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共同反刍和人际内认知过程可预测痛苦:来自新冠疫情的纵向证据。

Co-rumination and intrapersonal cognitive processes predict distress: Longitudinal evidence from the COVID-19 pandemic.

作者信息

Kowalsky Jennifer M, Mitchell Amanda M, Okdie Bradley M

机构信息

Department of Psychology, The Ohio State University, Newark, Ohio, USA.

Department of Counseling and Human Development, University of Louisville, Louisville, Kentucky, USA.

出版信息

Stress Health. 2024 Dec;40(6):e3490. doi: 10.1002/smi.3490. Epub 2024 Oct 8.

Abstract

Perseverative thinking and catastrophizing have well established associations with fear and distress. However, less is known about the impact of interpersonal dynamics, such as co-rumination, on these intrapersonal cognitive processes and subsequent stress. The present study addresses this knowledge gap. A sample of 433 adults from across the United States was recruited online and completed measures of co-rumination, perseverative thinking, catastrophizing, and demographic characteristics early in the COVID-19 pandemic, and the COVID Stress Scales (CSS) at six month follow up. Co-rumination, perseverative thinking, catastrophizing, and CSS scores were correlated in the expected direction. Regression analyses revealed all three independently predicted CSS worry about the dangerousness of COVID-19 subscale. Co-rumination was the strongest predictor of CSS worry about the socioeconomic impact and CSS compulsive checking scales. Perseverative thinking and catastrophizing predicted CSS traumatic stress symptoms subscale. Finally, perseverative thinking was the strongest predictor of CSS xenophobia subscale. Structural equation modelling indicated that co-rumination had a significant indirect effect on CSS scores through perseverative thinking and catastrophizing. Interpersonal dynamics, such as co-rumination, are relevant for understanding stress and are promising targets for intervention research to prevent or attenuate fears and distress, in addition to traditional intrapersonal cognitive processes such as perseverative thinking and catastrophizing.

摘要

固执性思维和灾难化思维与恐惧和痛苦有着已被充分证实的关联。然而,关于人际互动动态,如共同反刍,对这些个体内部认知过程及后续压力的影响,我们所知甚少。本研究填补了这一知识空白。从美国各地招募了433名成年人作为样本,他们通过网络参与研究,在新冠疫情早期完成了共同反刍、固执性思维、灾难化思维及人口统计学特征的测量,并在六个月随访时完成了新冠压力量表(CSS)的测量。共同反刍、固执性思维、灾难化思维和CSS得分呈预期方向相关。回归分析显示,这三者均独立预测了CSS中关于新冠疫情危险性分量表的担忧。共同反刍是CSS中关于社会经济影响分量表和CSS强迫检查分量表担忧的最强预测因素。固执性思维和灾难化思维预测了CSS创伤应激症状分量表。最后,固执性思维是CSS仇外心理分量表的最强预测因素。结构方程模型表明,共同反刍通过固执性思维和灾难化思维对CSS得分有显著的间接影响。人际互动动态,如共同反刍,对于理解压力很重要,并且除了像固执性思维和灾难化思维这样的传统个体内部认知过程之外,还是预防或减轻恐惧和痛苦的干预研究的有前景的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d50/11636448/d5a31cf7e92c/SMI-40-e3490-g001.jpg

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