Cognitive predictors of stress-induced mood malleability in depression.

IF 2.3 3区心理学 Q2 PSYCHIATRY

Anxiety Stress and Coping Pub Date : 2024-03-01 Epub Date: 2023-09-11 DOI:10.1080/10615806.2023.2255531

Ragnhild Bø, Brage Kraft, Jutta Joormann, Rune Jonassen, Catherine J Harmer, Nils Inge Landrø

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引用次数: 0

Abstract

Background & objectives: Basic attentional control, negative biases in attention and interpretation, and rumination are all cognitive processes associated with depression; however, less is known about their predictive role in depressive mood reactivity and -recovery in response to stress, and their relation to severity of depression.

Design & methods: We experimentally induced stress based on an autobiographical imagery script in a sample of 92 participants with Major Depressive Disorder with or without comorbid anxiety disorders. We used simple regression analysis for investigating the roles of state- and trait rumination, attentional networks, and attentional and interpretation biases for predicting stress-induced depressive mood reactivity and -recovery, respectively, and whether they in parallel mediated the association between cognitive processes and depression severity.

Results: Stress-induced depressive mood reactivity was predicted by better orienting ability and more state rumination. Better recovery was predicted by better orienting efficiency and lower negative interpretation bias. Furthermore, the relation between state rumination and depression severity was partially mediated by depressive mood reactivity, however limited by the lack of temporal precedence in the analysis.

Conclusions: We characterized the relation between cognitive processes and mood malleability in response to stress. Findings could refine theoretical models of depression if causality is established.

Trial registration: ClinicalTrials.gov identifier: NCT04137367.

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抑郁症患者由压力引起的情绪可塑性的认知预测因素。

背景与目标：基本注意控制、注意和解释中的负面偏差以及反刍都是与抑郁有关的认知过程；然而，人们对它们在抑郁情绪反应性和应激反应恢复中的预测作用以及它们与抑郁严重程度的关系知之甚少：我们根据自传体意象脚本对 92 名患有重度抑郁症并伴有或不伴有焦虑症的参与者进行了应激诱导实验。我们使用简单回归分析法研究了状态和特质反刍、注意网络、注意和解释偏差分别在预测压力诱发的抑郁情绪反应性和恢复方面的作用，以及它们是否同时介导了认知过程与抑郁严重程度之间的关联：结果：更好的定向能力和更多的状态反刍可以预测压力引起的抑郁情绪反应性。更好的定向效率和更低的负面解释偏差则预示着更好的恢复。此外，状态反刍与抑郁严重程度之间的关系部分由抑郁情绪反应性中介，但由于分析中缺乏时间优先性而受到限制：我们描述了认知过程与压力下情绪可塑性之间的关系。如果能够确定因果关系，研究结果将有助于完善抑郁症的理论模型：试验注册：ClinicalTrials.gov identifier：NCT04137367。

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来源期刊

Anxiety Stress and Coping Multiple-

CiteScore

7.20

自引率

0.00%

发文量

期刊介绍： This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.