应对方式与认知训练对青少年情绪障碍易感性的影响

以往研究指出青少年阶段是情绪障碍的高发时期, 各种情绪问题深刻影响青少年的身心健康。通过文献分析得出青春期压力所采取的应对方式(即个体对压力事件做出反应的稳定方式)可能是决定青少年情绪障碍易感程度的核心因素; 而认知训练可降低该易感性, 从而提高青少年的心理健康水平。为了验证上述观点, 综合采用行为调查与生理测量, EEG/ERP与fMRI手段, 拟开展如下4个方面的研究工作：1)青春期发育阶段影响个体负性情绪易感性的大脑机制; 2)认知应对方式与青春期发育阶段的交互作用对负性情绪易感性的影响及大脑机制; 3)认知训练(包括注意训练、解释训练与接受训练)对健康青少年负面情绪易感性的调节作用及大脑可塑性机制; 4)认知训练对青少年抑郁/焦虑症患者情绪应对方式与临床症状的影响及大脑可塑性机制。通过上述系列研究, 揭示青少年更高情绪障碍易感性的认知神经机制, 找出并培养有利于青少年身心健康的情绪应对方法, 从而为情绪障碍的临床治疗奠定理论与实践基础。     

一例合理情绪疗法治疗焦虑症的案例报告

本文通过一例大学生焦虑症来访者的咨询案例,阐述了运用合理情绪疗法协助来访者解决自身问题的整个过程。本案例中来访者因为对生活中的负性生活事件存在不合理认知而形成焦虑情绪。在咨询方法上,运用合理情绪疗法,帮助来访者改变不合理认知,重新调整对生活事件的看法以及对其他人的态度,缓和焦虑情绪和不安全心理,并通过给予其行为指导和压力管理建议帮助其矫正不良生活习惯,恢复正常学习能力和社会交往功能。     

情绪调节灵活性对负性情绪的影响：来自经验取样的证据

情绪调节灵活性是指个体根据不断变化的情境需求灵活部署情绪调节策略的能力。本研究采用经验取样方法,通过拟合个体在日常生活事件(如,未通过考试)和突发公共卫生事件(COVID-19)中的策略使用剖面结构和情境负性程度与策略使用程度的共变关系测量个体的情绪调节灵活性水平,并探讨其对个体后续负性情绪(抑郁和焦虑)的影响。两个独立样本结果表明：单一策略使用偏好(如沉浸偏好和表达抑制偏好)的个体在负性生活事件中和疫情期间经历了更高水平的抑郁和焦虑情绪。此外,当个体随情境负性程度提高使用更多分心策略,而随情境负性程度降低使用更多认知重评策略(意味较高的情绪调节灵活性),其抑郁和焦虑情绪水平更低。以上结果共同证实了情绪调节灵活性有利于减少个体的负性情绪体验。     

大学生成人依恋、应对方式与负性情绪的关系研究

本文使用结构方程模型方法,研究大学生成人依恋、应对方式与负性情绪的关系。结果发现:(1)应对方式是依恋焦虑与负性情绪之间的完全中介;(2)应对方式是依恋回避与负性情绪之间的部分中介;(3)依恋焦虑和依恋回避对应对方式的解释率为40%,而依恋回避和依恋焦虑以及应对方式对负性情绪的解释率则为56%。     

负性情绪调节中认知重评和分心策略的作用:ERPs研究

采用事件相关电位技术,考察了认知重评和分心两种情绪调节策略对负性情绪体验和脑电活动的影响。结果发现,认知重评后被试的负性情绪体验强度和LPP波幅(300~1300ms)比简单注视条件下低;分心后被试的负性情绪体验强度比简单注视条件下低,但LPP波幅显示比简单注视条件下高。这说明认知重评和分心对负性情绪体验和脑电活动的影响不同,负性刺激再次呈现时认知重评优于分心策略的调节。该研究为认知重评和分心的比较研究提供了神经电生理学方面的证据。     

