在患有抑郁和焦虑症的患者中,情绪调节和心态化
Anne Bryde Christensen1,2, Stig Poulsen2, Trine Munk Højberg2,3
1Center for Eating and feeding Disorders Research, Mental Health Center Ballerup, Copenhagen University Hospital - Mental Health Services Capital Region of Denmark, Copenhagen, Denmark.
Clinical psychology & psychotherapy
|May 9, 2024
概括
抑郁症和焦虑症患者的情绪调节受损,而心态化并不是一个主要问题. 情绪调节策略是心理治疗的关键目标,因为它们与症状有很强的联系.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 理论模型表明,情绪调节和心智化之间存在联系.
- 心理化理论认为,影响调节的因素取决于心理化能力.
研究的目的:
- 研究情绪调节与心智化 (反射功能) 之间的关联.
- 在被诊断患有抑郁症和/或焦虑症的患者中检查这些关联.
主要方法:
- 利用了涉及291名患有抑郁症/焦虑症的患者的TRACT-RCT试验数据.
- 使用情绪调节策略问卷 (ERSQ) 评估情绪调节.
- 通过反思功能问卷 (RFQ-6) 测量心态,与福祉和社会功能相关联.
主要成果:
- 患者表现出情绪调节减弱 (ERSQ),但仅轻微损害反射功能 (RFQ-6).
- 在ERSQ和RFQ-6之间发现了显著的负相关性,这表明情绪调节更好,低于hypomentalization.
- 情绪调节,而不是反射功能,是幸福感和社会功能更强的预测因素.
结论:
- 在这个患者群体中,低心态化并不是主要关注的问题;情绪调节缺陷更为突出.
- 情绪调节和心态化的构造在临床人群中可能不会始终同时发生.
- 情绪调节策略与症状学密切相关,凸显了它们作为心理治疗中的治疗目标的重要性.
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