在抑郁和焦虑障碍中执行功能和情绪调节:一个横截面研究
Tanisha Shetty1, Himani Kashyap1, Urvakhsh Meherwan Mehta2,3
1Dept. of Clinical Psychology, M.V. Govindaswamy Centre, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Indian journal of psychological medicine
|June 16, 2025
概括
执行功能 (EF) 和情绪调节 (ER) 缺陷在抑郁症和焦虑症中很常见. 工作记忆受损和响应抑制与更大的情绪调节困难有关,这表明认知干预的目标.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 临床研究 临床研究
背景情况:
- 执行功能 (EF) 和情绪调节 (ER) 缺陷在抑郁症和焦虑症中很常见.
- 这些缺陷在治疗参与,减轻症状和预防复发方面发挥着作用.
- 了解EF和ER之间的相互关系对于这些条件至关重要.
研究的目的:
- 为了检查执行功能 (EF) 和情绪调节 (ER) 在患有抑郁和焦虑障碍的个体之间的相互关系.
- 在临床和非临床组中比较EF和ER.
- 确定与这些疾病相关的特定EF和ER缺陷和策略.
主要方法:
- 招募了27名患有抑郁/焦虑障碍的参与者和27名非临床对照.
- 进行精神病学查并评估症状严重程度.
- 评估EF (设置转移,响应抑制,工作记忆,口语流,规划) 和ER (严重性,策略,情境ER).
- 员工使用曼-惠特尼U/t测试进行群组比较,以及皮尔森/斯皮尔曼对相关性的测试.
主要成果:
- 临床组表现出较低的工作记忆,语言流性和响应抑制.
- 患有抑郁症/焦虑症的个体表现出更大的情绪调节困难,包括增加了灾难化的使用.
- 较差的工作记忆与更大的ER困难相关,而接受ER策略与较差的响应抑制相关.
结论:
- 结果突出显著的EF和ER困难和不适应的策略在抑郁症/焦虑症组.
- 较差的工作记忆与更大的ER困难有关,以及对被动接受的不有效的响应抑制.
- 针对EF的认知培训干预措施可能会增强ER,并需要在更大的样本中进行进一步调查.
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