Investigating Cognitive Control and Repetitive Thinking in Clinical Groups With Major Depressive Disorder and Generalized Anxiety Disorder

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Clinical Practice in Pediatric Psychology Pub Date : 2023-07-01 DOI:10.32598/jpcp.11.3.856.2

Afsaneh Vosoughi Motlagh, N. Mohammadi, M. Taghavi, M. Goodarzi

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Abstract

Objective: Some theories state that a deficiency in cognitive control makes people more vulnerable to the occurrence of repetitive negative thoughts. The present study is aimed to investigate the association between cognitive control and repetitive thinking in major depressive disorder (MDD) and generalized anxiety disorder (GAD). Methods: Thirty people with major depressive disorder and 30 people with generalized anxiety disorder were selected by purposive sampling method from counseling and psychiatry centers in Shiraz City. Then, the Stroop and Wisconsin tests were performed and the questionnaires on rumination, worry, depression, and anxiety were completed. The obtained results were analyzed by Pearson’s correlation coefficient and multivariate analysis of variance (MANOVA). Results: The results showed that there was a negative and significant relationship between cognitive control and rumination in the depression group and worry in the generalized anxiety group. The level of cognitive control, rumination, and worry was not significantly different in cases with major depressive disorder and generalized anxiety disorder. Conclusion: Based on the results of this study, reducing attention control is considered a risk factor for repetitive thinking, including rumination and worry. The lack of significant difference in cognitive control, rumination, and worry can indicate common unified transdiagnostic components in these disorders.

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重度抑郁障碍和广泛性焦虑障碍临床组认知控制和重复思维的研究

目的:一些理论认为，认知控制的缺陷使人们更容易出现重复的消极想法。本研究旨在探讨重度抑郁障碍(MDD)和广泛性焦虑障碍(GAD)患者的认知控制与重复思维的关系。方法:采用目的抽样法，在设拉子市心理咨询和精神病学中心抽取30例重度抑郁症患者和30例广泛性焦虑症患者。然后进行Stroop和Wisconsin测试，并完成反刍、忧虑、抑郁和焦虑问卷。采用Pearson相关系数和多元方差分析(MANOVA)对所得结果进行分析。结果:抑郁组的认知控制和反刍与广泛性焦虑组的担忧存在显著负相关。重度抑郁障碍和广泛性焦虑障碍患者的认知控制、反刍和担忧水平无显著差异。结论:根据本研究的结果，减少注意力控制被认为是重复思考的一个危险因素，包括反刍和担忧。在认知控制、反刍和忧虑方面缺乏显著差异，可以表明这些障碍中有共同的统一的跨诊断成分。

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.