抑郁症的认知抑制

Jutta Joormann, K. Lira Yoon, Ulrike Zetsche
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引用次数: 250

摘要

认知抑制是调节情绪的重要机制。越来越多的证据表明,抑郁症的特征是对与情绪一致的物质的抑制不足。这些缺陷可能导致对所呈现信息的消极、与目标无关的方面的处理时间延长,从而阻碍从消极情绪中恢复,并导致持续的消极影响,这是抑郁症发作的特征。事实上,已经有人提出,认知抑制的缺陷是抑郁症中记忆和注意力偏差的核心,并为对消极事件和消极情绪状态的反思反应奠定了基础。反刍反应风格会导致更容易经历严重抑郁。最近的研究表明,对消极物质的抑制不足与反刍行为的加剧有关。在这篇文章中,我们回顾了抑郁症的文献,重点研究了抑郁症参与者和报告有重度抑郁症发作史的参与者的认知抑制。此外,我们总结了神经生物学的发现,表明抑郁症和抑制缺陷之间有很强的关系,我们更仔细地研究了抑制、反刍和情绪调节之间的关系。
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Cognitive inhibition in depression

Cognitive inhibition is a key mechanism in the regulation of emotion. There is emerging evidence that depression is characterized by deficits in the inhibition of mood-congruent material. These deficits could result in prolonged processing of negative, goal-irrelevant aspects of presented information thereby hindering recovery from negative mood and leading to the sustained negative affect that characterizes depressive episodes. Indeed, it has been suggested that deficits in cognitive inhibition lie at the heart of memory and attention biases in depression, and set the stage for ruminative responses to negative events and negative mood states. A ruminative response style results in a heightened vulnerability to experience episodes of major depression. Recent research has demonstrated that deficient inhibition of negative material is associated with heightened rumination. In this article, we review the depression literature with a focus on studies that investigate cognitive inhibition in depressed participants and in participants who report a history of major depressive episodes. In addition, we summarize neurobiological findings that indicate a strong relation between depression and deficits in inhibition and we take a closer look at the relation of inhibition, rumination and mood regulation.

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