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Inhibitory Learning versus Habituation in an Experimental Exposure Intervention for People With Heightened Health Anxiety: Increase of Distress Tolerance as a Joint Mechanism of Change? 抑制学习与习惯化在高健康焦虑人群的实验性暴露干预中的作用:痛苦耐受性的增加是变化的联合机制?
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-10-01 DOI: 10.1177/20438087221138716
K. S. Sauer, M. Witthöft
The Inhibitory Learning Theory (ILT; Craske et al., 2008) changed the focus of exposure-based treatment from erasing excitatory associations and fear reduction (habituation (HA)) to reinforcing inhibitory associations and fear toleration (inhibitory learning (IL)). Studies which directly compare both approaches, IL versus HA, are scarce. The present study aimed at implementing and comparing an IL-based (n = 26; Age: M = 23.59, SD = 4.38) with a HA-based (n = 28; Age: M = 25.46, SD = 6.22) experimental exposure approach (including in vivo, interoceptive, and in sensu exposure) in a sample of people with heightened health anxiety. A significant pre- to post-intervention reduction of state health anxiety (p < .001), which was especially associated with an increase of distress tolerance (DT) pre- to post-exposure (F (1, 50) = 12.2, p < .001, ηp2 = .20), was observed. A superiority of the IL-based over the HA-based exposure intervention was not detected in relation to major outcomes (e.g., state health anxiety), as well as in relation to a change of DT. The present study underlines the importance of strengthening DT (for heightened health anxiety) during an exposure-based intervention.
抑制性学习理论(ILT;Craske等人,2008)将基于暴露的治疗重点从消除兴奋性联想和减少恐惧(习惯化(HA))转变为加强抑制性联想和恐惧耐受(抑制性学习(IL))。直接比较IL和HA两种方法的研究很少。本研究旨在对健康焦虑加剧的人群样本实施和比较基于IL的(n=26;年龄:M=23.59,SD=4.38)和基于HA的(n=28;年龄:M=25.46,SD=6.22)实验暴露方法(包括体内、内感受和感觉暴露)。观察到干预前后状态健康焦虑显著减少(p<0.001),尤其与暴露前后痛苦耐受性(DT)的增加有关(F(1,50)=12.2,p<0.001,ηp2=.20)。在主要结果(如状态健康焦虑)以及DT变化方面,未检测到基于IL的暴露干预优于基于HA的暴露干预。本研究强调了在基于暴露的干预中加强DT(用于加剧健康焦虑)的重要性。
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引用次数: 1
Anxiety, fear extinction, and threat-related amygdala reactivity in children exposed to urban trauma 城市创伤儿童的焦虑、恐惧消退和威胁相关的杏仁核反应
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-10-01 DOI: 10.1177/20438087221132501
J. M. France, M. Reda, H. Marusak, Manessa Riser, C. Wiltshire, W. Davie, L. Grasser, C. Wanna, A. Stenson, T. Ely, S. Norrholm, Jennifer S Stevens, T. Jovanović
Introduction Childhood trauma is strongly associated with fear-related psychopathology, like anxiety and posttraumatic stress disorder (PTSD). Atypical fear extinction and neural responses to social threat (i.e., negative emotional faces) may serve as intermediate phenotypes preceding the emergence of fear-related psychopathology during childhood and adolescence. However, few studies have examined associations among these phenotypes in trauma-exposed youth. Methods 29 9-year-old children with high rates of trauma exposure (Mdn = 4, min = 0, max= 14 total events) completed a fear-potentiated startle paradigm assessing fear conditioning and extinction and an emotional faces functional magnetic resonance imaging (fMRI) task assessing neural responses to fearful and neutral faces. Results Overall amygdala response was positively associated with anxiety (peak coordinates: x = −30, y = −6, z = −24; Z = 3.54; pFWEcorrected = 0.011; k = 24 voxels) and fear-potentiated startle during early extinction (peak coordinates x = 28, y = −6, z = −18; Z = 3.50; pFWEcorrected = 0.012; k = 19 voxels). Across the session, amygdala reactivity to fearful faces increased (F(1, 29) = 4.427, p = .044) and was positively associated with fear-potentiated startle during early extinction (r = .56, p = .002). Conclusions We found a positive association between increasing amygdala response to threatening faces and fear load, that is, heightened fear-potentiated startle during early extinction, in trauma-exposed children. These fear-based intermediate phenotypes may share underlying amygdala circuits, such that hyperactivity may represent an early marker of anxiety risk in trauma-exposed youth.
