Difficulties with emotion regulation are observed across psychiatric diagnoses, including psychotic disorders. Past studies using trait self-report indicate that people with schizophrenia (SZ) are less likely to use adaptive emotion regulation strategies and more likely to use maladaptive emotion regulation strategies than controls (CN). However, more recent evidence using ecological momentary assessment (EMA) indicates that regulation effectiveness and adaptiveness may vary across strategies. The present study aimed to systematically understand abnormalities in state-level emotion regulation strategy selection, effectiveness, and adaptiveness in SZ compared to CN using EMA. Participants (n = 50 SZ; n = 53 CN) completed 6 days of EMA surveys assessing emotional experience, emotion regulation, and symptoms. Results indicated that SZ selected interpersonal emotion regulation and avoidance more often than CN, while both groups selected reappraisal and distraction more often than avoidance and suppression. Overall, strategies were effective at reducing negative emotion and adaptive for reducing delusions over time. Reappraisal, avoidance, and suppression all significantly down-regulated delusions over time. Although some selection abnormalities were present in terms of rate of selection and effort exertion, people with SZ select strategies which are effective and adaptive in the short term. The present results have implications for how cognitive therapy for psychosis may target delusions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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解构精神分裂症的情绪调节：选择和实施阶段异常的本质。

在精神科诊断中观察到情绪调节困难，包括精神障碍。过去使用特质自我报告的研究表明，与对照组（CN）相比，精神分裂症患者（SZ）不太可能使用适应性情绪调节策略，而更有可能使用适应不良情绪调节策略。然而，最近使用生态瞬时评估（EMA）的证据表明，监管有效性和适应性可能因策略而异。本研究旨在系统地了解使用 EMA 与 CN 相比，SZ 在州级情绪调节策略选择、有效性和适应性方面的异常情况。参与者（n = 50 SZ；n = 53 CN）完成了为期 6 天的 EMA 调查，评估情绪体验、情绪调节和症状。结果表明，SZ 组比 CN 组更频繁地选择人际情绪调节和回避，而两组人都更频繁地选择重新评价和分心，而不是回避和抑制。总体而言，随着时间的推移，策略可以有效减少负面情绪，并适应减少妄想。随着时间的推移，重新评估、回避和抑制都会显着降低妄想。尽管在选择率和努力付出方面存在一些选择异常，但患有 SZ 的人会选择短期内有效且适应性强的策略。目前的结果对于精神病的认知治疗如何针对妄想具有影响。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。