有上一年非自杀性自伤经历和没有上一年非自杀性自伤经历的新成人在日常生活中的情感认知状态比较

IF 3.4 2区 心理学 Q2 PSYCHIATRY Behavior Therapy Pub Date : 2023-09-04 DOI:10.1016/j.beth.2023.08.004
Glenn Kiekens, Penelope Hasking, Matthew K. Nock, Evan Kleiman, Olivia J. Kirtley, Marlies Houben, Mark Boyes, Ronny Bruffaerts, Inez Myin-Germeys, Laurence Claes
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引用次数: 0

摘要

尽管有文献表明,有和没有非自杀性自我伤害(NSSI)史的人在情感和认知脆弱性方面存在类似特质的差异,但人们对这些性格差异在自然环境中的表现却知之甚少。本研究比较了有和没有 NSSI 行为的人在日常生活中情感(消极和积极情感)和认知状态(反刍、自我批评)的强度、惯性、相互作用和可变性。采用经验取样法(ESM),60 名有和没有过去一年 NSSI 行为的新成人(年龄 = 18-22 岁)(平均分布)在 12 天内每天完成 8 份问卷(每位参与者共完成 96 份问卷),共完成 4587 次评估(中位数符合率 = 83.3%;IQR = 71.9-91.7)。在动态结构方程建模框架下,使用多层次向量自回归模型对动态参数(即平均强度、带入效应、溢出效应和人内变异性)进行了评估。有 NSSI 行为的新成人在消极情绪、反刍和自我批评方面的强度更高、变异性更大,而没有 NSSI 行为的新成人在积极情绪方面的强度更高、变异性更小。此外,过去一年的 NSSI 还预示着随着时间的推移,情感与认知之间会产生更强的相互作用,在有 NSSI 行为的人身上,消极和积极情感对随后的反刍和自我批评会产生更强的溢出效应。抑郁症状以及情绪失调和自我批评的特质水平在一定程度上抵消了这些差异。我们的研究结果提供了证据,证明自我伤害的成年人在日常生活中会经历更多的负面情绪-认知状态,并指出增强积极情绪以缓冲负面认知的潜在相关性。
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A Comparison of Affective-Cognitive States in Daily Life Between Emerging Adults With and Without Past-Year Nonsuicidal Self-Injury

Although the literature suggests trait-like differences in affective and cognitive vulnerabilities between individuals with and without a history of nonsuicidal self-injury (NSSI), little is known about how these dispositional differences are experienced in the natural environment. The present study compares the intensity, inertia, interaction, and variability of affective (negative and positive affect) and cognitive states (rumination, self-criticism) in the everyday lives of individuals who do and do not engage in NSSI. Using experience sampling methodology (ESM), 60 emerging adults (ages = 18–22 years) with and without past-year NSSI (equally distributed) completed eight questionnaires per day for 12 days (in total, 96 questionnaires per participant), resulting in 4,587 assessments (median compliance = 83.3%; IQR = 71.9–91.7). In a dynamic structural equation modeling framework, dynamic parameters (i.e., mean intensity, carryover effects, spillover effects, and within-person variability) were evaluated using multilevel vector autoregressive models. Emerging adults who engage in NSSI experience higher intensity and greater variability of negative affect, rumination, and self-criticism, whereas those who do not engage in NSSI experience higher intensity and lower variability of positive affect. In addition, past-year NSSI predicted stronger affective-cognitive interactions over time, with stronger spillover effects of negative and positive affect on subsequent rumination and self-criticism in individuals who engage in NSSI. Depressive symptoms and trait levels of emotion dysregulation and self-criticism partially negated these differences. Our findings provide evidence that emerging adults who self-injure experience more negative affective-cognitive states in daily life and point to the potential relevance of boosting positive emotions to buffer negative cognitions.

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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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