a Cossham Memorial Hospital , North Bristol NHS Trust , Bristol , United Kingdom.
b Department of Psychology , University of Bath , Bath , United Kingdom.
Aging Ment Health. 2018 May;22(5):575-586. doi: 10.1080/13607863.2017.1326461. Epub 2017 May 25.
Overgeneral autobiographical memory (OGM) is a well-researched phenomenon in working age adults with depression. However, the relevance and importance of OGM in older adult depression is not well established. The aim of this review was to synthesise existing literature on OGM and depressive symptoms in older adults under the framework of the Capture and Rumination, Functional Avoidance and Impaired Executive Control (CaR-FA-X) model.
Literature searches were conducted using PsychINFO, PubMed and Web of Knowledge. Eighteen articles were reviewed.
OGM is elevated in healthy older adults compared to adults of working age, and further elevated in older adults with depression. Evidence supports the role of impaired executive function as a mechanism for OGM in older adults with depression, but no studies measured other components of the CaR-FA-X model (i.e. functional avoidance and rumination).
OGM is prevalent in older adults and more so for those with depression; however, there is no clear understanding of the underpinning mechanisms. It is recommended that future research looks at the role of functional avoidance and rumination, and at the use of memory specificity interventions being developed in the working age adult literature.
自传体记忆过度概括(OGM)是一项在工作年龄段的抑郁症患者中得到广泛研究的现象。然而,OGM 在老年抑郁症患者中的相关性和重要性尚未得到充分证实。本综述旨在根据捕获和反刍、功能回避和执行控制受损(CaR-FA-X)模型,综合现有关于老年人群中 OGM 和抑郁症状的文献。
使用 PsychINFO、PubMed 和 Web of Knowledge 进行文献检索。共综述了 18 篇文章。
与工作年龄段的成年人相比,健康的老年人中 OGM 水平升高,而患有抑郁症的老年人中 OGM 水平进一步升高。有证据支持执行功能受损是老年抑郁症患者 OGM 的一种机制,但没有研究测量 CaR-FA-X 模型的其他组成部分(即功能回避和反刍)。
OGM 在老年人中较为普遍,在患有抑郁症的老年人中更为常见;然而,对于潜在机制仍缺乏明确的认识。建议未来的研究关注功能回避和反刍的作用,以及在工作年龄段成年人文献中开发的记忆特异性干预措施的使用。