奖赏预期对面孔情绪加工的影响：一项事件相关电位研究

采用事件相关电位(ERPs)技术考察了奖赏预期对人类面孔情绪识别的影响。实验采用线索-目标范式, 分别记录了被试在奖赏预期条件下以及无奖赏预期条件下对正性、中性和负性面孔进行情绪辨别任务的ERP数据。行为结果显示, 被试在奖赏预期条件下的反应时快于无奖赏预期条件下的反应时, 对情绪面孔的反应时快于对中性面孔的反应时。ERPs数据显示, 奖赏线索比无奖赏线索诱发了更正的P1、P2和P300成分。目标刺激诱发的P1、N170波幅以及N300均受到奖赏预期的调节, 在奖赏预期条件下目标诱发了更正的ERPs。P1、N170、VPP等成分没有受到面孔情绪的影响, 而额中央位置的N300波幅显示情绪(正性与负性)面孔与中性面孔加工的差异。重要的是, N300波幅出现奖赏预期与情绪的交互作用, 正、负情绪加工效应以及负性偏向效应受奖赏预期的差异性影响。正性情绪加工效应不受奖赏预期的影响, 而负性情绪加工效应和负性偏向效应在奖赏预期条件下显著大于无奖赏预期条件下。这些结果说明, 奖赏预期能够调节对面孔情绪的加工, 且不同加工进程中奖赏对情绪加工的调节作用不同。动机性信息调节注意资源的分配, 促进了个体在加工面孔情绪时的负性偏向。     

认知重评的创造性对负性情绪调节的影响

以轻度负性图片为实验材料,采用自发性和指导性的认知重评策略,结合情绪的主观评定和生理指标,考察认知重评的创造性对负性情绪调节的影响,以及特质焦虑是否在其中起调节作用。结果发现：(1)自评和他评的认知重评创造性与情绪调节有效性呈显著正相关;(2)相比低创造性的认知重评,高创造性的认知重评对负性情绪的调节效果更好,并伴随着适应性的生理反应,皮电和心率显著下降;(3)相比低特质焦虑个体,高特质焦虑个体更容易体验到高负性情绪,但经过认知重评后两者的情绪调节效果无显著差异。结果表明,创造性认知重评促进负性情绪调节,特质焦虑在创造性认知重评与负性情绪调节之间不起调节作用。结果支持认知重评的创造性重构理论。     

诱发负性情绪时人际情绪调节与个体情绪调节对前瞻记忆的影响

依据在情绪调节过程中大量存在的人际互动现象,首次明确提出人际情绪调节概念,并采用以前瞻记忆成绩为因变量的前后衔接、递进的两阶段实验模式研究其与个体情绪调节对缓解负性情绪影响的差异。结果表明：诱发的负性情绪会干扰双任务前瞻记忆;在高认知负载情境下,人际情绪调节对这种干扰的调节效果显著优于个体情绪调节。这说明从理论上确认人际情绪调节概念具有合理性,从实证上探讨了这种调节方式可能更有效地调节负性情绪对认知资源的占用,从而有助于扩展情绪调节领域的研究视角,并推进对其作用机制的研究     

人类对情绪事件效价强度的易感性及神经机制

人类情绪无疑有强度的差异。然而, 长期以来人类情绪强度的易感性未能引起足够关注。通过系统操纵刺激材料的效价强度, 作者及研究团队分别从情绪易感性本身, 情绪影响高级认知, 以及个体差异三个层次系统探讨了人类对情绪事件效价强度的易感性及其神经机制。结果发现：1)、相比正性刺激, 人类对负性刺激的效价强度更敏感, 这一效应可能跟右侧海马/杏仁核的警觉功能有关联。2)、与上述结果相一致, 不同效价强度的负性情绪对新异性加工、目标觉察、执行控制等高级认知过程具有显著不同的影响。3)、人类情绪强度的易感性具有显著个体差异：相比男性, 女性对轻度负性情绪事件易感性更强。相比中向人群, 外倾人群对愉悦刺激的情绪易感性更强, 而对轻度负性事件的情绪易感性更弱。     

