Roelofs Jeffrey, Papageorgiou Costas, Gerber Ralph D, Huibers Marcus, Peeters Frenk, Arntz Arnoud
Department of Medical, Clinical, and Experimental Psychology, Maastricht University, The Netherlands.
Behav Res Ther. 2007 Jun;45(6):1295-305. doi: 10.1016/j.brat.2006.10.005. Epub 2006 Dec 6.
The present study aimed to test the central components of Papageorgiou and Wells' (2003) non-clinical metacognitive model of rumination and depression that is grounded on the Self-Regulatory Executive Function (S-REF) model of emotional disorders [Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. Hove, UK: Lawrence Erlbaum.]. A second aim of this study was to extend the non-clinical model with the concept of self-discrepancy in line with the S-REF model. Data of the current study were collected in a large sample of non-clinical Dutch undergraduates (N=196), who completed a battery of questionnaires including measures of rumination, positive and negative metacognitions, depressive symptoms, and self-discrepancy (i.e., actual-ideal, actual-ought, and actual-feared discrepancies). Hypothesized relationships among these variables were tested by means of structural equation modelling. Following some theoretically consistent modifications, the model was an adequate fit to the data. With respect to the second aim of the study, self-discrepancies were directly linked to symptoms of depression as well as indirectly via the cognitive processes involved in the metacognitive model of rumination and depression. Evidence was found for positive beliefs about rumination to partially mediate the relation between self-discrepancy and rumination. Clinical implications of the findings, including implementation of a metacognitive-focused cognitive therapy of depression, and suggestions for future research are discussed.
本研究旨在检验帕帕乔治乌和韦尔斯(2003年)基于情绪障碍的自我调节执行功能(S-REF)模型[韦尔斯,A.,& 马修斯,G.(1994年)。《注意力与情绪:临床视角》。英国霍夫:劳伦斯·埃尔布拉姆]提出的反刍和抑郁非临床元认知模型的核心组成部分。本研究的第二个目的是根据S-REF模型,用自我差异的概念扩展该非临床模型。本研究的数据收集自大量荷兰非临床本科生样本(N = 196),他们完成了一系列问卷,包括反刍、积极和消极元认知、抑郁症状以及自我差异(即实际-理想、实际-应该和实际-恐惧差异)的测量。通过结构方程建模检验了这些变量之间的假设关系。经过一些理论上一致的修改后,该模型与数据拟合良好。关于本研究的第二个目的,自我差异与抑郁症状直接相关,也通过反刍和抑郁元认知模型中涉及的认知过程间接相关。研究发现,关于反刍的积极信念部分中介了自我差异与反刍之间的关系。讨论了研究结果的临床意义,包括实施以元认知为重点的抑郁症认知疗法,以及对未来研究的建议。