Emotional reactivity to daily life stress in psychosis and affective disorder: an experience sampling study
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OBJECTIVE: To investigate the emotional reactivity to small disturbances in daily life in patients with non-affective psychosis (NAP), bipolar disorder (BD) and major depression [major depressive disorder (MDD)]. METHOD: Forty-two patients with NAP, 38 with BD, 46 with MDD, and 49 healthy controls were studied with the experience sampling method to assess (i) appraised subjective stress of small disturbances in daily life and (ii) emotional reactivity, reflected in changes in positive affect (PA) and negative affect (NA). RESULTS: Multilevel regression analyses showed an increase in NA in MDD, a decrease in PA in BD and both an increase in NA and a decrease in PA in NAP in association with the subjectively stressful situations, compared with the control subjects. CONCLUSION: Individuals with NAP, MDD and BD display differences in emotional stress reactivity. Type of mood disorder may exert a pathoplastic effect on emotional reactivity in individuals with MDD and BD. Individuals with NAP may be most vulnerable to the effects of daily life stress.
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Compared to non-depressed controls, depressed individuals show more negative facial expressions to unpleasant images, greater perceived stress to laboratory stressors, and greater increases in negative affect to daily stressors.
“For example, compared to non-depressed controls, individuals with depression exhibit more negative facial expressions in response to unpleasant images (Sloan et al., 1997), report greater perceived stress in response to a laboratory stress tasks (de Rooij et al., 2010), and display greater increases in negative affect in response to daily stressors (Myin-Germeys et al., 2003).”
From The role of inflammation in core features of depression: Insights from paradigms using exogenously-induced inflammation. (2018) · cites this paper as Myin-Germeys et al., 2003
Altered stress-reactivity is a vulnerability marker for psychosis.
“Increasing evidence points to altered stress-reactivity as a vulnerability marker for psychosis (Myin-Germeys et al., 2003; Lataster et al., 2013).”
From Redox dysregulation, neuroinflammation, and NMDA receptor hypofunction: A “central hub” in schizophrenia pathophysiology? (2016) · cites this paper as Myin-Germeys et al., 2003
When a signal-contingent data recording approach is used, it is only possible to inquire about 'recent' events, and events may occur several hours before the data recording takes place.
“However, when a signal-contingent data recording approach is used, it is only possible to inquire about ' recent ' events (e.g. Myin-Germeys et al., 2003; Peeters et al., 2003b). In this case, events may occur several hours before the data recording takes place.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Myin-Germeys et al., 2003
Myin-Germeys et al. (2003) found that only the association between current stress and NA levels was stronger in the patients than in the controls; the association between current stress and PA levels was equally strong in both groups.
“However, Myin-Germeys et al. (2003) found that only the association between current stress and NA levels was stronger in the patients than in the controls; the association between current stress and PA levels was equally strong in both groups.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Myin-Germeys et al. (2003)
On average adults with MDD report less PA and more NA than healthy controls.
“For example, the group of deVries has repeatedly found that on average adults with MDD report less PA and more NA than healthy controls (Barge-Schaapveld et al., 1999; Myin-Germeys et al., 2003; Peeters, Nicolson, Berkhof, Delespaul, et al., 2003).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Myin-Germeys et al., 2003
PDAs were first used for ESM/EMA studies in mood disorder patients less than a decade ago.
“PDAs were fi rst used for ESM/EMA studies in mood disorder patients less than a decade ago (Myin-Germeys et al., 2003).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Myin-Germeys et al., 2003
BD patients in remission are different from healthy controls.
“BD patients in remission are also different from healthy controls (Knowles et al., 2007; Myin-Germeys et al., 2003).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Myin-Germeys et al., 2003
Stress in BD patients appears more closely linked to low PA than to high NA.
“stress in BD patients appears more closely linked to low PA than to high NA (Myin-Germeys et al., 2003)”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Myin-Germeys et al., 2003
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- Authors
- Myin‐Germeys, I., Peeters, F., Havermans, R., Nicolson, N. A., DeVries, M. W., Delespaul, P., & Van Os, J.
- Affiliations
- European Graduate School of Neuroscience (NL)
- Corresponding author
- Myin‐Germeys, I.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2003-01-17
- Volume
- 107
- Issue
- 2
- Pages
- 124-131
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2125505448
- Cited by
- 400
- References
- 47
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 18 · 2023: 28 · 2022: 21 · 2021: 20 · 2020: 31 · 2019: 17 · 2018: 21 · 2017: 26 · 2016: 23 · 2015: 16 · 2014: 18 · 2013: 22 · 2012: 15
- FWCI
- 12.69
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Lirias (submittedVersion)
- Funders
- Eli Lilly and Company
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- emotional reactivity, daily stress, non-affective psychosis, bipolar disorder, major depressive disorder, mood disorders, positive affect, negative affect, ecological momentary assessment
- MeSH terms
- Activities of Daily Living, Adult, Aged, Bipolar Disorder, Depressive Disorder, Emotions, Female, Humans, Male, Middle Aged, Psychotic Disorders, Regression Analysis, Risk Factors, Stress, Psychological
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