Adaptive and maladaptive components of rumination? Diagnostic specificity and relation to depressive biases
Adaptive and maladaptive components of rumination? Diagnostic specificity and relation to depressive biases
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DOI：
10.1016/j.beth.2006.01.002
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发表时间：
2006-09-01
期刊：
影响因子：
3.7
通讯作者：
Gotlib, Ian H.
中科院分区：
文献类型：
--
作者：
Joormann, Jutta;Dkane, Marco;Gotlib, Ian H.
本研究考察了Treynor，Gonzalez，and Nolen-Hoeksema（2003）提出的反应风格问卷中的沉思量表的两因素解决方案的效度。在本研究的第一部分中，我们使用了当前抑郁（MDD），以前抑郁（FD），社交焦虑（SP）和健康对照参与者的样本，以检查是否沉思和反思沉思组件区分参与者与抑郁症的焦虑障碍。在本研究的第二部分中，我们研究了反刍的这些组成部分是否与抑郁症的认知偏差有差异。总的来说，MDD组表现出更高的沉思分数比所有其他组; SP和FD组没有彼此不同，但获得更高的沉思分数比对照组参与者。只有MDD组和对照组在反思因素上存在差异。重要的是，沉思和反思与认知偏差有不同的关系。具体而言，沉思/反思沉思和记忆偏差之间的相关性不显着时，抑郁症状部分。然而，即使考虑到当前的抑郁症状，沉思和对悲伤面孔的注意偏差之间的相关性仍然很显著。总之，我们的研究结果支持的配方，反刍是由一个适应性的反思性思考因素和适应不良的沉思因素。
The present study investigated the validity of the two-factor solution of items selected from the Rumination Scale of the Response Style Questionnaire proposed by Treynor, Gonzalez, and Nolen-Hoeksema (2003). In the first part of this study we used samples of currently depressed (MDD), formerly depressed (FD), socially anxious (SP), and healthy control participants to examine whether the brooding and reflective pondering components differentiate participants with an anxiety disorder from participants with depression. In the second part of this study we examined whether these components of rumination were differentially related to cognitive biases in depression. Overall, the MDD group exhibited higher brooding scores than did all other groups; SP and FD groups did not differ from each other but obtained higher brooding scores than did the control participants. Only the MDD and the control groups differed on the reflective pondering factor. Importantly, brooding and reflective pondering were differentially related to cognitive biases. Specifically, the correlation between brooding/reflective pondering and memory bias was not significant when depressive symptoms were partialed out. The correlation between brooding and attentional bias for sad faces, however, remained significant even when current depressive symptoms were taken into account. In sum, our results support the formulation that rumination is composed of an adaptive reflective pondering factor and a maladaptive brooding factor.