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在社会评价学习中缺乏乐观偏见反映了抑郁和社交焦虑症患者积极的自我信念减少,但通过不同的机制。

Lack of optimistic bias during social evaluation learning reflects reduced positive self-beliefs in depression and social anxiety, but via distinct mechanisms.

机构信息

Department of Psychology, University of Bath, Bath, BA2 7AY, UK.

Department of Imaging Neuroscience, Institute of Neurology, University College London, London, UK.

出版信息

Sci Rep. 2024 Sep 28;14(1):22471. doi: 10.1038/s41598-024-72749-6.

Abstract

Processing social feedback optimistically may maintain positive self-beliefs and stable social relationships. Conversely, a lack of this optimistic bias in depression and social anxiety may perpetuate negative self-beliefs and maintain symptoms. Research investigating this mechanism is scarce, however, and the mechanisms by which depressed and socially anxious individuals respond to social evaluation may also differ. Using a range of computational approaches in two large datasets (mega-analysis of previous studies, n = 450; pre-registered replication study, n = 807), we investigated how depression (PHQ-9) and social anxiety (BFNE) symptoms related to social evaluation learning in a computerized task. Optimistic bias (better learning of positive relative to negative evaluations) was found to be negatively associated with depression and social anxiety. Structural equation models suggested this reflected a heightened sensitivity to negative social feedback in social anxiety, whereas in depression it co-existed with a blunted response to positive social feedback. Computational belief-based learning models further suggested that reduced optimism was driven by less positive trait-like self-beliefs in both depression and social anxiety, with some evidence for a general blunting in belief updating in depression. Recognizing such transdiagnostic similarities and differences in social evaluation learning across disorders may inform approaches to personalizing treatment.

摘要

乐观地处理社会反馈可能有助于维持积极的自我信念和稳定的社会关系。相反,在抑郁症和社交焦虑症中缺乏这种乐观偏差可能会使负面自我信念持续存在,并维持症状。然而,研究这一机制的研究很少,而且抑郁症和社交焦虑症患者对社会评价的反应机制也可能不同。我们使用两种大型数据集(对先前研究的 mega 分析,n=450;预先注册的复制研究,n=807)中的一系列计算方法,研究了在计算机化任务中抑郁(PHQ-9)和社交焦虑(BFNE)症状与社会评价学习之间的关系。我们发现,乐观偏见(相对于负面评价,积极评价的学习效果更好)与抑郁和社交焦虑呈负相关。结构方程模型表明,这反映了社交焦虑中对负面社会反馈的敏感性增强,而在抑郁症中,它与对正面社会反馈的反应迟钝并存。基于信念的计算学习模型进一步表明,在抑郁和社交焦虑中,积极的特质自我信念减少导致乐观程度降低,并且在抑郁中存在信念更新普遍迟钝的一些证据。认识到这些跨诊断障碍的社会评价学习中的相似性和差异可能会为个性化治疗方法提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57f/11438955/1954dabcc58e/41598_2024_72749_Fig1_HTML.jpg

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