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一项双胞胎研究:探究反刍思维作为精神病理学的跨诊断相关因素

A Twin Study Examining Rumination as a Transdiagnostic Correlate of Psychopathology.

作者信息

Johnson Daniel P, Rhee Soo Hyun, Friedman Naomi P, Corley Robin P, Munn-Chernoff Melissa A, Hewitt John K, Whisman Mark A

机构信息

Department of Psychology and Neuroscience and Institute for Behavioral Genetics, University of Colorado Boulder.

Institute for Behavioral Genetics, University of Colorado Boulder.

出版信息

Clin Psychol Sci. 2016 Nov;4(6):971-987. doi: 10.1177/2167702616638825. Epub 2016 Jun 15.

Abstract

This study examined the genetic and environmental influences on rumination and its associations with several forms of psychopathology in a sample of adult twins ( = 744). Rumination was significantly associated with major depressive disorder, depressive symptoms, generalized anxiety disorder, eating pathology, and substance dependence symptoms. There were distinct patterns of etiological overlap between rumination and each form of psychopathology; rumination had considerable genetic overlap with depression, modest genetic overlap with eating pathology, and almost no genetic overlap with substance dependence. Findings further suggest considerable overlap between genetic and environmental influences on rumination and those contributing to the covariance between forms of psychopathology. Results were specific to ruminative thought and did not extend to self-reflection. These findings support the conceptualization of rumination as a transdiagnostic correlate and risk factor for psychopathology and also suggest that the biological and environmental mechanisms linking rumination to psychopathology may differ depending on the disorder.

摘要

本研究在一个成年双胞胎样本(n = 744)中,考察了遗传和环境因素对沉思的影响,以及沉思与几种精神病理学形式之间的关联。沉思与重度抑郁症、抑郁症状、广泛性焦虑症、饮食病理学和物质依赖症状显著相关。沉思与每种精神病理学形式之间存在不同的病因重叠模式;沉思与抑郁症有相当大的遗传重叠,与饮食病理学有适度的遗传重叠,与物质依赖几乎没有遗传重叠。研究结果进一步表明,对沉思的遗传和环境影响与导致精神病理学形式之间协方差的影响存在相当大的重叠。结果特定于沉思性思维,并不适用于自我反思。这些发现支持将沉思概念化为精神病理学的一种跨诊断相关因素和风险因素,也表明将沉思与精神病理学联系起来的生物学和环境机制可能因障碍而异。

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