期刊:
PSYCHOLOGY AND PSYCHOTHERAPY-THEORY RESEARCH AND PRACTICE,2013年86(4):353-373 ISSN:1476-0835
通讯作者:
Liu, Xianhua
作者机构:
[Liu, Xianhua; Jiang, Xiangqi] Hengyang Normal Univ, Dept Educ Sci, Hengyang 421002, Hunan, Peoples R China.;[Li, Li] Cent S Univ, Xiangya Hosp 2, Inst Psychiat, Changsha, Hunan, Peoples R China.;[Li, Li] Guizhou Finance & Econ Coll, Psychol Counseling Ctr, Guiyang, Peoples R China.;[Xiao, Jing] Capital Normal Univ, Dept Psychol, Coll Educ, Beijing, Peoples R China.;[Yang, Juan] Hainan Med Coll, Dept Humanities & Social Sci, Haikou, Peoples R China.
通讯机构:
[Liu, Xianhua] H;Hengyang Normal Univ, Dept Educ Sci, Hengyang 421002, Hunan, Peoples R China.
摘要:
<jats:sec><jats:title>Background</jats:title><jats:p>Previous studies on the autobiographical memory (<jats:styled-content style="fixed-case">AM</jats:styled-content>) of depressed patients had inconsistent findings. Various severities of depression in patients in these studies may lead to conflicting results. However, the differences in the procedure of the autobiographical memory tests (<jats:styled-content style="fixed-case">AMT</jats:styled-content>s) may also influence the <jats:styled-content style="fixed-case">AM</jats:styled-content> results.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>In this study, we analyse the results published so far to research the <jats:styled-content style="fixed-case">AM</jats:styled-content> characteristics of patients with depressive disorders and identify moderators that affect the assessment results while using <jats:styled-content style="fixed-case">AMT</jats:styled-content> in this field.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>A systematic search was conducted using following databases: <jats:styled-content style="fixed-case">MEDLINE</jats:styled-content>,<jats:styled-content style="fixed-case"> P</jats:styled-content>ub<jats:styled-content style="fixed-case">M</jats:styled-content>ed, <jats:styled-content style="fixed-case">S</jats:styled-content>cience<jats:styled-content style="fixed-case">D</jats:styled-content>irect, <jats:styled-content style="fixed-case">C</jats:styled-content>nki, and <jats:styled-content style="fixed-case">G</jats:styled-content>oogle <jats:styled-content style="fixed-case">S</jats:styled-content>cholar, yielding 22 studies of patients with depressive disorders and autobiographical memory published between 1986 and 2010.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The results of meta‐analysis showed that, compared with the control group, the patients with depressive disorders reported less specific <jats:styled-content style="fixed-case">AM</jats:styled-content>s (<jats:italic>g</jats:italic>=−1.051) and more overgeneralized <jats:styled-content style="fixed-case">AM</jats:styled-content>s (<jats:italic>g</jats:italic>=1.115). The patients with depressive disorders also recalled more slowly (<jats:italic>g</jats:italic>=0.400). The effect sizes of overgeneral memory could be predicted by the self‐reported depression score of the depressed patients (<jats:italic>B</jats:italic>=−.329, <jats:italic>p</jats:italic><<jats:italic></jats:italic>.01). The mean effect sizes of <jats:styled-content style="fixed-case">AMT</jats:styled-content> indices were affected by the <jats:styled-content style="fixed-case">AMT</jats:styled-content> characteristics (i.e., number of cue word, max response time, prompting, presentation of cue word, taping, and so on).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Our results suggest that overgeneralization and response lag are the <jats:styled-content style="fixed-case">AM</jats:styled-content> deficits in patients with depressive disorders. The parameters of <jats:styled-content style="fixed-case">AMT</jats:styled-content> are important factors, which are related to the inconsistency in the assessment of <jats:styled-content style="fixed-case">AM</jats:styled-content> in patients with depressive disorders. Some recommendations on <jats:styled-content style="fixed-case">AMT</jats:styled-content> and programme research design are given for future research.</jats:p></jats:sec><jats:sec><jats:title>Practitioner Points</jats:title><jats:p>
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<jats:list-item><jats:p>This paper provides new insight into the current understanding of the AM deficits in patients with depressive disorders.</jats:p></jats:list-item>
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<jats:list-item><jats:p>This paper gives new recommendations on AMT and program research design for future clinical implications.</jats:p></jats:list-item>
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