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The Oxford Handbook of Emotion Dysregulation最新文献

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Emotion Generation, Regulation, and Dysregulation as Multilevel Transdiagnostic Constructs 情绪产生、调节和失调作为多层次跨诊断构念
Pub Date : 2020-05-02 DOI: 10.1093/oxfordhb/9780190689285.013.7
S. Crowell, R. Vlisides-Henry, Parisa R. Kaliush
Emotion generation, regulation, and dysregulation are complex constructs that are challenging to define and measure. This chapter reviews prevailing definitions and theories of these constructs and examines the literature across multiple levels of analysis. It adopts a developmental perspective, which guides interpretation of the literature and helps clarify discrepant points of view. The extent to which emotion generation and regulation are separable represents a significant controversy in the field. When viewed as cognitive constructs, it is virtually impossible to disentangle emotion generation and regulation. However, at the biological level, there are important differences in neural structures involved in bottom-up emotion generation processes versus those associated with top-down regulation of emotions. From a developmental perspective, emotions and emotion dysregulation emerge early in life, whereas emotion regulation strategies develop more gradually as a function of maturation and socialization. Future research should continue to reconcile different perspectives on emotion generation, regulation, and dysregulation.
情绪的产生、调节和失调是复杂的结构,很难定义和测量。本章回顾了这些结构的流行定义和理论,并在多个分析层面检查了文献。它采用了一种发展的视角来指导对文献的解读,并有助于澄清不同的观点。情感产生和调节在多大程度上是可分离的,这在该领域是一个重大的争议。当被视为认知结构时,几乎不可能将情绪的产生和调节分开。然而,在生物学水平上,涉及自下而上情绪产生过程的神经结构与涉及自上而下情绪调节的神经结构存在重要差异。从发展的角度来看,情绪和情绪失调在生命早期就出现了,而情绪调节策略的发展则是随着成熟和社会化而逐渐发展的。未来的研究应继续协调情绪产生、调节和失调的不同观点。
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引用次数: 6
Emotion Dysregulation and Aging 情绪失调与衰老
Pub Date : 2020-05-02 DOI: 10.1093/oxfordhb/9780190689285.013.6
Patrick Whitmoyer, R. Prakash
This chapter presents an overview of literature relevant to understanding relations between aging and emotion dysregulation. Although a number of studies suggest that aging leads to shifts in emotion regulation and emotional well-being, the extent to which aging affects emotion dysregulation is less clear. To clarify the effects of aging on emotion dysregulation, this chapter begins by examining shifts in effectiveness of emotion regulation that occur with age, considering pertinent theories, and then expands on these findings by examining more specifically how context appropriateness of emotions, consequences of emotions on behavior, duration of emotions, and etiology and presentation of psychopathology are altered by aging processes. Finally, this chapter concludes by identifying gaps in the literature and recommendations for future empirical endeavors to advance our current understanding of effects of aging on emotion dysregulation.
本章概述了与理解衰老与情绪失调之间关系相关的文献。尽管许多研究表明,衰老会导致情绪调节和情绪健康的变化,但衰老对情绪失调的影响程度尚不清楚。为了阐明衰老对情绪失调的影响,本章首先考察了随着年龄增长而发生的情绪调节有效性的变化,并考虑了相关理论,然后通过更具体地考察情绪的情境适宜性、情绪对行为的影响、情绪的持续时间以及精神病理的病因和表现如何被衰老过程改变来扩展这些发现。最后,本章总结了文献中的空白,并为未来的实证努力提出了建议,以推进我们目前对衰老对情绪失调影响的理解。
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引用次数: 1
Emotion Dysregulation and Psychosis Spectrum Disorders 情绪失调和精神病谱系障碍
Pub Date : 2020-05-02 DOI: 10.1093/oxfordhb/9780190689285.013.21
Gemma T. Wallace, A. Docherty
Psychosis spectrum disorders (PSDs) are complex, highly heritable psychiatric conditions with high economic and societal costs. PSDs have historically been conceptualized as neurocognitive disorders in which psychotic episodes and impairments in social and emotional functioning are attributed to deficits in neurocognition. Although cognitive pathways play an important role in the etiology and presentation of PSDs, recent research suggests that interrelations between cognition and emotion are highly relevant. Moreover, aberrant emotion regulation likely plays a significant role in the presentation of PSDs. Emotion dysregulation (ED) may underlie and exacerbate both negative and positive symptoms in PSDs, such as blunted affect, avolition, disorganized speech and behavior, poor social cognition, and delusions and hallucinations. Advances in measurement of emotion dysregulation—including self-reports, behavioral paradigms, neuroimaging paradigms, and neurophysiological assessment—have informed etiological models of emotion dysregulation in PSDs. This chapter reviews research on emotion regulation and dysregulation in PSDs. Notably, more severe presentations of emotion symptoms and greater emotion regulation impairments are associated with worse outcomes in PSDs. It may therefore be the case that focusing on ED as an early risk factor and intervention target could improve outcomes and prevention approaches for psychotic disorders.
