RESUMO
Perseverative thinking (PT), such as rumination or worry, is a transdiagnostic process implicated in the onset and maintenance of emotional disorders. Existing measures of PT are limited by demand and expectancy effects, cognitive biases, and reflexivity, leading to calls for unobtrusive, behavioral measures. In response, we developed a behavioral measure of PT based on language. A mixed sample of 188 participants with major depressive disorder, generalized anxiety disorder, or no psychopathology completed self-report PT measures. Participants were also interviewed, providing a natural language sample. We examined language features associated with PT, then built a language-based PT model and examined its predictive power. PT was associated with multiple language features, most notably I-usage (e.g., "I", "me"; ß = 0.25) and negative emotion language (e.g., "anxiety", "difficult"; ß = 0.19). In machine learning analyses, language features accounted for 14% of the variance in self-reported PT. Language-based PT predicted the presence and severity of depression and anxiety, psychiatric comorbidity, and treatment seeking, with effects in the r = 0.15-0.41 range. PT has face-valid linguistic correlates and our language-based measure holds promise for assessing PT unobtrusively. With further development, this measure could be used to passively detect PT for deployment of "just-in-time" interventions.
Assuntos
Transtorno Depressivo Maior , Humanos , Transtorno Depressivo Maior/terapia , Transtorno Depressivo Maior/psicologia , Cognição , Ansiedade/psicologia , Transtornos de Ansiedade/psicologia , Depressão/psicologia , IdiomaRESUMO
Within-couple concordance in momentary cortisol levels ("cortisol linkage") may reflect meaningful relationship dynamics. In this study, we examined couple cortisol linkage during pregnancy, associations with negative conflict couple behavior, and subsequent postpartum depressive symptoms. Eighty-two opposite-sex couples expecting their first child engaged in a conflict discussion, provided six salivary cortisol samples over the course of a laboratory visit, and then reported on depressive symptoms six months after their baby's birth. Couples' cortisol levels were significantly positively associated with each other, indicating linkage. When mothers and fathers behaved less negatively during the prenatal conflict discussion, they exhibited stronger couple cortisol linkage. Stronger cortisol linkage also predicted fewer postpartum depressive symptoms for fathers. Negative conflict behavior did not moderate the association between cortisol linkage and postpartum depression. These findings suggest that stronger physiological associations between partners during pregnancy may reflect healthier relationship interactions and be beneficial to fathers' postpartum mental health.