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Điều Chỉnh Cảm Xúc Trong Trầm Cảm và Lo Âu: Xem Xét Tính Đặc Thù Chẩn Đoán và Sự Ổn Định Của Sự Sử Dụng Chiến Lược
Tóm tắt
Nhiều rối loạn tâm lý được đặc trưng bởi những khó khăn trong việc điều chỉnh cảm xúc. Tuy nhiên, chưa rõ liệu các rối loạn khác nhau có liên quan đến việc sử dụng các chiến lược điều chỉnh cảm xúc cụ thể hay không, và liệu những khó khăn này có phải là những đặc điểm ổn định mà vẫn hiện rõ ngay cả sau khi hồi phục. Cũng chưa rõ liệu việc sử dụng các chiến lược cụ thể có vấn đề trong tất cả các rối loạn hay không, hay là các rối loạn khác nhau có sự khác biệt trong mức độ mạnh mẽ liên kết giữa việc sử dụng chiến lược và mức độ nghiêm trọng của triệu chứng. Nghiên cứu này đã điều tra (1) tính đặc thù của việc sử dụng các chiến lược điều chỉnh cảm xúc ở những cá nhân được chẩn đoán mắc trầm cảm chính (MDD) hiện tại, với rối loạn lo âu xã hội (SAD), và ở những đối chứng không rối loạn (CTL); và (2) sự ổn định của việc sử dụng chiến lược ở những người tham gia đã từng bị trầm cảm (tức là, đã hồi phục; RMD). Phân tích đường dẫn đã được tiến hành để xem xét mối quan hệ giữa việc sử dụng chiến lược và mức độ triệu chứng giữa các nhóm chẩn đoán. So với nhóm CTL, những người tham gia ở cả hai nhóm lâm sàng đã cho thấy việc sử dụng thường xuyên hơn của sự hồi tưởng và sự ức chế biểu cảm, cũng như việc sử dụng ít thường xuyên hơn của sự đánh giá lại. Đặc biệt đối với SAD là mức độ ức chế biểu cảm cao hơn so với MDD, cũng như mối liên hệ mạnh mẽ hơn giữa sự hồi tưởng và mức độ lo âu. Ngược lại, đặc trưng cho MDD là mức độ hồi tưởng cao hơn và mức độ đánh giá lại thấp hơn. Thú vị thay, sự hồi tưởng gia tăng, chứ không phải là giảm đánh giá lại, đã được tìm thấy là một đặc điểm ổn định đặc trưng cho những cá nhân đã hồi phục khỏi trầm cảm. Những kết quả này có thể cung cấp cái nhìn về cách mà việc sử dụng chiến lược điều chỉnh cảm xúc duy trì các rối loạn tâm lý.
Từ khóa
#Rối loạn tâm lý #Điều chỉnh cảm xúc #Trầm cảm #Lo âu xã hội #Chiến lược điều chỉnh cảm xúcTài liệu tham khảo
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