引言儿童创伤与恐惧相关的精神病理学密切相关,如焦虑和创伤后应激障碍(PTSD)。非典型的恐惧消退和对社会威胁的神经反应(即负面情绪面孔)可能是儿童和青少年时期出现恐惧相关精神病理学之前的中间表型。然而,很少有研究检测这些表型在创伤暴露青年中的相关性。方法29名创伤暴露率高(Mdn=4,min=0,max=14总事件)的9岁儿童完成了评估恐惧条件反射和消退的恐惧强化惊吓范式和评估对恐惧和中性面孔的神经反应的情绪面孔功能磁共振成像(fMRI)任务。结果杏仁核整体反应与焦虑(峰值坐标:x=−30,y=−6,z=−24;z=3.54;pFWEcorected=0.011;k=24体素)和早期灭绝时恐惧增强的惊吓(峰值坐标x=28,y=-6,z=−18;z=3.50;pFWecorected=0.012;k=19体素)呈正相关。在整个疗程中,杏仁核对恐惧面孔的反应增加(F(1,29)=4.427,p=.044),并与早期灭绝期间的恐惧强化惊吓呈正相关(r=.56,p=.002),暴露在创伤中的儿童。这些基于恐惧的中间表型可能共享潜在的杏仁核回路,因此多动可能是创伤暴露青年焦虑风险的早期标志。
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引用次数: 0
Latent profile analysis of schizotypy, autistic traits and conspiracy theory beliefs: Associations with cognitive flexibility and scientific reasoning performance 精神分裂型、自闭症特征和阴谋论信仰的潜在特征分析:与认知灵活性和科学推理表现的关系
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.1177/20438087221125046
Neophytos Georgiou, P. Delfabbro, R. Balzan
Schizotypal and autistic traits have both been implicated in the development of conspiracy theory (CT) beliefs. However, there are both similarities and differences between these traits that may increase an individual’s susceptibility to CT beliefs. Past research has often taken a variable-centred approach which assumes that the relationships among distinct variables (i.e. schizotypy, autistic traits) are homogenous. Given these circumstances, Latent Profile Analysis (LPA) was used to assess the extent to which within-individual variation in schizotypal, autistic traits and associated socio-cognitive tendencies are associated with CT beliefs, cognitive flexibility, and scientific reasoning performance. In a sample of 565 adults, five distinct classes were identified. Those with the lowest clinical scores (Class 1) had the highest scientific reasoning and lowest level of CT beliefs, whilst those with the highest clinical scores (Class 4 and 5), had the lowest scientific reasoning and highest CT belief scores. Further analysis revealed some evidence for mixed groups (e.g. Class 4) in which higher analytical reasoning scores co-occurred with higher CT beliefs, but lower scientific reasoning scores. The results did not provide evidence that higher autistic traits independently predicted CT beliefs, but the results support the view that scientific reasoning appears to better differentiate variation in CT beliefs across groups than differences in analytical reasoning.
