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Association Between Depression Symptoms and Emotional-Communication Dynamics 抑郁症状与情绪沟通动态的关系
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-26 DOI: 10.1177/21677026231194963
Amy J. P. Gregory, Melanie A. Dirks, Jonas P. Nitschke, Jessica M. Wong, Lauren J. Human, Jennifer A. Bartz
Communicating emotional experiences effectively is critical for adaptive functioning and personal and interpersonal well-being. Here, we investigated whether variability in depression symptoms undermines people’s ability to express their emotions to others (“emotional expressive accuracy”) and how those communication dynamics influence other’s impressions. In Phase 1, 49 “targets” were videotaped describing significant autobiographical events; they then watched their videos and continuously rated how positive/negative they were feeling throughout the narrative. In Phase 2, 171 “perceivers” watched subsets of videos from targets and similarly rated each target’s affect. Results from 1,645 unique target–perceiver observations indicate a link between target’s depressive symptoms and impaired emotional expressive accuracy for positive events, B = −0.002, t(1,501) = −3.152, p = .002. Likewise, more depressive targets were rated less favorably by perceivers, again when sharing positive events, B = −0.012, t(1,511) = −10.145, p < .001. Given the beneficial effects of “capitalization”—sharing positive experiences with others—these findings may illustrate one link between depressive symptoms and impoverished relationships.
有效地沟通情感体验对适应功能和个人及人际健康至关重要。在这里,我们调查了抑郁症状的可变性是否会破坏人们向他人表达情绪的能力(“情绪表达准确性”),以及这些交流动态如何影响他人的印象。在第一阶段,对49个“目标”进行录像,描述重要的自传事件;然后他们观看他们的视频,并不断评估他们在整个叙事过程中的积极/消极感受。在第二阶段,171名“感知者”观看了目标的视频子集,并对每个目标的影响进行了类似的评估。来自1,645个独特的目标感知者观察的结果表明,目标抑郁症状与对积极事件的情绪表达准确性受损之间存在联系,B = - 0.002, t(1,501) = - 3.152, p = .002。同样,在分享积极事件时,感知者对更抑郁的目标的评价也更低,B = - 0.012, t(1,511) = - 10.145, p <措施。考虑到“资本化”——与他人分享积极的经历——的有益影响,这些发现可能说明了抑郁症状与贫困人际关系之间的一种联系。
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引用次数: 0
Facing Emotions: Between- and Within-Sessions Changes in Facial Expression During Psychological Treatment for Depression 面对情绪:抑郁症心理治疗过程中面部表情的变化
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-25 DOI: 10.1177/21677026231195793
Hadar Fisher, Philip T. Reiss, Dovrat Atias, Michal Malka, Ben Shahar, Simon Shamay-Tsoory, Sigal Zilcha Mano
The main diagnostic criteria for major depressive disorder (MDD) are consistent experiences of high levels of negative emotions and low levels of positive emotions. Therefore, modification of these emotions is essential in the treatment of MDD. In the current study, we harnessed a computational approach to explore whether experiencing negative emotions during psychological treatment is related to subsequent changes in these emotions. Facial expressions were automatically extracted from 175 sessions of 58 patients with MDD. Within sessions, a U-shaped trajectory of change in valence was observed in which patients expressed an increase in negative emotions in the middle of the session. Between sessions, a consistent increase in valence was observed. A trajectory of within-sessions decrease followed by an increase in valence was positively associated with greater perceived positive emotions and subsequent decreases in depressive symptoms. These findings highlight the importance of targeting negative emotions during treatment to achieve more favorable outcomes.
