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首页> 外文期刊>The journal of clinical psychiatry >Sex Differences in Emotional Reactivity to Daily Life Stress in Psychosis.
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Sex Differences in Emotional Reactivity to Daily Life Stress in Psychosis.

机译：精神病患者对日常生活压力的情绪反应的性别差异。

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BACKGROUND: The expression of schizophrenia has been reported to differ between the sexes. The current study investigates whether these sex differences in clinical expression are reflected in one underlying mechanism that may be causally related to psychosis, namely increases in stress sensitivity in daily life. METHOD: Forty-two participants (22 men, 20 women) with Research Diagnostic Criteria-defined psychotic disorder in a state of clinical remission were studied with the Experience Sampling Method (a structured diary technique assessing current context and mood in daily life) to assess (1) appraised subjective stress related to daily events and activities and (2) emotional reactivity conceptualized as changes in both negative affect and positive affect in relation to the subjective stress. Data were collected from January 1997 to May 1999. RESULTS: Multilevel regression analyses revealed that women reported a significantly (p <.05) increased emotional reactivity to daily life stress compared with men, reflected in both an increase in negative affect and a decrease in positive affect. CONCLUSION: These results suggest that gender differences may not be limited to the characteristics of psychosis but may also be reflected in underlying etiologic mechanisms. Furthermore, these results might strengthen the hypothesis that women are more susceptible than men to a schizoaffective expression of schizophrenia.
机译：背景：据报道，精神分裂症的表达在两性之间存在差异。本研究调查这些临床表现中的性别差异是否反映在一种可能与精神病因果相关的潜在机制中，即日常生活中压力敏感性的增加。方法：采用经验抽样方法（结构化日记技术评估日常生活中的当前状况和情绪），研究了42例患有研究诊断标准定义的精神病且处于临床缓解状态的参与者（22名男性，20名女性），以评估（1）评估与日常事件和活动相关的主观压力，以及（2）概念化为与主观压力有关的负面影响和正面影响的情感反应。从1997年1月至1999年5月收集了数据。结果：多级回归分析显示，与男性相比，女性对日常生活压力的情感反应显着增加（p <.05），这既反映了负面影响的增加，也反映了女性的减少。积极的影响。结论：这些结果表明性别差异可能不仅限于精神病的特征，而且还可能反映在潜在的病因机制中。此外，这些结果可能会强化以下假设：女性比男性更容易受到精神分裂症的情感分裂表达。

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