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The deficit in cognitive reappraisal capacity in individuals with anxiety or depressive disorders: meta-analyses of behavioral and neuroimaging studies
Clinical Psychology Review ( IF 13.7 ) Pub Date : 2024-08-13 , DOI: 10.1016/j.cpr.2024.102480
Xiaobing Cui 1 , Qingwen Ding 1 , Shuting Yu 1 , Siyuan Zhang 1 , Xuebing Li 1
Affiliation  

The deficit in cognitive reappraisal capacity is a key factor in developing and maintaining emotional disorders such as anxiety disorders and depressive disorders. However, the results from both neuroimaging and behavioral studies are mixed. Therefore, we systematically conducted a series of meta-analyses based on behavioral and neuroimaging studies to clarify this issue. In behavioral meta-analyses, we used three-level random-effects models to summarize the overall effect sizes based on Hedges' . In neuroimaging meta-analyses, we used SDM-PSI to summarize the brain activation patterns. Behavioral meta-analyses found that individuals with anxiety disorders or depressive disorders could reduce negative reactivity through reappraisal; the reduction of negative emotions through reappraisal by individuals with anxiety disorders was similar to that by healthy individuals; the reduction by depressive disorders was lower than that of healthy individuals. Neuroimaging meta-analyses showed that individuals with anxiety disorders or depressive disorders activated regions of cognitive control during cognitive reappraisal; the activation in individuals with anxiety disorders was lower than in healthy individuals; while the activation in individuals with depressive disorders was similar to that in healthy individuals. Individuals with anxiety and depressive disorders showed dissociation in behaviour and neuroimaging patterns of cognitive reappraisal capacity deficit.

中文翻译:


焦虑症或抑郁症患者的认知重评能力缺陷:行为和神经影像学研究的荟萃分析



认知重评能力的缺陷是产生和维持情绪障碍(例如焦虑症和抑郁症)的关键因素。然而,神经影像学和行为研究的结果好坏参半。因此,我们系统地进行了一系列基于行为和神经影像研究的荟萃分析来阐明这个问题。在行为荟萃分析中,我们使用三水平随机效应模型来总结基于 Hedges 的总体效应大小。在神经影像荟萃分析中,我们使用 SDM-PSI 来总结大脑激活模式。行为荟萃分析发现,患有焦虑症或抑郁症的个体可以通过重新评估来减少消极反应;焦虑症患者通过重新评估减少负面情绪的情况与健康人相似;抑郁症的减少程度低于健康个体。神经影像荟萃分析表明,患有焦虑症或抑郁症的个体在认知重新评估过程中激活了认知控制区域;患有焦虑症的人的激活程度低于健康人;而患有抑郁症的个体的激活与健康个体相似。患有焦虑症和抑郁症的个体表现出行为分离和认知重评估能力缺陷的神经影像模式。
更新日期:2024-08-13
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