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引导回忆积极的自传体记忆会增加预期的快乐和心理资源,减少抑郁症状:简短积极认知回忆疗法的随机对照试验的复制和扩展。

Guided recall of positive autobiographical memories increases anticipated pleasure and psychological resources, and reduces depressive symptoms: a replication and extension of a randomised controlled trial of brief positive cognitive-reminiscence therapy.

机构信息

School of Psychology, Deakin University, Geelong, Victoria, Melbourne, Australia.

出版信息

Memory. 2024 Apr;32(4):465-475. doi: 10.1080/09658211.2024.2333510. Epub 2024 Apr 8.

Abstract

Reminiscence-based interventions focus on recalling autobiographical memories and reflective reasoning to develop a healthy and adaptive view of oneself and one's life. This study aimed to replicate the effects of a three-session, group-based, positive-memory version of cognitive-reminiscence therapy (CRT) on psychological resources and mental well-being and extend the findings to anticipated pleasure. The participants (= 75, = 43.7 (= 16.7), 60% females) were randomised to CRT or control group. Anticipated pleasure, psychological resources (schemas of positive self-esteem, self-efficacy, meaning in life, optimism), mental well-being (depression, anxiety, and stress symptoms) and theorised change processes (automatic negative thoughts, awareness of narrative identity) were assessed. Relative to the control group, the CRT group reported significantly higher anticipated pleasure (= 0.76-0.93) and psychological resources of self-esteem, self-efficacy, and optimism ('s = 0.58-0.99) at post-CRT and follow-up, and lower depressive symptoms post-CRT and at follow-up (= 0.56-0.67). Findings on meaning in life and negative automatic thinking were partially replicated. This study replicates findings of the effectiveness of this intervention for improving psychological resources such as self-worth, confidence and optimism and depressive symptoms, and indicates additional effects on anticipated pleasure. CRT may serve as a standalone intervention, or as an adjunct "memory booster" for interventions focused on future thinking and related anticipated reward.

摘要

基于回忆的干预措施侧重于回忆自传体记忆和反思推理,以形成对自己和生活的健康和适应的看法。本研究旨在复制三阶段、基于小组的积极记忆认知回忆疗法(CRT)对心理资源和心理健康的影响,并将研究结果扩展到预期的愉悦。参与者(= 75,= 43.7(= 16.7),60%为女性)被随机分配到 CRT 或对照组。评估了预期的愉悦、心理资源(积极自尊、自我效能、生活意义、乐观的图式)、心理健康(抑郁、焦虑和压力症状)和理论上的变化过程(自动消极思维、叙事认同意识)。与对照组相比,CRT 组在 CRT 后和随访时报告的预期愉悦(= 0.76-0.93)和自尊、自我效能和乐观的心理资源(s = 0.58-0.99)显著更高,CRT 后和随访时的抑郁症状(= 0.56-0.67)更低。关于生活意义和消极自动思维的发现部分得到了复制。本研究复制了该干预措施对改善自我价值感、信心和乐观以及抑郁症状等心理资源的有效性的发现,并表明对预期愉悦有额外的影响。CRT 可以作为一种独立的干预措施,也可以作为专注于未来思维和相关预期奖励的干预措施的附加“记忆增强剂”。

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