重度抑郁障碍(MDD)的主要诊断标准是高水平的负面情绪和低水平的积极情绪的持续经历。因此,改变这些情绪在重度抑郁症的治疗中至关重要。在当前的研究中,我们利用计算方法来探索在心理治疗期间经历负面情绪是否与这些情绪的后续变化有关。自动提取58例重度抑郁症患者175次的面部表情。在治疗过程中,观察到效价变化的u型轨迹,患者在治疗过程中表达了负面情绪的增加。在疗程之间,观察到效价持续增加。疗程内减少后效价增加的轨迹与更多的感知到的积极情绪和随后的抑郁症状的减少正相关。这些发现强调了在治疗过程中针对负面情绪以获得更有利结果的重要性。
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引用次数: 0
Personality Pathology and Momentary Stress Processes 人格病理学和瞬间压力过程
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-24 DOI: 10.1177/21677026231192483
Colin E. Vize, Aleksandra Kaurin, Aidan G. C. Wright
The expression of personality pathology differs between people and within a person in day-to-day life. Personality pathology may reflect, in part, dysregulation in basic behavioral processes. Thus, a useful approach for studying maladaptive trait expression comes from literature on stress and daily hassles, which provides dynamic accounts for the relations between individual differences and maladaptive dysregulation. In this study, we sought to integrate maladaptive traits and dynamic stress processes to further dynamic models of personality pathology. In a combined clinical/community sample ( N = 297) oversampled for interpersonal problems, we used ecological momentary assessment (observation N = 19,968) to investigate how maladaptive traits moderated the processes of stress generation, stress reactivity, and affective spillover/inertia. Tests of our preregistered hypotheses provided a mix of supportive and null findings for stress processes identified in past research and mixed support for the moderating role of personality. The results provide insights into the relations between everyday stressors and personality pathology.
人格病理学的表现在人与人之间和一个人的日常生活中是不同的。人格病理学可能部分反映了基本行为过程的失调。因此,研究适应不良特征表达的一个有用的方法来自于有关压力和日常烦恼的文献,这些文献为个体差异和适应不良失调之间的关系提供了动态的解释。在本研究中,我们试图将适应不良特征和动态应激过程整合到人格病理学的动态模型中。在临床/社区联合样本(N = 297)的人际关系问题中,我们使用生态瞬间评估(观察N = 19,968)来研究适应不良特征如何调节应激产生、应激反应和情感溢出/惯性过程。对我们预先登记的假设的测试为过去研究中确定的压力过程提供了支持和无效的结果,并为人格的调节作用提供了混合支持。研究结果为日常压力源和人格病理学之间的关系提供了见解。
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引用次数: 0
The Longitudinal (Co)Development of Personality Traits and the Level of Personality Functioning After Negative Life Events 消极生活事件后人格特质的纵向发展与人格功能水平
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-24 DOI: 10.1177/21677026231197607
Peter Haehner, Chelsea E. Sleep, Joshua D. Miller, Donald R. Lynam, Christopher J. Hopwood
Based on the evidence from cross-sectional studies, there is an ongoing debate whether personality traits and personality functioning are redundant (e.g., because these constructs are strongly correlated). However, some questions regarding their overlap can only be addressed using longitudinal data. In this Registered Report, we examined the (co)development of the Big Five personality traits and personality functioning using longitudinal data from individuals who had recently experienced a negative life event ( N = 1,151). Personality functioning was less rank-order stable than conscientiousness and less mean-level stable than all Big Five traits except neuroticism. Furthermore, the developmental trajectory of the level of personality functioning was particularly similar to the developmental trajectory of neuroticism. Our results show that personality functioning and most Big Five personality traits differ in their longitudinal development in the context of negative life events and suggest the need for a clearer distinction between personality functioning and neuroticism.
基于横断面研究的证据,人们一直在争论人格特质和人格功能是否冗余(例如,因为这些结构是强相关的)。然而,关于它们重叠的一些问题只能使用纵向数据来解决。在这篇注册报告中,我们使用来自最近经历过负面生活事件的个体(N = 1151)的纵向数据,研究了五大人格特征和人格功能的共同发展。人格功能的等级稳定性低于尽责性,平均水平稳定性低于除神经质外的所有五大特征。此外,人格功能水平的发展轨迹与神经质的发展轨迹特别相似。我们的研究结果表明,在负面生活事件的背景下,人格功能和大多数五大人格特征的纵向发展是不同的,这表明需要更明确地区分人格功能和神经质。
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引用次数: 0
Stereotypes and OCD-Symptom Presentations: A Mixed-Methods Evaluation Using Male-Character Vignettes 刻板印象和强迫症症状表现:一种使用男性角色小片段的混合方法评估
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-24 DOI: 10.1177/21677026231192893
Gabriella T. Ponzini, Miranda Signorelli, Elizabeth A. Claydon, Christa Lilly, Shari A. Steinman
Stereotypes toward symptom presentations of obsessive compulsive disorder (OCD) are poorly understood. A mixed-methods, multistudy analysis of OCD stigma was conducted. In Study 1 ( N = 60), participants read one of five vignettes (symmetry/just right, contamination, sexual, harm/aggression, scrupulous OCD) before responding to open-ended questions. Inductive content analyses revealed anxiety-relevant stereotypes (e.g., trivialization) for symmetry/just right and contamination and serious mental-illness stereotypes (e.g., dangerous) for harm/aggression and sexual vignettes. In Study 2 ( N = 698), participants read one of seven vignettes (OCD-symptom presentations, generalized anxiety disorder, schizophrenia) before responding to stigma measures. The sexual, harm/aggression, and schizophrenia vignettes were strongly associated with serious mental-illness stigma. The scrupulous vignette was associated with the most anxiety-relevant stigma. Together, these studies detail stereotype endorsement across OCD-symptom presentations. Stigma-reduction interventions should include psychoeducation and address macro-level stereotypes (i.e., stereotypes that exist across symptom presentations) while enhancing opportunities for contact to mitigate stigma.
