Depression, But Not Dissociative Experiences, Predicts Overgeneral Memory: A Systematic Review and Meta-Regression Analysis.

IF 0.5 4区 医学 Q4 PHARMACOLOGY & PHARMACY Psychiatry and Clinical Psychopharmacology Pub Date : 2022-09-01 DOI:10.5152/pcp.2022.21285
Ayşenur Okan, Fatma Aydın, Mahmut Alp Erkent, Vedat Sar, Sami Gülgöz, Hale Yapıcı Eser
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Abstract

Background: Reduced memory specificity (i.e., overgeneral memory) is a characteristic of autobiographical memories widely studied in clinical populations, and it is explained by rumination, functional avoidance, and executive dysfunction. Though the relationship of autobiographical memory specificity with mood and anxiety disorders has been shown, how it relates to dissociation is not well-established. Thus, we aimed to investigate whether dissociative experiences are related to overgeneral memory while considering concurrent depression as a possible confounding factor.

Methods: We conducted a systematic review in compliance with The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and searched PubMed and Web of Science databases using autobiograph* and dissoc* as our keywords.

Results: Of the 768 studies identified, 9 studies fulfilled the inclusion criteria. A meta-regression analysis was conducted to analyze the relationship between dissociative experiences and depression scores with autobiographical memory test scores. Our research revealed that depression scores, but not dissociative experiences, are significantly related to reduced memory specificity.

Conclusion: While the possible overlap between dissociation and depression should be considered in the interpretation of the findings, dissociative experiences do not seem to pose vulnerability for reduced specificity of autobiographical memory. The number of studies on the topic is limited, and they do not have longitudinal follow-ups. The heterogeneous reporting of memory scores and low scores of dissociative experiences in the samples are also limitations of the existing studies.

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抑郁(而非分离体验)可预测过度总体记忆:系统回顾与元回归分析》。
背景:记忆特异性降低(即记忆过于笼统)是临床人群广泛研究的自传体记忆的一个特征,反刍、功能性回避和执行功能障碍可以解释这一特征。虽然自传体记忆特异性与情绪和焦虑症的关系已经得到证实,但它与解离之间的关系还没有得到很好的证实。因此,我们旨在研究解离体验是否与过度概括记忆有关,同时考虑并发抑郁症这一可能的混杂因素:我们按照《系统综述和元分析首选报告项目》(PRISMA)指南进行了系统综述,并以自传*和解离*为关键词在PubMed和Web of Science数据库中进行了检索:在确定的 768 项研究中,有 9 项研究符合纳入标准。我们进行了元回归分析,以分析解离体验和抑郁评分与自传体记忆测试评分之间的关系。我们的研究发现,抑郁评分与记忆特异性降低有显著关系,但与解离体验无关:结论:虽然在解释研究结果时应考虑解离和抑郁之间可能存在的重叠,但解离体验似乎并不构成自传体记忆特异性降低的脆弱性。有关该主题的研究数量有限,而且没有进行纵向跟踪。现有研究的局限性还包括记忆评分报告的不一致以及样本中分离性经历的评分较低。
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来源期刊
Psychiatry and Clinical Psychopharmacology
Psychiatry and Clinical Psychopharmacology Medicine-Psychiatry and Mental Health
CiteScore
1.00
自引率
14.30%
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0
期刊介绍: Psychiatry and Clinical Psychopharmacology aims to reach a national and international audience and will accept submissions from authors worldwide. It gives high priority to original studies of interest to clinicians and scientists in applied and basic neurosciences and related disciplines. Psychiatry and Clinical Psychopharmacology publishes high quality research targeted to specialists, residents and scientists in psychiatry, psychology, neurology, pharmacology, molecular biology, genetics, physiology, neurochemistry, and related sciences.
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