Reduced autobiographical memory specificity predicts depression and posttraumatic stress disorder after recent trauma.
Reduced autobiographical memory specificity predicts depression and posttraumatic stress disorder after recent trauma.
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DOI：
10.1037/0022-006x.76.2.231
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发表时间：
2008-04
影响因子：
5.9
通讯作者：
Ehlers A
中科院分区：
文献类型：
--
作者：
Kleim B;Ehlers A
在这项前瞻性纵向研究中，作者研究了自传体记忆提取的特异性降低与抑郁症、创伤后应激障碍（PTSD）和特定恐怖症的发展之间的关系。攻击幸存者（N = 203）完成了自传体记忆测试在创伤后2周，以及结构化的临床访谈在2周和6个月。在2周内患有急性应激障碍或重度抑郁症的参与者，而不是那些患有恐惧症的参与者，比没有相应障碍的参与者检索到更少的特定自传体记忆。2周时记忆特异性的降低也预测了随后的PTSD和6个月时的重度抑郁症，超过了最初诊断和症状严重程度所能预测的。主持人分析表明，低记忆特异性预测后期抑郁症的参与者与先前的发作，但不是在那些没有抑郁症。中介分析表明，反刍部分介导和感知的永久性变化完全介导的影响，低记忆特异性创伤后精神病理学在后续。
In this prospective longitudinal study, the authors examined the relationship between reduced specificity in autobiographical memory retrieval and the development of depression, posttraumatic stress disorder (PTSD), and specific phobia after injury in an assault. Assault survivors (N = 203) completed the Autobiographical Memory Test at 2 weeks after the trauma as well as structured clinical interviews at 2 weeks and 6 months. Participants with acute stress disorder or major depression at 2 weeks, but not those with phobia, retrieved fewer specific autobiographical memories than those without the respective disorder. Reduced memory specificity at 2 weeks also predicted subsequent PTSD and major depression at 6 months over and above what could be predicted from initial diagnoses and symptom severity. Moderator analyses showed that low memory specificity predicted later depression in participants with prior episodes of major depression but not in those without prior depression. Mediation analyses suggested that rumination partly mediated and perceived permanent change fully mediated the effects of low memory specificity on posttrauma psychopathology at follow-up.