低度和高度易患精神病年轻人的人际情绪调节:日记研究

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Cognitive Therapy and Research Pub Date : 2024-08-22 DOI:10.1007/s10608-024-10525-6
Marcel Riehle, Saskia Brauer, Tania M. Lincoln, Luise Pruessner
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引用次数: 0

摘要

目的情绪调节是一个复杂的过程,通常涉及他人的存在,也称为人际情绪调节(IER)。然而,人们对精神病症状与人际情绪调节的关系知之甚少。我们研究了精神病易感性升高的年轻人是否比精神病易感性低的年轻人更少参与人际情绪调节,以及是否觉得人际情绪调节对他们的帮助更少。方法我们根据事先确定的社区心理体验评估临界值,招募了具有减弱的消极症状(PP-NES,n = 37)和积极症状(PP-POS,n = 20)的精神病易感性高的年轻人以及精神病易感性低的对照组(CG,n = 52)。参与者提供为期一周的每日日记,报告负面症状、妄想症、积极和消极情绪,以及使用IER策略来上调积极情绪和下调消极情绪的频率和效果。结果多层次模型显示,与CG相比,PP-NES报告使用IER的频率较低,并且认为其效果较差。与 CG 相比,PP-POS 更多地向他人寻求建议。这些群体差异与 PP-NES 的异常情绪水平有关。在各组中,参与者在报告负面症状较多的日子里较少使用 IER,而在报告妄想症较多的日子里使用较多。此外,年轻人(无论是否有精神病倾向)每天似乎都会根据当前的社交动机和痛苦程度来调整他们对 IER 的使用。未来的研究应探讨这些畸变是否会对社会融入和症状轨迹造成功能障碍。
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Interpersonal Emotion Regulation in Young Adults With Low and High Psychosis Proneness: A Diary Study

Purpose

Emotion regulation is a complex process that often involves the presence of others, also known as interpersonal emotion regulation (IER). However, little is known about how psychotic symptoms relate to IER. We investigated whether young adults with elevated psychosis proneness engage in IER less frequently and find it less helpful than those with low psychosis proneness.

Methods

Psychosis-prone young adults with attenuated negative (PP-NES, n = 37) and positive symptoms (PP-POS, n = 20) and a low psychosis-prone control group (CG, n = 52) were recruited based on a priori defined cut-offs for the Community Assessment of Psychic Experiences. Participants provided daily diaries over one week, reporting negative symptoms, paranoia, positive and negative affect, and the frequency and efficacy of IER strategies to upregulate positive and downregulate negative emotions.

Results

Multilevel models showed that PP-NES reported using IER less frequently and found it less effective compared to CG. PP-POS reported turning to others for advice in distressing situations more than the CG. These group differences were related to aberrant affect levels in PP-NES. Across groups, participants used IER less on days on which they reported more negative symptoms and used it more on days on which they reported more paranoia.

Conclusions

These findings suggest symptom-specific aberrations in everyday IER in psychosis-prone young adults. Moreover, from day to day, young adults (psychosis-prone or not) appear to adjust their use of IER depending on current social motivation and distress levels. Future research should investigate whether these aberrations are dysfunctional regarding social inclusion and symptom trajectories.

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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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