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唐苏勤副教授与苏黎世大学博士生刘佳琦合作在《Clinical Psychology & Psychotherapy》发表了论文

2026年8月10日

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反刍和日常情感在跨诊断精神障碍的发展中起着重要作用。然而,对于哀伤反刍和日常情感在丧亲者日常生活中的动态关联目前尚不清楚。实验室负责人唐苏勤副教授与苏黎世大学博士生刘佳琦,实验室毕业生周士人使用生态瞬时评估(Ecological Momentary Assessment,EMA) 对61名丧亲者进行为期14天的追踪,每日完成4次EMA测量,共获得3227份有效数据点,旨在检验哀伤反刍与日常消极情绪及积极情绪之间的相互时间关联。基于残差动态结构方程模型的分析结果显示,整体哀伤反刍与消极情绪之间存在双向时间关联。初步分析进一步表明,高于预期水平的消极情绪预示着随后更高的反刍,而高于预期水平的反刍预示着随后更高的消极情绪。在控制基线特质反刍或丧亲时间后的敏感性分析中,消极情绪与整体哀伤反刍、沉思及反思之间均呈现显著的双向滞后关联。在哀伤反刍和积极情绪之间没有发现显著的滞后关系,但其同时性关联显著为负。本研究深化了对哀伤反刍情绪动力学的理解,提示丧亲干预措施可从同时针对反刍和消极情绪两方面入手,以增强干预效果。

摘要

Rumination and daily affect play important roles in the development of transdiagnostic mental disorders. However, little is known about the dynamic associations between grief rumination and daily affect in bereaved individuals' everyday lives. This study used ecological momentary assessment (EMA) to examine reciprocal temporal associations between grief rumination and daily negative and positive affect (NA and PA). Sixty-one bereaved individuals completed EMA surveys four times daily for 14 days, yielding 3227 valid observations. Results from residual dynamic structural equation modelling (RDSEM) revealed reciprocal temporal associations between overall grief rumination and NA. Initial analyses further suggested higher-than-expected levels of NA predicted subsequent higher brooding, whereas higher-than-expected levels of reflection predicted subsequent higher NA. Sensitivity analysis controlling for baseline trait rumination or time since loss revealed significant bidirectional lagged associations between NA and overall grief rumination, brooding and reflection. No significant lagged associations were found between grief rumination and PA, but the contemporaneous associations were significant and negative. The results advance understanding of the emotional dynamics of grief rumination and suggest that bereavement interventions may benefit from targeting both rumination and negative affect.

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