Rumination and distraction among chronic depressives in treatment: A structural equation analysis

Rumination and distraction among chronic depressives in treatment: A structural equation analysis
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DOI:
10.1023/b:cotr.0000016931.37807.ab
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发表时间:
2004-02-01
影响因子:
2.8
通讯作者:
Burns, DD
Burns, DD
中科院分区:
心理学3区
文献类型:
--
作者:
Arnow, BA;Spangler, D;Burns, DD

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反应风格理论假设,反复思考自己的症状会放大和延长抑郁情绪,而分心则会产生相反的效果。反应风格也被假设为性格倾向。反应风格理论的普遍性,以及可能解释反刍、分心和抑郁之间相关性的联系,通过结构方程模型在接受心理治疗、药物治疗或联合治疗的慢性抑郁症患者样本中进行了探索。结果与反刍或分心对抑郁症恢复有因果关系的假设或抑郁症导致反刍或分心的假设不一致。相反,一个或多个共同的原因似乎解释了这些变量之间的相关性。在12周的时间里,反刍和分心的稳定性很低。讨论了研究结果的含义。
Response Styles Theory hypothesizes that rumination about one's symptoms amplifies and prolongs depressed mood, whereas distraction has the opposite effect. Response styles are also hypothesized to be trait-like dispositions. The generalizability of Response Styles Theory, as well as the linkages that may account for correlations between rumination, distraction, and depression, were explored with structural equation modeling in a sample of chronically depressed individuals undergoing treatment with psychotherapy, medication, or combination treatment. Results were not consistent with the hypotheses that rumination or distraction have causal effects on recovery from depression or that depression causes rumination or distraction. Rather a common cause or causes appeared to account for the correlations between these variables. Stability of rumination and distraction was low over a 12-week period. Implications of the findings are discussed.