Txo qhov tshwj xeeb thiab nce ntau dhau ntawm Autobiographical Memory Persist As Cognitive Vulnerabilities in Remitted Major Depression: A Meta-analysis Part 3

3.3.1|Valence teebmeem

Ntawm meta-analysing pab pawg sib txawv rau cov kev tshawb fawb uas soj ntsuam zoo valenced cues cais, cov kev tshwm sim qhia ib tug tseem ceeb sib txawv ntawm lub remissions kev nyuaj siab thiab yeej tsis depressed pab pawg neeg, nrog ib tug me me mus rau nruab nrab-loj nyhuv (k=10; g {{3} } 0.366,95% CI [ 0.676; 0.056], z=2.31, p=.020), thiab pov thawj rau heterogeneity (Q[9]=40.85, p < .001; I2=78%, τ2=.17).

Ib txoj kev tshawb fawb tsis ntev los no tau pom tias cov neeg hauv pab pawg neeg tsis muaj kev nyuaj siab feem ntau muaj kev nco zoo dua.

Nco yog ib qho ntawm cov haujlwm nyuaj ntawm tib neeg lub hlwb. Nws tsis tsuas yog pab peb nco qab txog cov kev paub dhau los tab sis kuj tseem pab peb ua cov txheej txheem thiab nkag siab cov ntaub ntawv yav tom ntej. Cov kev tshawb fawb tau pom tias cov neeg uas tsis muaj kev nyuaj siab feem ntau tuaj yeem khaws cov ntaub ntawv hauv lub cim xeeb mus ntev tau yooj yim dua thiab nco qab tau ntau dua.

Vim li cas cov neeg uas tsis muaj kev nyuaj siab muaj kev nco zoo dua? Cov kws tshawb fawb ntseeg tias qhov no yuav yog vim kev nyuaj siab ntxhov siab cuam tshuam rau lub hlwb neurochemicals, yog li cuam tshuam rau kev tsim thiab khaws cia ntawm kev nco. Tsis tas li ntawd, cov neeg uas tsis muaj kev nyuaj siab feem ntau muaj kev cuam tshuam ntau dua hauv kev sib raug zoo thiab kev kawm, uas pab lawv ua haujlwm thiab nco qab cov ntaub ntawv tshiab zoo dua.

Yog li ntawd, cov neeg uas tsis muaj kev nyuaj siab yuav ua li cas thiaj li nco tau zoo? Ua ntej, kev koom tes hauv kev sib raug zoo pab koj lub hlwb nyob twj ywm thiab yoog raws. Qhov thib ob, koj tuaj yeem siv koj lub hlwb thiab txhim kho koj lub cim xeeb los ntawm kev nyeem ntawv, kev kawm, kev ua si, thiab lwm yam. Thaum kawg, ua kom lub neej noj qab nyob zoo, xws li noj zaub mov zoo, pw tsaug zog txaus, thiab qoj ib ce me ntsis, kuj tuaj yeem pab tswj kev nco zoo.

Zuag qhia tag nrho, cov neeg tsis muaj kev nyuaj siab feem ntau muaj kev nco zoo dua vim lawv muaj peev xwm koom nrog hauv tsev kawm ntawv, thiab kev ua ub ua no, thiab tuav lub neej noj qab haus huv. Yog li ntawd, peb tuaj yeem txhim kho peb lub cim xeeb thiab txaus siab rau lub neej zoo dua los ntawm kev coj tus cwj pwm zoo rau lub neej thiab kev noj qab haus huv. Nws tuaj yeem pom tau tias peb yuav tsum txhim kho kev nco, thiab Cistanche deserticola tuaj yeem txhim kho kev nco zoo vim Cistanche deserticola yog cov khoom siv tshuaj suav tshuaj uas muaj ntau yam teebmeem, ib qho ntawm kev txhim kho kev nco. Kev ua tau zoo ntawm cov nqaij minced los ntawm ntau yam khoom xyaw uas nws muaj, nrog rau cov kua qaub, polysaccharides, flavonoids, thiab lwm yam. Cov khoom xyaw no tuaj yeem txhawb lub hlwb kev noj qab haus huv ntau txoj hauv kev.