人们对强迫症(OCD)症状表现的刻板印象知之甚少。对强迫症病耻感进行了混合方法、多研究分析。在研究1 (N = 60)中,参与者在回答开放式问题之前先阅读五个小短文(对称/恰到好处、污染、性、伤害/侵略、谨慎的强迫症)中的一个。归纳性内容分析揭示了与焦虑相关的刻板印象(如:琐屑化)对对称/恰到好处和污染的刻板印象和严重的精神疾病刻板印象(如:危险)对伤害/攻击和性小插曲的刻板印象。在研究2 (N = 698)中,参与者在对耻辱感测量做出反应之前,先阅读七个小片段(强迫症症状表现、广泛性焦虑障碍、精神分裂症)中的一个。性、伤害/攻击和精神分裂症的小插曲与严重的精神疾病污名密切相关。谨慎的小插图与最焦虑相关的耻辱相关。总之,这些研究详细说明了强迫症症状表现中的刻板印象背书。减少耻辱感的干预措施应包括心理教育和解决宏观层面的刻板印象(即存在于各种症状表现中的刻板印象),同时增加接触机会以减轻耻辱感。
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引用次数: 0
Heterogeneity in Temporal Dynamics of Pain and Affect Among Individuals With Chronic Back Pain and Associations With Risk for Future Opioid-Related Problems 慢性背痛患者疼痛和影响的时间动态异质性以及与未来阿片类药物相关问题的风险相关
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-24 DOI: 10.1177/21677026231196121
Madelyn R. Frumkin, Ryan W. Carpenter, Thomas L. Rodebaugh
Chronic low back pain (CLBP) is a biopsychosocial phenomenon involving complex relationships between pain and psychosocial factors. In preregistered analyses, we examined dynamic relationships between pain and negative affect among individuals with CLBP ( N = 87). We found that increased negative affect was concurrently and prospectively associated with increased pain for individuals on average. However, there was significant and meaningful between-persons variability in these effects such that risk for future opioid-related problems was positively associated with the within-persons correlation between pain and negative affect (β = 0.290, 95% credible interval [CI] = [0.071, 0.485]), the degree to which pain predicted increased negative affect (β = 0.439, 95% CI = [0.044, 0.717]), and the autoregressive effect of negative affect over 4-hr lags (β = 0.255, 95% CI = [0.007, 0.478]). These results suggest that variability in within-persons symptom dynamics may help identify chronic pain patients who are at greater risk of opioid-related problems.
慢性腰痛(CLBP)是一种涉及疼痛与心理社会因素之间复杂关系的生物心理社会现象。在预登记分析中,我们检查了CLBP患者(N = 87)疼痛和负面情绪之间的动态关系。我们发现,平均而言,负面情绪的增加与个体疼痛的增加同时且有可能相关。然而,这些影响存在显著且有意义的人之间差异,例如,未来阿片类药物相关问题的风险与疼痛和负面情绪之间的人内部相关性呈正相关(β = 0.290, 95%可信区间[CI] =[0.071, 0.485]),疼痛预测负面情绪增加的程度(β = 0.439, 95% CI =[0.044, 0.717]),以及4小时后负面情绪的自回归效应(β = 0.255, 95% CI =[0.007, 0.478])。这些结果表明,人体内症状动态的可变性可能有助于识别阿片类药物相关问题风险较大的慢性疼痛患者。
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引用次数: 0
Threat Appraisal and Pediatric Anxiety: Proof of Concept of a Latent Variable Approach 威胁评估和儿童焦虑:潜在变量方法的概念证明
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-22 DOI: 10.1177/21677026231190349
Rachel A. Bernstein, Ashley R. Smith, Elizabeth R. Kitt, Elise M. Cardinale, Anita Harrewijn, Rany Abend, Kalina J. Michalska, Daniel S. Pine, Katharina Kircanski
Elevated threat appraisal is a postulated neurodevelopmental mechanism of anxiety disorders. However, laboratory-assessed threat appraisals are task-specific and subject to measurement error. We used latent-variable analysis to integrate youths’ self-reported threat appraisals across different experimental tasks; we next examined associations with pediatric anxiety and behavioral- and psychophysiological-task indices. Ninety-two youths ages 8 to 17 ( M = 13.07 years, 65% female), including 51 with a primary anxiety disorder and 41 with no Axis I diagnosis, completed up to eight threat-exposure tasks. Anxiety symptoms were assessed using questionnaires and ecological momentary assessment. Appraisals both before and following threat exposures evidenced shared variance across tasks. Derived factor scores for threat appraisal were associated significantly with anxiety symptoms and variably with task indices; findings were comparable with task-specific measures and had several advantages. Results support an overarching construct of threat appraisal linked with pediatric anxiety, providing groundwork for more robust laboratory-based measurement.
