惊恐障碍患者情绪调节的认知策略

Cognitive emotion regulation strategies in subjects with panic disorder

目的 从认知角度探讨惊恐障碍（PD）患者的情绪调节策略.方法 对51例PD患者和54名健康对照者,采用认知情绪调节问卷（CERQ）评估其情绪调节策略特征,应用被动重评任务探讨PD患者的认知重评能力.结果 （1）PD组在积极关注（4.4±1.3 vs 5.4±1.3）、积极重评（4.9±2.0 vs 6.5±2.0）和视角转换（4.8±1.8 vs 6.2±1.9）3个策略分值明显低于对照组,而在反思自我（7.1±2.0 vs 4.5±1.8）和灾难化（6.8±2.2 vs 3.9±1.9）分值明显高于对照组（P＜0.05）.（2）在认知重评任务中,愉悦度和唤醒度9点量表评分均发现了显著的图片类型×组别交互效应（P＜0.05）.（3）相关分析发现CERQ中接受评分和PASS评分负相关,积极关注评分和HAMD评分负相关,积极重评评分和HAMA评分负相关（P＜0.05）.结论 PD患者存在明显的情绪调节障碍,其中认知重评能力缺陷是其重要特征.

Objective To investigate cognitive strategies of emotion regulation in subjects with panic disorder （PD）.Methods Subjects were 51 patients with PD and 54 healthy controls individually matched by age,sex and educational level.Cognitive Emotion Regulation Questionnaire （CERQ） were obtained from both panic and control group.Twenty-three panic disorder patients and 22 healthy controls completed a validated passive cognitive reappraisal task.Results （1） PD group scored significantly lower on the strategies of positive focus （4.4± 1.3 vs 5.4±1.3）,positive reappraisal （4.9±2.0 vs 6.5±2.0） and putting into perspective （4.8±1.8 vs 6.2±1.9）,and significantly higher on the strategies of catastrophizing （7.1 ±2.0 vs 4.5± 1.8） and rumination （6.8±2.2 vs 3.9± 1.9）than control group （P〈0.05）.（2） In cognitive reappraisal task,significant picture type × group interactions were found in both valence and arousal 9-point scales （P〈0.05）.Conclusion PD patients show obvious impairment of emotion regulation,and cognitive reappraisal defect may play an important role in it.