抑郁症患者的自传体记忆特征及其应用自传体记忆测验的元分析

The Autobiographical Memory Characteristics of Patients with Depressive Disorder and the Appliance of the Autobiographical Memory Test:A Meta-Analysis

研究目的在于探讨抑郁症患者自传体记忆的特征以及自传体记忆测验(the autobiographical memory test,AMT)在该领域的应用情况。通过文献检索,搜集了18篇应用AMT作为测评工具的抑郁症自传体记忆研究,抑郁症患者566人,正常对照组457人。元分析研究发现,和正常对照组比较,抑郁症组的具体性记忆减少,概括化记忆增多,反应迟缓。目前对这种现象的解释主要有功能性回避模型、认知执行受损模型和沉思模型;年龄、抑郁情绪以及AMT测试程序对测试结果有明显影响;发表偏倚和敏感性分析显示存在发表偏倚,但稳定性较好。AMT在抑郁症研究存在灵敏度不足等局限,作者从AMT程序、研究设计等方面提出了改善建议。

To explore the autobiographical memory characteristics of patients with depressive disorder and the appliance of the autobiographical memory test（AMT） in this field.In the present study,18 retrievaled literatures were used,including 566 patients with depressive disorder and 457 normal controls.The results of meta-ananlysis showed that,compared with the control group,the clinical group reported less special autobiographical memories and more overgeneral autobiographical memories,and recalled more slowly.The fuctional avoidance model,the reduced cognitive execution model and the rumination model were the dominant theories to explain such phenomenon in these literatures.The results of AMT were influenced by age,depression mood and the characteristics of AMT.The publication bias and sensitivity analysis showed that the present sdudy had good stability although it had publication bias.The AMT had some limitations in the researches on depressive disorder such as poor sensitivity,and some recommendations on AMT,program research design,and so on,were given for the future researches.