Nelis Sabine, Holmes Emily A, Raes Filip
Faculty of Psychology and Educational Sciences, KU Leuven - University of Leuven, Tiensestraat 102, Box 3717, 3000 Leuven, Belgium.
MRC Cognition and Brain Sciences Unit, Cambridge, UK ; Department for Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Cognit Ther Res. 2015;39(4):480-491. doi: 10.1007/s10608-015-9671-y.
We examined the concurrent and prospective relations between response styles to positive affect and depression in a community sample. Participants ( = 345) completed self-report measures of current and past depressive episodes, depressive symptoms, anhedonia, and responses to positive affect (including dampening and positive rumination) at two time points, with a 5-month interval. Higher levels of dampening responses to positive affect were related to higher concurrent levels of depressive symptoms. The tendency to positively ruminate on positive affect was negatively related to concurrent anhedonic symptoms. When controlling for current depressive symptomatology, formerly depressed individuals had a higher tendency to dampen positive affect than never-depressed controls, and did not differ from a currently depressed group. Dampening responses did not predict depressive symptoms prospectively, but lower levels of (self-focused) positive rumination did predict higher levels of future anhedonic symptoms. Results indicate that not only currently but also formerly depressed individuals engage in dysfunctional (dampening) strategies in response to positive affect. It is possible that currently as well as formerly depressed individuals might benefit from interventions that are directed at the remediation of disturbed regulation of positive affect. However, our prospective results make clear that more research is needed to examine the precise conditions under which dampening would be a detrimental (and positive rumination a beneficial) response style in the course of depression.
我们在一个社区样本中研究了对积极情绪的反应方式与抑郁之间的并发关系和前瞻性关系。参与者((n = 345))在两个时间点完成了关于当前和过去抑郁发作、抑郁症状、快感缺失以及对积极情绪的反应(包括抑制和积极反刍)的自我报告测量,间隔为5个月。对积极情绪的抑制反应水平较高与抑郁症状的并发水平较高相关。对积极情绪进行积极反刍的倾向与并发的快感缺失症状呈负相关。在控制当前抑郁症状时,曾经抑郁的个体比从未抑郁的对照组有更高的抑制积极情绪的倾向,且与当前抑郁组没有差异。抑制反应并不能前瞻性地预测抑郁症状,但较低水平的(自我关注的)积极反刍确实能预测未来更高水平的快感缺失症状。结果表明,不仅当前抑郁的个体,曾经抑郁的个体在面对积极情绪时也会采用功能失调的(抑制)策略。目前和曾经抑郁的个体可能都能从旨在纠正对积极情绪调节紊乱的干预措施中受益。然而,我们的前瞻性结果明确表明,需要更多的研究来检验在抑郁过程中抑制成为有害(而积极反刍成为有益)反应方式的精确条件。