Mihailova Stella, Jobson Laura
School of Psychological Sciences, Monash University, Melbourne, Australia.
Clin Psychol Psychother. 2018 Feb 23. doi: 10.1002/cpp.2184.
The study investigated several associations between depression and intrusive negative autobiographical memories. A systematic literature search identified 23 eligible studies (N = 2,582), which provided 59 effect sizes. Separate meta-analyses indicated that depression was moderately, positively associated with intrusive memory frequency, memory distress, maladaptive memory appraisals, memory avoidance, and memory rumination. Intrusive memory vividness was not significantly associated with depression. There were insufficient data to examine the relationship between depression and memory vantage perspective. Between-study heterogeneity was high for intrusive memory frequency and memory avoidance, and the percentage of females in studies significantly moderated the relationship between these variables and depression. An additional exploratory meta-analysis (3 studies; N = 257) indicated that intrusive memories were experienced more frequently by those with posttraumatic stress disorder than those with depression. Overall, the findings suggest that intrusive memories warrant clinical attention as they may contribute to the maintenance of depressive symptomatology.
该研究调查了抑郁症与侵入性负面自传体记忆之间的几种关联。一项系统的文献检索确定了23项符合条件的研究(N = 2582),这些研究提供了59个效应量。单独的荟萃分析表明,抑郁症与侵入性记忆频率、记忆困扰、适应不良的记忆评估、记忆回避和记忆反刍呈中度正相关。侵入性记忆的生动性与抑郁症无显著关联。没有足够的数据来检验抑郁症与记忆优势视角之间的关系。在侵入性记忆频率和记忆回避方面,研究间异质性较高,研究中的女性比例显著调节了这些变量与抑郁症之间的关系。另一项探索性荟萃分析(3项研究;N = 257)表明,创伤后应激障碍患者比抑郁症患者更频繁地经历侵入性记忆。总体而言,研究结果表明,侵入性记忆值得临床关注,因为它们可能有助于维持抑郁症状。