Deeprose Catherine, Malik Aiysha, Holmes Emily A
Department of Psychiatry, University of Oxford, UK.
Int J Cogn Ther. 2011 Jun;4(2):187-196. doi: 10.1521/ijct.2011.4.2.187.
We define intrusive prospective imagery as the experience of mental imagery of events that may happen in the future and which come to mind involuntarily. This everyday phenomenon may be exacerbated in psychological disorders such as bipolar disorder (Holmes, Geddes, Colom, & Goodwin, 2008) although specific measures to assess this have been lacking. We recently developed the Impact of Future Events Scale (IFES; Deeprose & Holmes, 2010), which is further examined in the current paper. In Study 1, adults volunteers (N=50) completed the IFES on two occasions, with 1-week between measurements. This revealed acceptable test-rest reliability. In Study 2, (N=90) IFES showed good internal consistency and confirmed two predictions. First, in the total sample risk for bipolar disorder (MDQ; Hirschfield et al., 2000) and IFES Total Score correlated positively. Second, when the sample was split into high (MDQ ≥ 7) and low (MDQ ≤ 6) bipolarity risk groups, higher IFES Total Scores were observed in the high risk group. We conclude that 1) IFES presents a useful measure for assessing intrusive prospective imagery with acceptable test-retest reliability and good internal consistency and 2) risk for bipolar disorder is associated with elevated IFES Total Scores with potentially important clinical implications.
我们将侵入性前瞻性意象定义为对未来可能发生且不由自主出现在脑海中的事件的心理意象体验。这种日常现象在双相情感障碍等心理障碍中可能会加剧(霍姆斯、格迪斯、科隆和古德温,2008年),尽管一直缺乏评估这一现象的具体措施。我们最近开发了未来事件影响量表(IFES;迪普罗丝和霍姆斯,2010年),本文将对其进行进一步研究。在研究1中,成年志愿者(N = 50)分两次完成IFES测试,两次测量间隔1周。这显示出了可接受的重测信度。在研究2中,(N = 90)IFES显示出良好的内部一致性,并证实了两个预测。第一,在总样本中,双相情感障碍风险(MDQ;赫希菲尔德等人,2000年)与IFES总分呈正相关。第二,当样本分为高双相情感障碍风险组(MDQ≥7)和低双相情感障碍风险组(MDQ≤6)时,高风险组的IFES总分更高。我们得出结论:1)IFES是一种评估侵入性前瞻性意象的有用工具,具有可接受的重测信度和良好的内部一致性;2)双相情感障碍风险与IFES总分升高相关,这可能具有重要的临床意义。