探索失眠中的情绪调节,有或没有重大抑郁情节
Julie Garrivet1,2, Bénédicte Gohier1,3, Julia Maruani4,5,6
1Département de Psychiatrie et Addictologie, CHU Angers, Angers, France.
Journal of sleep research
|June 29, 2024
概括
患有失眠和严重抑郁症 (MDE) 的人与仅患有失眠的人相比,表现出明显的情绪调节困难,包括增加自我责备和抑制动机. 针对个性化治疗需要进一步的研究.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 情绪调节缺陷与抑郁症和失眠症有关.
- 之前的研究还没有直接比较失眠患者的情绪调节概况与没有重大抑郁发作 (MDE) 的情况.
研究的目的:
- 调查和比较慢性失眠的个体的情绪调节方面,有或没有并发性MDE.
- 确定这些群体之间的情绪反应,可变性,气质和认知策略的具体差异.
主要方法:
- 一项描述性观察性研究涉及57名参与者 (27人患有失眠和MDE,30人仅患有失眠).
- 使用自我问卷来评估情绪调节:影响强度度量,影响性可变度量,TEMPS-A,CERQ和MATS.
主要成果:
- 在两组之间的焦虑/抑郁不稳定性中发现了显著的差异.
- 在运动活动和动机 (激活/抑制) 中观察到的变化.
- 患有MDE的失眠组表现出更高的自责和灾难化,以及更大的动机和运动活动抑制.
结论:
- 伴随性失眠和MDE患者表现出独特的情绪调节模式,特别是在认知策略和行为抑制方面.
- 研究结果表明,在治疗失眠方面,个性化干预措施可能是潜在的目标.
相关概念视频
Insomnia
82
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
82
Depression: Overview
237
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
237
Management of Insomnia
243
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
243
Depressive Disorders: MDD and Dysthymia
91
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
91
Depressive Disorders: Etiology
63
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
63
Antidepressant Drugs: MAOIs and Other Agents
215
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
215


