Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom; Department of Psychology, Kangwon National Unversity, Chuncheon, Republic of Korea.
Department of Psychology, University of California, Davis, USA.
Behav Res Ther. 2016 Aug;83:26-34. doi: 10.1016/j.brat.2016.05.007. Epub 2016 May 26.
The present study investigated the hypothesis that the magnitude of negative interpretation bias displayed by those with depression is related to the degree of depression they experience. Seventy one depressed participants (scoring 14 and above on the Beck Depression Inventory II) completed tasks spanning three domains of possible negative interpretations: semantic ambiguity; nonverbal ambiguity and situational ambiguity. Regression analyses revealed that just under half of the variance in depressive symptom severity was explained by the combination of negative interpretation bias tasks, with the strongest predictor of depressive symptom severity being negative interpretation of semantic ambiguity when reading ambiguous text descriptions. Subsidiary group analyses confirmed that severely depressed individuals interpreted emotionally ambiguous information in a more negative way than did their mildly or moderately depressed counterparts. These findings indicate that the degree of negative interpretive bias is closely related to depression severity and that bias manifests especially strongly at the most severe levels of depression. Our findings may help us to refine cognitive theories of depression and be helpful in guiding therapy.
本研究旨在验证这样一个假设,即抑郁症患者表现出的负性解释偏差的程度与他们所经历的抑郁程度有关。71 名抑郁患者(贝克抑郁量表 II 得分在 14 分及以上)完成了三个可能的负性解释领域的任务:语义歧义、非言语歧义以及情境歧义。回归分析显示,抑郁症状严重程度的近一半差异可以由负性解释偏差任务的组合来解释,对抑郁症状严重程度最强的预测因素是在阅读模糊的文本描述时对语义歧义的负性解释。亚组分析证实,严重抑郁的个体比轻度或中度抑郁的个体更倾向于以消极的方式解释情绪模糊的信息。这些发现表明,负性解释偏差的程度与抑郁严重程度密切相关,而且在最严重的抑郁水平上表现得尤为明显。我们的发现可能有助于我们完善对抑郁的认知理论,并对指导治疗有所帮助。