoms, distress, and quality of life impairment. Results showed that 18.2% of participants (70% female) met criteria for an ED at Wave 2. Only weight/shape dissatisfaction was prospectively associated with onset of any ED. No other body image aspect was uniquely associated with greater distress nor lower quality of life in longitudinal analyses. However, all body image aspects were independent correlates of ED diagnosis within Wave 2. These findings suggest that dissatisfaction might operate as a risk factor for ED development in adolescence, whereas overvaluation, preoccupation, and fear of weight gain could be more proximal markers of ED psychopathology. Therefore, these body image phenomena should be assessed as separate constructs as they may play unique roles in ED onset and classification. ED prevention efforts in adolescence may need to target dissatisfaction first, whereas a focus on other aspects of body image may be more important for early intervention programs. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

最近的研究表明,特定的身体形象方面,即体重/形状的不满,体重/形状的高估,体重/形状的关注,以及对体重增加的恐惧,在饮食失调(ED)的发病和维持中起着明显的作用。本研究的目的是调查这些身体形象方面与社区青少年一年后ED发病、痛苦和生活质量之间的独特联系。青少年(n = 1327;51%的女性;年龄范围11-19岁),完成了everyone研究的第一和第二阶段,在第一阶段没有达到ED的标准,完成了ED症状、痛苦和生活质量损害的测量。结果显示,18.2%的参与者(70%为女性)符合第2波ED的标准。在纵向分析中,只有体重/体型不满意与任何ED的发病有前瞻性联系。没有其他身体形象方面与更大的痛苦或更低的生活质量有独特的联系。然而,在第二阶段中,所有身体形象方面都是ED诊断的独立相关因素。这些发现表明,不满意可能是青春期ED发展的一个危险因素,而高估、专注和对体重增加的恐惧可能是ED精神病理的更接近的标志。因此,这些身体意象现象应该作为单独的构念进行评估,因为它们可能在ED的发病和分类中发挥独特的作用。预防青少年勃起功能障碍的努力可能需要首先针对不满,而关注身体形象的其他方面可能对早期干预计划更重要。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 11
Affective inhibitory control and risk for internalizing problems in adolescents exposed to child maltreatment: A population-based study. 暴露于儿童虐待的青少年的情感抑制控制和内化问题风险:一项基于人群的研究。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-02-01 Epub Date: 2020-12-14 DOI: 10.1037/abn0000582
Sjur S Sætren, Else-Marie Augusti, Gertrud Sofie Hafstad

Adolescents' emotion regulatory capacities modulate the relationship between child maltreatment experiences and psychopathology. Affective inhibitory control constitutes an important part of emotion regulation and involves the ability to regulate automatic or prepotent responses to irrelevant and potentially distracting emotional information. The aim of the present study was to investigate the role of affective inhibitory control in the relationship between exposure to child maltreatment and internalizing problems in adolescence. A nationally representative sample of adolescents (n = 9,240; 49% girls; Mage = 14 years; SD = 0.9), of which n = 4,261 (55% girls; Mage = 14 years; SD = 0.9) were exposed to child maltreatment, conducted an emotional go/no-go task. Participants were presented with angry facial expressions as emotional no-go stimuli in order to examine their ability to inhibit behavioral responses to threatening task-irrelevant stimuli. Affective inhibitory control problems were uniquely related to internalizing problems in maltreated adolescents. Gender effects were observed; the relationship was significant in girls but not in boys. Moreover, affective inhibitory control moderated the relationship between exposure to psychological abuse and internalizing problems in girls. We did not observe any relationship between inhibitory control and internalizing problems when neutral faces were presented as task-irrelevant information. Findings suggest that a reduced ability to inhibit threatening, but task-irrelevant, information is related to internalizing problems in maltreated adolescent girls. Results highlight the importance of affective inhibitory control as a potential moderating mechanism in individual risk for experiencing internalizing problems in abused adolescents. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