Nyem paub ntxiv los txhim kho kev nco

Ib tug outlier twb pom (Kuyken & Dalgleish, 2011), thiab thaum tshem tawm, cov nyhuv zoo ib yam thiab marginally saum lub chaw pib rau statisticalsignificance, (k=9; g={{6 }}.250, 95% CI[ 0.517; 0.016], z=1.84,p=.065), nrog cov pov thawj rau qhov tsis tau piav qhia qhov txawv ntawm qhov kev tshawb fawb qhov loj me (Q[8 ]=26.20, p=.001; I2=69.5%, τ2=.10).

Ib yam li ntawd, rau cov kev tshawb fawb uas tshuaj xyuas qhov tsis zoo valenced cues cais, muaj qhov sib txawv tseem ceeb ntawm kev ntxhov siab thiab tsis muaj kev nyuaj siab, kuj muaj qhov cuam tshuam me me rau nruab nrab (k=10; g=0 .324, 95% CI [ 0.603; 0.046], z=2.29, p=.022) thiab pov thawj rau heterogeneity (Q[9]=32.81, p < .001; I2=72.6%, τ2=.13).

Ib qho piv txwv tau pom (Mackinger et al., 2000), thiab thaum tshem tawm, cov txiaj ntsig tau rov zoo li qub thiab qis dua qhov pib rau qhov tseem ceeb (k {{1} }; g=0.222, 95% CI[ 0.464; 0.019], z=1.80, p=.071), nrog cov pov thawj rau qhov tsis tau piav qhia qhov txawv ntawm qhov kev tshawb fawb qhov ntau thiab tsawg (Q[8 ]=26.89, p=.007;I2=61.7%, τ2=.07).

Muab hais tias qhov cuam tshuam rau cov txiaj ntsig zoo thiab qhov tsis zoo ntawm cov cues feem ntau sib tshooj hauv lawv cov kev ntseeg siab ib ntus, valence tsis tshwm sim los ua ib qho tseem ceeb hauv pab pawg sib txawv hauv cov cim tshwj xeeb.

3.3.2|Moderator tsom xam

Qhov sib txawv ntawm cov kev ntxhov siab uas tau tso tawm thiab cov pab pawg uas tsis muaj kev nyuaj siab nyob rau hauv cov cim tshwj xeeb tsis tau kwv yees los ntawm qhov sib txawv ntawm cov pab pawg hauv kev nyuaj siab mob hnyav, QM(df {{{{10}}}}})=0.2 , p=.589, b=0.123, SE=0.214, 95% CI [ 0.297;{{30}} .544], z=0.57, p=.565, los yog hnub nyoog sib txawv ntawm pab pawg, QM (df=1)=0.1, p {{21 }}.657, b=0. CI[ 0 {{1{{1{113}}5}}3}}14; 0. .5, p=.475, b=0.422, SE=0.591, 95% CI [ 0.737;1.581], z=0.71, p { {52}} .475, tus naj npawb ntawm cov cues siv rau retrieval, QM(df=1)=0.6, p=0.418, b=0.010, SE { {62}}.012, 95% CI [ 0.014;0.035], z=0.81, p=.415, retrieval duration, QM (df=1) {{74} }.2,p=.136, b=0.038, SE=0.004, 95% CI [ 0.015; 0.002], z=1.50,p=.132, kawm hnub nyoog, QM (df=1)=0.1, p=.657, b=0.010,SE=0.019, 95% CI [ 0.0002; 0.077], z=1.95, p=.051, or samplesize, QM (df=1)=1.0, p=.307, b=0.001, SE=0.001, 95% CI[ 0.001; 0.003], z=1.02, p=.307.

Hauv kev ntsuam xyuas tus naj npawb ntawm pastepisodes ntawm kev nyuaj siab raws li tus neeg saib xyuas, ib qho kev tshawb fawb ntawm cov tub ntxhais hluas (Kuyken & Dalgleish, 2011) tau raug tshem tawm vim tias qhov no tsuas yog kev tshawb fawb hauv cov qauv no tsim los ntawm cov tub ntxhais hluas thiab tias muaj tsawg dua yav dhau los kev nyuaj siab lub sijhawm yuav ua rau muaj kev ua haujlwm ntawm kev ua siab ntev. cov menyuam yaus txheeb ze rau cov qauv seem, uas feem ntau yog cov hluas rau cov neeg laus hnub nyoog nruab nrab.

