Increased suppression of negative and positive emotions in major depression

被引:120
作者
Beblo, Thomas [1 ,3 ]
Fernando, Silvia
Klocke, Sabrina [3 ]
Griepenstroh, Julia
Aschenbrenner, Steffen [2 ]
Driessen, Martin [3 ]
机构
[1] Ev Hosp Bielefeld, Clin Psychiat & Psychotherapy Bethel, Div Res Evaluat & Documentat, Dept Res Evaluat & Documentat, D-33617 Bielefeld, Germany
[2] SRH Klinikum Karlsbad Langensteinbach GmbH, Karlsbad, Germany
[3] Univ Bielefeld, Dept Psychol, Bielefeld, Germany
关键词
Major depression; Emotion regulation; Emotion suppression; Emotion acceptance; MINDFULNESS-BASED THERAPY; EXPERIENTIAL AVOIDANCE; COGNITIVE THERAPY; MOOD DISORDERS; ANXIETY; ACCEPTANCE; QUESTIONNAIRE; INDIVIDUALS; RESPONSES; SYMPTOMS;
D O I
10.1016/j.jad.2012.03.019
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Patients with major depression (MDD) show increased suppression of negative emotions. Emotion suppression is related to depressive symptoms such as depressive mood and anhedonia. It is not clear whether MDD patients also suppress positive emotions. In the present study we aim to investigate suppression of both negative and positive emotions in MDD patients as well as the relation between emotion suppression and depressive symptoms. In addition, we suggest that emotion suppression might be associated with fear of emotions. Methods: 39 MDD patients and 41 matched healthy control subjects were investigated for emotion suppression and fear of emotions with the Emotion Acceptance Questionnaire (EAQ). In addition, we applied additional questionnaires to validate emotion suppression findings and to assess depressive symptoms. Results: MDD patients reported increased suppression of both negative and positive emotions. Suppression of negative and positive emotions was related to depressive symptoms. Patients also reported more fear of emotions than healthy subjects and this fear was related to emotion suppression in both study samples. Limitations: Due to the cross-sectional and correlational study design, causal directions between the variables tested cannot be stated. Conclusions: Fear of emotion might be one reason why MDD patients suppress emotions. With regard to positive emotions, our results strongly suggest that therapeutic approaches should not only encourage patients to participate in potentially enjoyable situations but that patients may also benefit from practicing the allowance of pleasant emotions. (C) 2012 Elsevier B. V. All rights reserved.
引用
收藏
页码:474 / 479
页数:6
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