跨诊断重复性消极思维及其与沉思、担忧、抑郁和焦虑症状的关联证据:共性分析
Evidence for Transdiagnostic Repetitive Negative Thinking and Its Association with Rumination, Worry, and Depression and Anxiety Symptoms: A Commonality Analysis.
作者信息
Gustavson Daniel E, du Pont Alta, Whisman Mark A, Miyake Akira
机构信息
Department of Psychiatry and Center for Behavior Genetics of Aging, University of California, San Diego; La Jolla, CA, USA.
Institute for Behavioral Genetics and Department of Psychology and Neuroscience, University of Colorado Boulder; Boulder, CO, USA.
出版信息
Collabra Psychol. 2018;4(1). doi: 10.1525/collabra.128. Epub 2018 May 17.
Recent theoretical advances have emphasized the commonality between rumination and worry, often referred to as repetitive negative thinking. Although not studied extensively, repetitive negative thinking may not only account for a substantial overlap between depression and anxiety symptoms but also encapsulate other constructs including one's tendency to experience unwanted intrusive thoughts or have low levels of mindfulness. In this study, 643 college students completed self-report questionnaire measures of repetitive negative thinking (the Habit Index of Negative Thinking) and other relevant constructs including rumination, worry, depression and anxiety symptoms, intrusive thoughts, and mindfulness. To analyze the data, we conducted systematic commonality analyses, which algebraically decomposed shared variances among these measures into various unique components. Results in Study 1 indicated that individual differences in repetitive negative thinking were explained largely by the overlap between rumination and worry, but also by some rumination-specific and worry-specific variance. Moreover, the shared variation in rumination and worry explained the frequencies of depression and anxiety symptoms and their overlap. We also found in Study 2 that repetitive negative thinking was positively related to intrusive thoughts and negatively related to mindfulness. These associations were mostly explained by shared variance with rumination and worry, but there was also some mindfulness-specific variance. These results suggest that repetitive negative thinking may indeed lie at the core of the comorbidity between depression and anxiety symptoms, but that it is also a broader construct that encompasses intrusive thoughts and low levels of mindfulness.
最近的理论进展强调了反刍思维和担忧之间的共性,通常被称为重复性消极思维。尽管尚未得到广泛研究,但重复性消极思维可能不仅解释了抑郁和焦虑症状之间的大量重叠,还涵盖了其他概念,包括个体经历 unwanted 侵入性思维的倾向或正念水平较低。在本研究中,643 名大学生完成了重复性消极思维(消极思维习惯指数)以及其他相关概念的自我报告问卷调查,这些相关概念包括反刍思维、担忧、抑郁和焦虑症状、侵入性思维以及正念。为了分析数据,我们进行了系统的共性分析,通过代数方法将这些测量指标之间的共享方差分解为各种独特的成分。研究 1 的结果表明,重复性消极思维的个体差异在很大程度上是由反刍思维和担忧之间的重叠所解释的,但也受到一些反刍思维特定和担忧特定的方差影响。此外,反刍思维和担忧中的共享变异解释了抑郁和焦虑症状的频率及其重叠。我们在研究 2 中还发现,重复性消极思维与侵入性思维呈正相关,与正念呈负相关。这些关联大多由与反刍思维和担忧的共享方差所解释,但也存在一些正念特定的方差。这些结果表明,重复性消极思维可能确实处于抑郁和焦虑症状共病的核心,但它也是一个更广泛的概念,涵盖了侵入性思维和低水平的正念。