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Does Major Depression Differentially Affect Daily Affect in Adults From Six Middle-Income Countries: China, Ghana, India, Mexico, Russian Federation, and South Africa? 来自六个中等收入国家:中国、加纳、印度、墨西哥、俄罗斯联邦和南非的成年人,重度抑郁症对日常生活的影响有差异吗?
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-11-06 DOI: 10.1177/21677026231194601
Vanessa Panaite, Nathan Cohen
Much of the research on how depression affects daily emotional functioning comes from Western, Educated, Industrialized, Rich, and Democratic (WEIRD) countries. In the current study, we investigated daily positive affect (PA) and negative affect (NA) and PA and NA variability in a cross-cultural sample of adults with a depression diagnosis ( N = 2,487) and without a depression diagnosis ( N = 31,764) from six middle-income non-WEIRD countries: China, Ghana, India, Mexico, Russian Federation, and South Africa. Across countries, adults with depression relative to adults without depression reported higher average NA and NA variability and lower average PA but higher PA variability. Findings varied between countries. Observations are discussed within the context of new theories and evidence. Implications for current knowledge and for future efforts to grow cross-cultural and non-WEIRD affective science are discussed.
许多关于抑郁如何影响日常情绪功能的研究来自西方、受过教育、工业化、富裕和民主(WEIRD)的国家。在当前的研究中,我们调查了来自六个中等收入非weird国家(中国、加纳、印度、墨西哥、俄罗斯联邦和南非)的有抑郁症诊断(N = 2487)和无抑郁症诊断(N = 31764)的成年人的跨文化样本的日常积极情绪(PA)和消极情绪(NA)以及PA和NA的变异性。在各个国家,与没有抑郁症的成年人相比,患有抑郁症的成年人报告的平均NA和NA变异性更高,平均PA更低,但PA变异性更高。调查结果因国家而异。在新的理论和证据的背景下讨论观察结果。讨论了对当前知识和未来发展跨文化和非怪异情感科学的影响。
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引用次数: 0
The Association Between the Selection and Effectiveness of Emotion-Regulation Strategies and Psychopathological Features: A Daily Life Study 情绪调节策略的选择和有效性与心理病理特征的关系:一项日常生活研究
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-10-27 DOI: 10.1177/21677026231203662
Marlies Houben, Elise K. Kalokerinos, Peter Koval, Yasemin Erbas, Jardine Mitchell, Madeline Pe, Peter Kuppens
Emotion dysregulation is central to psychopathological conditions, including borderline personality disorder (BPD) and depression. However, the nature of emotion-regulation (ER) difficulties in the daily life of people with BPD or depressive features is still unclear. Therefore, in this study, we aimed to disentangle two different ER subprocesses in daily life, (a) selection of ER strategies and (b) the effectiveness of implementing strategies, in terms of their associations with subsequent emotional experience. We analyzed data from a three-wave, longitudinal, experience-sampling study of young adults with varying levels of psychopathological features ( N = 202). BPD features were uniquely linked to the use but not altered effectiveness of several putatively adaptive and maladaptive ER strategies. Depressive features were uniquely associated with the use of putatively maladaptive strategies. These findings suggest that ER deficits in people with more BPD or depressive features may be primarily located in strategy selection rather than the implementation of those strategies.
情绪失调是精神病理状况的核心,包括边缘性人格障碍(BPD)和抑郁症。然而,BPD或抑郁特征患者日常生活中情绪调节(ER)困难的性质尚不清楚。因此,在本研究中,我们旨在从日常生活中两个不同的内质反应子过程(a)内质反应策略的选择和(b)实施策略的有效性这两个过程与随后的情绪体验的关联方面来厘清它们之间的关系。我们分析了来自三波、纵向、经验抽样研究的数据,这些研究对象是具有不同程度精神病理特征的年轻人(N = 202)。BPD特征与几种假定的适应性和非适应性ER策略的使用有独特的联系,但不改变其有效性。抑郁特征与假定的适应不良策略的使用是唯一相关的。这些发现表明,具有更多BPD或抑郁特征的人的内质网缺陷可能主要位于策略选择而不是这些策略的实施。
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引用次数: 0
Neuroticism Is Prospectively Associated With 30-Month Changes in Broadband Internalizing Symptoms, but Not Narrowband Positive Affect or Anxious Arousal, in Emerging Adulthood 在成年初期,神经质与宽频内化症状的30个月变化有关,但与窄带积极情绪或焦虑唤醒无关
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-10-24 DOI: 10.1177/21677026231205270
Christopher C. Conway, Shannon E. Grogans, Allegra S. Anderson, Samiha Islam, Logan E. Craig, Jazmine Wedlock, Juyoen Hur, Kathryn A. DeYoung, Alexander J. Shackman
Elevated levels of Neuroticism/Negative Emotionality (N/NE) and, less consistently, lower levels of Extraversion/Positive Emotionality (E/PE) confer risk for pathological depression and anxiety. To date, most prospective-longitudinal research has narrowly focused on traditional diagnostic categories, creating uncertainty about the precise nature of these prospective associations. Adopting an explicitly hierarchical-dimensional approach, we examined the association between baseline variation in personality and longitudinal changes in broad and narrow internalizing-symptom dimensions in 234 emerging adults followed for 2.5 years, during the transition from older adolescence to early adulthood. N/NE was uniquely associated with increases in broadband internalizing—the core cognitive and affective symptoms that cut across the emotional disorders—and unrelated to the narrower dimensions of positive affect and anxious arousal that differentiate specific internalizing presentations. Variation in E/PE and several other Big Five traits was cross-sectionally but not prospectively related to longitudinal changes in specific internalizing symptoms. Exploratory personality-facet-level analyses provided preliminary evidence of more granular associations between personality and longitudinal changes in internalizing symptoms. These observations enhance the precision of models linking personality to internalizing illness, highlight the centrality of N/NE to increases in transdiagnostic internalizing symptoms during a key developmental chapter, and set the stage for developing more effective prevention and treatment strategies.