激活右腹外侧前额叶提高抑郁症患者对社会疼痛的情绪调节能力：一项TMS研究

负性人际交往经历和负性社会事件是抑郁症的重要诱导因素, 而社会功能受损是抑郁症患者的重要特征之一, 患者通常表现出对社会疼痛的情绪失调。为了提高抑郁症患者在负性社交情境中或面对负性社会事件时的情绪调节能力, 本研究采用经颅磁刺激技术(transcranial magnetic stimulation, TMS), 考察抑郁症患者在腹外侧前额叶(the ventrolateral prefrontal cortex, VLPFC)被激活后其情绪调节能力的改变。结果表明, 当右侧VLPFC被TMS激活且患者采用认知重评策略调节情绪时, 实验组患者(n = 64)比对照组患者(n = 63)在社会排斥情境下报告了更弱的负性情绪体验, 这说明激活右侧VLPFC可以有效提高患者对社会疼痛的外显性情绪调节能力。本研究是采用TMS提高抑郁症患者情绪调节能力的首次尝试, 实验发现不但支持了VLPFC与认知重评策略的因果关系, 还为临床改善抑郁症等社会功能障碍患者的情绪调节能力提供了明确的神经治疗靶点。后续研究还需探讨多疗程TMS刺激方案、改变社会疼痛的诱发方式、对比左右侧VLPFC的治疗效果、尝试使用其他的情绪调节策略, 进一步验证本研究的结论, 优化TMS治疗方案。     

母亲情绪调节与幼儿情绪理解能力:母亲应对方式的中介作用

对258名幼儿进行情绪理解能力任务测查,其母亲完成情绪调节方式问卷和应对幼儿消极情绪问卷,探讨母亲情绪调节方式、母亲对幼儿消极情绪的反应方式和幼儿情绪理解能力之间的关系。结果表明,幼儿情绪理解能力随年龄增长而提高,女孩情绪理解能力高于男孩。母亲对幼儿消极情绪更多采用情感关注和问题解决,惩罚反应最少,母亲对男孩的消极情绪表现出更多的惩罚反应,对女孩表现出更多的情感关注。母亲鼓励表达在其情绪调节方式和幼儿情绪理解能力之间有中介作用。     

Preparing for racial microaggressions: The role of cognition and emotion in the proactive coping process of African American college students

Traditionally, conceptual models of racial stressors (including racial microaggressions) have characterized the reactive experiences of African Americans, particularly identifying how African Americans cognitively, emotionally, and behaviorally respond to racial stress. The current study extends beyond the reactive coping experience and identifies nuances in the anticipatory and preparatory coping processes associated with racial microaggressions. Methods: 58 African American college students participated in a stress induction condition that exposed them to racial microinsults and prompted anticipatory concerns of further exposure to racial stress while completing a task with a racially insensitive peer. Following exposure to the stress induction condition, participants completed self-report questionnaires about their anticipatory thoughts, current affect, and proactive coping behaviors. Results: Threat-oriented thinking and negative affect were experienced in anticipation of racial discrimination; however, the endorsement of challenge-oriented thinking and positive affect were better predictors of how the current sample planned to use proactive coping behaviors to manage the anticipated racial stress. Implications: The current findings expand the racial stress coping narrative by capturing how the expression of optimism, perceived control, self-confidence, goal attainability, and positive emotion in anticipation of racial stress increases one's intention to implement coping strategies to minimize the impact of racial stress on task completion. Such findings provide cognitive and emotional targets for assessment when attempting to understand how African Americans are preparing themselves to manage anticipated racial stressors.     

Emotion regulation in depression: Examining the role of cognitive processes

Sustained negative affect is a hallmark feature of depressive episodes. The ability to regulate emotional responses to negative events may therefore play a critical role in our understanding of this debilitating disorder. Individual differences in cognitive processes such as attention, memory, and interpretation may underlie difficulties in emotion regulation and numerous studies have identified cognitive biases and deficits that characterise depressed people. Few studies, however, have explicitly linked these biases to the difficulties in emotion regulation that are associated with depression. In this paper we discuss relations among cognitive processes and emotion regulation and review the depression literature to identify cognitive biases and deficits that may underlie maladaptive responses to negative events and mood states. Our review suggests that difficulties in the disengagement from negative material, memory biases, and deficits in cognitive control are frequently observed in depressive disorders and may be associated with the use of maladaptive emotion regulation strategies, such as rumination. These biases may also be related to difficulties implementing strategies that are effective for non-depressed people, such as recall of mood-incongruent material and reappraisal. Our review also suggests, however, that empirical studies linking cognitive biases and emotion regulation in depression are still largely missing and would present an important goal for future research in this area.     