Cov txiaj ntsig tau los ntawm cov kev tshawb fawb tseem tshuav (k {{0}}}) qhia tias tsis muaj pov thawj tseeb rau qhov cuam tshuam, b=0.099, SE {{4} }.070, 95% CI [ 0.237; 0.037], z=1.42,p=0.155. Cov txiaj ntsig tsis sib txawv heev thaum cov tub ntxhais hluas txoj kev kawm suav nrog.

3.3.3|Kev tshaj tawm tsis ncaj ncees

Daim duab 3 qhia txog cov phiaj xwm funnel ntawm tag nrho cov qauv ntawm kev tshawb fawb soj ntsuam tshwj xeeb. Cov txiaj ntsig ntawm Eggers 'kev sim tau qhia txog funnel plotasymmetry, cuam tshuam=2.15, 95% CI [ 3.95; 2.33], p=0. groupdifferences (k=17; g=0.212, 95% CI [ 0.487; 0.161], z=1.52,p {{25 }}). Cov txiaj ntsig ntawm P-curve tsom xam pom tias muaj lub zog txaus los kuaj pom qhov cuam tshuam, 80% (95% CI 41.5-95.9%), thiab muaj pov thawj ntawm qhov muaj txiaj ntsig 'qhov tseeb' hauv kev tshawb pom tag nrho. Ua ke, cov kev txheeb xyuas no qhia tau hais tias pom qhov sib txawv ntawm pawg neeg tsis yog qhov khoom ntawm 'p-hacking', tab sis tej zaum yuav muaj qee qhov kev tshaj tawm tsis zoo uas txo cov txiaj ntsig pom.

3.4|Cov txiaj ntsig ntawm syntheses: Categoric memoryretrieval

Muaj qhov cuam tshuam me me mus rau nruab nrab rau kev sib piv ntawm cov kev nco qab ntawm cov neeg uas muaj kev nyuaj siab rov qab los piv rau cov neeg uas tsis tau muaj kev nyuaj siab (k {{0}}; g=0.254,95% CI [ 0. Kev ntsuam xyuas rau heterogeneity qhia tias tsis muaj pov thawj tseeb rau qhov sib txawv ntawm qhov kev tshawb fawb qhov ntau thiab tsawg (Q[8]=12.49, p=.134; I2=36%, τ{{ 18}} .05). Saib daim duab 4 rau ib thaj tsam hav zoov ntawm qhov ntau thiab tsawg, suav nrog lub sijhawm kwv yees. Raws li kev txheeb xyuas kev nco tshwj xeeb, lub sijhawm kwv yees hla dhau xoom thiab qhia tias qhov cuam tshuam loj tuaj yeem qis li 0.35, siab li +0.86 lossis xoom hauv qee cov neeg hauv kev tshawb fawb yav tom ntej. Tsis muaj outliers raug kuaj pom.

3.4.1|Valence teebmeem

Ntawm meta-analysing pab pawg sib txawv rau cov kev tshawb fawb uas soj ntsuam zoo valenced cues cais, cov kev tshwm sim qhia ib tug tseem ceeb sib txawv ntawm lub remissions kev nyuaj siab thiab yeej tsis depressed pab pawg neeg, nrog ib tug me me mus rau nruab nrab-loj nyhuv (k=7; g {{3} }.339, 95%CI [0. .017), tsis muaj pov thawj tseeb ntawm heterogeneity (Q[6]=9.17, p=.164; I2=34.6%, τ2=.04 ). Tsis muaj outliers raug kuaj pom. Rau cov kev tshawb fawb uas soj ntsuam tsis zoo valenced cuesseparately, muaj ib tug me me mus rau nruab nrab tab sis tsis tseem ceeb sib txawv ntawm cov remitted kev nyuaj siab thiab yeej tsis muaj kev nyuaj siab pawg (k=7; g=0.278, 95% CI [ 0.182; 0.740], z=1.19, p=.235) andevidence for heterogeneity (Q[6]=23.99, p < .001; I2=75%, t2=.28). Tsis tau pom cov outliers. Hauv cov ntsiab lus, ib qho txiaj ntsig tseem ceeb tau pom rau cov txiaj ntsig zoo, tab sis tsis yog rau qhov tsis zoo valencedcues. Txawm li cas los xij, muab qhov zoo sib xws hauv lawv qhov loj me thiab kev ntseeg siab uas feem ntau sib tshooj, qhov no tsis tau muab pov thawj tseeb tias cue valence yog ib qho tseem ceeb ntawm pab pawg sib txawv hauv pawg.

