Vanderbilt University, USA.
Vanderbilt University Medical Center, USA.
Autism. 2021 Oct;25(7):2048-2063. doi: 10.1177/13623613211012855. Epub 2021 May 31.
Autistic adults are substantially more likely to develop depression than individuals in the general population, and recent research has indicated that certain differences in thinking styles associated with autism may play a role in this association. Rumination, the act of thinking about the same thing over and over without a functional outcome, is a significant risk factor for depression in both autistic and non-autistic adults. However, little is known about how different kinds of rumination relate to each other and to depressive symptoms in the autistic population specifically. To fill this gap in knowledge, we recruited a large online sample of autistic adults, who completed questionnaire measures of both the tendency to ruminate and symptoms of depression. By examining the interacting network of rumination and depression symptoms, this study was able to identify particular aspects of rumination-such as thinking repetitively about one's guilty feelings or criticizing oneself-that may be particularly important in maintaining these harmful thought patterns in autistic adults. Although further study is needed, it is possible that the symptoms identified as most "influential" in the network may be particularly good targets for future interventions for mood and anxiety disorders in the autistic population.
自闭症患者患抑郁症的可能性比普通人群高得多,最近的研究表明,自闭症患者与思维方式相关的某些差异可能在这种关联中起作用。反刍,即反复思考同一件事情而没有任何实际结果的行为,是自闭症和非自闭症成年人患抑郁症的一个重要风险因素。然而,对于自闭症人群中不同类型的反刍与彼此以及与抑郁症状的关系,我们知之甚少。为了填补这一知识空白,我们招募了一大批自闭症成年在线样本,他们完成了关于反刍倾向和抑郁症状的问卷测量。通过检查反刍和抑郁症状的相互作用网络,本研究能够确定反刍的某些方面,例如反复思考自己的内疚感或自我批评,这些方面可能在维持自闭症成年人的这种有害思维模式中特别重要。尽管还需要进一步的研究,但网络中被确定为最“有影响力”的症状,有可能成为自闭症人群中情绪和焦虑障碍未来干预的特别好的目标。