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Adaptive and maladaptive self-focus in depression

✍ Scribed by Ed Watkins; John D. Teasdale


Book ID
113665122
Publisher
Elsevier Science
Year
2004
Tongue
English
Weight
106 KB
Volume
82
Category
Article
ISSN
0165-0327

No coin nor oath required. For personal study only.

✦ Synopsis


Background:

Studies of rumination suggest that self-focused attention is maladaptive and perpetuates depression. conversely, self-focused attention can be adaptive, facilitating self-knowledge and the development of the alternative functional interpretations of negative thoughts and feelings on which cognitive therapy of depression depends. increasing evidence suggests there are distinct varieties of self-focus, each with distinct functional properties. this study tested the prediction that in depressed patients brief inductions of analytical versus experiential self-focus would differentially affect overgeneral autobiographical memory, a phenomenon associated with poor clinical course. it was predicted that, relative to analytical self-focus, experiential self-focus would reduce overgeneral memory.

Methods:

28 depressed patients either thought analytically about, or focused on their momentary experience of, identical symptom-focused induction items from [cogn. emotion 7 (1993) 561] rumination task. participants completed the autobiographical memory test [j. abnorm. psychol. 95 (1986) 144] before and after self-focus manipulations.

Results:

Experiential self-focus reduced overgeneral memory compared to analytical self-focus. analytical and experiential self-focus did not differ in their effects on mood.

Limitations:

In the absence of a reference condition, only conclusions concerning the relative effects of analytical and experiential self-focus can be made.

Conclusions:

Results (1) support the differentiation of self-focus into distinct modes of self-attention with distinct functional effects in depression; (2) provide further evidence for the modifiability of overgeneral memory; and (3) provide further evidence for the dissociation of overgeneral memory and depressed mood. clinically, results support the usefulness of training recovered depressed patients in adaptive experiential forms of self-awareness, as in mindfulness-based cognitive therapy.


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