3.4.2|Moderator tsom xam

Qhov sib txawv ntawm qhov kev nyuaj siab thiab tsis muaj kev nyuaj siab nyob rau hauv categoric nco (hla cue valences) tsis tau kwv yees los ntawm qhov sib txawv ntawm cov pab pawg hauv kev nyuaj siab mob hnyav, QM (df {{{{10}}}}}) {{1 }}.8, p=. 245, 95% CI [ 0.881;0.081], z=1.62, p=.{{70 }}}92, tsis muaj hnub nyoog sib txawv ntawm pawg, QM (df=1) {{20}} .09, p=.752, b { {24}} 0. CI [ 0. 39}})= 0.02, p=.875, b=0.111, SE=0.715, 95% CI [ 1.51; 1.29],z=0.15, p=.875, tus naj npawb ntawm cov cues siv rov qab, QM (df=1)= 0.5, p=.442, b=0.008, SE=0.011, 95% CI [ 0.031; 0.014],z=0.74, p=.454, retrieval duration, QM (df=1)=1.7, p=.190,b=0.012, SE=0.010, 95% CI[ 0.007; 0.032], z=1.23, p=.216,study age, QM (df=1)=0.2, p=.625, b=0.010, SE=0.021, 95%CI [ 0.052; 0.031], z=0.48, p=.625, lossis qauv loj, QM (df=1)= 0.0009, p=.976, b=0.002, SE=0.006, 95% CI [ 0.011; 0.011],z=0.29, p=.976. Ib zaug ntxiv, thaum ntsuas qhov kev nyuaj siab yav dhau los, kev kawm nrog cov tub ntxhais hluas raug cais tawm (Kuyken & Dalgleish, 2011). Qhov no tshuav ob peb qhov kev tshawb fawb (k=4), ntawm cov uas tsis muaj pov thawj tseeb rau kev ua haujlwm zoo, b=0.028, SE=0.071,95% CI [ 0.111; 0.167], z=0.039, p=.693. Qhov tseem ceeb, qhov kev tshuaj ntsuam no muaj lub zog qis heev.

3.4.3|Kev tshaj tawm tsis ncaj ncees

Daim duab 5 qhia txog cov phiaj xwm funnel ntawm tag nrho cov qauv ntawm cov kev tshawb fawb soj ntsuam cov cim nco. Cov txiaj ntsig ntawm Eggers 'kev sim tsis tau qhia txog qhov muaj ntawm funnel plot asymmetry, cuam tshuam=0.51, 95% CI [ 3.84; 4.87], p=.823, thiab yog li ntawd tsis txhawb nqa lub xub ntiag ntawm kev tshaj tawm tsis ncaj ncees. Cov txheej txheem trim-and-filling tsis tau hais kom ntxiv cov kev tshawb fawb. Txawm hais tias lub zog txheeb cais qis rau Eggers test (k < 10), cov txiaj ntsig tau muaj qhov tsis tseem ceeb thiab tsis qhia txog qhov tsis zoo rau qhov kev tsis ncaj ncees. Raws li muaj ob lossis tsawg dua p-tus nqi qis dua.05, qhov kev ntsuas p-kov tsis tuaj yeem ua.

