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抑郁个体日常生活中的思维漫游:一项体验抽样研究。

Mind-wandering in daily life in depressed individuals: An experience sampling study.

机构信息

Department of Psychological & Brain Sciences, Washington University in St. Louis, USA.

School of Social Sciences, Health Psychology, University of Mannheim, Germany.

出版信息

J Affect Disord. 2024 Dec 1;366:244-253. doi: 10.1016/j.jad.2024.08.111. Epub 2024 Aug 23.

Abstract

BACKGROUND

A diagnostic criterion for Major Depressive Disorder (MDD) is difficulty concentrating and increased distractibility. One form of distraction that occurs in everyday life is mind-wandering. The current study aims to test how individuals with MDD and healthy controls differ in their mind-wandering in everyday life.

METHODS

Adults diagnosed with MDD (n = 53) and healthy controls (n = 53) completed a week of experience sampling, with prompts administered up to eight times per day. At each prompt, participants reported the occurrence and characteristics of their mind-wandering. They also reported levels of momentary negative affect (NA), positive affect (PA), and rumination.

RESULTS

MDD participants reported mind-wandering almost twice as often as healthy control participants. Compared to healthy participants, MDD participants rated their mind-wandering as more negative, but did not differ in terms of temporal orientation. Higher NA and lower PA predicted mind-wandering in the MDD group but not healthy controls, even after controlling for rumination. Time-lagged analyses revealed that current mind-wandering predicted future levels of PA in MDD participants but not in healthy controls; in contrast, current NA and PA did not predict future mind-wandering.

LIMITATIONS

Limitations include our examination of specific forms of mind-wandering (i.e., we did not sample the full spectrum of this construct).

CONCLUSIONS

Individuals with MDD frequently report engaging in mind-wandering in everyday life, and this appears to be coupled with affect. Mind-wandering may have maladaptive effects in MDD and could serve as a target for intervention.

摘要

背景

重度抑郁症(MDD)的诊断标准之一是注意力集中困难和注意力分散增加。日常生活中分心的一种形式是思维漫游。本研究旨在测试 MDD 患者和健康对照组在日常生活中的思维漫游有何不同。

方法

被诊断为 MDD 的成年人(n=53)和健康对照组(n=53)完成了一周的经验抽样,每天最多提示八次。在每次提示中,参与者报告他们的思维漫游的发生和特征。他们还报告了当下的负面情绪(NA)、正面情绪(PA)和沉思水平。

结果

MDD 患者报告思维漫游的频率几乎是健康对照组的两倍。与健康参与者相比,MDD 参与者认为他们的思维漫游更消极,但在时间取向方面没有差异。较高的 NA 和较低的 PA 预测了 MDD 组的思维漫游,但对健康对照组没有影响,即使在控制了沉思之后也是如此。时滞分析显示,当前的思维漫游预测了 MDD 参与者未来的 PA 水平,但不能预测健康对照组的未来思维漫游;相反,当前的 NA 和 PA 不能预测未来的思维漫游。

局限性

限制包括我们对特定形式的思维漫游(即,我们没有抽样这个构念的全部范围)的检查。

结论

MDD 患者经常报告在日常生活中进行思维漫游,而且这似乎与情绪有关。思维漫游在 MDD 中可能有不良影响,可以作为干预的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9b/11826933/3d6ee3cb9584/nihms-2051882-f0001.jpg

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