精神病谱系障碍(psd)是一种复杂的、高度遗传性的精神疾病,具有很高的经济和社会成本。psd历来被定义为神经认知障碍,其中精神病发作和社会和情感功能障碍可归因于神经认知缺陷。虽然认知途径在psd的病因和表现中起着重要作用,但最近的研究表明,认知和情绪之间的相互关系是高度相关的。此外,异常的情绪调节可能在psd的表现中起重要作用。情绪失调(ED)可能是psd的阴性和阳性症状的基础,并加剧了这些症状,如情感迟钝、任性、言语和行为紊乱、社会认知不良、妄想和幻觉。情绪失调测量的进展——包括自我报告、行为范式、神经成像范式和神经生理评估——为psd情绪失调的病因学模型提供了信息。本章综述了psd情绪调节与失调的研究进展。值得注意的是,更严重的情绪症状和更大的情绪调节障碍与psd的预后更差有关。因此,关注ED作为早期风险因素和干预目标可能会改善精神障碍的结果和预防方法。
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引用次数: 2
Self-Report Assessment of Emotion Dysregulation 情绪失调的自我报告评估
Pub Date : 2020-05-02 DOI: 10.1093/OXFORDHB/9780190689285.013.28
K. L. Gratz, Courtney N. Forbes, Linnie E. Wheeless, Julia R. Richmond, M. Tull
Self-report assessments remain among the most widely used measures for most psychological constructs, due to their feasibility, ease of administration, low cost, and wide availability. Self-report measures of emotion dysregulation are no exception. This chapter reviews two predominant conceptualizations of emotion dysregulation (one of which focuses on dysregulated emotional responses per se and another that focuses on maladaptive ways of responding to emotions), as well as the empirical support for extant self-report measures of emotion dysregulation consistent with both conceptualizations. Based on this review, the chapter concludes that both emotional responses themselves and an individual’s responses to those emotions may evidence dysregulation and inform our understanding of normal and abnormal development. Finally, future directions for research in this area are discussed, including the need for studies examining the clinical utility of targeting responses to emotions versus emotional experience per se in psychological interventions.
自我报告评估由于其可行性、易于管理、低成本和广泛可用性,仍然是大多数心理构造中最广泛使用的测量方法之一。情绪失调的自我报告测量也不例外。本章回顾了情绪失调的两种主要概念(其中一种侧重于失调的情绪反应本身,另一种侧重于对情绪反应的不适应方式),以及与这两种概念一致的现有情绪失调自我报告测量的经验支持。基于这一综述,本章的结论是,情绪反应本身和个体对这些情绪的反应都可能证明失调,并告知我们对正常和异常发展的理解。最后,对该领域的未来研究方向进行了讨论,包括在心理干预中对情绪的靶向反应与情绪体验本身的临床应用进行研究的必要性。
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引用次数: 7
Emotion Dysregulation and Externalizing Spectrum Disorders 情绪失调与外化谱系障碍
Pub Date : 2020-05-02 DOI: 10.1093/oxfordhb/9780190689285.013.17
Tiffany M Shader, Theodore P. Beauchaine
As described in the literature for many years, a sizable number of children with hyperactive-impulsive and combined subtypes/presentations of attention-deficit/hyperactivity disorder (ADHD)—especially males—progress to more serious externalizing syndromes across development. Such outcomes include oppositional defiant disorder, conduct problems, delinquency, substance use disorders, and in some cases antisocial personality disorder, incarceration, and recidivism. This chapter summarizes a developmental model that emphasizes different contributions of trait impulsivity, a highly heritable, subcortically mediated vulnerability, versus emotion dysregulation, a highly socialized, cortically mediated vulnerability, to externalizing progression. According to this perspective, trait impulsivity confers vulnerability to all externalizing disorders, but this vulnerability is unlikely to progress beyond ADHD in protective environments. In contrast, for children who are reared under conditions of adversity—including poverty, family violence, deviant peer influences, and neighborhood violence/criminality—neurodevelopment of prefrontal cortex structure and function is compromised, resulting in failures to achieve age-expected gains in emotion regulation and other forms of executive control. For these children, subcortical vulnerabilities to trait impulsivity are amplified by deficient cortical modulation, which facilitates progression along the externalizing spectrum.
