痴呆症患者的反刍及其与抑郁、焦虑和注意偏差的关系。

IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL
Aging, Neuropsychology, and Cognition Pub Date : 2024-11-01 Epub Date: 2024-03-10 DOI:10.1080/13825585.2024.2327679
Anne-Marie Greenaway, Faustina Hwang, Slawomir Nasuto, Aileen K Ho
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引用次数: 0

摘要

反刍(自我反省和重复思考)、注意偏差(AB)和认知控制能力受损被认为是抑郁和焦虑的重要因素。然而,对于认知控制能力下降的人群,如痴呆症患者(PwD),还缺乏反刍、情绪和注意力偏差之间关系的研究。为了探索痴呆症患者是否会出现基于文献的关系,痴呆症患者(64 人)和健康对照组(75 人)完成了在线自我报告调查(两次)和电话认知状况访谈(一次),以测量反刍和情绪。反刍是作为一种情绪调节方式、思维方式和对抑郁的反应来测量的。我们研究了残疾人(n = 50)反刍量表反应的重测可靠性、反刍量表内部一致性以及反刍、年龄、认知能力和情绪评分之间的相关性。此外,9 名参与者(PwD = 6,HC = 3)通过眼动跟踪完成了 AB 测量。参与者将视线定格在一个十字架上,自然观看一对表达悲伤、愤怒、快乐和中性情绪的面部图像,然后将视线定格在一个点上。我们对情绪面孔停留时间与反刍和情绪评分进行了探索性分析。除了 HC 组对抑郁的反思性反应测量外,其他反刍测量都是可靠的,两组反刍和情绪得分之间的相关强度(0.29 至 0.79)与文献一致。对于 AB 测量子组,反刍思维风格得分与愤怒脸指标呈负相关。本研究的结果表明,在痴呆症患者中,反刍、抑郁和焦虑之间的关系是有文献依据的,但反刍与 AB 之间的关系还需要进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rumination in dementia and its relationship with depression, anxiety, and attentional biases.

Rumination (self-referential and repetitive thinking), attentional biases (AB), and impaired cognitive control are theorized as being integral factors in depression and anxiety. Yet, research examining the relationship between rumination, mood, and AB for populations with reduced cognitive control, e.g., people living with dementia (PwD), is lacking. To explore whether literature-based relationships are demonstrated in dementia, PwD (n = 64) and healthy controls (HC) (n = 75) completed an online self-report survey measuring rumination and mood (twice), and a telephone cognitive status interview (once). Rumination was measured as an emotion-regulation style, thinking style, and response to depression. We examined the test-retest reliability of PwD's (n = 50) ruminative-scale responses, ruminative-scale internal consistency, and correlations between rumination, age, cognitive ability, and mood scores. Also, nine participants (PwD = 6, HC = 3) completed an AB measure via eye-tracking. Participants fixated on a cross, naturally viewed pairs of facial images conveying sad, angry, happy, and neutral emotions, and then fixated on a dot. Exploratory analyses of emotional-face dwell-times versus rumination and mood scores were conducted. Except for the HC group's reflective response to depression measure, rumination measures were reliable, and correlation strengths between rumination and mood scores (.29 to .79) were in line with literature for both groups. For the AB measure subgroup, ruminative thinking style scores and angry-face metrics were negatively correlated. The results of this study show that literature-based relationships between rumination, depression, and anxiety are demonstrated in dementia, but the relationship between rumination and AB requires further investigation.

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来源期刊
CiteScore
4.30
自引率
5.30%
发文量
52
期刊介绍: The purposes of Aging, Neuropsychology, and Cognition are to (a) publish research on both the normal and dysfunctional aspects of cognitive development in adulthood and aging, and (b) promote the integration of theories, methods, and research findings between the fields of cognitive gerontology and neuropsychology. The primary emphasis of the journal is to publish original empirical research. Occasionally, theoretical or methodological papers, critical reviews of a content area, or theoretically relevant case studies will also be published.
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