分裂型和自闭症特征都与阴谋论(CT)信仰的发展有关。然而,这些特征之间既有相似之处,也有不同之处,这可能会增加个体对CT信念的易感性。过去的研究通常采取以变量为中心的方法,假设不同变量之间的关系(即分裂型,自闭症特征)是同质的。考虑到这些情况,我们使用了潜在轮廓分析(LPA)来评估分裂型、自闭症特征和相关社会认知倾向的个体内变异与CT信念、认知灵活性和科学推理表现的关联程度。在565名成年人的样本中,确定了五个不同的类别。临床评分最低(第1类)者科学推理能力最强,CT信念水平最低;临床评分最高(第4类和第5类)者科学推理能力最强,CT信念水平最高。进一步的分析揭示了混合组(例如第4类)的一些证据,其中较高的分析推理分数与较高的CT信念同时出现,但较低的科学推理分数。研究结果并没有提供证据证明高孤独症特征独立地预测了CT信念,但结果支持了这样一种观点,即科学推理似乎比分析推理的差异更能区分不同群体之间CT信念的差异。
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引用次数: 0
Intolerance of uncertainty predicts altered threat expectancy ratings during reinstatement 对不确定性的不容忍预测恢复期间威胁预期评级的变化
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.1177/20438087221112330
D. Zuj, S. Dymond, Stuart B. Murray, Shaima Thomas, Jayne Morriss
Intolerance of uncertainty (IU) is a transdiagnostic risk factor for psychiatric disorders, and plays an important role in fear and threat learning under uncertainty. The ‘reinstatement of fear/threat’ is an understudied phenomenon thought to represent clinical symptom relapse. Reinstatement of conditioned responding can be captured in the laboratory by presenting unsignaled presentations of an aversive unconditional stimulus. The present study investigated IU as a predictor of reinstatement effects, such that individuals higher in IU, relative to lower IU, would show larger reinstatement. Sixty-two participants completed the Intolerance of Uncertainty Scale and provided threat expectancy ratings (i.e. certainty of receiving a shock) during a differential threat conditioning and extinction paradigm with reinstatement. Findings suggested a differential increase in threat expectancy ratings to both the threat and safety cue following reinstatement, although this effect was small and did not survive follow-up tests. Nevertheless, IU was a significant predictor of reinstatement to the threat cue but not the safety cue, although this effect was not in the expected direction. Specifically, higher IU was associated with reduced threat expectancy ratings post-reinstatement. These findings provide support for the limited literature demonstrating an important role for IU in reinstatement effects and should be investigated further.
不确定性不容忍(IU)是精神障碍的一个跨诊断风险因素,在不确定性下的恐惧和威胁学习中发挥着重要作用。“恐惧/威胁的恢复”是一种研究不足的现象,被认为代表临床症状复发。条件反应的恢复可以在实验室中通过呈现厌恶的无条件刺激的无信号表现来捕捉。本研究调查了IU作为恢复效果的预测因子,因此IU较高的个体相对于IU较低的个体会表现出更大的恢复。62名参与者完成了不确定性不容忍量表,并在具有恢复的差异威胁条件和灭绝范式中提供了威胁预期评级(即接受电击的确定性)。研究结果表明,恢复后,对威胁和安全提示的威胁预期评级有不同的增加,尽管这种影响很小,并且没有通过后续测试。尽管如此,IU是恢复威胁提示的重要预测因素,但不是安全提示,尽管这种影响没有朝着预期的方向发展。具体而言,IU越高,复职后威胁预期评级越低。这些发现为有限的文献提供了支持,这些文献证明了IU在恢复效果中的重要作用,应该进一步研究。
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引用次数: 0
The world dangerous it is—The scrambled sentences task in the context of posttraumatic stress symptoms 这个世界很危险——在创伤后应激症状的背景下,混乱的句子任务
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.1177/20438087221124737
Felix Würtz, S. Blackwell, J. Margraf, M. Woud
The Scrambled Sentences Task (SST) is a robust measure of interpretational processes in psychopathology. However, there is little evidence of its utility in measuring dysfunctional appraisals (DAs) of potentially traumatic events. We developed a novel SST for trauma-related DAs and examined its psychometric properties including convergent validity (correlations with PTSD-related symptoms and self-reported DAs), divergent validity (e.g., symptoms of depression and eating disorders), and retest reliability via an online study. Our sample (T1: N = 214, T2: N = 145) included participants who reported a potentially traumatic life event still eliciting distress. We found high correlations between the SST, PTSD-related symptoms (r = .37-.51), and self-report measures of DAs (r = .41-.58), indicating good convergent validity. Internal consistency (split-half = .78-.90) and retest reliability (ICC(3,1) = .73-.81) were also good. However, moderate to large correlations with symptoms of other disorders (r = .17-.58) indicated limited divergent validity. Finally, the SST explained unique variance in PTSD-related symptoms above self-report measures of DAs. The results demonstrate the promise of the SST as a valid and reliable tool to assess DAs in the context of potentially traumatic life events. Further research should investigate the transdiagnostic role of trauma-related DAs in psychopathology and the relationship between the SST and self-report measures of DAs.
