Johnson Sheri L, McKenzie Gavin, McMurrich Stephanie
Department of Psychology, University of Miami, 5665 Ponce de Leon Boulevard, Coral Gables, FL 33124, USA.
Cognit Ther Res. 2008 Oct 1;32(5):702-713. doi: 10.1007/s10608-007-9158-6.
Rumination in response to negative affect has been found to predict the onset, severity, and duration of depressive symptoms. Few researchers, however, have considered rumination within bipolar disorder, nor have studies considered parallel responses that might intensify positive affect. The current study examined self-reported rumination in response to both negative and positive affect among people diagnosed via the SCID with BPD (n = 28), major depressive disorder (MDD; n = 35), or no mood disorder (n = 44). Participants completed the Ruminative Response Scale and the Responses to Positive Affect Questionnaire about their dispositional tendencies. Results indicated that compared to control participants, people with BPD and MDD endorsed heightened rumination in response to negative affect, but only those with BPD endorsed elevated rumination in response to positive affect. Within BPD, ruminative responses to negative affect were explained by depressive symptoms. Goals for understanding responses to negative and positive affect in BPD are suggested.
研究发现，因消极情绪而产生的反刍思维能够预测抑郁症状的发作、严重程度及持续时间。然而，很少有研究者考虑双相情感障碍中的反刍思维，也没有研究考虑过可能强化积极情绪的类似反应。本研究调查了通过SCID诊断为边缘型人格障碍（BPD，n = 28）、重度抑郁症（MDD，n = 35）或无情绪障碍（n = 44）的人群中，自我报告的因消极和积极情绪而产生的反刍思维。参与者完成了反刍反应量表以及关于其性格倾向的积极情绪反应问卷。结果表明，与对照组参与者相比，BPD患者和MDD患者在面对消极情绪时表现出更高的反刍思维，但只有BPD患者在面对积极情绪时表现出更高的反刍思维。在BPD患者中，对消极情绪的反刍反应可由抑郁症状来解释。文中提出了理解BPD患者对消极和积极情绪反应的目标。