神经质/消极情绪(N/NE)水平的升高和外向性/积极情绪(E/PE)水平的降低(不太一致)会增加病理性抑郁和焦虑的风险。迄今为止,大多数前瞻性纵向研究都狭隘地集中在传统的诊断类别上,造成了这些前瞻性关联的确切性质的不确定性。采用明确的层次维度方法,我们对234名新生成人进行了为期2.5年的随访,从青春期过渡到成年早期,研究了人格基线变化与广义和狭义内化症状维度纵向变化之间的关系。N/NE与宽频内化(跨越情绪障碍的核心认知和情感症状)的增加有独特的联系,与区分特定内化表现的积极情感和焦虑唤醒的狭窄维度无关。E/PE和其他几个大五特征的变化是横断面的,但与特定内化症状的纵向变化没有前瞻性关系。探索性人格层面分析提供了初步证据,证明人格与内化症状的纵向变化之间存在更细粒度的关联。这些观察结果提高了将人格与内化疾病联系起来的模型的准确性,强调了在关键的发育阶段,N/NE对跨诊断内化症状增加的中心作用,并为制定更有效的预防和治疗策略奠定了基础。
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引用次数: 0
Corrigendum: “The Memory Wars Then and Now: The Contributions of Scott O. Lilienfeld” 勘误表:“过去和现在的记忆战争:斯科特·o·利连菲尔德的贡献”
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-10-18 DOI: 10.1177/21677026231198800
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引用次数: 0
Investigating a Common Structure of Personality Pathology and Attachment 调查人格病理和依恋的共同结构
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-10-13 DOI: 10.1177/21677026231200018
Madison Shea Smith, Susan C. South
Critical theoretical intersections between adult insecure attachment and personality disorders (PDs) suggest that they may overlap, but a lack of empirical analysis to date has limited further interpretation. The current study used a large sample ( N = 812) of undergraduates ( N = 355) and adults receiving psychological treatment ( N = 457) to test whether a joint hierarchical factor structure of personality pathology and insecure attachment is tenable. Results suggested that attachment and PD indicators load together on latent domains of emotional lability, detachment, and vulnerability, but antagonistic, impulsigenic, and psychosis-spectrum factors do not subsume attachment indicators. This solution was relatively consistent across treatment status but varied across gender, potentially suggesting divergent socialization of interpersonal problems. Although further tests are needed, if attachment and PDs prove to be unitary, combining them has exciting potential for providing an etiologic-developmental substrate to the classification of interpersonal dysfunction.
成人不安全依恋和人格障碍(pd)之间的关键理论交叉点表明它们可能重叠,但迄今为止缺乏实证分析,限制了进一步的解释。本研究采用大样本(N = 812)的大学生(N = 355)和接受心理治疗的成人(N = 457)来检验人格病理与不安全依恋的联合层次因素结构是否成立。结果表明,依恋和PD指标共同作用于情绪不稳定、脱离和脆弱的潜在域,而对抗性、冲动性和精神病谱系因素不包含在依恋指标中。这种解决方案在不同的治疗状态下相对一致,但在性别上有所不同,可能表明人际问题的社会化存在差异。虽然需要进一步的测试,如果依恋和pd被证明是单一的,那么将它们结合起来就有可能为人际功能障碍的分类提供一个病因发育基础。
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引用次数: 0
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
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Clinical Psychological Science
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