Watkins Ed, Moulds Michelle, Mackintosh Bundy
School of Psychology, University of Exeter, Exeter EX4 4QG, UK.
Behav Res Ther. 2005 Dec;43(12):1577-85. doi: 10.1016/j.brat.2004.11.008.
Major depression is characterised by ruminative thinking whilst worry is considered central in generalised anxiety disorder (GAD). However, not only do these two forms of repetitive negative thinking regularly co-occur in the same individual but similarities between worry and rumination are apparent. Adapting a methodology developed by Langlois et al. (Behav. Res. Therapy 38 (2000) 157-173), this study directly compared worry and rumination in a non-clinical population across a series of variables drawn from current models (appraisal, general descriptors and emotional reactions). Each of 149 female volunteers, with a wide range of age and backgrounds, identified a ruminative thought and a different worry and subsequently evaluated them using the Cognitive Intrusion Questionnaire. Significant within-subject differences were revealed on seven variables: chronicity, unpleasantness, reality of problem, future orientation, past orientation, feelings of worry and insecurity. There were no differences found between worry and rumination on appraisals and strategies, consistent with accounts that propose that worry and rumination share the same processes but involve different content (Cognitive Ther. Res. 24 (2000) 671-688).
重度抑郁症的特征是反复思考,而在广泛性焦虑症(GAD)中,担忧被视为核心。然而,这两种形式的重复性消极思维不仅经常在同一个体中同时出现,而且担忧和反复思考之间的相似之处也很明显。本研究采用了Langlois等人开发的方法(《行为研究与治疗》38卷(2000年)第157 - 173页),在一系列源自当前模型(评估、一般描述符和情绪反应)的变量上,直接对非临床人群中的担忧和反复思考进行了比较。149名年龄和背景各异的女性志愿者,每人分别确定了一个反复思考的想法和一个不同的担忧,随后使用认知侵入问卷对它们进行评估。在七个变量上揭示了显著的个体内差异:持续性、不愉快程度、问题的现实性、未来导向、过去导向、担忧感和不安全感。在评估和策略方面,未发现担忧和反复思考之间存在差异,这与认为担忧和反复思考具有相同过程但涉及不同内容的观点一致(《认知治疗与研究》24卷(2000年)第671 - 688页)。