4|Kev sib tham

Txoj kev tshawb no tau ua piv txwv thiab tshuaj xyuas cov ntaub ntawv tseem ceeb los tshuaj xyuas seb puas yog lossis tsis yog, thiab seb qhov twg, txo qhov tshwj xeeb lossis ntau dhau hauv cov ntaub ntawv keeb kwm keeb kwm yav dhau los txuas ntxiv tom qab tshem tawm kev nyuaj siab. Txhawm rau ua qhov no, cov kev tshawb fawb uas piv rau pawg neeg uas muaj keeb kwm ntawm kev nyuaj siab kho mob thiab tsis muaj kev nyuaj siab tam sim no rau cov neeg uas tsis muaj keeb kwm lossis kev nyuaj siab tam sim no tau suav nrog. Cov txiaj ntsig ntawm cov tshuaj ntsuam xyuas meta tau qhia tias qhov tsis txaus siab me me hauv kev rov qab los ntawm qhov tshwj xeeb, qhov xwm txheej ntawm tus kheej nco tau pom meej ntawm cov neeg uas tau raug tshem tawm los ntawm kev kho mob kev nyuaj siab. Ua ke nrog lwm cov kev tshuaj ntsuam xyuas uas twb muaj lawm uas qhia tias muaj kev kuaj mob kev nyuaj siab kuj tseem cuam tshuam nrog txo qhov tshwj xeeb (Liu li al., 2013; Williams li al., 2007), peb qhov kev tshawb pom yog li ntawd muab qee cov pov thawj rau kev paub txog kev tsis txaus siab uas pheej muaj dhau los ntawm kev nyuaj siab loj. .

Qhov no yog qhov tseem ceeb, raws li cov pov thawj qhia tau hais tias qhov nyuaj ntawm kev khaws cov xwm txheej-theem, cov cim xeeb ntawm tus kheej yog qhov tshwm sim ntawm cov tsos mob kev nyuaj siab yav tom ntej (Hallford, Rusanov, thiab al., 2021). Yog li ntawd, peb txoj kev tshawb fawb muab pov thawj ntxiv uas txo qis kev nco tshwj xeeb / kev nco ntau dhau tuaj yeem ua rau muaj kev pheej hmoo rau yav tom ntej ntawm kev nyuaj siab rau cov neeg uas raug zam txim. Qhov nruab nrab-pab pawg cov txiaj ntsig tau me dua li qhov feem ntau pom muaj kev tshawb fawb thiab kev tshuaj ntsuam xyuas meta uas piv cov neeg uas muaj kev ntxhov siab rau cov neeg uas tsis muaj kev nyuaj siab (Liu li al., 2013; Williamset al., 2007) Qhov no qhia tias tej zaum yuav muaj lwm yam txheej txheem. cuam ​​tshuam nrog kev nyuaj siab uas ua rau nco txog qhov tshwj xeeb, qhov xwm txheej-qib nco nyuaj.

Tsis muaj pov thawj muaj zog hais tias kev nco tshwj xeeb varied raws li valence ntawm cues. Qhov no qhia tau hais tias cov neeg uas muaj keeb kwm ntawm kev nyuaj siab nco qab tsawg dua qhov kev nco txog ntawm tus kheej cov xwm txheej tshwj xeeb uas tshwm sim hauv qee qhov chaw thiab lub sijhawm hauv lawv lub neej txawm hais tias qhov no tau tshwm sim los ntawm lo lus zoo lossis tsis zoo. 1: 1 yam, pov thawj qhia tias feem ntau ntawm cov lus teb ntawm AMT yuav muaj kev xav zoo ib yam nrog cov lus cue (Young et al., 2012).

