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重新掌控你的情绪?探究认知控制训练对康复期抑郁症患者影响的潜在机制。

Regaining control of your emotions? Investigating the mechanisms underlying effects of cognitive control training for remitted depressed patients.

作者信息

Hoorelbeke Kristof, Van den Bergh Nathan, De Raedt Rudi, Wichers Marieke, Albers Casper J, Koster Ernst H W

机构信息

Psychopathology and Affective Neuroscience (PAN) Lab.

Department of Psychiatry.

出版信息

Emotion. 2023 Feb;23(1):194-213. doi: 10.1037/emo0001067. Epub 2022 Feb 17.

Abstract

Studies suggest that cognitive control training shows potential as a preventive intervention for depression. At the same time, little is known regarding the mechanisms underlying effects of cognitive control training. Informed by theoretical frameworks of cognitive risk for recurrent depression (De Raedt & Koster, 2010; Siegle et al., 2007), the current study sought to model direct effects of cognitive control training on the complex interplay between affect, emotion regulation, residual symptomatology, and resilience in a sample of remitted depressed patients ( = 92). Combining a 4-week experience sampling procedure with an experimental manipulation of cognitive control, we observed beneficial effects of cognitive control training on deployment of rumination. In addition, we obtained evidence for the causal involvement of cognitive control in efficacy of emotion regulation. In contrast to our expectations, cognitive control training did not exert immediate effects on residual symptomatology or resilience when compared with an active control condition, nor did cognitive control training impact the complex interplay between these variables. Overall, immediate effects of cognitive control training on functioning in daily life were limited. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

研究表明,认知控制训练显示出作为抑郁症预防干预措施的潜力。与此同时,对于认知控制训练效果背后的机制却知之甚少。基于复发性抑郁症认知风险的理论框架(德·雷德特和科斯特,2010年;西格尔等人,2007年),本研究试图在一组缓解期抑郁症患者样本(n = 92)中模拟认知控制训练对情感、情绪调节、残留症状和恢复力之间复杂相互作用的直接影响。将为期4周的经验抽样程序与认知控制的实验操作相结合,我们观察到认知控制训练对反刍思维的运用有有益影响。此外,我们获得了证据,证明认知控制在情绪调节功效中起到因果作用。与我们的预期相反,与积极对照条件相比,认知控制训练对残留症状或恢复力没有立即产生影响,认知控制训练也没有影响这些变量之间的复杂相互作用。总体而言,认知控制训练对日常生活功能的即时影响有限。(PsycInfo数据库记录(c)2023美国心理学会,保留所有权利)

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