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重新审视坚持认知的各种概念化的性别差异和跨诊断界限。

Reexamining gender differences and the transdiagnostic boundaries of various conceptualizations of perseverative cognition.

机构信息

Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University.

Department of Psychology, University of Rhode Island.

出版信息

Psychol Assess. 2024 Sep;36(9):538-551. doi: 10.1037/pas0001326. Epub 2024 Jun 20.

Abstract

Research examining gender differences in perseverative cognition (repetitive, negative, and difficult-to-control thoughts) has focused on depressive rumination and internalizing syndromes. This study examines the transdiagnostic role of depressive rumination, anger rumination, and repetitive negative thinking across gender on internalizing and externalizing symptoms. Utilizing an ethnoracially diverse sample (33% Black, 35% Latinx, 32% White non-Hispanic) of = 1,187 young adults (49.5% women), we found equivalent instrument functioning across gender for depressive rumination (specifically brooding), anger rumination, and internalizing problems. Differential item functioning was found for repetitive negative thinking and externalizing problems; partial metric and scalar invariance were established for repetitive negative thinking, and partial metric invariance was established for externalizing problems. After accounting for bias in measurement, women engaged in more perseverative cognition, though effects were small for brooding and anger rumination and large for repetitive negative thinking. Different types of perseverations were positively associated with internalizing and externalizing symptoms across gender. Perseverative cognition may be a transdiagnostic mechanism beyond internalizing problems. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

研究集中于探究坚持性认知(重复的、消极的和难以控制的想法)方面的性别差异,主要关注抑郁性反刍和内化综合征。本研究考察了抑郁性反刍、愤怒性反刍和重复性消极思维在性别上对内化和外化症状的跨诊断作用。利用一个具有种族和民族多样性的样本(33%为黑人,35%为拉丁裔,32%为白人非西班牙裔),共有 1187 名年轻人(49.5%为女性),我们发现抑郁性反刍(特别是沉思)、愤怒性反刍和内化问题在性别上具有同等的工具功能。重复性消极思维和外化问题存在差异项目功能;重复性消极思维建立了部分度量和标度不变性,外化问题建立了部分度量不变性。在考虑了测量偏差后,女性表现出更多的坚持性认知,尽管在沉思和愤怒性反刍方面的影响较小,而在重复性消极思维方面的影响较大。不同类型的坚持性认知与性别之间的内化和外化症状呈正相关。坚持性认知可能是一种超越内化问题的跨诊断机制。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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