去中心预测应激暴露后持续思维和内化症状的减轻:一项多层次、多波研究。

Decentering predicts attenuated perseverative thought and internalizing symptoms following stress exposure: A multi-level, multi-wave study.

机构信息

University of Massachusetts Boston, USA.

Rutgers University, USA.

出版信息

Behav Res Ther. 2022 May;152:104017. doi: 10.1016/j.brat.2021.104017. Epub 2021 Dec 27.

Abstract

While research identifies a growing list of risk factors for anxiety and depression, it is equally important to identify potential protective factors that may prevent or reduce vulnerability to developing internalizing psychopathology. We hypothesized that forms of perseverative thinking, such as rumination and worry, act as mechanisms linking negative life experiences and prospective symptoms of anxiety and depression. More specifically, we investigated whether decentering, the meta-cognitive capacity to adopt a distanced perspective toward one's thoughts and feelings, serves as a protective factor at various points along this mediational pathway. A sample of 181 undergraduate students were recruited and assessed at five time points over a 12-week period. Multilevel modeling indicated that decentering was associated with an attenuated impact of (1) negative events on prospective depressive symptoms; (2) negative events on prospective brooding, and (3) brooding, pondering and worry on prospective internalizing symptoms. Multilevel moderated mediation analyses provided partial support for the hypothesis that perseverative thinking would mediate the longitudinal associations between negative life events and internalizing symptoms, with decentering attenuating risk at several connections of the indirect pathways. The strongest support was provided for moderated mediation models in which decentering was associated with attenuated relationships between negative events, brooding, and symptoms of depression. This study is the first to elucidate the role of decentering as a protective factor against anxiety and depressive symptoms at different points in the path from stress to perseverative thought to internalizing symptoms. Decentering therefore may be a critical target for clinical intervention to promote resilience against anxiety and depression.

摘要

虽然研究确定了越来越多的焦虑和抑郁风险因素,但同样重要的是确定潜在的保护因素,这些因素可能预防或减少易患内在心理病理学的脆弱性。我们假设,某些形式的持续思维,如沉思和担忧,是将消极生活经历与焦虑和抑郁的前瞻性症状联系起来的机制。更具体地说,我们研究了去中心化,即从自己的想法和感受中采用远距离视角的元认知能力,是否在这种中介途径的各个点上起到保护作用。我们招募了 181 名本科生作为样本,并在 12 周的时间内进行了五次评估。多层次建模表明,去中心化与(1)消极事件对前瞻性抑郁症状的影响减弱有关;(2)消极事件对前瞻性沉思的影响减弱;(3)沉思、思考和担忧对前瞻性内在症状的影响减弱。多层次调节中介分析为持续思维将消极生活事件与内在症状之间的纵向关联进行中介的假设提供了部分支持,去中心化在间接途径的几个连接点上减弱了风险。对调节中介模型的支持最强,其中去中心化与消极事件、沉思和抑郁症状之间的关系减弱有关。这项研究首次阐明了去中心化作为从压力到持续思维再到内在症状的路径上不同点处预防焦虑和抑郁症状的保护因素的作用。因此,去中心化可能是临床干预以促进对焦虑和抑郁的恢复力的关键目标。

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