Everaert Jonas, Grahek Ivan, Koster Ernst H W
a Department of Experimental Clinical and Health Psychology , Ghent University , Ghent , Belgium.
Cogn Emot. 2017 Jun;31(4):736-746. doi: 10.1080/02699931.2016.1144562. Epub 2016 Feb 12.
Deficient cognitive control over emotional material and cognitive biases are important mechanisms underlying depression, but the interplay between these emotionally distorted cognitive processes in relation to depressive symptoms is not well understood. This study investigated the relations among deficient cognitive control of emotional information (i.e. inhibition, shifting, and updating difficulties), cognitive biases (i.e. negative attention and interpretation biases), and depressive symptoms. Theory-driven indirect effect models were constructed, hypothesising that deficient cognitive control over emotional material predicts depressive symptoms through negative attention and interpretation biases. Bootstrapping analyses demonstrated that deficient inhibitory control over negative material was related to negative attention bias which in turn predicted a congruent bias in interpretation and subsequently depressive symptoms. Both shifting and updating impairments in response to negative material had an indirect effect on depression severity through negative interpretation bias. No evidence was found for direct effects of deficient cognitive control over emotional material on depressive symptoms. These findings may help to formulate an integrated understanding of the cognitive foundations of depressive symptoms.
对情绪性材料缺乏认知控制和认知偏差是抑郁症的重要潜在机制,但这些情绪扭曲的认知过程之间与抑郁症状的相互作用尚未得到充分理解。本研究调查了情绪信息的认知控制缺陷(即抑制、转换和更新困难)、认知偏差(即负面注意和解释偏差)与抑郁症状之间的关系。构建了理论驱动的间接效应模型,假设对情绪性材料的认知控制缺陷通过负面注意和解释偏差预测抑郁症状。自抽样分析表明,对负面材料的抑制控制缺陷与负面注意偏差有关,而负面注意偏差反过来又预测了一致的解释偏差,进而导致抑郁症状。对负面材料的转换和更新障碍均通过负面解释偏差对抑郁严重程度产生间接影响。未发现对情绪性材料的认知控制缺陷对抑郁症状有直接影响的证据。这些发现可能有助于形成对抑郁症状认知基础的综合理解。