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Cognitive and emotional processing of pleasant and unpleasant experiences in major depression: A matter of vantage point?
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2017 (English)In: Journal of Behavior Therapy and Experimental Psychiatry, ISSN 0005-7916, E-ISSN 1873-7943, Vol. 54, p. 254-262Article in journal (Refereed) Published
Abstract [en]

Background and Objectives In nonclinical populations, adopting a third-person perspective as opposed to a first-person perspective while analyzing negative emotional experiences fosters understanding of these experiences and reduces negative emotional reactivity. We assessed whether this generalizes to people with major depression (MD). Additionally, we assessed whether the emotion-reducing effects of adopting a third-person perspective also occur when subjects with MD and HC subjects analyze positive experiences. Methods Seventy-two MD subjects and 82 HC subjects analyzed a happy and a negative experience from either a first-person or a third-person perspective. Results Unexpectedly, we found no emotion-reducing effects of third-person perspective in either group thinking about negative events. However, across groups, third-person perspective was associated with less recounting of negative experiences and with a clearer, more coherent understanding of them. Negative affect decreased and positive affect increased in both groups analyzing happy experiences. In MD subjects, decreases in depressive affect were stronger for the third-person perspective. In both groups, positive affect increased and negative affect decreased more strongly for the third-person perspective. Limitations While reflecting on their positive memory, MD subjects adopted their assigned perspective for a shorter amount of time (70%) than HC subjects (78%). However, percentage of time participants adopted their assigned perspective was unrelated to the significant effects we found. Conclusions Both people suffering from MD and healthy individuals may benefit from processing pleasant experiences, especially when adopting a self-distant perspective.

Place, publisher, year, edition, pages
Elsevier Ltd , 2017. Vol. 54, p. 254-262
Keywords [en]
adult, aged, agoraphobia, Article, bulimia, Center for Epidemiological Studies Depression Scale, cognition, comparative study, controlled study, disease association, DSM-IV, emotion, female, generalized anxiety disorder, human, major clinical study, major depression, male, medical history, mental patient, mini international neuropsychiatric interview, obsessive compulsive disorder, panic, personal experience, Positive and Negative Affect Schedule, posttraumatic stress disorder, social phobia, adolescent, analysis of variance, anxiety disorder, Cognition Disorders, complication, emotion, major depression, middle aged, neuropsychological test, phobia, physiology, psychological rating scale, psychology, recall, young adult, Adolescent, Adult, Aged, Analysis of Variance, Anxiety Disorders, Cognition Disorders, Depressive Disorder, Major, Emotions, Female, Humans, Male, Mental Recall, Middle Aged, Neuropsychological Tests, Obsessive-Compulsive Disorder, Phobic Disorders, Psychiatric Status Rating Scales, Young Adult
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URN: urn:nbn:se:miun:diva-44533DOI: 10.1016/j.jbtep.2016.09.001Scopus ID: 2-s2.0-84988872597OAI: oai:DiVA.org:miun-44533DiVA, id: diva2:1641991
Available from: 2022-03-03 Created: 2022-03-03 Last updated: 2022-03-03Bibliographically approved

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Pfaltz, Monique C.

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