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情绪如何塑造抑郁症中的信念更新偏差。

How mood shapes belief updating bias in depression.

作者信息

Bottemanne Hugo, Frileux Solène, Sevoz-Couche Caroline, Pelloux Yann, Colle Romain, Corruble Emmanuelle

机构信息

Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Mood Center Paris Saclay, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, 94275, Le Kremlin Bicêtre, France.

MOODS Team, INSERM 1018, CESP (Centre de Recherche en Epidémiologie Et Santé Des Populations), Faculté de Médecine Paris-Saclay, Université Paris-Saclay, 94275, Le Kremlin Bicêtre, France.

出版信息

Cogn Affect Behav Neurosci. 2025 Apr 30. doi: 10.3758/s13415-025-01297-x.

Abstract

Major depressive disorder (MDD) is characterized by mood-congruent beliefs, such as devaluation, unworthiness, helplessness, pessimism, or guilt. These depressive beliefs could cause and maintain emotional and behavioral disturbances, playing a central role in MDD prognosis. Drawing on studies exploring how mood affects information processing, we propose a mechanistic theory of belief updating in depression. First, we show how depressive beliefs are formed in environments where negative stimuli are weighted more heavily. Second, we demonstrate how depressed individuals often hold rigid negative metacognitive priors that inhibit belief updating. Third, we clarify how negative beliefs can be generated internally through repetitive, self-focused cognitive patterns. Finally, we critically examine the limitations of current experimental paradigms used to assess belief updating, highlighting methodological constraints and potential confounds. Based on these insights, we outline future research directions to refine experimental designs and improve our understanding of mood-congruent belief updating in depression.

摘要

重度抑郁症(MDD)的特征是与情绪相符的信念,如自我贬低、无价值感、无助感、悲观情绪或内疚感。这些抑郁性信念可能导致并维持情绪和行为障碍,在MDD的预后中起着核心作用。基于探索情绪如何影响信息处理的研究,我们提出了一种抑郁症信念更新的机制理论。首先,我们展示了抑郁性信念是如何在负面刺激权重更大的环境中形成的。其次,我们证明了抑郁个体通常持有僵化的负面元认知先验,这会抑制信念更新。第三,我们阐明了负面信念是如何通过重复的、自我关注的认知模式在内部产生的。最后,我们批判性地审视了当前用于评估信念更新的实验范式的局限性,突出了方法学上的限制和潜在的混淆因素。基于这些见解,我们概述了未来的研究方向,以完善实验设计,并增进我们对抑郁症中与情绪相符的信念更新的理解。

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