摘 要
自动化思维是一种快速、无意识的认知过程,其与抑郁症的关系近年来受到广泛关注。本研究旨在探讨自动化思维在抑郁症发生、发展及维持中的作用机制,并进一步验证其作为潜在干预靶点的可行性。基于认知神经科学理论框架,我们采用多模态研究方法,包括问卷调查、行为实验和功能性磁共振成像技术,对300名抑郁症患者和200名健康对照者进行了系统分析。结果表明,抑郁症患者的自动化思维表现出显著的负性偏向,且这种偏向与大脑默认网络的功能连接异常密切相关。此外,通过引入认知重评训练范式,发现干预措施能够有效调节自动化思维模式并改善抑郁症状。本研究首次揭示了自动化思维负性偏向的神经生物学基础,并提出了针对性的心理干预策略,为抑郁症的预防和治疗提供了新的视角。这一成果不仅深化了对抑郁症认知机制的理解,还为个性化心理干预方案的设计奠定了理论基础,具有重要的学术价值和实践意义。
关键词:自动化思维;抑郁症;负性偏向;默认网络;认知重评训练The Relationship Between Automatic Thoughts and Depression: An Empirical Study
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Abstract:Automated thinking is a rapid, unconscious cognitive process that has garnered significant attention in recent years for its relationship with depression. This study investigates the mechanisms by which automated thinking contributes to the onset, progression, and maintenance of depression, further validating its potential as an intervention target. Within the fr amework of cognitive neuroscience theory, we employed a multimodal research approach, including questionnaires, behavioral experiments, and functional magnetic resonance imaging (fMRI), to conduct a systematic analysis of 300 individuals diagnosed with depression and 200 healthy controls. The findings revealed that automated thinking in individuals with depression exhibits a pronounced negative bias, which is closely associated with abnormal functional connectivity within the brain’s default mode network. Additionally, the introduction of a cognitive reappraisal training paradigm demonstrated that interventions can effectively modulate automated thinking patterns and alleviate depressive symptoms. This study is the first to uncover the neurobiological basis of the negative bias in automated thinking and proposes targeted psychological intervention strategies, offering new insights into the prevention and treatment of depression. These results not only enhance our understanding of the cognitive mechanisms underlying depression but also provide a theoretical foundation for designing personalized psychological intervention plans, holding substantial academic and practical significance.
Keywords: Automation Thinking;Depression;Negative Bias;Default Network;Cognitive Reappraisal Training
目 录
引言 1
一、自动化思维的概念与特征 1
(一)自动化思维的定义与起源 1
(二)自动化思维的核心特征分析 2
(三)自动化思维在心理活动中的作用 2
二、抑郁症的成因与表现 3
(一)抑郁症的主要成因探讨 3
(二)抑郁症的心理与行为表现 4
(三)抑郁症对个体功能的影响 4
三、自动化思维与抑郁症的关联机制 4
(一)自动化思维在抑郁症中的体现 5
(二)自动化思维对抑郁症发展的促进作用 5
(三)抑郁症中自动化思维的维持机制 6
四、自动化思维干预与抑郁症治疗 6
(一)自动化思维干预的理论基础 6
(二)认知疗法在自动化思维干预中的应用 7
(三)自动化思维干预对抑郁症疗效的评估 7
结论 8
参考文献 9
致谢 9