Interestingly, qhov pom kev puas tsuaj nyob rau hauv autobiographical nco tsis tau piav qhia los ntawm qhov sib txawv ntawm cov tsos mob kev nyuaj siab tam sim no ntawm cov pab pawg. Yog li ntawd, nws tsis yog cov tsos mob ntawm kev nyuaj siab nyob ib puag ncig los yog feem ntau siab dua theem pib ntawm subclinical depressivesymptoms nyob rau hauv cov neeg uas muaj kev nyuaj siab remitted uas suav rau cov sib txawv. Qhov tseem ceeb heterogeneity nyob rau hauv kev soj ntsuam ntawm cov kev nco tshwj xeeb thiab categoric tsis tau piav qhia los ntawm lwm tus neeg saib xyuas ib yam nkaus. Qhov no heterogeneity yog txuam nrog kev cog qoob loo thoob plaws ib ncig ntawm qhov kev kwv yees, thiab yog li ntawd, txawm hais tias muaj tshwm sim los pom qhov sib txawv ntawm pab pawg, muaj cov tsis paub tseeb uas kwv yees tias qhov sib txawv no zoo li me me orlarger. Qhov kev pheej hmoo ntawm kev ntsuam xyuas tsis ncaj ncees tau muab qee cov pov thawj ntawm kev tsis ncaj ncees rau kev tshawb fawb qhia txog kev nco tshwj xeeb, tawm tswv yim txog kev cuam tshuam. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov sib txawv ntawm cov kev tshawb fawb tuaj yeem txwv qhov kev txhais ntawm qhov kev tshawb pom no. Muaj tsis muaj pov thawj ntawm p-hacking; Txawm li cas los xij, kev pheej hmoo ntawm kev tsis ncaj ncees hauv cov kev tshawb fawb qhia tias muaj peev xwm ua rau muaj kev txhawj xeeb thoob plaws txhua qhov kev tshawb fawb.

4.1|Cov kev txwv thiab cov lus qhia yav tom ntej

Ob peb txoj kev tshawb fawb tau tshuaj xyuas cov neeg laus, yog li txwv kev tsom xam ntawm cov hnub nyoog cuam tshuam feem ntau rau cov tub ntxhais hluas rau cov neeg laus hnub nyoog nruab nrab. Kev tshawb fawb yav tom ntej hauv cov kev nyuaj siab rov qab los rau cov neeg laus cov qauv yog xav tau. Muaj qhov tsis muaj kev tshaj tawm txog kev sib koom ua ke lossis cov tsos mob ntsig txog kev kho mob, thiab yog li ntawd, txawm tias muaj kev cuam tshuam ntxiv ntawm cov kab mob ntxiv ntawm pab pawg sib txawv tsis paub meej. Ob peb cov kev tshawb fawb tau tshaj tawm txog ob peb lub sijhawm dhau los thiab tsis muaj pov thawj tseeb tias qhov no cuam tshuam qhov kev pom zoo. Qhov no tej zaum yuav yog ib qho tseem ceeb los txiav txim siab txog kev tshawb fawb yav tom ntej tab sis, vim tias qhov hnyav ntawm lwm yam kev tsis txaus ntseeg ua haujlwm tsis txaus ntseeg uas tseem muaj tom qab kev tshem tawm ntawm kev nyuaj siab tshwm sim los ntawm cov lej ntau dua ntawm ntu dhau los (Semkovska li al., 2019) Ntxiv mus, thaum qhov no Kev tshuaj xyuas tuaj yeem lees paub qhov tsis txaus hauv cov cim xeeb tshwj xeeb, thiab muaj lub siab xav rov qab ntau dua ntawm cov kev nco qab, hauv kev nyuaj siab rov qab los, nws tsis tuaj yeem paub tseeb tias qhov no yog qhov ua ntej rau tib neeg qhov pib rov, lossis qhov no tshwm sim los ntawm kev nyuaj siab thiab tom qab ntawd txuas ntxiv ua qhov pheej hmoo. rau yav tom ntej ntu, uas yog, qhov 'scar' hypothesis rau kev nyuaj siab (Lewinsohn li al., 1981). Cov kev tshawb fawb yav tom ntej yog xav tau los ntsuam xyuas yog tias cov neeg uas muaj kev nyuaj siab hauv tsev kho mob twb muaj qhov tseem ceeb ua ntej mob ntshav qab zib ntau dua li cov neeg uas tsis muaj kev nyuaj siab kho mob lossis seb cov kev tsis txaus no tshwm sim thiab ua rau muaj kev nyuaj siab hauv chaw kho mob.

