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抑郁和被排斥:抑郁症状会影响被排斥后的恢复吗?

Depressed and excluded: Do depressive symptoms moderate recovery from ostracism?

机构信息

University of Basel, Switzerland.

University of Koblenz and Landau, Germany.

出版信息

J Affect Disord. 2021 Nov 1;294:730-736. doi: 10.1016/j.jad.2021.07.075. Epub 2021 Jul 25.

DOI:10.1016/j.jad.2021.07.075
PMID:34348168
Abstract

BACKGROUND

Prior studies show that depressed individuals react with more immediate reflexive need threat to ostracism than healthy controls. However, it remains unclear whether the observed difference between depressed individuals and healthy controls is caused by ostracism. To find out, the exclusion condition needs to be compared to a baseline condition: inclusion.

METHODS

We assessed depressive symptoms in N = 426 participants in an experimental study. Participants were included or excluded in Cyberball and indicated both their immediate reflexive need satisfaction level and their reflective need satisfaction level several minutes later to assess recovery.

RESULTS

Being excluded decreased reflexive need satisfaction levels for all participants. At the same time, the strength of depressive symptoms negatively predicted reflexive and reflective need satisfaction and was associated with slower recovery. Importantly, no moderation was observed: individuals with more depressive symptoms reported reduced need satisfaction levels regardless of being included or excluded in Cyberball.

LIMITATIONS

The present findings were obtained with one paradigm only, albeit the most commonly used one: Cyberball. Depressive symptoms were assessed as self-report; future studies may wish to replicate the effects using structured clinical interviews.

CONCLUSIONS

Depressive symptoms come with lowered need satisfaction levels, irrespective of whether individuals are socially excluded or included. Clinical practitioners should be aware of the relationship between chronic need threat and depression in order to help their patients overcome it.

摘要

背景

先前的研究表明,与健康对照组相比,抑郁个体对排斥的反应更迅速,表现出更强烈的即时反射性需求威胁。然而,目前尚不清楚抑郁个体和健康对照组之间观察到的差异是否是由排斥引起的。为了找出答案,需要将排除条件与基线条件(包括)进行比较。

方法

我们在一项实验研究中评估了 426 名参与者的抑郁症状。参与者在 Cyberball 中被包括或排除,并在几分钟后立即表示他们的即时反射性需求满足水平和反思性需求满足水平,以评估恢复情况。

结果

被排除会降低所有参与者的即时反射性需求满足水平。与此同时,抑郁症状的严重程度负向预测了即时性和反思性的需求满足,并与恢复速度较慢有关。重要的是,没有观察到调节作用:无论在 Cyberball 中被包括还是排除,抑郁症状更严重的个体报告的需求满足水平较低。

局限性

本研究仅采用了一种范式,尽管是最常用的范式:Cyberball。抑郁症状是通过自我报告评估的;未来的研究可能希望使用结构化临床访谈来复制这些效果。

结论

抑郁症状伴随着需求满足水平的降低,无论个体是否受到社会排斥或包括。临床医生应该意识到慢性需求威胁与抑郁之间的关系,以便帮助他们的患者克服这种关系。

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