Fell Juergen, Chaieb Leila, Hoppe Christian
Department of Epileptology, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Department of Epileptology, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Neurosci Biobehav Rev. 2023 Dec;155:105432. doi: 10.1016/j.neubiorev.2023.105432. Epub 2023 Oct 28.
Many investigations have targeted the subject of worry in anxiety disorders. Worry can be regarded as a subtype of mind wandering (MW), which is undeliberate, perseverative, negatively-valenced, and mainly future-oriented. Nevertheless, until now only a few studies have explored the role of overall MW in the origin and course of anxiety disorders. To foster progress in this field, we briefly describe and discuss relevant studies addressing MW in subjects with anxiety disorders or symptoms or disorders associated with anxiety symptoms. Provisional synthesis suggests that: a) the overall amount of MW is positively correlated with anxiety symptoms; b) MW characteristics reflecting worry and rumination appear to be relevant in anxiety; c) comorbid depressive and ADHD symptoms may contribute to excessive MW in anxiety; d) MW-related therapeutic interventions may be useful as complementary treatments in anxiety disorders. However, more studies related to MW in anxiety disorders or symptoms are necessary to corroborate and extend these initial findings. Such investigations should ideally combine experience sampling with self-rating assessments of both MW and worry/rumination.
许多研究都围绕焦虑症中的担忧这一主题展开。担忧可被视为思维游荡（MW）的一种亚型，思维游荡是无意识的、持续的、负性情绪主导的，且主要面向未来。然而，到目前为止，只有少数研究探讨了整体思维游荡在焦虑症的起源和病程中的作用。为推动该领域的进展，我们简要描述并讨论了针对焦虑症患者或与焦虑症状相关的症状或疾病中思维游荡的相关研究。初步综合分析表明：a）思维游荡的总量与焦虑症状呈正相关；b）反映担忧和沉思的思维游荡特征在焦虑中似乎具有相关性；c）共病的抑郁和注意缺陷多动障碍症状可能导致焦虑中思维游荡过度；d）与思维游荡相关的治疗干预措施可能作为焦虑症的辅助治疗方法有用。然而，需要更多关于焦虑症或症状中思维游荡的研究来证实和扩展这些初步发现。此类研究理想情况下应将经验取样与对思维游荡和担忧/沉思的自评评估相结合。
