Department of Psychology and Neuroscience, Duke University, Durham, NC, United States.
Curr Opin Psychol. 2021 Oct;41:100-106. doi: 10.1016/j.copsyc.2021.04.003. Epub 2021 Apr 21.
Major depression is an episodic disorder which, for many individuals, has its onset in a distinct change of emotional state which then persists over time. The present article explores the utility of combining a dynamical systems approach to depression, focusing specifically on the change of state associated with episode onset, with a self-regulation perspective, which operationalizes how feedback received in the ongoing process of goal pursuit influences affect, motivation, and behavior, for understanding how a depressive episode begins. The goals of this review are to survey the recent literature modeling the onset of a depressive episode and to illustrate how a self-regulation perspective can provide a conceptual framework and testable hypotheses regarding episode onset within a dynamical systems model of depression.
重度抑郁症是一种发作性疾病,对许多人来说,其发作始于情绪状态的明显变化,然后持续一段时间。本文探讨了将抑郁症的动力系统方法与自我调节观点相结合的效用,该观点具体针对与发作开始相关的状态变化,而自我调节观点则实施了在目标追求的持续过程中收到的反馈如何影响情感、动机和行为,以了解抑郁发作是如何开始的。本综述的目的是调查最近对抑郁发作模型的文献,并说明自我调节观点如何在抑郁的动力系统模型中为发作的开始提供一个概念框架和可测试的假设。