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Self-defining memories and future projections as a means to facilitate reflection on life values in depressed adults: A preliminary study

机译:自我定义的记忆和未来的预测,作为促进对抑郁成年人的生活价值观进行反思的一种手段:一项初步研究

摘要

Introduction. In the Brief Behavioral Activation Treatment for Depression, depressed patients are lead to a reflection on their personal values per life domains (e.g., family relationships, employment). The aim of this reflection is to tailor behavioral assignments through valued activities. This reflection is usually difficult for depressed patients. The current study hypothesized that exercises on autobiographical memories might act as a means to facilitate the reflection on personal values. In this perspective, self-defining memories (SDMs) and self-defining future projections (SDFPs) appear to be particularly relevant. SDMs and SDFPs concern reflections on the past and on the potential future central goals, values and conflicts of one’s life. SDMs and SDFPs are vivid and well-rehearsed autobiographical memories related to a meaning-making (i.e., a learned lesson about oneself, others or the world). The emotional valence of SDMs and SDFPs can either be positive, neutral or negative. Further, SDMs and SDFPs can consist in either specific events or categorical ones. Due to the relevance of these memories for the self, it is to be expected that recalling SDMs and imagine SDFPs will help individuals to have a clearer view of their personal values which in turn might facilitate the selection of valued activities. Further, it is hypothesized that these exercises might decrease depression and disturbances of psychological processes (i.e., rumination, self-concept clarity, environmental satisfaction).Therefore, this study aims were two-fold. First, it aimed at assessing the feasibility for depressed patients to recall SDMs and to imagine SDFPs per life domains. Second, it aimed at assessing the impact of these exercises on depression and psychological processes. Method. Nineteen depressed patients and 17 paired healthy controls (25-60 years) were recruited (data collection is still ongoing). This study comprises four meetings. During the first and the last meetings, participants completed self-reported assessments of depression and psychological processes. During the third and fourth meetings, participants were asked either to recall SDMs or to imagine SDFPs per life domains. SDMs and SDFPs were rated on specificity, meaning-making and emotional. The impact of these exercises was assessed on depression and psychological processes.Results. Preliminary results indicate that depressed patients are as able as healthy controls to recall SDMs and imagine SDFPs per life domains. Depressed patients recall less SDMs and SDFPs with meaning-making than healthy controls. Depressed patients report less SDMs and less SDFPs related to employment and less SDMs related to hobbies than healthy controls. Preliminary results show a decrease of depression in depressed patients only.Discussion. Even though depressed patients are as able as the healthy controls to recall SDMs and to imagine SDFPs, preliminary results highlight significant differences between depressed patients and healthy controls on SDMs and SDFPs. Preliminary results indicate that SDMs and SDFPs positively impact depression in depressed patients. Experimental and clinical implications of these findings will be discussed during the conference.
机译:介绍。在《抑郁症的简短行为激活治疗》中,抑郁症患者会反思他们在每个生活领域的个人价值观(例如,家庭关系,就业)。这种思考的目的是通过有价值的活动来调整行为分配。对于抑郁的患者,这种反射通常是困难的。当前的研究假设,对自传体记忆进行锻炼可能是促进个人价值观反思的一种手段。从这个角度来看,自定义内存(SDM)和自定义未来预测(SDFP)似乎特别相关。 SDM和SDFP关注的是对过去以及未来潜在的中心目标,人生价值观和冲突的反思。 SDM和SDFP是生动有趣的,经过反复演练的自传式记忆,与意义的产生有关(例如,关于自己,他人或世界的经验教训)。 SDM和SDFP的情感价可以是积极的,中立的或消极的。此外,SDM和SDFP可以包含特定事件或类别事件。由于这些记忆与自我的相关性,可以期望回忆起SDM并想象SDFP将帮助个人更清楚地了解自己的个人价值观,从而有助于选择有价值的活动。此外,据推测,这些锻炼可以减轻抑郁和心理过程的干扰(即反省,自我概念清晰,环境满意度),因此,本研究的目的是双重的。首先,它旨在评估抑郁症患者在每个生命领域召回SDM并想象SDFP的可行性。其次,它旨在评估这些锻炼对抑郁和心理过程的影响。方法。招募了19位抑郁症患者和17位配对的健康对照(25-60岁)(数据收集仍在进行中)。这项研究包括四个会议。在第一次和最后一次会议中,与会人员完成了自我报告的对抑郁和心理过程的评估。在第三和第四次会议期间,要求参与者回忆每个生命域的SDM或想象SDFP。对SDM和SDFP进行了特异性,意义表达和情感评价。评估了这些练习对抑郁和心理过程的影响。初步结果表明,抑郁患者与健康对照者一样能够回忆起每个生命领域的SDM和想象SDFP。与健康对照组相比,抑郁症患者回忆起来有意义的SDM和SDFP更少。与健康对照组相比,抑郁症患者报告的与工作有关的SDM和SDFP较少,与爱好相关的SDM较少。初步结果显示仅抑郁症患者的抑郁有所减轻。尽管抑郁症患者与健康对照者一样能够回忆起SDM和想象SDFP,但初步结果显示,抑郁症患者与SDM和SDFPs健康对照者之间存在显着差异。初步结果表明,SDM和SDFP对抑郁症患者的抑郁有积极影响。这些发现的实验和临床意义将在会议期间进行讨论。

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