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注意和记忆偏差作为单相抑郁患者中目前抑郁和目前缓解个体的稳定异常。

Attention and memory biases as stable abnormalities among currently depressed and currently remitted individuals with unipolar depression.

机构信息

Centre of Behavioral and Cognitive Sciences, University of Allahabad Allahabad, India ; Institute of Cognitive Neuroscience, University College London London, UK.

出版信息

Front Psychiatry. 2012 Nov 23;3:99. doi: 10.3389/fpsyt.2012.00099. eCollection 2012.

Abstract

BACKGROUND

In the present study, we explored the possibility of the stability of attention bias and memory bias in currently remitted individuals with unipolar depression compared to currently depressed individuals with unipolar depression and never-depressed individuals.

METHODS

The Emotional Stroop and autobiographical memory task (AMT) were administered on 10 participants, who were currently depressed, currently remitted with unipolar depression, or never-depressed. In the emotional Stroop task (EST), the respondent's task was to indicate the color of the ink of the positive, negative, and neutral words by selecting one of a series of colored blocks. In the AMT, participants were presented with positive, negative, and neutral cue words. For each word, they were asked to report specific events from their life.

RESULTS

Both the attention bias and memory bias exist in both the clinical groups. In EST, both currently depressed and currently remitted groups were slower to respond to negative words compared to neutral words. Unlike EST, in AMT both currently depressed and currently remitted groups were slower to respond to positive words compared to neutral words. Interestingly, the capacity to generate specific events for negative events was higher in both currently depressed and currently remitted groups. They were over-general in their memories of positive events. Importantly, the never-depressed group was specific in their memories of both positive and negative events of their life.

CONCLUSION

Our findings provide evidence for the stable existence of attention and memory bias in currently remitted individuals. This study has implications for the cognitive behavior therapy for depression to include modules to resolve the attention and memory bias toward negative thought and content, and to build strategies to overcome such biases.

摘要

背景

在本研究中,我们探索了单相抑郁目前缓解者与单相抑郁目前未缓解者及从未抑郁者相比,注意偏向和记忆偏向稳定性的可能性。

方法

对 10 名参与者进行情绪 Stroop 任务和自传体记忆任务(AMT)。其中 5 名参与者目前抑郁,5 名参与者目前缓解且曾有过抑郁。在情绪 Stroop 任务(EST)中,要求被试通过选择一系列彩色方块来指示正性、负性和中性词的墨迹颜色。在 AMT 中,向参与者呈现正性、负性和中性提示词。对于每个词,他们被要求报告自己生活中的具体事件。

结果

临床两组均存在注意偏向和记忆偏向。在 EST 中,目前抑郁组和目前缓解组对负性词的反应都慢于中性词。与 EST 不同,在 AMT 中,目前抑郁组和目前缓解组对正性词的反应都慢于中性词。有趣的是,两组对负性事件产生具体事件的能力都较高。他们对正性事件的记忆过于笼统。重要的是,从未抑郁组对生活中的正性和负性事件的记忆都很具体。

结论

我们的发现为目前缓解者中存在注意和记忆偏向提供了证据。本研究对抑郁的认知行为治疗具有启示意义,包括解决对负性思维和内容的注意和记忆偏向的模块,并制定克服这些偏向的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80d8/3504653/035390f1749d/fpsyt-03-00099-g001.jpg

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