重度抑郁症的日常情感动态:日常压力和积极事件的作用

IF 2.1 Q2 PSYCHOLOGY Affective science Pub Date : 2023-08-30 DOI:10.1007/s42761-023-00209-x
Dahlia Mukherjee, Sun Ah Lee, David Almeida
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引用次数: 0

摘要

本研究对过去一年中被诊断为重度抑郁障碍(MDD)的人在接受访谈时的日常情感动态指数进行了研究,重点关注情感的可变性以及情感对日常事件的反应(情感反应性)。数据来自美国中年(MIDUS)研究的主要调查和每日日记项目。参与者(N = 1,970; nMDD = 202; nnon-MDD = 1,768)完成了有关心理健康的结构化临床访谈和有关其连续八天日常经历的电话访谈。多层次模型显示,与非 MDD 组相比,MDD 组经历了更大的积极情感(PA)和消极情感(NA)变化。在报告了至少一个压力事件的日子里,MDD 组的 PA 下降幅度更大,NA 上升幅度更大。在至少报告了一个积极事件的日子里,MDD 组的 PA 增加得更多,NA 减少得更多。对日常事件的影响变化,尤其是心情开朗效应,可能是抑郁症的指标和潜在的干预目标。该研究的局限性包括:研究对象为社区样本、依赖于对日常压力和积极事件的自我报告测量、纳入了已缓解和正在缓解的 MDD 参与者,以及基于 DSM-III-R 的 MDD 诊断标准。
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Daily Affective Dynamics in Major Depressive Disorder: The Role of Daily Stressors and Positive Events

This study examined daily affective dynamic indices among individuals with a major depressive disorder (MDD) diagnosis in the past one year at the time of the interview, focusing on affective variability and change in affect in response to daily events (affective reactivity). Data were from the main survey and daily diary project of the Midlife in the United States (MIDUS) study. Participants (N = 1,970; nMDD = 202; nnon-MDD = 1,768) completed structured clinical interviews on mental health and telephone interviews about their daily experiences spanning eight consecutive days. Multilevel models revealed that the MDD group experienced greater positive (PA) and negative affect (NA) variability than the non-MDD group. On days that at least one stressful event was reported, the MDD group experienced a greater decrease in PA and a greater increase in NA. On days that at least one positive event was reported, the MDD group experienced a greater increase in PA and a greater decrease in NA. Changes in affect to daily events, particularly the mood brightening effect, may be indicators of depression and potential targets for intervention. Limitations of the study include a community sample, reliance on self-reported measures of daily stressors and positive events, inclusion of remitted and current MDD participants, and the DSM-III-R based criteria for MDD diagnosis.

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