Txoj kev tshawb fawb tam sim no tsuas yog tsom rau ntawm AMT thiab qhov ntsuas ntawm kev nco tshwj xeeb / overgenerality hauv kev nyuaj siab rov qab. Thaum qhov no yog qhov kev tsom xam ua ntej ntawm txoj kev tshawb fawb, thiab AMT yog txoj haujlwm feem ntau siv nyob rau hauv cov ntaub ntawv tshwj xeeb ntawm kev nco (Barry, Hallford, & Takano, 2021), nws txhais tau tias tsuas yog ib daim duab txwv ntawm kev nco txog kev mob siab rau hauv kev nyuaj siab yog. nthuav tawm. Lwm yam, cov yam ntxwv cuam tshuam ntawm autobiographical nco tau lees paub txoj kev tshawb fawb hauv kev nyuaj siab rau yav tom ntej, xws li cov ntsiab lus ntawm cov ntsiab lus lossis cov ntsiab lus (Hallford, Barry, et al., 2021) thiab kev siv cov duab puas hlwb (Mansell & Lam, 2004). Nws yog ib qho tseem ceeb tonote tias txawm hais tias cov pov thawj tau pom rau cov ntsiab lus tseem ceeb ntawm pab pawg sib txawv siv cov ntaub ntawv muaj, muaj cov kev tshawb fawb tsis muaj txiaj ntsig thiab kev tshawb fawb nrog cov kev cuam tshuam hauv qhov kev coj ua (txawm tias tsis tseem ceeb). Tsis tas li ntawd, cov kev kwv yees luv luv tau qhia tias cov kev tshawb fawb yav tom ntej yuav pom tsis muaj qhov sib txawv lossis qhov sib txawv ntawm qhov kev taw qhia nyob rau hauv cov kev tshawb fawb yav tom ntej. Nws tsis paub meej tias vim li cas qhov no yuav yog qhov teeb meem, vim tias tsis muaj cov neeg saib xyuas pom tseeb ntawm pab pawg sib txawv hauv cov ntaub ntawv muaj. Yog li ntawd, tsis muaj lub teeb liab qhia meej tias yam twg yuav ua rau tsis muaj txiaj ntsig lossis muaj kev cuam tshuam. Muab cov txiaj ntsig uas tau pom tsis muaj ntau, nws muaj peev xwm hais tias qee qhov kev hloov pauv no yog vim qhov kev ua piv txwv yuam kev, thiab feem ntau cov kev tshawb fawb muaj cov qauv me me.Txawm li cas los xij, cov kev tshawb fawb yav tom ntej yuav tsum txuas ntxiv mus suav nrog cov khoom muaj peev xwm hloov pauv, tsis txwv rau cov ntawm no. Cov kev tshawb fawb ntxiv nyob rau hauv kev nyuaj siab remitted kuj tshwm sim los tsim kom muaj kev ruaj ntseg ntawm qhov kev tshawb pom.

Lwm qhov kev txwv ntawm txoj kev tshawb no yog tias nws tsis ncaj qha piv rau qhov tshwj xeeb ntawm cov neeg uas muaj kev nyuaj siab thiab kev nyuaj siab tam sim no. Tseeb, qhov sib txawv tau pom ntawm no ntawm cov neeg uas muaj kev nyuaj siab rov qab los thiab cov uas tsis muaj keeb kwm ntawm kev nyuaj siab yog qhov tshwj xeeb me dua li cov kev pom ntawm kev nyuaj siab tam sim no thiab tsis muaj keeb kwm ntawm kev nyuaj siab (Barry, Hallford, & Takano, 2021). Qhov no txhais tau li cas? Cov txheej txheem cuam tshuam nrog txo qhov tshwj xeeb / overdensity thiab kev nyuaj siab, xws li ruminationor executive functioning deficits, tsis tas yuav daws cov tsos mob kev nyuaj siab. Tseeb, ntau dua rummination (Vistedet al., 2018) thiab kev ua haujlwm tsis zoo (Rock et al., 2014) tau tshwm sim los ua tus yam ntxwv ntawm kev nyuaj siab rov qab hais tias lawv nyob ib leeg ib zaug ib tus neeg tsis ua raws li cov txheej txheem rau kev nyuaj siab loj thiab tuaj yeem cuam tshuam kev nkag mus rau cov ntaub ntawv keeb kwm tshwj xeeb. Memories.Lwm qhov muaj peev xwm yog tias nws sawv cev txuas ntxiv ntawm cov lus teb ntawm kev ua haujlwm ntawm kev ua haujlwm zam kev nco tshwj xeeb. Williams et al.(2006) tau npaj siab tias tib neeg yuav zam kom tsis txhob rov qab qhov tsis zoo valencedspecific nco raws li kev tswj hwm lawv txoj kev xav thiab lub sij hawm dhau los qhov kev nyiam no yuav dhau los ua kev them nyiaj ntau dua thiab ua rau muaj kev nyiam zam txhua qhov tshwj xeeb, hauv cov hlab ntsha ntawm 'zoo dua. nyab xeeb tshaj kev thov txim' (van den Bergh li al., 2021). Yog li ntawd, txawm hais tias cov tsos mob ntawm kev nyuaj siab yuav nyob twj ywm, txoj kev xav kom tsis txhob nco txog tej yam yuav tshwm sim.

