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抑郁诊断,但不是抑郁症状的个体差异,与自传体记忆特异性降低有关。

Depression diagnoses, but not individual differences in depression symptoms, are associated with reduced autobiographical memory specificity.

机构信息

Trinity College Institute of Neuroscience, Trinity College Dublin, Ireland.

The University of Hong Kong, Hong Kong.

出版信息

Br J Clin Psychol. 2019 Jun;58(2):173-186. doi: 10.1111/bjc.12207. Epub 2018 Nov 15.

Abstract

OBJECTIVES

Difficulties recalling specific events from one's autobiographical past have been associated with a range of emotional disorders. We present the first examination of whether diagnoses of depression or individual differences in depression severity explain the most variance in autobiographical memory specificity. We also examine the contribution of other key cognitive factors associated with reduced memory specificity - rumination and verbal fluency - to these effects.

METHODS

Participants with (n = 21) and without (n = 25) major depressive disorder completed self-report measures of depression severity (Beck Depression Inventory version II; BDI-II) and ruminative tendency (Ruminative Response Scale), a measure of verbal fluency, and the Autobiographical Memory Test (AMT) to assess memory specificity.

RESULTS

People diagnosed with depression recalled significantly fewer specific memories in the AMT relative to healthy controls. In a linear regression, diagnostic status explained a significant amount of unique variance in specificity whereas BDI-II scores did not. Diagnostic group differences in verbal fluency also explained a significant amount of variance in specificity.

CONCLUSIONS

Our findings extend our understanding of the mechanisms involved in reduced memory specificity but future research must explore the causal contribution of weak executive functioning to reduced memory specificity.

PRACTITIONERS POINTS

Diagnoses of depression were associated with problems recalling specific events from one's past. Problems with memory specificity amongst depressed people were associated with executive functioning difficulties. Problems with specificity were not associated with individual differences in depression severity or ruminative tendencies.

摘要

目的

从自传体过去中回忆特定事件的困难与一系列情绪障碍有关。我们首次研究了抑郁症的诊断或抑郁严重程度的个体差异是否可以解释自传体记忆特异性中最大的差异。我们还检查了与记忆特异性降低相关的其他关键认知因素 - 反刍和言语流畅性 - 对这些影响的贡献。

方法

患有(n=21)和未患有(n=25)重度抑郁症的参与者完成了抑郁严重程度的自我报告测量(贝克抑郁量表第二版;BDI-II)和反刍倾向(反刍反应量表)、言语流畅性的测量以及自传体记忆测试(AMT),以评估记忆特异性。

结果

与健康对照组相比,被诊断患有抑郁症的人在 AMT 中回忆的特定记忆明显较少。在线性回归中,诊断状态解释了特异性的大量独特差异,而 BDI-II 分数则没有。言语流畅性的诊断组差异也解释了特异性的大量差异。

结论

我们的发现扩展了我们对涉及记忆特异性降低的机制的理解,但未来的研究必须探索执行功能减弱对记忆特异性降低的因果贡献。

从业者要点

抑郁症的诊断与回忆过去特定事件的问题有关。抑郁人群的记忆特异性问题与执行功能困难有关。特异性问题与抑郁严重程度或反刍倾向的个体差异无关。

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