Prospective mental imagery in patients with major depressive disorder or anxiety disorders.

Prospective mental imagery in patients with major depressive disorder or anxiety disorders.
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DOI:
10.1016/j.janxdis.2011.06.012
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发表时间:
2011-12
影响因子:
10.3
通讯作者:
Holmes, Emily A.
Holmes, Emily A.
中科院分区:
医学2区
文献类型:
--
作者:
Morina, Nexhmedin;Deeprose, Catherine;Pusowski, Christina;Schmid, Marina;Holmes, Emily A.

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► 我们研究了焦虑和抑郁的前瞻性心理意象 (PMI) 的差异。 ► 患者希望抑郁症或焦虑症患者报告的阳性 PMI 不如对照组那么明显。 ► 患有焦虑症的患者报告的负 PMI 比对照组更明显。 ► 两个临床组均报告侵入性 PMI 水平高于对照组。预期消极认知在维持焦虑症和重度抑郁症(MDD)方面发挥着重要作用。然而,人们对积极的前瞻性心理意象知之甚少。这项研究调查了 27 名焦虑症患者、24 名重度抑郁症患者和 32 名对照参与者之间前瞻性心理意象的差异。对故意生成的图像和侵入性图像的测量均已完成。结果表明,与对照组相比,焦虑症患者和重度抑郁症患者对于故意生成的前瞻性积极场景的生动性评分较差。与重度抑郁症患者和对照参与者相比,焦虑症患者表现出更强的能力,能够生动地想象未来的负面情景。最后,与对照组相比,两个临床组都报告了更高水平的个人相关事件的侵入性前瞻性意象。目前的研究结果强调了在治疗重度抑郁症和焦虑症时以前瞻性积极心理意象为目标的必要性。
► We examined differences in prospective mental imagery (PMI) in anxiety and depression. ► Patients wish depression or anxiety disorders reported less vivid positive PMI than controls. ► Patients with anxiety disorders reported more vivid negative PMI than controls. ► Both clinical groups reported greater levels of intrusive PMI than controls. Prospective negative cognitions are suggested to play an important role in maintaining anxiety disorders and major depressive disorder (MDD). However, little is known about positive prospective mental imagery. This study investigated differences in prospective mental imagery among 27 patients with anxiety disorders, 24 patients with MDD, and 32 control participants. Measures of both deliberately generated and intrusive imagery were completed. Results indicated that both patients with anxiety disorders and those with MDD provided poorer vividness ratings for deliberately generated prospective positive scenarios compared to the control group. Patients with anxiety disorders showed a greater ability to vividly generate imagery for prospective negative scenarios than both patients with MDD and control participants. Finally, both clinical groups reported greater levels of intrusive prospective imagery of personally-relevant events as compared to the control group. The current findings underline the necessity to target prospective positive mental imagery in treating MDD and anxiety disorders.
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