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测试CaR-FA-X模型:探究有和没有抑郁症病史的个体中自传体记忆特异性降低背后的机制。

Testing the CaR-FA-X model: investigating the mechanisms underlying reduced autobiographical memory specificity in individuals with and without a history of depression.

作者信息

Sumner Jennifer A, Mineka Susan, Adam Emma K, Craske Michelle G, Vrshek-Schallhorn Suzanne, Wolitzky-Taylor Kate, Zinbarg Richard E

机构信息

Department of Psychology, Northwestern University.

School of Education and Social Policy, Northwestern University.

出版信息

J Abnorm Psychol. 2014 Aug;123(3):471-86. doi: 10.1037/a0037271. Epub 2014 Jun 30.

DOI:10.1037/a0037271
PMID:24978693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4122646/
Abstract

Reduced autobiographical memory specificity (AMS) is an important cognitive phenomenon in major depressive disorder (MDD), but knowledge about mechanisms is lacking. The CaR-FA-X model of Williams and colleagues (2007) proposed that 3 processes contributed to reduce AMS: capture and rumination (CaR), functional avoidance (FA), and impaired executive control (X). However, the entire CaR-FA-X model has not been tested. We addressed this gap in the literature by investigating contributions of the CaR-FA-X mechanisms to reduced AMS, alone or in interaction, in a subset of young adults (N = 439) from the Northwestern-UCLA Youth Emotion Project. Participants were classified as those with (n = 164) and without (n = 275) a history of MDD at AMS assessment. They completed measures of: AMS; rumination (the brooding factor; CaR); childhood, adolescent, and early adulthood adversity (FA); avoidant coping (FA); and verbal fluency (X). Using structural equation modeling, we found greatest support for associations between reduced AMS and the capture and rumination, and impaired executive control mechanisms. In those with and without a history of MDD, brooding and verbal fluency interacted to contribute to reduced AMS. For participants without a history of MDD, lower verbal fluency (indicating impaired executive control) was associated with reduced AMS among those high on brooding. For participants with a history of MDD, lower verbal fluency was associated with reduced AMS among those low on brooding. The first finding was consistent with the CaR-FA-X model but the latter was not. Implications for conceptualizations of reduced AMS and its mechanisms are discussed.

摘要

自传体记忆特异性降低(AMS)是重度抑郁症(MDD)中的一种重要认知现象,但目前尚缺乏对其机制的了解。Williams及其同事(2007年)提出的CaR-FA-X模型认为,有三个过程导致了AMS的降低:捕捉与沉思(CaR)、功能性回避(FA)和执行控制受损(X)。然而,整个CaR-FA-X模型尚未得到验证。我们通过研究CaR-FA-X机制单独或相互作用对AMS降低的影响,填补了这一文献空白,研究对象为西北大学-加州大学洛杉矶分校青少年情绪项目中的一部分年轻人(N = 439)。在AMS评估中,参与者被分为有(n = 164)和无(n = 275)MDD病史两组。他们完成了以下测量:AMS;沉思(沉思因子;CaR);童年、青少年和成年早期的逆境(FA);回避应对(FA);以及言语流畅性(X)。使用结构方程模型,我们发现AMS降低与捕捉和沉思以及执行控制机制受损之间的关联得到了最大程度的支持。在有和无MDD病史的人群中,沉思和言语流畅性相互作用,导致AMS降低。对于无MDD病史的参与者,言语流畅性较低(表明执行控制受损)与沉思程度高的参与者中AMS降低有关。对于有MDD病史的参与者,言语流畅性较低与沉思程度低的参与者中AMS降低有关。第一个发现与CaR-FA-X模型一致,但后者不一致。本文讨论了AMS降低及其机制概念化的意义。