Rumination, mood and social problem-solving in major depression
Rumination, mood and social problem-solving in major depression
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DOI：
10.1017/s0033291704001904
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发表时间：
2004-10-01
影响因子：
6.9
通讯作者：
Lam, D
中科院分区：
文献类型：
--
作者：
Donaldson, C;Lam, D
背景抑郁时的沉思被认为会降低情绪并损害解决问题的能力，而分心被认为会缓解情绪并帮助解决问题。本研究采用自然发生的和实验诱导的反刍和分心的样本中的重度抑郁症患者的这些建议进行调查。36名重性抑郁症患者和36名对照参与者被随机分配到反刍或分心诱导条件。在基线时测量特质反刍和分心水平，在诱导前后测量情绪和解决问题的能力。在特质测量方面，具有较高水平特质反刍的抑郁症患者报告的情绪较差，并且比那些不太反刍的患者给出的问题解决方案效果较差。特质分心与情绪或解决问题无关。在诱导反应方面，被要求沉思的抑郁症患者情绪恶化，给出的问题解决方案也较差。对于那些接受分散注意力诱导的患者，所有患者的情绪都有所改善，而那些没有自然地以高水平反刍的患者解决问题的能力也有所改善。无论是诱导有情绪或解决问题的控制参与者的影响。结论。与不良生活事件相关的抑郁症的治疗可能需要针对反刍以及解决问题的缺陷，如果干预措施是有效的。自我应用与实验诱导分心的差异效应需要进一步研究。未来的研究将需要考虑高水平的特质反刍可能会干扰实验诱导的影响。
Background. Ruminating when depressed is thought to lower mood and impair problem-solving, while distraction is thought to alleviate mood and assist problem-solving. The present study investigates each of these proposals using both naturally occurring and experimentally induced rumination and distraction in a sample of patients with major depression.Method. Thirty-six patients with major depression and 36 control participants were randomly allocated to either a rumination or distraction induction condition. Levels of trait rumination and distraction were measured at baseline, mood and problem-solving were measured before and after the inductions.Results. In terms of trait measures, depressed patients with higher levels of trait rumination reported poorer mood and gave less effective problem solutions than those who were less ruminative. Trait distraction was not associated with mood or problem-solving. In terms of induced responses, depressed patients who were made to ruminate experienced a deterioration in their mood and gave poorer problem solutions. For those receiving the distraction induction, mood improved in all patients and problem-solving improved in patients who were not naturally ruminating at a high level. Neither induction had an impact on mood or problem-solving in control participants.Conclusions. Treatment for depression associated with adverse life events may need to target rumination as well as problem-solving deficits if interventions are to be effective. The differential effects of self-applied versus experimentally induced distraction require further investigation. Future research will need to consider that high levels of trait rumination may interfere with the impact of experimental inductions.