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自动化与抑郁:有和无抑郁史人群的日常心境反应性反刍

Automaticity and depression: Daily mood-reactive rumination in people with and without depression history.

机构信息

Faculty of Psychology.

Center for OCD & Related Disorders (CORD).

出版信息

J Psychopathol Clin Sci. 2022 May;131(4):327-340. doi: 10.1037/abn0000752. Epub 2022 Apr 7.

Abstract

Depressive rumination has been conceptualized as a mental habit that is initiated automatically without conscious awareness, intent, or control in response to negative mood. However, it is unknown whether depression vulnerability is characterized by elevated levels of mood-reactive rumination at the level of short-term dynamics. Using mobile ecological momentary assessment, formerly depressed individuals with a recurrent history of depression ( = 94) and nonclinical controls ( = 55) recorded affect and rumination 10 times daily over 6 days, after completing baseline measures of trait ruminative brooding, early life stress, and habitual characteristics of negative thinking (e.g., automaticity, lack of conscious awareness, intent, and control). Momentary fluctuations in negative affect were prospectively associated with greater rumination at the next sampling occasion in formerly depressed participants whereas this pattern of mood-reactive rumination was not observed in nonclinical controls. In formerly depressed participants, habitual characteristics of negative thinking was associated with greater mood-reactivity of rumination, particularly among those with a history of early life stress. Mood-reactive rumination was not, however, associated with depression course nor with the frequency of trait ruminative brooding. Rumination may be triggered in response to negative affect with a high degree of automaticity, making it difficult to control. Greater mood-reactivity of rumination might be associated with increased depression risk, independent of the depressive course and may be exacerbated by early life stress. Future studies may need to go beyond frequency and focus on the role of mood-reactivity and automaticity of ruminative thinking in depression vulnerability. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

抑郁反刍被概念化为一种心理习惯,它在没有意识、意图或控制的情况下自动启动,以应对负面情绪。然而,目前尚不清楚抑郁易感性是否以短期动态水平上更高水平的情绪反应性反刍为特征。使用移动生态瞬时评估,有复发抑郁史的前抑郁个体(=94)和非临床对照组(=55)在完成特质沉思性反刍、早期生活压力和消极思维的习惯性特征(例如,自动性、缺乏意识、意图和控制)的基线测量后,在 6 天内每天 10 次记录情绪和反刍。前抑郁参与者的负面情绪瞬时波动与下一次采样时的更多反刍相关,而这种情绪反应性反刍模式在非临床对照组中并未观察到。在前抑郁参与者中,消极思维的习惯性特征与反刍的更大情绪反应性相关,尤其是在有早期生活压力史的参与者中。然而,情绪反应性反刍与抑郁过程或特质沉思性反刍的频率无关。反刍可能会因高度的自动性而对负面情绪做出反应,从而难以控制。更大的反刍情绪反应性可能与更高的抑郁风险相关,与抑郁过程无关,并且可能会因早期生活压力而加剧。未来的研究可能需要超越频率,关注情绪反应性和沉思性思维的自动性在抑郁易感性中的作用。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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