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抑郁、已康复抑郁和从未抑郁的社区样本中侵入性记忆的特征。

Characteristics of intrusive memories in a community sample of depressed, recovered depressed and never-depressed individuals.

机构信息

The University of New South Wales, Sydney, Australia.

出版信息

Behav Res Ther. 2011 Apr;49(4):234-43. doi: 10.1016/j.brat.2011.01.003. Epub 2011 Jan 27.

DOI:10.1016/j.brat.2011.01.003
PMID:21334598
Abstract

An accumulating body of evidence has revealed that intrusive autobiographical memories of negative events play a role in depression. Despite increasing understanding of the phenomenological experience of these memories, previous research in this area has been conducted in either nonclinical samples, or in clinical samples without an adequate control group. This study aimed to replicate and extend findings with dysphoric samples by comparing the content and characteristics of intrusive memories in clinically depressed (n=25), recovered (n=30) and never-depressed (n=30) participants. Participants completed mood measures, and a battery of self-report questionnaires that indexed intrusive memory frequency, avoidance and characteristics. Intrusive memories were common and shared strikingly similar characteristics across the three groups. The key finding was that depressed participants reported higher levels of intrusion-related distress, associated emotions (especially sadness and helplessness), interference as a result of the memories and memory vividness compared to the never-depressed group. Despite similar levels of intrusion, there were group differences in avoidance such that depressed participants reported higher levels of avoidance than the never-depressed group. These results provide further support for the proposal that clinical interventions for depression could usefully incorporate components that aim to reduce intrusive autobiographical memories and target avoidance strategies.

摘要

越来越多的证据表明,侵入性的负面事件自传体记忆在抑郁症中起作用。尽管人们对这些记忆的现象学体验有了更多的了解,但该领域之前的研究要么是在非临床样本中进行的,要么是在没有适当对照组的临床样本中进行的。本研究旨在通过比较临床抑郁(n=25)、康复(n=30)和从未抑郁(n=30)参与者的侵入性记忆的内容和特征,复制并扩展对抑郁样样本的研究结果。参与者完成了情绪测量和一系列自我报告问卷,这些问卷反映了侵入性记忆的频率、回避和特征。侵入性记忆很常见,并且在三组参与者中具有惊人的相似特征。关键发现是,与从未抑郁组相比,抑郁组报告的与侵入相关的痛苦、相关情绪(尤其是悲伤和无助)、记忆干扰以及记忆生动度更高。尽管侵入程度相似,但回避方面存在群体差异,即抑郁组报告的回避程度高于从未抑郁组。这些结果进一步支持了这样的建议,即针对抑郁症的临床干预可以有效地纳入旨在减少侵入性自传体记忆和针对回避策略的成分。

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