混乱句子任务(SST)是精神病理学中对解释过程的有力测量。然而,几乎没有证据表明它在衡量潜在创伤事件的功能失调评估(DA)方面有用。我们开发了一种新的创伤相关DAs的SST,并通过在线研究检查了其心理测量特性,包括收敛有效性(与创伤后应激障碍相关症状和自我报告的DAs的相关性)、发散有效性(如抑郁和饮食障碍症状)和重新测试的可靠性。我们的样本(T1:N=214,T2:N=145)包括报告了仍在引发痛苦的潜在创伤生活事件的参与者。我们发现SST、PTSD相关症状(r=.37-.51)和DAs的自我报告测量值(r=.41-.58)之间存在高度相关性,表明具有良好的收敛有效性。内部一致性(分一半=.78-.90)和重新测试的可靠性(ICC(3,1)=.73-.81)也很好。然而,与其他疾病症状的中到大相关性(r=.17-.58)表明差异有效性有限。最后,SST解释了PTSD相关症状的独特差异,高于DA的自我报告测量。结果表明,SST有望作为一种有效可靠的工具,在潜在创伤生活事件的背景下评估DA。进一步的研究应该调查创伤相关DAs在精神病理学中的跨诊断作用,以及SST和DAs自我报告测量之间的关系。
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引用次数: 1
social Communication Predictors in Autism Spectrum Disorder. Theoretical Review 自闭症谱系障碍的社会沟通预测因子。理论回顾
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.1177/20438087221106955
Cristina A. Costescu, Delia Pitariu, Carment David, Adrian Roșan
social communication represents one of the main areas of impairment in the case of individuals with autism spectrum disorder (ASD) (APA, 2013). Several studies have investigated predictors in this domain; however, the results are mostly inconsistent or lack clarity. The purpose of this theoretical review is to analyze studies that address vocabulary, prosody, and cognitive flexibility in relation to deficits in pragmatic language, in the case of individuals with ASD. This synthesis was conducted on 18 studies, based on a systematic search of ScienceDirect and NCBI (PubMed and PubMed Central) databases. A number of 1523 participants were included in the analyzed studies. Results indicate that prosody has a major impact on social communication. However, difficulties in processing prosody do not account as the only predictors in the general abilities of language and communication. Regarding the executive functioning, future research is needed to fully understand the relationship between social communication and cognitive flexibility.
社交沟通是自闭症谱系障碍(ASD)患者的主要障碍之一(APA, 2013)。一些研究调查了这一领域的预测因素;然而,结果大多不一致或缺乏清晰度。本理论综述的目的是分析有关ASD患者在语用语言缺陷方面的词汇、韵律和认知灵活性的研究。基于对ScienceDirect和NCBI (PubMed和PubMed Central)数据库的系统检索,对18项研究进行了综合。1523名参与者被纳入分析研究。结果表明,韵律对社会交际有重要影响。然而,韵律处理的困难并不是语言和交际能力的唯一预测因素。在执行功能方面,需要进一步的研究来充分了解社会沟通与认知灵活性之间的关系。
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引用次数: 1
Starting fear is a stronger predictor of long-term fear than rate of change in fear in human fear conditioning 在人类恐惧条件反射中,开始恐惧比恐惧的变化率更能预测长期恐惧
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.1177/20438087221112328
T. Zbozinek, A. Tanner, M. Craske
In rodent studies, faster extinction rate has been shown to predict less long-term fear. However, this has scarcely been studied in humans. The present report investigated the association between extinction rate and long-term fear in humans. We secondarily evaluated specificity of extinction rate by including other fear conditioning values as predictors, including acquisition intercept, acquisition rate, and extinction intercept. Lastly, we investigated whether trait measures of behavioral approach, behavioral inhibition, anxiety, and depression predicted long-term fear. Results show that slower extinction rate predicted less long-term fear when tested alone in the model. However, when including other fear conditioning variables, extinction rate no longer predicted long-term fear. Instead, greater fear at the beginning of acquisition was the most robust predictor of greater long-term fear (all three measures of fear), followed by greater fear at the beginning of extinction (unconditional stimulus expectancy only). These effects occurred for both the danger signal (i.e., conditional stimulus; CS+) and safety signal (i.e., CS−). The results suggest that fear at the start of acquisition and, secondarily, extinction are predictors of long-term fear. Lastly, there were no effects of trait behavioral approach, behavioral inhibition, anxiety, or depression. This report has relevance for improving our understanding and treatment of anxiety disorders.
