Department of Psychiatry, Taipei City Hospital Yangming Branch, Taipei, Taiwan.
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Occup Ther Int. 2022 Mar 17;2022:1409320. doi: 10.1155/2022/1409320. eCollection 2022.
Rumination, a response style characterized by self-reflection loops of negative thoughts, tends to exacerbate depressive symptoms and may impair daily functional behaviors of individuals with depression. However, the specific impacts of rumination on activity participation remain unclear. The current study was aimed at examining the differences in daily activity participation profiles between clinically depressed people with higher versus lower rumination tendencies, with the hope to provide insightful suggestions for improving the quality of life of ruminative individuals with major depression.
We recruited 143 participants with a depression-related diagnosis from psychiatric daycare centers or clinics and analyzed the differences in activity participation profiles between individuals with higher versus lower rumination tendencies.
Although compared to those with lower rumination tendencies, participants with higher rumination tendencies spent a longer time in activity participation; they experienced lower participation quality during these activities. Furthermore, their activity participation was primarily motivated by meeting others' expectations rather than self-interest. They also misattributed participation restriction to "lack of family support," indicating that the unhealthy rumination pattern might be the cause of their lack of positive feelings from engaging in meaningful daily activities.
The current results suggest that the unhealthy motivation behind activity participation seems to be an important factor that decreases the quality of participation in individuals with higher rumination tendency. Establishing a healthy motivation for activity participation is therefore critical for improving their quality of participation. As an initial step, OT interventions could put a focus on helping them clarify and escape from the source of negative rumination cycles that impede their positive feeling of activity participation.
反刍思维是一种以消极思维的自我反思循环为特征的反应方式，它往往会加剧抑郁症状，并可能损害抑郁个体的日常功能行为。然而，反刍思维对活动参与的具体影响尚不清楚。本研究旨在考察反刍倾向较高与较低的抑郁患者在日常活动参与特征方面的差异，以期为改善重度抑郁的反刍个体的生活质量提供有价值的建议。
我们从精神科日间护理中心或诊所招募了 143 名有抑郁相关诊断的参与者，并分析了反刍倾向较高与较低的个体在活动参与特征方面的差异。
与反刍倾向较低的个体相比，反刍倾向较高的个体虽然在活动参与上花费的时间更长，但在这些活动中的参与质量却较低。此外，他们的活动参与主要是为了满足他人的期望，而不是出于自身利益。他们还将参与受限归因于“缺乏家庭支持”，这表明不健康的反刍模式可能是他们缺乏参与有意义的日常活动的积极感受的原因。
目前的研究结果表明，活动参与背后不健康的动机似乎是降低反刍倾向较高个体参与质量的一个重要因素。因此，建立健康的活动参与动机对于改善他们的参与质量至关重要。作为一个初步步骤，职业治疗干预可以重点帮助他们澄清并摆脱阻碍他们积极参与活动的负面反刍循环的根源。
