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抑郁症与焦虑症:特定内容假设的检验。

Depression versus anxiety: a test of the content-specificity hypothesis.

作者信息

Greenberg M S, Beck A T

出版信息

J Abnorm Psychol. 1989 Feb;98(1):9-13. doi: 10.1037//0021-843x.98.1.9.

Abstract

Beck's cognitive model predicts that depressed and anxious individuals can be differentiated on the basis of their cognitions regarding their self, world, and future. The present experiment used a trait-rating and incidental recall paradigm to test this "content-specificity" hypothesis. Clinically depressed, anxious, and psychiatric control subjects were presented with depression-relevant and anxiety-relevant trait adjectives, and initially judged whether the adjectives were self-descriptive prior to a free-recall task. Depressed subjects judged and recalled more negative depression-relevant stimuli than did the anxious and control subjects, and they were the only group to judge and recall more negative than positive depression-relevant stimuli. The anxious subjects recalled more negative than positive anxiety-relevant adjectives. The depressed subjects, however, also showed evidence of biased processing for anxiety-relevant stimuli. The findings were interpreted as providing support for the content-specificity hypothesis for depression, and minimal support of the hypothesis for anxiety.

摘要

贝克的认知模型预测,抑郁和焦虑个体可以根据他们对自我、世界和未来的认知来区分。本实验采用特质评定和偶然回忆范式来检验这一“内容特异性”假设。向临床抑郁症患者、焦虑症患者和精神科对照受试者呈现与抑郁相关和与焦虑相关的特质形容词,并在自由回忆任务之前初步判断这些形容词是否具有自我描述性。与焦虑症患者和对照受试者相比,抑郁症患者判断并回忆出更多与抑郁相关的负面刺激,并且他们是唯一一组判断并回忆出与抑郁相关的负面刺激多于正面刺激的群体。焦虑症患者回忆出的与焦虑相关的负面形容词多于正面形容词。然而,抑郁症患者也表现出对与焦虑相关刺激的加工偏差。这些发现被解释为为抑郁症的内容特异性假设提供了支持,而对焦虑症假设的支持则微乎其微。

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