Division of Clinical Psychology, University of Manchester, UK.
Br J Clin Psychol. 2010 Sep;49(Pt 3):359-72. doi: 10.1348/014466509X467413. Epub 2009 Aug 28.
Numerous studies have reported elevated levels of overgeneral autobiographical memory among depressed patients and also among those previously exposed to a traumatic event. No previous study has examined their joint association with overgeneral memory in a community sample, nor examined whether the associations are with both juvenile- and adult-onset depression.
The current study examined the relative importance of exposure to childhood abuse and neglect in overgeneral memory of women with and without a history of major depressive disorder (MDD). Autobiographical memory test together with standardized interviews of childhood experiences and MDD were assessed in a risk-stratified community sample of 103 women aged 25-37.
Overgenerality in memory was associated with recalled childhood sexual abuse (CSA) but not other adversities. A history of CSA was predictive of overgeneral memory bias even in the absence of MDD. Our analyses indicated no significant association between a history of MDD and overgeneral memory in women who reported no CSA. However, overgeneral memory was increased in women who reported CSA and MDD with a significant difference found in relation to positive cues, the highest scores being seen among those with adult rather than juvenile-onset depression.
The findings highlight the significance of CSA in predicting overgeneral memory, differential response in relation to positive and negative cue memories, and point to a specific role in the development of depression for overgeneral memory following CSA.
许多研究报告称,抑郁患者和曾经历创伤事件的患者自传体记忆过度泛化的水平升高。以前没有研究在社区样本中检查过两者与过度泛化记忆的联合关联,也没有研究过这些关联是否与青少年和成年发病的抑郁症有关。
本研究在有或无重性抑郁障碍(MDD)病史的女性中,分别考察了童年期虐待和忽视暴露对过度泛化记忆的相对重要性。在一项风险分层的社区样本中,对 103 名年龄在 25-37 岁的女性进行了自传体记忆测试以及童年经历和 MDD 的标准化访谈。
记忆的过度泛化与回忆起的儿童期性虐待(CSA)有关,但与其他逆境无关。即使没有 MDD,CSA 史也可以预测过度泛化的记忆偏差。我们的分析表明,在没有 CSA 报告的 MDD 病史的女性中,MDD 病史与过度泛化记忆之间没有显著关联。然而,在报告 CSA 和 MDD 的女性中,过度泛化记忆增加,在与积极线索相关的记忆中,差异显著,在成年发病而非青少年发病的抑郁患者中得分最高。
这些发现强调了 CSA 对预测过度泛化记忆的重要性,以及在积极和消极线索记忆方面的不同反应,并且表明 CSA 后过度泛化记忆在 CSA 发展为抑郁方面的特定作用。