Patel Trishna, Brewin Chris R, Wheatley Jon, Wells Adrian, Fisher Peter, Myers Samuel
Sub-Department of Clinical Health Psychology, University College London, Gower Street, London WC1E 6BT, UK.
Behav Res Ther. 2007 Nov;45(11):2573-80. doi: 10.1016/j.brat.2007.06.004. Epub 2007 Jun 16.
Individuals with current major depression were interviewed to investigate the prevalence of distressing intrusive mental imagery among depressed patients and study the phenomenology of these intrusions. Of the 39 currently depressed patients, 17 experienced some form of repetitive intrusive imagery (i.e., either an intrusive memory or image), with intrusive memories being more common than images. The intrusive imagery was experienced as highly uncontrollable and interfered significantly with patients' everyday lives. The intrusions were experienced with a sense of 'nowness', as well as physical and emotional re-experiencing. Despite high levels of re-experiencing, levels of dissociation were very low. The intrusive imagery was in some patients part of a wider network of key defining autobiographical memories, consistent with the idea that it is likely to play a significant role in maintaining the patient's depressive mood. Interventions targeting these intrusions could potentially result in a positive shift in depressed mood.
对目前患有重度抑郁症的个体进行了访谈，以调查抑郁症患者中令人痛苦的侵入性心理意象的患病率，并研究这些侵入现象的现象学。在39名目前患有抑郁症的患者中，17人经历了某种形式的重复性侵入性意象（即侵入性记忆或图像），侵入性记忆比图像更为常见。侵入性意象被体验为高度无法控制，并严重干扰了患者的日常生活。这些侵入伴随着一种“当下感”以及身体和情感的重新体验。尽管重新体验的程度很高，但解离程度却非常低。在一些患者中，侵入性意象是更广泛的关键定义性自传体记忆网络的一部分，这与它可能在维持患者抑郁情绪方面发挥重要作用的观点一致。针对这些侵入的干预措施可能会使抑郁情绪产生积极转变。