在啮齿动物的研究中,更快的灭绝速度预示着更少的长期恐惧。然而,这几乎没有在人类身上进行过研究。本报告调查了灭绝率和人类长期恐惧之间的关系。我们通过纳入其他恐惧条件作用值作为预测因子,包括习得截距、习得率和灭绝截距,进而评估了灭绝率的特异性。最后,我们调查了行为接近、行为抑制、焦虑和抑郁的特质测量是否能预测长期恐惧。结果表明,当在模型中单独测试时,较慢的灭绝速度预示着更少的长期恐惧。然而,当包括其他恐惧条件变量时,灭绝率不再预测长期恐惧。相反,在习得之初更大的恐惧是更大的长期恐惧(所有三种恐惧测量)的最有力预测因素,其次是在灭绝之初更大的恐惧(仅限无条件刺激预期)。这些效应发生在危险信号(即条件刺激);CS+)和安全信号(即CS−)。结果表明,习得之初的恐惧,其次是消失,是长期恐惧的预测因素。最后,没有特质行为方法、行为抑制、焦虑和抑郁的影响。本报告对提高我们对焦虑症的理解和治疗具有重要意义。
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引用次数: 2
Inducing Paranoia is Linked to Increased Resting Amygdala Cerebral Blood Flow in Healthy Individuals 健康人诱发偏执与静息杏仁核脑血流量增加有关
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.1177/20438087221130693
A. Pinkham, E. Bass, H. Klein, C. Springfield, Jerillyn S. Kent, S. Aslan
Among individuals with schizophrenia, paranoia has been linked to increased resting cerebral blood flow (CBF) in amygdala, suggesting that amygdala hyperactivity may be a mechanism for paranoid ideation. The present study tested this possible mechanism by assessing whether experimentally inducing paranoia in non-clinical, healthy participants resulted in increased amygdala CBF. Sixty-three undergraduates completed initial measurements of paranoia and resting CBF, via pseudo-continuous arterial spin labeling (pCASL) imaging, and were then randomly assigned to either a paranoia induction (n = 32) or control (n = 31) condition before completing a second pCASL scan and another paranoia assessment. Following the induction procedure, individuals in the paranoia induction condition reported fewer positive perceptions of others and greater state anxiety. Resting relative CBF values extracted from right amygdala also demonstrated an increase in CBF over time for individuals in the paranoia induction condition but a decrease in CBF over time for individuals in the control condition. Left amygdala showed no significant effects. These results support the idea that increased resting activity of the amygdala may be a neurobiological mechanism for paranoia.
在精神分裂症患者中,妄想狂与杏仁核静息脑血流量(CBF)增加有关,这表明杏仁核过度活跃可能是妄想狂的一种机制。本研究通过评估实验诱导非临床健康参与者的偏执是否会导致杏仁核CBF增加来验证这种可能的机制。63名大学生通过伪连续动脉自旋标记(pCASL)成像完成了偏执和静息CBF的初步测量,然后随机分配到偏执诱导组(n = 32)或对照组(n = 31),然后完成第二次pCASL扫描和另一次偏执评估。在诱导过程中,偏执狂诱导条件下的个体对他人的积极感知减少,状态焦虑增加。从右侧杏仁核提取的静息相对CBF值也表明,偏执诱导组的CBF随时间增加,而对照组的CBF随时间减少。左杏仁核无明显影响。这些结果支持了杏仁核静息活动增加可能是偏执狂的神经生物学机制的观点。
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引用次数: 0
Identifying characteristics of non-completers in fear conditioning paradigms with children and adolescents 儿童和青少年恐惧条件反射范式中非完成者的特征识别
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.1177/20438087221108291
Tabea Flasinski, Katharina Sommer, S. Schneider, J. Margraf, Verena Pflug, Michael W Lippert, H. Christiansen, J. Cwik, A. Hamm, T. In-Albon, S. Knappe, P. Pauli, J. Richter, B. Tuschen-Caffier, Dirk Adolph
The number of studies on fear conditioning in children and adolescents has increased in recent years. Most of these studies exclusively focus on data of completers while dropout rates, reasons for dropout, and specific characteristics of non-completers are underreported. This study systematically investigated data of 283 children and adolescents between 8 and 17 years (M = 11.10, SD = 2.14) undergoing a differential fear conditioning paradigm using a female scream as unconditioned stimulus (US). The sample included 230 children and adolescents with a current primary anxiety disorder (separation anxiety disorder, social anxiety disorder, and specific phobia) and 53 non-anxious controls. The dropout rate was 24.1%. The most common reason to discontinue was being afraid of the US (59.1%) followed by the startle probe being too loud (15.2%). Logistic regressions revealed that younger age and a present anxiety disorder predicted dropout. There seem to be distinct characteristics potentially predicting dropout from fear conditioning paradigms. Thus, interpretability and generalizability of those paradigms are limited when non-completers are not considered. Future research should conscientiously look at these data more closely and investigate paradigms that work independent of age and diagnostic status.
