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丧失后自传体记忆特异性与复杂悲痛、抑郁和创伤后应激障碍症状的关系。

Autobiographical memory specificity and symptoms of complicated grief, depression, and posttraumatic stress disorder following loss.

机构信息

Department of Clinical and Health Psychology, Utrecht University, PO Box 80140, 3508 TC Utrecht, The Netherlands.

出版信息

J Behav Ther Exp Psychiatry. 2010 Dec;41(4):331-7. doi: 10.1016/j.jbtep.2010.03.003. Epub 2010 Mar 20.

Abstract

This study examined the specificity and content of autobiographical memories among bereaved individuals. Self-report measures of bereavement-related distress and a standard and trait version of the Autobiographical Memory Test (AMT) were administered to 109 bereaved people. We examined associations of memory specificity with (a) demographic and loss-related variables and with (b) symptom-levels of complicated grief (CG), depression, and posttraumatic stress disorder (PTSD), (c) associations of the content of memories (related vs. unrelated to the loss/lost person) with symptoms, and (d) the degree to which associations of symptom-levels with memory specificity and content differed between the standard and trait version of the AMT. Findings showed that (a) memory specificity varied as a function of age, education, and kinship; (b) reduced memory specificity was significantly associated with symptom-levels of CG, but not depression and PTSD; (c) symptom-levels of CG and PTSD were associated with a preferential retrieval of specific memories that were related to the loss/lost person on the standard AMT, whereas all three symptom-measures were associated with preferential retrieval of loss-related specific memories on the trait AMT; and (d) on the trait AMT, but not the standard AMT, symptom-measures remained significantly associated with a preferential retrieval of loss-related specific memories, when controlling for relevant background variables. Among other things, these results show that reduced memory specificity is associated with self-reported CG-severity but not depression and PTSD following loss. Moreover, the results are consistent with recent research findings showing that memories tied to the source of an individual's distress (e.g., loss) are immune to avoidant processes involved in the standard reduced specificity effect.

摘要

本研究考察了丧亲个体自传体记忆的特异性和内容。向 109 名丧亲者发放了与丧亲相关的痛苦的自我报告测量、标准和特质版自传体记忆测验(AMT)。我们考察了记忆特异性与(a)人口统计学和损失相关变量的关联,以及与(b)复杂悲伤(CG)、抑郁和创伤后应激障碍(PTSD)的症状水平的关联,(c)记忆内容(与丧失/失去的人有关或无关)与症状的关联,以及(d)症状水平与 AMT 标准和特质版本的记忆特异性和内容的关联在何种程度上存在差异。研究结果表明:(a)记忆特异性因年龄、教育和亲属关系而异;(b)记忆特异性降低与 CG 症状水平显著相关,但与抑郁和 PTSD 无关;(c)CG 和 PTSD 症状水平与在标准 AMT 上对与丧失/失去的人有关的特定记忆的优先检索有关,而所有三种症状测量都与在特质 AMT 上对与丧失有关的特定记忆的优先检索有关;(d)在特质 AMT 上,而不是标准 AMT 上,当控制相关背景变量时,症状测量与对与丧失有关的特定记忆的优先检索仍然显著相关。除其他外,这些结果表明,记忆特异性降低与自我报告的 CG 严重程度有关,但与丧失后的抑郁和 PTSD 无关。此外,这些结果与最近的研究结果一致,即与个体痛苦(例如丧失)来源有关的记忆不受标准特异性降低效应中涉及的回避过程的影响。

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