Experiential avoidance as a generalized psychological vulnerability: comparisons with coping and emotion regulation strategies

Extending previous work, we conducted two studies concerning the toxic influences of experiential avoidance (EA) as a core mechanism in the development and maintenance of psychological distress, and disruption of pleasant, engaging, and spontaneous activity. Of particular interest was whether EA accounted for relationships between coping and emotion regulation strategies on anxiety-related pathology (Study 1) and psychological distress and hedonic functioning over the course of a 21-day monitoring period (Study 2). In Study 1, EA mediated the effects of maladaptive coping, emotional responses styles, and uncontrollability on anxiety-related distress (e.g., anxiety sensitivity, trait anxiety, suffocation fears, and body sensation fears). In Study 2, EA completely mediated the effects of two emotion regulation strategies (i.e., suppression and reappraisal) on daily negative and positive experiences and was associated with diminished daily positive affective experiences and healthy life appraisals, diminished frequency of positive events and more frequent negative life events, and greater negative affective experiences. The present data show that cognitive reappraisal, a primary process of traditional cognitive-behavior therapy, was much less predictive of the quality of psychological experiences and events in everyday life compared with EA. Further consideration of experiential avoidance as a generalized diathesis and toxic process will be useful in improving our understanding of the etiology, phenomenology, and treatment of anxiety conditions, general human suffering, and disruptions in hedonic capacity.     

Emotion Regulation and the Specific Associations with Health Anxiety

This study investigated two primary research aims surrounding health anxiety: (a) to examine what differences exist in emotion regulation strategies of health anxious and non-health anxious populations and (b) to investigate what emotion regulation strategies predict health anxiety, before and after controlling for trait cognitive and somatic anxiety. A total of 95 participants of the general population completed a series of online questionnaires. A single factor between groups MANOVA revealed that a health anxious group scored significantly higher in several emotion regulation strategies: distraction, external attribution, emotion expression and acting out; anxiety-related variables: trait cognitive and somatic anxiety; and beliefs about the negative consequences of becoming ill. Hierarchical regressions showed that several emotion regulation strategies were significantly associated with higher levels of health anxiety, before: distraction, external attribution, capitalising, positive reappraisal and emotional expression; and after: external attribution and capitalising, the control of trait anxiety. Overall, the results demonstrated that (a) emotional intelligence and behavioural attempts to understand emotional experiences may be associated with specific health anxiety symptomology, while a lack of effective cognitive strategies and worry may be responsible for the associated trait anxiety dimensions.     

A Preliminary Examination of Thought Suppression,Emotion Regulation,and Coping in a Trauma-Exposed Sample

Attempts to modulate negative emotional and cognitive symptoms of posttraumatic stress disorder (PTSD) may be related to psychopathology. Trauma-exposed undergraduates, 31 reporting severe PTSD symptoms (PTSD group) and 34 without PTSD symptoms (non-PTSD group), completed measures of PTSD, depression, anxiety, thought control, emotion regulation, and coping. The PTSD group had greater psychopathology and overall modulation strategy use than the non-PTSD group. Thought suppression, emotion suppression, and avoidant coping strategies were positively related to psychopathology, whereas emotion reappraisal and approach coping strategies were either not related or weakly negatively related. Hierarchical multiple regressions with psychopathologic variables as criteria and modulation strategies as predictors indicated significant models in all cases. Generally, thought suppression was the only significant independent predictor of psychopathology.     

