Mood Disorders Centre, University of Exeter, England EX4 4QJ, UK.
Behav Res Ther. 2011 Oct;49(10):597-605. doi: 10.1016/j.brat.2011.06.004. Epub 2011 Jun 16.
Converging research findings indicate that rumination is correlated with a specific maladaptive interpersonal style encapsulating submissive (overly-accommodating, non-assertive and self-sacrificing) behaviours, and an attachment orientation characterised by rejection sensitivity. This study examined the prospective longitudinal relationship between rumination, the submissive interpersonal style, and rejection sensitivity by comparing two alternative hypotheses: (a) the submissive interpersonal style and rejection sensitivity prospectively predict increased rumination; (b) rumination prospectively predicts the submissive interpersonal style and rejection sensitivity. Currently depressed (n = 22), previously depressed (n = 42) and never depressed (n = 28) individuals completed self-report measures assessing depressive rumination and key psychosocial measures of interpersonal style and behaviours, at baseline and again six months later. Baseline rejection sensitivity prospectively predicted increased rumination six months later, after statistically controlling for baseline rumination, gender and depression. Baseline rumination did not predict the submissive interpersonal style or rejection sensitivity. The results provide a first step towards delineating a potential casual relationship between rejection sensitivity and rumination, and suggest the potential value of clinical assessment and intervention for both rejection sensitivity and rumination in individuals who present with either difficulty.
研究结果表明，沉思与一种特定的适应不良的人际风格有关，这种人际风格包含顺从（过度适应、不自信和自我牺牲）行为，以及以拒绝敏感为特征的依恋取向。本研究通过比较两种替代假设来检验沉思、顺从的人际风格和拒绝敏感性之间的前瞻性纵向关系：(a)顺从的人际风格和拒绝敏感性前瞻性地预测沉思增加；(b)沉思前瞻性地预测顺从的人际风格和拒绝敏感性。目前抑郁（n = 22）、以前抑郁（n = 42）和从未抑郁（n = 28）的个体在基线和六个月后完成了自我报告的抑郁沉思评估以及人际风格和行为的关键心理社会措施。在控制基线沉思、性别和抑郁后，基线拒绝敏感性前瞻性地预测六个月后沉思增加。基线沉思不能预测顺从的人际风格或拒绝敏感性。研究结果为阐明拒绝敏感性和沉思之间潜在的因果关系迈出了第一步，并表明在出现困难的个体中，对拒绝敏感性和沉思进行临床评估和干预具有潜在价值。