Txog kev tshawb fawb yav tom ntej, txoj kev tshawb fawb no qhia tias kev nco tshwj xeeb yog lub hom phiaj tsim nyog rau kev cuam tshuam tsis yog hauv kev kho mob ntawm kev nyuaj siab (Barry, Hallford, Hitchcock, et al., 2021) tab sis tseem muaj peev xwm txo qis kev rov qab los. Hmoov zoo, tam sim no muaj pov thawj pom tseeb tias qhov tshwj xeeb ntawm kev nco yog qhov hloov pauv ntawm kev txawj ntse, ob qho tib si hauv kev kuaj mob thiab tsis yog kuaj mob (Barry, Sze, & Raes, 2019). Tseeb, kev tshawb fawb tsis ntev los no tau qhia tias kev txhim kho hauv kev nco tshwj xeeb tuaj yeem ua tiav los ntawm lub ntsej muag (Barry, Sze, & Raes, 2019) thiab automated, online txoj kev (Hallford, Austin, li al., 2021).

Raws li txo qhov tshwj xeeb / ntau tshaj plaws ntawm tus kheej kev nco tau tshwm sim los ntawm kev kuaj mob hauv qhov xwm txheej (Barry, Hallford, & Takano, 2021), nws yuav zoo dua li kev zam txim rau lwm yam kev puas siab puas ntsws.Los ntawm peb qhov kev tshawb nrhiav cov ntaub ntawv, muaj pov thawj me ntsis ntawm kev tshawb fawb. uas tshawb xyuas qhov no sab nraud ntawm kev nyuaj siab, thiab yog li ntawd, qhov no yog ib txoj hauv kev rau kev tshawb fawb yav tom ntej. Lwm qhov kev xav txog kev tshawb fawb yav tom ntej yog tias yav tom ntej kev xav tshwj xeeb kuj tseem txo qis hauv cov neeg mob kev nyuaj siab (Hallford, Austin, li al., 2018), thiab seb puas los yog tsis yog cov teeb meem no tseem muaj dhau los tsis tau kuaj.

4.2|Xaus

Hauv kev xaus, qhov kev tshuaj xyuas no muab pov thawj tias cov neeg uas tau txais kev kho mob los ntawm kev nyuaj siab hauv kev kho mob muaj teeb meem los khaws cov kev nco txog keeb kwm yav dhau los thiab rov nco qab ntau yam kev nco, txheeb ze rau cov uas tsis muaj keeb kwm ntawm kev nyuaj siab. Txawm hais tias cov teebmeem no tsuas yog me me mus rau nruab nrab ntawm qhov loj, nws yog ib qho tseem ceeb uas paub tias yuav kwv yees cov tsos mob kev nyuaj siab yav tom ntej. Qhov kev paub tias qhov nyuaj no tseem muaj ntxiv txawm tias tib neeg tsis muaj kev nyuaj siab tuaj yeem qhia cov kev pab cuam tsim los txo kev nyuaj siab rov qab los thiab lub nra hnyav ntawm tus kheej thiab lub neej ntawm tus mob no.

TXOJ CAI

Qhib kev tshaj tawm kev tshaj tawm los ntawm Deakin University, uas yog ib feem ntawm Wiley - Deakin University kev pom zoo los ntawm Council of AustralianUniversity Librarians.

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