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抑郁中的负性侵入性记忆:适应不良的评价和安全行为的作用。

Negative intrusive memories in depression: the role of maladaptive appraisals and safety behaviours.

机构信息

The University of New South Wales, Sydney, Australia.

出版信息

J Affect Disord. 2010 Oct;126(1-2):147-54. doi: 10.1016/j.jad.2010.03.012.

DOI:10.1016/j.jad.2010.03.012
PMID:20399503
Abstract

BACKGROUND

Evidence from non-clinical studies suggests that both negative appraisals of intrusive memories and the use of safety behaviours to manage these memories play a role in depression. This study extended this research by exploring its generalisability to a clinically depressed sample.

METHODS

85 participants (25 depressed, 30 recovered depressed, 30 never-depressed) were administered the SCID-I/NP (First et al., 1996), mood measures, and self-report questionnaires that indexed intrusive memory frequency and avoidance, appraisals and strategies used to manage the memories.

RESULTS

Depressed participants endorsed higher ratings of negative appraisals of intrusive memories than the never-depressed group, with the recovered group reporting intermediate ratings across most appraisal themes. Depressed individuals reported more safety behaviours and passive strategies in response to their memories than the other two groups.

LIMITATIONS

The cross-sectional design of this study prevents conclusions regarding the causal role of both appraisals and safety behaviours.

CONCLUSIONS

These results highlight the importance of negative appraisals, safety behaviours and passive strategies that are used to manage intrusive memories in depression, and provide further support for the proposal that psychological interventions for depression could usefully incorporate components that aim to reduce intrusions and associated maintaining variables.

摘要

背景

非临床研究的证据表明,对侵入性记忆的负面评价以及使用安全行为来管理这些记忆在抑郁症中起着作用。本研究通过探索其在临床抑郁样本中的普遍性,扩展了这一研究。

方法

85 名参与者(25 名抑郁、30 名抑郁康复、30 名从未抑郁)接受了 SCID-I/NP(First 等人,1996 年)、情绪测量和自我报告问卷的评估,这些问卷记录了侵入性记忆的频率和回避、评估以及用于管理记忆的策略。

结果

与从未抑郁的组相比,抑郁组对侵入性记忆的负面评价更高,而康复组在大多数评估主题上报告了中间评级。与其他两组相比,抑郁个体报告了更多的安全行为和被动策略来应对他们的记忆。

局限性

本研究的横断面设计限制了对评估和安全行为的因果作用的结论。

结论

这些结果强调了在抑郁症中管理侵入性记忆的负面评价、安全行为和被动策略的重要性,并进一步支持了这样的建议,即针对抑郁症的心理干预可以有效地纳入旨在减少侵入和相关维持变量的成分。

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