Preliminary Evidence for a Nexus between Rumination, Behavioural Avoidance, Motive Satisfaction and Depression

被引：24

作者：

Brockmeyer, Timo ^{[1
,5
]}

Holtforth, Martin Grosse ^{[2
,6
]}

Krieger, Tobias ^{[2
]}

Altenstein, David ^{[2
]}

Doerig, Nadja ^{[2
]}

Zimmermann, Johannes ^{[3
]}

Backenstrass, Matthias ^{[4
]}

Friederich, Hans-Christoph ^{[1
]}

Bents, Hinrich ^{[5
]}

机构：

[1] Univ Heidelberg Hosp, Dept Gen Internal Med & Psychosomat, Ctr Psychosocial Med, D-69120 Heidelberg, Germany

[2] Univ Zurich, Dept Psychol, Zurich, Switzerland

[3] Univ Kassel, Dept Psychol, D-34125 Kassel, Germany

[4] Hosp Stuttgart, Inst Clin Psychol, Stuttgart, Germany

[5] Heidelberg Univ, Ctr Psychol Psychotherapy, Heidelberg, Germany

[6] Univ Bern, Dept Clin Psychol & Psychotherapy, Bern, Switzerland

来源：

CLINICAL PSYCHOLOGY & PSYCHOTHERAPY | 2015年 / 22卷 / 03期

基金：

瑞士国家科学基金会;

关键词：

Depression; Avoidance; Motive Satisfaction; Rumination; RESPONSE STYLES; PSYCHOMETRIC PROPERTIES; REDUCED CONCRETENESS; ACTIVATION TREATMENT; QUESTIONNAIRE INK; PLEASANT; INCONGRUENCE; DURATION; VALIDITY; THERAPY;

D O I：

10.1002/cpp.1885

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The present study tested a theoretically derived link between rumination and depressive symptoms through behavioural avoidance and reduced motive satisfaction as a key aspect of positive reinforcement. Rumination, behavioural avoidance, motive satisfaction and levels of depression were assessed via self-report measures in a clinical sample of 160 patients with major depressive disorder. Path analysis-based mediation analysis was used to estimate the direct and indirect effects as proposed by the theoretical model. Operating in serial, behavioural avoidance and motive satisfaction partially mediated the association between rumination and depressive symptoms, irrespective of gender, medication and co-morbid anxiety disorders. This is the first study investigating the associations between behavioural avoidance, rumination and depression in a clinical sample of depressed patients. The findings are in line with an understanding of rumination in depression as also serving an avoidance function. Copyright (c) 2014 John Wiley & Sons, Ltd.

引用

页码：232 / 239

页数：8

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