Department of Psychiatry, Icahn School of Medicine at Mount Sinai, Bronx, USA; VISN 2 Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center, Bronx, USA.
VISN 2 Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center, Bronx, USA; Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, USA.
J Affect Disord. 2022 Jan 1;296:309-314. doi: 10.1016/j.jad.2021.09.081. Epub 2021 Oct 1.
Previous studies found that psychopathology is associated with distinct self-perceptions over time. Euthymic individuals report experiencing a self-enhancement bias, with self-appraisal increasing over time. In contrast, depressed individuals report viewing a personal decline from past to present and anticipated self-improvement from present to future. This study examined the association between the singular presence of anxiety and temporal self-appraisal.
Using the Depression Anxiety and Stress Scale, this study examined a depressed (n = 142), anxious (n = 95), comorbid depressed and anxious (n = 335), and euthymic group (non-depressed and non-anxious, n = 535), on a validated task of temporal self-appraisal.
Anxiety has a unique association with temporal self-appraisal that differs from the other disorders examined in this study. Specifically, individuals with anxiety had a similar positive trend of self-view to the euthymic group; however, their overall trend was lower at each temporal point. Individuals with depression had a stable past-to-present self-view and an improving present-to-future self-view.
The use of an online self-report sample without longitudinal assessment of variables, while sufficient for the intent of the present study, limits the potential extrapolation from this sample, as well as prevents the determination of the direction of causality.
While individuals with anxiety demonstrate a positive sense of improvement over time, their psychopathology is associated with a negative bias in their perception of their past, present, and future selves. These findings have important implications for clinicians regarding potential interventions and treatment for anxiety and depression.
先前的研究发现,精神病理学与随时间变化的不同自我认知有关。心境正常的个体报告称经历了自我增强偏见,随着时间的推移,自我评估会增加。相比之下,抑郁个体报告称,从过去到现在,他们对自己的看法呈下降趋势,而从现在到未来,他们预计自己会有所改善。本研究探讨了焦虑症单一存在与时间自我评估之间的关联。
本研究使用抑郁焦虑和压力量表,对抑郁组(n=142)、焦虑组(n=95)、抑郁合并焦虑组(n=335)和心境正常组(无抑郁和无焦虑,n=535)进行了时间自我评估的验证性研究。
焦虑与时间自我评估有独特的关联,与本研究中检查的其他疾病不同。具体来说,焦虑个体的自我看法与心境正常个体相似呈积极趋势;然而,他们在每个时间点的总体趋势都较低。抑郁个体对过去到现在的自我看法稳定,对现在到未来的自我看法则有所改善。
本研究使用的是在线自我报告样本,没有对变量进行纵向评估,虽然足以满足本研究的目的,但限制了从该样本中进行推断的可能性,并防止了因果关系的确定。
虽然焦虑个体表现出随着时间的推移自我改善的积极感,但他们的精神病理学与对过去、现在和未来自我的负面偏见有关。这些发现对临床医生在焦虑和抑郁的潜在干预和治疗方面具有重要意义。