青少年情绪调节能力调节儿童虐待经历与精神病理的关系。情感抑制控制是情绪调节的重要组成部分,涉及调节对不相关和可能分散注意力的情绪信息的自动或有效反应的能力。本研究的目的是探讨情感抑制控制在儿童虐待暴露与青少年内化问题之间的关系中的作用。具有全国代表性的青少年样本(n = 9240;49%的女孩;法师= 14岁;SD = 0.9),其中n = 4261(55%的女孩;法师= 14岁;SD = 0.9)暴露于儿童虐待,进行情绪上的“去/不去”任务。研究人员向参与者展示了愤怒的面部表情作为情绪上的“禁止”刺激,以检验他们对与任务无关的威胁性刺激抑制行为反应的能力。情感抑制控制问题与受虐待青少年的内化问题有独特的关系。观察性别效应;这种关系在女孩中很明显,但在男孩中没有。此外,情感抑制控制调节了女孩暴露于心理虐待与内化问题之间的关系。当中性面孔作为任务无关信息呈现时,我们没有观察到抑制控制与内化问题之间的任何关系。研究结果表明,受虐待的青春期女孩抑制威胁性但与任务无关的信息的能力下降与内化问题有关。结果强调了情感抑制控制在受虐青少年经历内化问题的个体风险中作为潜在调节机制的重要性。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 8
Social reward, punishment, and prosociality in paranoia. 偏执狂中的社会奖励、惩罚和亲社会行为。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-02-01 Epub Date: 2020-12-03 DOI: 10.1037/abn0000647
Nichola Raihani, Daniel Martinez-Gatell, Vaughan Bell, Lucy Foulkes

Paranoia is the exaggerated belief that harm will occur and is intended by others. Although commonly framed in terms of attributing malicious intent to others, recent work has explored how paranoia also affects social decision-making, using economic games. Previous work found that paranoia is associated with decreased cooperation and increased punishment in the Dictator Game (where cooperating and punishing involve paying a cost to respectively increase or decrease a partner's income). These findings suggest that paranoia might be associated with variation in subjective reward from positive and/or negative social decision-making, a possibility we explore using a preregistered experiment with U.S.-based participants (n = 2,004). Paranoia was associated with increased self-reported enjoyment of negative social interactions and decreased self-reported enjoyment of prosocial interactions. More paranoid participants attributed stronger harmful intent to a partner. Harmful intent attributions and the enjoyment of negative social interactions positively predicted the tendency to pay to punish the partner. Cooperation was positively associated with the tendency to enjoy prosocial interactions and increased with participant age. There was no main effect of paranoia on tendency to cooperate in this setting. We discuss these findings in light of previous research. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

偏执狂是一种夸大的信念,认为伤害会发生,这是别人故意的。尽管人们通常把偏执归咎于他人的恶意,但最近的研究利用经济游戏探索了偏执是如何影响社会决策的。先前的研究发现,在独裁者游戏中,偏执与合作减少和惩罚增加有关(合作和惩罚分别涉及支付成本来增加或减少合作伙伴的收入)。这些发现表明,偏执狂可能与积极和/或消极社会决策的主观奖励变化有关,我们通过对美国参与者的预注册实验(n = 2004)探索了这种可能性。偏执狂与自我报告的消极社会互动的乐趣增加和自我报告的亲社会互动的乐趣减少有关。更多疑的参与者将更强烈的有害意图归咎于伴侣。有害意图归因和享受消极的社会互动正向地预测了付钱惩罚伴侣的倾向。合作与享受亲社会互动的倾向正相关,并随着参与者年龄的增长而增加。在这种情况下,偏执狂对合作倾向没有主要影响。我们结合以往的研究来讨论这些发现。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 7
Disentangling temporal dynamics in attention bias from measurement error: A state-space modeling approach. 从测量误差中分离注意偏差的时间动态:一种状态空间建模方法。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-02-01 Epub Date: 2020-12-14 DOI: 10.1037/abn0000657
Keisuke Takano, Charles T Taylor, Charlotte E Wittekind, Jiro Sakamoto, Thomas Ehring

Temporal dynamics in attention bias (AB) have gained increasing attention in recent years. It has been proposed that AB is variable over trials within a single test session of the dot-probe task, and that the variability in AB is more predictive of psychopathology than the traditional mean AB score. More important, one of the dynamics indices has shown better reliability than the traditional mean AB score. However, it has been also suggested that the dynamics indices are unable to uncouple random measurement error from true variability in AB, which questions the estimation precision of the dynamics indices. To clarify and overcome this issue, the current article introduces a state-space modeling (SSM) approach to estimate trial-level AB more accurately by filtering random measurement error. The estimation error of the extant dynamics indices versus SSM were evaluated by computer simulations with different parameter settings for the temporal variability and between-person variance in AB. Throughout the simulations, SSM showed robustly lower estimation error than the extant dynamics indices. We also applied these indices to real data sets, which revealed that the dynamics indices overestimate within-person variability relative to SSM. Here SSM indicated less temporal dynamics in AB than previously proposed. These findings suggest that SSM might be a better alternative to estimate trial level AB than the extant dynamics indices. However, it is still unclear whether AB has meaningful in-session variability that is predictive of psychopathology. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

