Negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for: an ecological momentary assessment study

IntroductionMood and anxiety disorders are characterized by abnormal levels of positive affect (PA), negative affect (NA) and changes in how emotions unfold over time. To better prevent and treat those disorders, it is crucial to determine which kind of indices of emotion dynamics best predict eleva...

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Main Authors: Hedvig Sultson, Carolina Murd, Merle Havik, Kenn Konstabel
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1371115/full
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author Hedvig Sultson
Carolina Murd
Merle Havik
Kenn Konstabel
Kenn Konstabel
author_facet Hedvig Sultson
Carolina Murd
Merle Havik
Kenn Konstabel
Kenn Konstabel
author_sort Hedvig Sultson
collection DOAJ
description IntroductionMood and anxiety disorders are characterized by abnormal levels of positive affect (PA), negative affect (NA) and changes in how emotions unfold over time. To better prevent and treat those disorders, it is crucial to determine which kind of indices of emotion dynamics best predict elevated depressive and generalized anxiety symptoms.Methods221 individuals (60 men; mean age = 46 years, SD = 15 years) completed a 7-day ecological momentary assessment study, where their positive and negative affective experience was assessed 5 times a day. For each participant, the intensity, instability, inertia, and differentiation of PA and NA were calculated. The Estonian Emotional State Questionnaire was used to assess depressive and generalized anxiety disorder (GAD) symptoms.ResultsWe found that NA and PA intensity, and NA instability predicted elevated depressive and GAD symptoms. Models including NA instability alongside PA and NA intensity showed the best fit for both depression and generalized anxiety, as NA instability alongside other variables significantly increased the odds of having elevated depressive and GAD symptoms. Affective inertia, differentiation, and PA instability were not associated with depressive and GAD symptoms.DiscussionIn addition to the mean levels of affect, it is important to study other emotion dynamic indices such as NA instability, as these offer a more nuanced view of underlying emotion dysregulation processes. This could, in the long-term, help tailor more specific prevention and intervention methods for mood and anxiety disorders.
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spelling doaj.art-266c78c18319480f81dac01717bb3e732024-04-23T04:49:37ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-04-011510.3389/fpsyg.2024.13711151371115Negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for: an ecological momentary assessment studyHedvig Sultson0Carolina Murd1Merle Havik2Kenn Konstabel3Kenn Konstabel4Department of Chronic Diseases, National Institute for Health Development, Tallinn, EstoniaDepartment of Chronic Diseases, National Institute for Health Development, Tallinn, EstoniaDepartment of Chronic Diseases, National Institute for Health Development, Tallinn, EstoniaDepartment of Chronic Diseases, National Institute for Health Development, Tallinn, EstoniaInstitute of Psychology, University of Tartu, Tartu, EstoniaIntroductionMood and anxiety disorders are characterized by abnormal levels of positive affect (PA), negative affect (NA) and changes in how emotions unfold over time. To better prevent and treat those disorders, it is crucial to determine which kind of indices of emotion dynamics best predict elevated depressive and generalized anxiety symptoms.Methods221 individuals (60 men; mean age = 46 years, SD = 15 years) completed a 7-day ecological momentary assessment study, where their positive and negative affective experience was assessed 5 times a day. For each participant, the intensity, instability, inertia, and differentiation of PA and NA were calculated. The Estonian Emotional State Questionnaire was used to assess depressive and generalized anxiety disorder (GAD) symptoms.ResultsWe found that NA and PA intensity, and NA instability predicted elevated depressive and GAD symptoms. Models including NA instability alongside PA and NA intensity showed the best fit for both depression and generalized anxiety, as NA instability alongside other variables significantly increased the odds of having elevated depressive and GAD symptoms. Affective inertia, differentiation, and PA instability were not associated with depressive and GAD symptoms.DiscussionIn addition to the mean levels of affect, it is important to study other emotion dynamic indices such as NA instability, as these offer a more nuanced view of underlying emotion dysregulation processes. This could, in the long-term, help tailor more specific prevention and intervention methods for mood and anxiety disorders.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1371115/fullgeneralized anxiety disorderemotion dynamicsecological momentary assessmentdepressionaffective instability
spellingShingle Hedvig Sultson
Carolina Murd
Merle Havik
Kenn Konstabel
Kenn Konstabel
Negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for: an ecological momentary assessment study
Frontiers in Psychology
generalized anxiety disorder
emotion dynamics
ecological momentary assessment
depression
affective instability
title Negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for: an ecological momentary assessment study
title_full Negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for: an ecological momentary assessment study
title_fullStr Negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for: an ecological momentary assessment study
title_full_unstemmed Negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for: an ecological momentary assessment study
title_short Negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for: an ecological momentary assessment study
title_sort negative affect instability predicts elevated depressive and generalized anxiety disorder symptoms even when negative affect intensity is controlled for an ecological momentary assessment study
topic generalized anxiety disorder
emotion dynamics
ecological momentary assessment
depression
affective instability
url https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1371115/full
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