近年来,关于儿童和青少年恐惧条件反射的研究有所增加。这些研究大多只关注完成学业者的数据,而未完成学业者的辍学率、辍学原因和具体特征都被低估了。本研究系统地调查了283名8 ~ 17岁儿童和青少年(M = 11.10, SD = 2.14)在女性尖叫作为非条件刺激(US)的差异恐惧条件反射范式中的数据。样本包括230名目前患有原发性焦虑障碍(分离焦虑障碍、社交焦虑障碍和特定恐惧症)的儿童和青少年,以及53名非焦虑对照组。辍学率为24.1%。最常见的原因是害怕美国(59.1%),其次是惊吓探头太响(15.2%)。逻辑回归显示,年龄较小和目前的焦虑障碍预示着辍学。似乎有一些明显的特征可能预示着从恐惧制约范式中退出。因此,当不考虑非完成者时,这些范式的可解释性和泛化性受到限制。未来的研究应该认真地更仔细地观察这些数据,并调查独立于年龄和诊断状态的范例。
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引用次数: 0
Impact of interpretation bias on depression in ambiguous situations: A panel survey with a three-month interval 歧义情境下解释偏倚对抑郁的影响:一项间隔三个月的小组调查
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.1177/20438087221123242
Asuka Sugita, Shimpei Yoshimura
The negative interpretation of ambiguous situations is understood as interpretation bias, which is a core factor that causes and prolongs depression. However, not many studies have examined the causal influence of interpretation bias on depression. Accordingly, we developed the Japanese version of AST-D-II in which ambiguous scenarios are employed to measure interpretation bias related to depression. A survey was conducted among 247 participants at two time points, with a three-month interval (Time 1 and Time 2). Subsequently, the reliability and validity of the Japanese version of AST-D-II were verified. Thereafter, the depression and AST-D-II scores at both time points were put into structural equation modeling and the cross-lagged panel model was examined. Although the Japanese version of AST-D-Ⅱ had a different factor structure to that found in previous studies, it is a useful scale to measure interpretation bias in Japanese people. In addition, the cross-lagged panel model revealed that interpretation bias is not only related to current depression, but interpretation bias at Time 1 has an impact on depression at Time 2. Therefore, one may deduce that interpretation bias has a long-term impact on depression, thus indicating that interventions on interpretation bias are important in the prevention of depression.
对模棱两可情境的消极解读被理解为解读偏差,是导致和延长抑郁症的核心因素。然而,很少有研究调查解释偏差对抑郁症的因果影响。因此,我们开发了日本版的AST-D-II,其中使用模糊情景来测量与抑郁相关的解释偏差。在两个时间点(时间1和时间2)对247名参与者进行了调查,间隔为3个月。随后,验证了日文版AST-D-II的信度和效度。然后,将两个时间点的抑郁和AST-D-II评分纳入结构方程模型,并检验交叉滞后面板模型。虽然日本版AST-D-Ⅱ的因子结构与以往研究中发现的不同,但它是衡量日本人解释偏差的有用量表。此外,交叉滞后面板模型显示,解释偏差不仅与当前抑郁有关,而且时间1的解释偏差对时间2的抑郁也有影响。因此,我们可以推断,解释偏见对抑郁有长期影响,这表明干预解释偏见在预防抑郁中很重要。
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引用次数: 1
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Journal of Experimental Psychopathology
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