注意偏置的时间动态研究近年来受到越来越多的关注。有人提出,在点探测任务的单个测试阶段中,AB是可变的,并且AB的变异性比传统的平均AB分数更能预测精神病理。更重要的是,其中一个动态指标比传统的平均AB分数显示出更好的可靠性。然而,也有人提出,动态指标无法将随机测量误差与AB的真实变异性分离开来,这对动态指标的估计精度提出了质疑。为了澄清和克服这一问题,本文引入了一种状态空间建模(SSM)方法,通过过滤随机测量误差来更准确地估计试验水平AB。通过计算机模拟评估了现有动态指标与SSM的估计误差,并对AB的时间变异性和人间方差进行了不同的参数设置。在整个模拟过程中,SSM的估计误差明显低于现有动态指标。我们还将这些指数应用于实际数据集,结果表明,相对于SSM,动态指数高估了个人内部变异性。这里SSM表明AB的时间动态比以前提出的要少。这些结果表明,SSM可能是一个更好的替代估计试验水平AB比现有的动态指标。然而,尚不清楚AB是否具有预测精神病理的有意义的会话变异性。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 2
How real do you feel? Self- and partner-authenticity in social anxiety disorder. 你的感觉有多真实?社交焦虑障碍中的自我与伴侣真实性。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-02-01 Epub Date: 2020-12-21 DOI: 10.1037/abn0000622
Maya Asher, Idan M Aderka

Individuals with social anxiety disorder (SAD) experience substantial impairment in close and intimate relationships. To enhance our understanding of this impairment and the way it develops, we examined dyadic opposite sex interactions of individuals with and without SAD. Participants were 160 individuals who formed 80 dyads including either 1 individual with SAD and another nonsocially anxious (NSA) individual (42 experimental dyads), or 2 NSA individuals (38 control dyads). We examined self- and partner-ratings of authenticity of both partners at 3 time points over the course of the 30-min interaction. Multilevel linear models indicated that individuals with SAD reported lower self-authenticity compared to NSA individuals (both compared to their interaction partners and compared to those from control dyads). In addition, increases in self-authenticity during the interaction were significantly lower for the experimental dyads compared to the control dyads. Specifically, both individuals with SAD and their NSA partners experienced lower increases in self-authenticity compared to NSA individuals from the control dyads. We also found that individuals with SAD rated their partners as less authentic compared to both their NSA interaction partners as well as NSA individuals from the control dyads. We discuss our findings in the context of cognitive and interpersonal models and suggest that authenticity may contribute to deleterious maintaining processes of SAD. Clinical implications of our findings are also discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

患有社交焦虑障碍(SAD)的个体在亲密关系中经历了实质性的损害。为了加强我们对这种损害及其发展方式的理解,我们检查了患有和不患有SAD的个体的二元异性相互作用。参与者共160人,组成80组,包括1名SAD患者和另一名非社交焦虑(NSA)患者(42对实验组),或2名NSA患者(38对对照组)。在30分钟的互动过程中,我们在三个时间点检查了双方的自我和伴侣对真实性的评价。多层线性模型表明,与NSA个体相比,SAD个体报告的自我真实性较低(无论是与互动伙伴相比,还是与对照二人组相比)。此外,在互动过程中,实验组的自我真实性的增加明显低于对照组。具体来说,患有SAD的个体和他们的NSA伴侣在自我真实性方面的增长都低于来自对照组的NSA个体。我们还发现,与他们的NSA互动伙伴和对照组的NSA个体相比,患有SAD的个体对他们的伴侣的评价更不真实。我们在认知和人际关系模型的背景下讨论了我们的发现,并提出真实性可能有助于SAD的有害维持过程。我们的研究结果的临床意义也进行了讨论。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 8
Supplemental Material for Intergenerational Transmission of Depression Risk: Mothers’ Neural Response to Reward and History of Depression Are Associated With Daughters’ Neural Response to Reward Across Adolescence 抑郁症风险代际传递补充材料:母亲对奖励的神经反应和抑郁史与女儿在青春期对奖励的神经反应有关
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-02-01 DOI: 10.1037/abn0000662.supp
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Journal of abnormal psychology
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