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反刍前瞻性地预测青少年执行功能障碍。

Rumination prospectively predicts executive functioning impairments in adolescents.

机构信息

Department of Psychology, Temple University, 1701 North 13th Street, Philadelphia, PA 19122, United States.

出版信息

J Behav Ther Exp Psychiatry. 2014 Mar;45(1):46-56. doi: 10.1016/j.jbtep.2013.07.009. Epub 2013 Aug 8.

DOI:10.1016/j.jbtep.2013.07.009
PMID:23978629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4098857/
Abstract

BACKGROUND AND OBJECTIVES

The current study tested the resource allocation hypothesis, examining whether baseline rumination or depressive symptom levels prospectively predicted deficits in executive functioning in an adolescent sample. The alternative to this hypothesis was also evaluated by testing whether lower initial levels of executive functioning predicted increases in rumination or depressive symptoms at follow-up.

METHODS

A community sample of 200 adolescents (ages 12-13) completed measures of depressive symptoms, rumination, and executive functioning at baseline and at a follow-up session approximately 15 months later.

RESULTS

Adolescents with higher levels of baseline rumination displayed decreases in selective attention and attentional switching at follow-up. Rumination did not predict changes in working memory or sustained and divided attention. Depressive symptoms were not found to predict significant changes in executive functioning scores at follow-up. Baseline executive functioning was not associated with change in rumination or depression over time.

CONCLUSIONS

Findings partially support the resource allocation hypothesis that engaging in ruminative thoughts consumes cognitive resources that would otherwise be allocated towards difficult tests of executive functioning. Support was not found for the alternative hypothesis that lower levels of initial executive functioning would predict increased rumination or depressive symptoms at follow-up. Our study is the first to find support for the resource allocation hypothesis using a longitudinal design and an adolescent sample. Findings highlight the potentially detrimental effects of rumination on executive functioning during early adolescence.

摘要

背景与目的

本研究检验了资源分配假说,即考察青少年样本中基线反刍或抑郁症状水平是否能预测执行功能的缺陷。通过检验较低的初始执行功能水平是否能预测随访时反刍或抑郁症状的增加,也对该假说进行了评估。

方法

一个由 200 名青少年(年龄 12-13 岁)组成的社区样本,在基线和大约 15 个月后的随访中完成了抑郁症状、反刍和执行功能的测量。

结果

基线反刍水平较高的青少年在随访时选择性注意力和注意力转换能力下降。反刍并没有预测工作记忆或持续和分散注意力的变化。抑郁症状在随访时并没有预测执行功能评分的显著变化。基线执行功能与随时间变化的反刍或抑郁变化无关。

结论

研究结果部分支持资源分配假说,即进行反刍性思维会消耗本可用于困难的执行功能测试的认知资源。没有发现替代假说的支持,即较低的初始执行功能水平会预测随访时反刍或抑郁症状的增加。我们的研究是第一个使用纵向设计和青少年样本来支持资源分配假说的研究。研究结果强调了反刍在青少年早期对执行功能的潜在有害影响。

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