Characteristics of implicit schemas in patients with major depressive disorder  

作　　者：Jiayu Yao Qingqing Lin Ziwei Zheng Shuangyi Chen Yuan Wang Wenhui Jiang Jianyin Qiu 

机构地区：[1]Department of Psychological Counseling&Psychotherapy,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai,China

出　　处：《General Psychiatry》2022年第3期183-191,共9页综合精神医学（英文）

基　　金：supported by grants from the Shanghai Mental Health Center(No.CRC2017YB01)and from Science and Technology Commission of Shanghai Municipality(No.21Y11905400).

摘　　要：Background Many psychotherapy theories emphasise the importance of self-schema and other-schema,but most previous studies focused on the explicit self-schema in major depressive disorder(MDD).However,the limited studies of implicit self-schema in MDD have shown inconsistencies in their findings.Furthermore,only a few studies have investigated the implicit other-schema,and the pathway illustrating how implicit schemas influence depression remains unclear.Aims The primary aim of our study was to explore the characteristics of implicit self-schema and otherschema in patients with MDD.We also examine the chain-mediating effect of attachment relationships and interpersonal trust.Methods The present study included 88 patients with MDD and 88 healthy controls(HCs).The Hamilton Depression Rating Scale-17,Experiences in Close Relationships Inventory—Revised Questionnaire,Trust Scale and the Extrinsic Affective Simon Task(EAST)were used to assess depressive symptoms,attachment relationships,interpersonal trust and implicit schemas,respectively.Paired sample t-test was used to compare the reaction time(RT)for positive and negative words within the two groups.Analysis of covariance was used to explore the difference between two groups from the perspective of implicit schemas and interpersonal patterns.The chain mediation model was verified by bootstrap.Results(1)For interpersonal patterns,patients with MDD scored significantly higher on attachment anxiety(F=82.150,p<0.001)and attachment avoidance(F=23.192,p<0.001)and scored significantly lower on the predictability(F=30.297,p<0.001),dependence(F=39.728,p<0.001)and faith(F=60.997,p<0.001)dimensions of interpersonal trust.(2)As for implicit schemas,no significant difference was found between the RT for positive self-words and negative self-words in patients with MDD(t=−1.056,p=0.294).However,the HC responded faster to positive self-words than negative self-words(t=−3.286,p=0.001).The RT for positive other-words and negative other-words were significantly different in bot

关 键 词：PATIENTS SCHEMA IMPLICIT 

分 类 号：R749.4[医药卫生—神经病学与精神病学]