高威胁评估是一种假设的焦虑障碍的神经发育机制。然而,实验室评估的威胁评估是针对特定任务的,容易产生测量误差。我们使用潜在变量分析来整合不同实验任务中青少年自我报告的威胁评估;接下来,我们研究了儿童焦虑和行为和心理生理任务指数之间的关系。92名8至17岁的青少年(M = 13.07岁,65%为女性),包括51名患有原发性焦虑症和41名未诊断为I轴焦虑症的青少年,完成了多达8项威胁暴露任务。采用问卷调查和生态瞬间评估法评估焦虑症状。在威胁暴露之前和之后的评估都证明了跨任务的共享差异。威胁评价的衍生因子得分与焦虑症状显著相关,与任务指标存在差异;研究结果与特定任务测量具有可比性,并且具有几个优势。结果支持与儿童焦虑相关的威胁评估的总体结构,为更强大的基于实验室的测量提供基础。
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引用次数: 0
Trajectories and Personality Predictors of Eating-Pathology Development in Girls From Preadolescence to Adulthood 青春期前至成年期女孩饮食病理发展的轨迹和人格预测因素
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-11 DOI: 10.1177/21677026231192271
Emilie Lacroix, Sylia Wilson, Matt McGue, William G. Iacono, Kristin M. von Ranson
Understanding eating-pathology development may enable meaningful prescriptions for its prevention. Here, we identified common trajectories of eating-pathology development and the personality factors associated with these trajectories. Participants were 760 female twins from the Minnesota Twin Family Study who reported on eating pathology at approximate ages 11, 14, 18, 20, 24, and 29. Parents reported on twins’ personality characteristics at age 11, and twins completed self-report personality questionnaires at ages 14 and 18. Latent class growth analysis identified two distinct trajectories for total eating pathology, binge eating, and weight preoccupation and three distinct trajectories for body dissatisfaction. Girls with more pathological trajectories already showed elevated eating pathology at age 11. These subgroups of high-risk girls self-reported greater proneness to anxiety, stress, and alienation, and less sociable personality styles. Prevention efforts may be enhanced by using self-reported personality traits to identify girls at high risk for eating pathology.
了解饮食病理学的发展可以为预防它开出有意义的处方。在这里,我们确定了饮食病理发展的共同轨迹以及与这些轨迹相关的人格因素。参与者是760名来自明尼苏达州双胞胎家庭研究的女性双胞胎,她们在大约11岁、14岁、18岁、20岁、24岁和29岁时报告了饮食病理学。父母在11岁时报告双胞胎的性格特征,双胞胎在14岁和18岁时完成自我报告性格问卷。潜在类别增长分析确定了总饮食病理、暴饮暴食和体重关注的两条不同轨迹,以及身体不满的三条不同轨迹。有更多病理轨迹的女孩在11岁时已经表现出更高的饮食病理。这些高风险女孩的亚组自我报告说,她们更容易焦虑、紧张、疏离,而且性格不太善于交际。通过使用自我报告的人格特征来识别饮食病理学高风险的女孩,可以加强预防工作。
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引用次数: 0
Self-Referential Processing and Depression: A Systematic Review and Meta-Analysis 自我参照加工与抑郁:系统回顾与元分析
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-11 DOI: 10.1177/21677026231190390
Amanda C. Collins, E. Samuel Winer
Reward devaluation theory posits that depressed individuals avoid and devalue positivity, suggesting that they may hold fewer positive self-schemas. Previous meta-analytic reviews have supported this theoretical framework regarding positivity but have not assessed for self-referential stimuli. Self-referential encoding and recall tasks assess for self-schemas and thus provide further insight into how depressed individuals process self-referential positivity. The aim of this systematic review and meta-analysis was to examine the extent to which depressed individuals differ in processing self-referential positivity and negativity and whether this processing differs when depressed individuals think of others (i.e., other-referential). Results indicate that depressed individuals recall and endorse fewer self-referential positive words than negative words and fewer self-referential positive words than other-referential positive words than nondepressed individuals. These findings support reward devaluation theory and suggest that conceptualizing self-referential processing in depression as merely based on negativity biases can overlook crucial information about how depressed individuals devalue self-referential positive information.
