Ophir Yaakov, Mor Nilly
The Hebrew University of Jerusalem.
The Hebrew University of Jerusalem.
Behav Ther. 2014 Jul;45(4):553-63. doi: 10.1016/j.beth.2014.03.004. Epub 2014 Mar 13.
People who tend to engage in brooding, the maladaptive subtype of rumination, are at risk to develop depression. Brooders often endorse metacognitive beliefs that self-focused ruminative thinking is beneficial. In the current study, we examined whether brooding and positive beliefs about rumination are associated with perceptions of and preferences for treatments for depression. Participants (N=118) read descriptions of two different clusters of treatments for depression, Insight-Oriented (IO) treatments and Activation-Oriented (AO) treatments. They then rated treatment efficacy and credibility and completed self-report measures of rumination (including brooding and reflection subscales), beliefs about rumination, and depression. Brooding and metacognitive positive beliefs about rumination were associated with positive perceptions of IO (but not AO) treatments. Positive beliefs about rumination contributed to the prediction of perceptions of IO treatments (but not AO treatments) beyond the effect of brooding. We discuss the implications of these findings for individuals' decision-making processes regarding which type of treatment to seek.
倾向于进行沉思（反刍的适应不良亚型）的人有患抑郁症的风险。沉思者常常认同元认知信念，即自我聚焦的反刍性思维是有益的。在当前的研究中，我们考察了沉思以及对反刍的积极信念是否与对抑郁症治疗方法的认知和偏好有关。参与者（N = 118）阅读了针对抑郁症的两种不同治疗方法组的描述，即洞察取向（IO）治疗和激活取向（AO）治疗。然后他们对治疗效果和可信度进行评分，并完成反刍（包括沉思和反思子量表）、对反刍的信念以及抑郁的自我报告测量。沉思以及对反刍的元认知积极信念与对IO（而非AO）治疗的积极认知有关。对反刍的积极信念在沉思的影响之外，有助于预测对IO治疗（而非AO治疗）的认知。我们讨论了这些发现对个体在寻求何种治疗方法方面决策过程的启示。
