Decentering predicts attenuated perseverative thought and internalizing symptoms following stress exposure: A multi-level, multi-wave study.
Decentering predicts attenuated perseverative thought and internalizing symptoms following stress exposure: A multi-level, multi-wave study.
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DOI：
10.1016/j.brat.2021.104017
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发表时间：
2022-05
影响因子：
4.1
通讯作者：
Stange, Jonathan P.
中科院分区：
文献类型：
--
作者：
Wu, Jenny L.;Hamilton, Jessica L.;Fresco, David M.;Alloy, Lauren B.;Stange, Jonathan P.
虽然研究发现了越来越多的焦虑和抑郁的风险因素，但同样重要的是要确定潜在的保护因素，这些因素可能会防止或减少对内化精神病理的易感性。我们假设，持续性思维的形式，如反刍和担忧，是将负面生活经历与焦虑和抑郁的预期症状联系起来的机制。更具体地说，我们调查了去中心化，即对一个人的思想和感受采取远距离视角的元认知能力，是否在这条中介途径的各个点上起到保护作用。在12周的时间里，181名本科生被招募并在五个时间点接受评估。多水平模型表明，去中心化与(1)负面事件对预期抑郁症状的影响减弱有关；(2)消极事件对前瞻性沉思的影响；(3)沉思、思考和担忧对前瞻性内化症状的影响。多水平调节的中介分析提供了部分支持的假设，即持续性思维会介导消极生活事件和内化症状之间的纵向关联，在间接途径的几个连接中分散减弱风险。最有力的支持是有调节的中介模型，其中去中心化与消极事件、沉思和抑郁症状之间的减弱关系相关。本研究首次阐明了在从压力到持续思考到内化症状的不同阶段，去中心化作为一种保护因素对焦虑和抑郁症状的作用。因此，去中心化可能是临床干预的关键目标，以促进抗焦虑和抑郁的弹性。
While research identifies a growing list of risk factors for anxiety and depression, it is equally important to identify potential protective factors that may prevent or reduce vulnerability to developing internalizing psychopathology. We hypothesized that forms of perseverative thinking, such as rumination and worry, act as mechanisms linking negative life experiences and prospective symptoms of anxiety and depression. More specifically, we investigated whether decentering, the meta-cognitive capacity to adopt a distanced perspective toward one’s thoughts and feelings, serves as a protective factor at various points along this mediational pathway. A sample of 181 undergraduate students were recruited and assessed at five time points over a 12-week period. Multilevel modeling indicated that decentering was associated with an attenuated impact of (1) negative events on prospective depressive symptoms; (2) negative events on prospective brooding, and (3) brooding, pondering and worry on prospective internalizing symptoms. Multilevel moderated mediation analyses provided partial support for the hypothesis that perseverative thinking would mediate the longitudinal associations between negative life events and internalizing symptoms, with decentering attenuating risk at several connections of the indirect pathways. The strongest support was provided for moderated mediation models in which decentering was associated with attenuated relationships between negative events, brooding, and symptoms of depression. This study is the first to elucidate the role of decentering as a protective factor against anxiety and depressive symptoms at different points in the path from stress to perseverative thought to internalizing symptoms. Decentering therefore may be a critical target for clinical intervention to promote resilience against anxiety and depression.
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影响因子：
2.6
作者：
Ciesla JA;Felton JW;Roberts JE
通讯作者：
Roberts JE
DOI：
10.1111/j.1751-9004.2010.00301.x
发表时间：
2010-10-01
影响因子：
4.6
作者：
Ayduk, Ozlem;Kross, Ethan
通讯作者：
Kross, Ethan
DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
影响因子：
5.8
作者：
BENJAMINI, Y;HOCHBERG, Y
通讯作者：
HOCHBERG, Y
影响因子：
5.9
作者：
Bieling, Peter J.;Hawley, Lance L.;Segal, Zindel V.
通讯作者：
Segal, Zindel V.
影响因子：
5.9
作者：
BECK, AT;BROWN, G;STEER, RA
通讯作者：
STEER, RA