正如多年来的文献所描述的那样,相当数量的患有多动症-冲动型和注意力缺陷/多动障碍(ADHD)合并亚型/表现的儿童——尤其是男性——在整个发展过程中会发展成更严重的外化综合征。这些结果包括对立违抗性障碍、行为问题、犯罪、物质使用障碍,在某些情况下还包括反社会人格障碍、监禁和再犯。本章总结了一个发展模型,该模型强调特质冲动性(一种高度遗传的、皮层下介导的脆弱性)与情绪失调(一种高度社会化的、皮层介导的脆弱性)对外化进程的不同贡献。根据这一观点,冲动性特质赋予了所有外化障碍的脆弱性,但这种脆弱性不太可能在保护环境中超越ADHD。相比之下,在逆境条件下长大的儿童——包括贫困、家庭暴力、异常同伴影响和邻里暴力/犯罪——前额叶皮层结构和功能的神经发育受到损害,导致他们在情绪调节和其他形式的执行控制方面无法达到预期的年龄增长。对于这些儿童来说,皮层下对特质性冲动的脆弱性因皮层调节缺陷而被放大,这促进了外化谱的发展。
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引用次数: 1
Future Directions in Research and Treatment of Emotion Dysregulation 情绪失调研究与治疗的未来方向
Pub Date : 2020-05-02 DOI: 10.1093/oxfordhb/9780190689285.013.33
Theodore P. Beauchaine, Hunter Hahn, S. Crowell
This chapter discusses themes that emerged while editing the Oxford Handbook of Emotion Dysregulation and outlines directions for future research. Although the term emotion dysregulation has at times been used amorphously in the literature, most authors now define the phenomenon as experiences and expressions of emotion that interfere with situationally appropriate, goal-directed behavior. Situational embedding of emotion dysregulation is important given very different expectations of appropriate emotional expression across contexts and cultures. Despite emerging consensus regarding emotion dysregulation as a construct, several challenges lie ahead. Major tasks for the field are to (1) abandon implicit notions of emotion dysregulation in favor of formally operationalized definitions, such as that provided earlier; (2) maintain a clear distinction between emotion dysregulation versus mood dysregulation; (3) map transdiagnostic features of emotion dysregulation across functional domains of behavior such as those instantiated in the Research Domain Criteria matrix and, where appropriate, syndromes in the Diagnostic and Statistical Manual of Mental Disorders; (4) further develop prevention and treatment programs that systematically target emotion dysregulation across development; and (5) extend emotion dysregulation research to stigmatized groups in an effort to identify mechanisms of mental health disparities. Chapters in this volume address these issues and advance the science of emotion dysregulation in new and exciting ways.
