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过度泛化和具体自传体记忆预测抑郁的病程:一项更新的荟萃分析。

Overgeneral and specific autobiographical memory predict the course of depression: an updated meta-analysis.

机构信息

School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Melbourne, Australia.

Department of Psychology, University of Hong Kong, Pok Fu Lam, Hong Kong.

出版信息

Psychol Med. 2021 Apr;51(6):909-926. doi: 10.1017/S0033291721001343. Epub 2021 Apr 20.

Abstract

Impairments in retrieving event-level, specific autobiographical memories, termed overgeneral memory (OGM), are recognised as a feature of clinical depression. A previous meta-analytic review assessing how OGM predicts the course of subsequent depressive symptoms showed small effects for correlations and regression analyses when baseline depressive symptoms were controlled for. We aimed to update this study and examine whether their findings replicate given the decade of research that has been published since. A systematic literature review using the same eligibility criteria as the previous meta-analysis led to a doubling of eligible studies (32 v. 15). The results provided more precise estimates of effect sizes, and largely support the finding that OGM predicts the course of depressive symptoms. The effects were generally small, but significantly larger among clinical samples, compared to studies with non-clinical samples. There was some evidence that higher age was associated with stronger effects, and longer follow-up was associated with weaker effects. The findings on other moderating variables that were analysed were mixed. Continued research into this modifiable cognitive process may help to provide an avenue to better understand and treat highly prevalent and impactful depressive disorders.

摘要

检索事件层面特定自传体记忆的能力受损,即过度概括记忆(OGM),被认为是临床抑郁症的一个特征。先前的一项元分析评估了 OGM 如何预测随后抑郁症状的病程,结果表明,在控制基线抑郁症状后,相关分析和回归分析的相关性较小。我们旨在更新这项研究,并在考虑到自发表以来的十年研究的情况下,检查其发现是否具有可重复性。使用与之前元分析相同的纳入标准进行系统文献综述,导致符合条件的研究数量增加了一倍(32 项比 15 项)。研究结果提供了更精确的效应大小估计值,并且在很大程度上支持了 OGM 预测抑郁症状病程的发现。这些效应通常较小,但在临床样本中与非临床样本相比,效应显著更大。有一些证据表明,年龄较高与效应较强相关,随访时间较长与效应较弱相关。对其他进行分析的调节变量的研究结果喜忧参半。对这种可改变的认知过程的持续研究可能有助于提供一种途径,以更好地理解和治疗普遍存在且影响深远的抑郁障碍。

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