奖励贬值理论认为,抑郁的个体会避免并贬低积极性,这表明他们可能会减少积极的自我图式。先前的元分析综述支持这一关于积极性的理论框架,但没有评估自我参照刺激。自我参照编码和回忆任务评估自我图式,从而进一步了解抑郁个体如何处理自我参照积极性。本系统回顾和荟萃分析的目的是检验抑郁个体在处理自我参照的积极性和消极性方面的差异程度,以及当抑郁个体想到他人(即他人参照)时,这种处理是否会有所不同。结果表明,与非抑郁个体相比,抑郁个体回忆和认可的自我参照积极词汇少于消极词汇,自我参照积极词汇少于他人参照积极词汇。这些发现支持了奖励贬值理论,并表明将抑郁症中的自我参照加工概念化为仅仅基于消极偏见,可能会忽略抑郁症个体如何贬低自我参照积极信息的关键信息。
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引用次数: 2
Integrating “Lumpers” Versus “Splitters” Perspectives: Toward a Hierarchical Dimensional Taxonomy of Eating Disorders From Clinician Ratings 整合“块状”与“分裂”的观点:从临床医生的评级走向饮食失调的层次维度分类
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-09-10 DOI: 10.1177/21677026231186803
Kelsie T. Forbush, Yiyang Chen, Po-Yi Chen, Brittany K. Bohrer, Kelsey E. Hagan, Danielle A. N. Chapa, Kara A. Christensen Pacella, Victoria Perko, Brianne N. Richson, Sarah N. Johnson Munguia, Marianna L. Thomeczek, Sarah V. Nelson, Kylie Christian, Trevor J. Swanson, Jennifer E. Wildes
In this study, we describe a hierarchical dimensional model of eating-disorder (ED) classification based on the Hierarchical Taxonomy of Psychopathology. Participants were community-recruited adults with an ED ( N = 252; 81.9% female). We used a modified version of Goldberg’s method, which involved sequentially extracting latent factors using exploratory structural equation modeling, resulting in a 10-factor hierarchical-dimensional model. Dimensions predicted 92.4% and 58.7% of the variance in recovery outcomes at 6 months and 1 year, respectively. Compared with other illness indicators (e.g., Diagnostic and Statistical Manual of Mental Disorders [ DSM] diagnoses, dimensional ED impairment scores, weight/shape overvaluation, and DSM ED-severity specifiers), hierarchical dimensions predicted 0.88 to 334 times more variance in ED behaviors at baseline and 1.95 to 80.8 times more variance in psychiatric impairment at 1-year follow-up. Results suggest that reducing within-disorder heterogeneity for EDs within the broader context of internalizing symptoms provides a powerful framework from which to predict outcomes and understand symptoms experienced by people with EDs.
在本研究中,我们描述了一个基于精神病理学层次分类法的进食障碍(ED)分类的层次维度模型。参与者是社区招募的患有ED的成年人(N = 252;81.9%的女性)。我们使用了Goldberg方法的改进版本,该方法涉及使用探索性结构方程建模顺序提取潜在因素,从而得到一个10因素的层次维度模型。维度分别预测了6个月和1年恢复结果方差的92.4%和58.7%。与其他疾病指标(如精神障碍诊断与统计手册[DSM]诊断、ED障碍维度评分、体重/体型高估和DSM ED严重程度指标)相比,分层维度预测ED行为基线方差为0.88 - 334倍,1年随访时精神障碍方差为1.95 - 80.8倍。结果表明,在内化症状的更广泛背景下减少急症的障碍内异质性为预测结果和理解急症患者所经历的症状提供了一个强大的框架。
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引用次数: 0
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Clinical Psychological Science
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