本章讨论了在编辑《牛津情绪失调手册》时出现的主题,并概述了未来研究的方向。虽然“情绪失调”一词有时在文献中被误用,但大多数作者现在将这种现象定义为干扰情境适当的、目标导向的行为的情绪体验和表达。鉴于不同背景和文化对适当情绪表达的期望非常不同,情绪失调的情境嵌入很重要。尽管越来越多的人认为情绪失调是一种结构,但未来仍存在一些挑战。该领域的主要任务是:(1)放弃情绪失调的隐含概念,支持正式的操作化定义,如前面提供的;(2)保持情绪失调与情绪失调的明确区分;(3)绘制跨行为功能领域的情绪失调的跨诊断特征,例如在研究领域标准矩阵中实例化的特征,以及在适当的情况下,在精神障碍诊断和统计手册中的综合征;(4)进一步制定针对整个发展过程中情绪失调的系统预防和治疗方案;(5)将情绪失调研究扩展到被污名化群体,以确定心理健康差异的机制。本卷的章节解决了这些问题,并以新的和令人兴奋的方式推进了情绪失调的科学。
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引用次数: 0
Assessment of Emotion Dysregulation Using Ecological Momentary Assessment 用生态瞬时评估评估情绪失调
Pub Date : 2019-04-04 DOI: 10.1093/oxfordhb/9780190689285.013.29
Heather T. Schatten, K. J. Allen, Michael F. Armey
As emotion is a dynamic construct, ecological momentary assessment (EMA) methods, which gather data at multiple time points in individuals’ real-world environments, in the moment, are particularly well suited to measure emotion dysregulation and related constructs. EMA methods can identify contextual events that prompt or follow an emotional response. This chapter provides an overview of traditional methods of studying emotion dysregulation and how EMA can be used to capture emotion dysregulation in daily life, both within and independent of psychiatric diagnoses. It reviews the literature on emotion dysregulation and related constructs within specific diagnoses (e.g., depression, bipolar disorder, borderline personality disorder, and eating disorders) and behaviors (e.g., suicide, nonsuicidal self-injury, and alcohol use). Finally, it discusses future directions in EMA research, as well as its implications for psychological treatment.
由于情绪是一个动态的结构,生态瞬间评估(EMA)方法在个体的现实世界环境中收集多个时间点的数据,在当下,特别适合于测量情绪失调和相关结构。EMA方法可以识别提示或跟随情绪反应的上下文事件。本章概述了研究情绪失调的传统方法,以及如何使用EMA来捕捉日常生活中的情绪失调,无论是在精神科诊断内还是独立于精神科诊断。它回顾了在特定诊断(如抑郁症、双相情感障碍、边缘型人格障碍和饮食障碍)和行为(如自杀、非自杀性自残和酗酒)中关于情绪失调和相关结构的文献。最后,讨论了EMA研究的未来方向,以及它对心理治疗的影响。
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引用次数: 8
Respiratory Sinus Arrhythmia as a Transdiagnostic Biomarker of Emotion Dysregulation 呼吸窦性心律失常作为情绪失调的跨诊断生物标志物
Pub Date : 2018-12-11 DOI: 10.1093/OXFORDHB/9780190689285.013.12
Theodore P. Beauchaine, Ziv E. Bell
Over the past two decades, emotion dysregulation—defined as the inability to dampen strong emotional responses in the service of goal-directed behavior—has emerged as a consistent, transdiagnostic vulnerability to psychopathology. Although specific forms of dysregulated emotion vary across disorders (e.g., exuberance, anger, and related approach emotions in externalizing disorders; anxiety, panic, and related avoidance emotions in internalizing disorders), deficits in dampening emotional responses help define many psychiatric conditions. Peripherally, emotion dysregulation is often marked by low tonic (resting) parasympathetic nervous system (PNS) activity, as indexed by respiratory sinus arrhythmia (RSA). In fact, hundreds of studies conducted to date have found low RSA across diverse forms of psychopathology (e.g., anxiety disorders, autism spectrum disorder, conduct disorder, depression, panic disorder, psychotic disorders). Associations between psychopathology and RSA reactivity to laboratory tasks are less consistent. However, wide variability in tasks and psychophysiological methods may explain some of these inconsistencies. This chapter provides an updated summary of this literature, ending with discussion of methodological issues.
