Проблемы психического здоровья и жизненного благополучия: взгляд с позиции регуляции аффекта
Всемирная психиатрия. №2 2019
Проблемы психического здоровья и жизненного благополучия: взгляд с позиции регуляции аффекта
James J. Gross1, Helen Uusberg2, Andero Uusberg2
1NICM Health Research Institute, Western Sydney University, Westmead, Australia; 2Division of Psychology and Mental Health, University of Manchester, Manchester, UK; 3Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia; 4Division of Digital Psychiatry, Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; 5Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK; 6Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, UK; 7Department of Zoology, Edward Grey Institute, University of Oxford, Oxford, UK; 8Merton College, University of Oxford, Oxford, UK; 9Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia; 10Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK; 11Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, Melbourne, Australia; 12School of Psychology, Australian Catholic University, Melbourne, Australia; 13Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium; 14University Psychiatric Center, KU Leuven, Leuven, Belgium; 15NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK; 16NIHR Greater Manchester Patient Safety Translational Research Centre, Manchester, UK; 17Professorial Unit, The Melbourne Clinic, Department of Psychiatry, University of Melbourne, Australia
Стр. 133-143
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Опубликовано: 15 мая 2019
Аннотация / Abstract
a:2:{s:4:"TEXT";s:65531:"a:2:{s:4:"TYPE";s:4:"HTML";s:4:"TEXT";s:93003:"Перевод: Суслова Ж.В. (Москва)
Редактура: к.м.н. Захарова Н.В. (Москва)
Gross J, Uusberg H, Uusberg A. Mental illness and well-being: an affect regulation perspective. World Psychiatry 2019;18(2):130–139.
Психическое здоровье в значительной степени зависит от аффективного состояния, которое определяют эмоции, реакции на стресс, импульсы и фон настроения. Эти состояния определяют то, как мы думаем, чувствуем и ведем себя, поддерживая адаптивное функционирование. Однако в некоторых случаях они могут неблагоприятно сказываться на психическом здоровье за счет неадаптивных процессов формирования и/или регуляции аффекта. В настоящей работе мы представляем комплексную систему для осмысления роли формирования и регуляции аффекта при психических расстройствах и жизненного благополучия. В рамках нашей модели формирование аффекта понимается как итеративный цикл внимания, оценки и ответа на жизненные ситуации. Регуляция аффекта рассматривается как итеративная последовательность решений, направленная на преобразование формирования аффекта. Решения, связанные с регуляцией аффекта, включают в себя идентификацию того, что, при необходимости, должно быть изменено в аффекте, отбор стратегии вмешательства в цикл формирования аффекта, выбор того, как реализовать это вмешательство, и мониторинг попытки регуляции, чтобы решить, продолжать ли ее поддерживать, перенаправить или приостановить. Проблемы с этими решениями, часто возникающие из-за ошибочных входных данных для них, могут способствовать манифестации проблем психического здоровья, таких как клинические симптомы, синдромы и расстройства. Модель имеет определенную значимость для клинической оценки и лечения. В частности, она предлагает единый свод концепций для характеристики различных аффективных состояний, обозначает взаимосвязь между формированием и регуляцией аффекта, определяет цели оценки и лечения в качестве составляющих процесса регуляции аффе...
Перевод: Суслова Ж.В. (Москва)
Редактура: к.м.н. Захарова Н.В. (Москва)
Gross J, Uusberg H, Uusberg A. Mental illness and well-being: an affect regulation perspective. World Psychiatry 2019;18(2):130–139.
Психическое здоровье в значительной степени зависит от аффективного состояния, которое определяют эмоции, реакции на стресс, импульсы и фон настроения. Эти состояния определяют то, как мы думаем, чувствуем и ведем себя, поддерживая адаптивное функционирование. Однако в некоторых случаях они могут неблагоприятно сказываться на психическом здоровье за счет неадаптивных процессов формирования и/или регуляции аффекта. В настоящей работе мы представляем комплексную систему для осмысления роли формирования и регуляции аффекта при психических расстройствах и жизненного благополучия. В рамках нашей модели формирование аффекта понимается как итеративный цикл вниман...
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