Winston-Salem VA Outpatient Clinic, 190 Kimel Park Dr, Winston-Salem, NC, USA.
Behav Res Ther. 2010 Oct;48(10):1021-31. doi: 10.1016/j.brat.2010.07.004. Epub 2010 Jul 17.
This study examined an experiential avoidance conceptualization of depressive rumination in 3 ways: 1) associations among questionnaire measures of rumination, experiential avoidance, and fear of emotions; 2) performance on a dichotic listening task that highlights preferences for non-depressive material; and 3) psychophysiological reactivity in an avoidance paradigm modeled after the one used by Borkovec, Lyonfields, Wiser, and Deihl (1993) in their examination of worry. One hundred and thirty-eight undergraduates completed questionnaire measures and participated in a clinical interview to diagnose current and past episodes of depression. Of those, 100 were randomly assigned to a rumination or relaxation induction condition and participated in a dichotic listening task, rumination/relaxation induction, and depression induction. Questionnaire measures confirmed a relationship between rumination status and avoidance; however, no significant effects were found in the dichotic listening task. Psychophysiological measures indicated no difference in physiological response to a depression induction among high ruminators (HR). However, low ruminators (LR) in the relaxation condition exhibited a larger IBI response than LR in the rumination condition. Overall, these results provide partial support for an avoidance conceptualization of depressive rumination. Implications of these findings are discussed.
1)问卷测量的反刍、经验回避和对情绪恐惧之间的关联;2)在双听任务中的表现,该任务突出了对非抑郁材料的偏好;3)在回避范式中的心理生理反应,该范式是在 Borkovec、Lyonfields、Wiser 和 Deihl(1993)对担忧进行研究中采用的范式的基础上建模的。138 名大学生完成了问卷测量,并参加了临床访谈,以诊断当前和过去的抑郁发作。其中,100 人被随机分配到反刍或放松诱导条件,并参加了双听任务、反刍/放松诱导和抑郁诱导。问卷测量证实了反刍状态和回避之间的关系;然而,在双听任务中没有发现显著影响。心理生理测量表明,在高反刍者(HR)中,对抑郁诱导的生理反应没有差异。然而,在放松条件下的低反刍者(LR)比在反刍条件下的 LR 表现出更大的 IBI 反应。总的来说,这些结果为抑郁反刍的回避概念提供了部分支持。讨论了这些发现的意义。