Associations of trait positive emotion regulation with everyday emotions: An experience sampling approach

Positive emotion regulation is important for enhancing psychological well-being. Previous studies have adopted a cross-sectional design to examine the relationships between positive emotion regulation strategies and psychological functioning. Relatively little is known about the role of positive emotion regulation strategies in positive and negative emotions in everyday life. This study examines associations between perceived capability of savoring and trait positive rumination and everyday emotions. Among 300 Hong Kong Chinese (age 18–77 years), perceived capability of savoring the moment and positive rumination predicted higher positive emotions during positive-valenced events. Perceived capability of savoring the moment predicted lower negative emotions during positive-valenced events and higher positive emotions during negative-valenced events. Positive links between positive valence ratings of events and positive emotions were stronger among individuals who reported higher levels of perceived capability of savoring through reminiscence and greater trait emotion-focused rumination. Positive links between negative valence ratings of events and negative emotions were significant only among individuals who reported low/medium levels of perceived capability of savoring through anticipation. These findings suggest that: (a) perceived capability of savoring and trait positive rumination are key mechanisms for increasing positive emotions and (b) perceived capability of savoring fosters adaptive adjustment to stress during negative events.     

Stress coping and the adjustment process among university freshmen

The purpose of the present study was to investigate causal relationships between dispositional and situational coping and health status in university freshmen. Two hundred and twenty-nine university freshmen completed questionnaires at Time 1 (immediately after university matriculation) and at Time 2 (approximately three months later) in a short-term, prospective study. Structural equation modeling was used to analyze causal relationships between four coping strategies (i.e., emotion expression, emotional support seeking, cognitive reinterpretation, and problem solving) and four health status variables (i.e., somatic symptoms, anxiety and insomnia, social dysfunction, and depression). Increases in dispositional coping predicted increases in situational coping at certain time points. In addition, increases in dispositional emotion-focused coping, such as emotion expression and emotional support seeking, predicted poor health status. This relationship was mediated by situational coping variables. Finally, increases in dispositional problem-focused coping, such as cognitive reinterpretation and problem solving, predicted better health status. This relationship was direct or indirectly mediated by situational coping variables. Our data suggest that the use of coping skills such as cognitive reinterpretation and problem solving may promote better health and adaptation in university freshmen.     

Emotion Regulation in Youth with Emotional Disorders: Implications for a Unified Treatment Approach

Given the relationship between internalizing disorders and deficits in emotion regulation in youth, the emotion science literature has suggested several avenues for increasing the efficacy of interventions for youth presenting with anxiety and depression. These possibilities include the identification and addition of emotion-regulation skills to existing treatment packages and broadening the scope of those emotions addressed in cognitive-behavioral treatments. Current emotion-focused interventions designed to meet one or both of these goals are discussed, and the developmental influences relevant to the selection of emotion-focused treatment goals are explored using the framework of a modal model of emotion regulation. These various lines of evidence are woven together to support the utility of a novel emotion-focused, cognitive-behavioral intervention, the Unified Protocol for the Treatment of Emotional Disorders in Youth, a transdiagnostic treatment protocol that aims to treat the range of emotional disorders (i.e., anxiety and depression) simultaneously. Avenues for future directions in treatment outcome and assessment of emotion regulation are also discussed.     

Emotional reactivity and cognitive regulation in anxious children

Recent models of anxiety disorders emphasize abnormalities in emotional reactivity and regulation. However, the empirical basis for this view is limited, particularly in children and adolescents. The present study examined whether anxious children suffer both negative emotional hyper-reactivity and deficits in cognitive emotion regulation. Participants were 49 children aged 10-17 with generalized anxiety disorder, social anxiety, or separation anxiety disorder as their primary diagnosis, as well as 42 age- and gender-matched non-anxious controls. After completing a diagnostic interview and self-report questionnaires, participants were presented with pictures of threatening scenes with the instructions either to simply view them or to use reappraisal, a cognitive emotion regulation strategy, to decrease their negative emotional response. Emotion ratings, content analysis of reappraisal responses, and reports of everyday use of reappraisal were used to assess negative emotional reactivity, reappraisal ability, efficacy and frequency. Relative to controls, children with anxiety disorders (1) experienced greater negative emotional responses to the images, (2) were less successful at applying reappraisals, but (3) showed intact ability to reduce their negative emotions following reappraisal. They also (4) reported less frequent use of reappraisal in everyday life. Implications for the assessment and treatment of childhood anxiety disorders are discussed.