Rumination interacts with life stress to predict depressive symptoms: An ecological momentary assessment study.
Rumination interacts with life stress to predict depressive symptoms: An ecological momentary assessment study.
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DOI：
10.1016/j.brat.2017.07.006
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发表时间：
2017-10
影响因子：
4.1
通讯作者：
Alloy LB
中科院分区：
文献类型：
--
作者：
Connolly SL;Alloy LB
反刍是抑郁症的一个公认的脆弱因素，可能会产生有害的影响，无论是独立的，并与压力的相互作用。本研究采用智能手机生态瞬时评估（EMA）设计，研究了瞬时反刍自我关注（MRS）和压力反应性反刍（SRR）作为抑郁症状的预测因子。121名大学生连续一周每天收到4条提示生活压力、沉思和抑郁情绪的短信。SRR，而不是MRS，独立预测抑郁症状的增加。MRS与抑郁症状相互作用，预测在随后的时间点症状的增加，支持抑郁性反刍对未来情绪状态的有害影响。压力和MRS和SRR之间出现了相互作用，例如，在观察中经历更高水平的压力源和反刍预测抑郁症状的增加更大。据我们所知，这项研究是第一个证明，状态反刍缓和压力的影响，预测抑郁症状使用EMA方法。结果表明，个体对压力的反刍水平各不相同，并且对抑郁情绪有重要影响。研究结果可能具有重要的临床意义，因为减少个体在压力下进行反刍的倾向可能有助于缓解抑郁症状。
Rumination is a well-established vulnerability factor for depression that may exert deleterious effects both independently and in interaction with stress. The current study examined momentary ruminative self-focus (MRS) and stress-reactive rumination (SRR) as predictors of depressive symptoms utilizing a smartphone ecological momentary assessment (EMA) design. 121 undergraduates responded to four text message alerts per day for one week in which they indicated the occurrence of life stress, rumination, and depressed mood. SRR, but not MRS, independently predicted increases in depressive symptoms. MRS interacted with depressive symptoms to predict increases in symptoms at the subsequent timepoint, supporting the deleterious effects of depressive rumination on future mood state. Interactions emerged between stress and both MRS and SRR, such that experiencing higher levels of stressors and rumination at an observation predicted greater increases in depressive symptoms. To our knowledge, this study is the first to demonstrate that state rumination moderates the effect of stress in predicting depressive symptoms using EMA methodology. Results suggest that rumination levels in response to stress vary within individuals and can have an important effect on depressed mood. Findings may have important clinical implications, as lessening individuals’ tendency to engage in rumination following stress may help to alleviate depressive symptoms.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
发生在儿童期、青春期、成年初期、成年期的重度抑郁症的主要特征。
DOI：
10.1177/2167702612457599
发表时间：
2013-01
期刊：
Clinical psychological science : a journal of the Association for Psychological Science
影响因子：
--
作者：
Rohde P;Lewinsohn PM;Klein DN;Seeley JR;Gau JM
通讯作者：
Gau JM
DOI：
10.1016/j.jbtep.2005.06.002
发表时间：
2006-09-01
影响因子：
1.8
作者：
Feldner, Matthew T.;Leen-Feldner, Ellen W.;Lejuez, C. W.
通讯作者：
Lejuez, C. W.
影响因子：
7.6
作者：
NOLENHOEKSEMA, S;MORROW, J
通讯作者：
MORROW, J
坦普尔-威斯康星州抑郁症认知脆弱性项目：抑郁症高认知风险和低认知风险个体的轴 I 精神病理学终生史
影响因子：
4.6
作者：
Alloy, LB;Abramson, LY;Lapkin, JB
通讯作者：
Lapkin, JB