在过去的二十年里,情绪失调——被定义为在目标导向行为中无法抑制强烈的情绪反应——已经成为一种一致的、跨诊断的精神病理学脆弱性。尽管失调情绪的特定形式因障碍而异(例如,外化障碍中的兴奋、愤怒和相关的接近情绪;焦虑,恐慌和相关的逃避情绪(内化障碍),抑制情绪反应的缺陷有助于定义许多精神疾病。在外围,情绪失调通常以低张力(静息)副交感神经系统(PNS)活动为特征,以呼吸性窦性心律失常(RSA)为指标。事实上,迄今为止进行的数百项研究发现,低RSA存在于各种形式的精神病理学中(例如,焦虑症、自闭症谱系障碍、品行障碍、抑郁症、恐慌症、精神障碍)。精神病理学和RSA对实验室任务的反应之间的联系不太一致。然而,任务和心理生理学方法的广泛差异可能解释了这些不一致。本章提供了这一文献的更新摘要,以方法论问题的讨论结束。
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引用次数: 14
Epigenetic Foundations of Emotion Dysregulation 情绪失调的表观遗传基础
Pub Date : 2018-12-11 DOI: 10.1093/OXFORDHB/9780190689285.013.16
Mindy A. Brown, Elisabeth Conradt, S. Crowell
Emotion dysregulation is a pervasive clinical problem that likely emerges from complex Gene × Environment interactions across development. Epigenetic processes provide a molecular basis by which genotype interacts with the environment across the lifespan to produce phenotype. Epigenetics is defined by molecular processes occurring on and around the genome that regulate gene activity without changing DNA sequence. This chapter describes how epigenetic mechanisms are assessed and provides a brief review of current research on epigenetics, emotion dysregulation, and associated disorders. It then highlights four biological pathways of interest, the serotonin, dopamine, and norepinephrine systems and the limbic-hypothalamic pituitary adrenal (L-HPA) axis, and argues that, to advance understanding of the pathophysiology of emotion dysregulation, biological pathways rather than single genes must be measured. The chapter describes challenges for the field of epigenetics and how novel methods could be leveraged to overcome those challenges.
情绪失调是一种普遍存在的临床问题,可能源于复杂的基因与环境在发育过程中的相互作用。表观遗传过程提供了基因型在整个生命周期中与环境相互作用以产生表型的分子基础。表观遗传学的定义是,在不改变DNA序列的情况下,发生在基因组上和周围的调节基因活性的分子过程。本章描述了如何评估表观遗传机制,并简要回顾了当前表观遗传学、情绪失调和相关疾病的研究。然后,它强调了四种感兴趣的生物学途径,血清素,多巴胺,去甲肾上腺素系统和边缘-下丘脑垂体-肾上腺(L-HPA)轴,并认为,为了提高对情绪失调病理生理学的理解,必须测量生物途径而不是单一基因。本章描述了表观遗传学领域的挑战,以及如何利用新方法来克服这些挑战。
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引用次数: 2
Behavioral and Molecular Genetics of Emotion Dysregulation 情绪失调的行为和分子遗传学
Pub Date : 2018-06-07 DOI: 10.1093/OXFORDHB/9780190689285.013.15
L. Rappaport, S. Hawn, C. Overstreet, A. Amstadter
Given the critical role that emotion dysregulation plays in many psychiatric disorders, there is a need to understand the biological underpinnings of emotion regulation deficits. This chapter opens with a brief overview of emotion regulation and constructs that fall under its broad umbrella. Next, it provides a brief primer of behavioral genetic research methods, summarizes existing literature regarding the heritability of emotional dysregulation, provides an overview of molecular genetic research methods, and reviews extant molecular genetic literature on emotion regulation. Finally, the chapter reviews the limitations of existing research and identifies promising areas of future inquiry that may clarify the underlying structure of emotion dysregulation and identify the role of common genetic loci in associations between emotion dysregulation and psychopathology.
鉴于情绪失调在许多精神疾病中所起的关键作用,有必要了解情绪调节缺陷的生物学基础。本章以情绪调节和结构的简要概述开始,这些结构属于其广泛的保护伞。其次,简要介绍了行为遗传学研究方法,总结了现有关于情绪失调遗传性的文献,概述了分子遗传学研究方法,并对现有的关于情绪调节的分子遗传学文献进行了综述。最后,本章回顾了现有研究的局限性,并确定了未来研究的有希望的领域,这些领域可能会澄清情绪失调的潜在结构,并确定情绪失调和精神病理之间关联的常见遗传位点的作用。
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引用次数: 1
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The Oxford Handbook of Emotion Dysregulation
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