MRC Cognition and Brain Sciences Unit, University of Cambridge, UK.
Psychology, University of Exeter, UK.
Behav Res Ther. 2023 Aug;167:104352. doi: 10.1016/j.brat.2023.104352. Epub 2023 Jun 12.
Individuals with depression typically remember their past in a generalised manner, at the cost of retrieving specific event memories. This may impair engagement with cognitive behavioural therapy (CBT) tasks that use concrete episodic information to challenge maladaptive beliefs, potentially limiting their therapeutic benefit. Study 1 demonstrated that an episodic specificity induction increased detail and specificity of autobiographical memory in people with major depression, relative to control conditions (N = 88). We therefore examined whether the induction enhanced the efficacy of CBT tasks that depend on episodic memory - cognitive reappraisal (Study 2, N = 30), evidence gathering (Study 2, N = 30), and planning behavioural experiments (Study 3a, N = 30). Across all three tasks, there were no significant differences in emotion- or belief-change between the specificity and control conditions. Although the induction temporarily enhanced specificity in depressed individuals, it did not significantly augment the efficacy of CBT tasks theorised to benefit from the use of specific mnemonic information.
抑郁症患者通常以泛化的方式回忆过去，以牺牲检索特定事件记忆为代价。这可能会影响认知行为疗法（CBT）任务的参与，因为这些任务使用具体的情景信息来挑战适应不良的信念，从而限制了它们的治疗效果。研究 1 表明，与对照条件相比（N=88），情景特异性诱导增加了重度抑郁症患者自传体记忆的细节和特异性。因此，我们研究了这种诱导是否增强了依赖情景记忆的 CBT 任务的效果——认知重评（研究 2，N=30）、证据收集（研究 2，N=30）和计划行为实验（研究 3a，N=30）。在所有三项任务中，特异性和对照条件之间的情绪或信念变化没有显著差异。尽管诱导暂时增强了抑郁个体的特异性，但它并没有显著增强理论上受益于使用特定记忆信息的 CBT 任务的效果。
