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Oversampled and undersolved: Depressive rumination from an active inference perspective.
Berg, Max; Feldmann, Matthias; Kirchner, Lukas; Kube, Tobias.
Afiliación
  • Berg M; Philipps-University of Marburg, Dept. of Psychology, Division of Clinical Psychology and Psychotherapy, Gutenbergstraße 18, D-35032 Marburg, Germany. Electronic address: bergmax@staff.uni-marburg.de.
  • Feldmann M; Philipps-University of Marburg, Dept. of Psychology, Division of Clinical Psychology and Psychotherapy, Gutenbergstraße 18, D-35032 Marburg, Germany; Department of Clinical Psychology and Psychotherapy, University of Greifswald, Franz-Mehring-Straße 47, D-17489 Greifswald, Germany.
  • Kirchner L; Philipps-University of Marburg, Dept. of Psychology, Division of Clinical Psychology and Psychotherapy, Gutenbergstraße 18, D-35032 Marburg, Germany.
  • Kube T; Department of Psychology, Clinical Psychology and Psychotherapy, University of Koblenz-Landau, Ostbahnstraße 10, D-76829 Landau, Germany.
Neurosci Biobehav Rev ; 142: 104873, 2022 11.
Article en En | MEDLINE | ID: mdl-36116573
Rumination is a widely recognized cognitive deviation in depression. Despite the recognition, researchers have struggled to explain why patients cannot disengage from the process, although it depresses their mood and fails to lead to effective problem-solving. We rethink rumination as repetitive but unsuccessful problem-solving attempts. Appealing to an active inference account, we suggest that adaptive problem-solving is based on the generation, evaluation, and performance of candidate policies that increase an organism's knowledge of its environment. We argue that the problem-solving process is distorted during rumination. Specifically, rumination is understood as engaging in excessive yet unsuccessful oversampling of policy candidates that do not resolve uncertainty. Because candidates are sampled from policies that were selected in states resembling one's current state, "bad" starting points (e.g., depressed mood, physical inactivity) make the problem-solving process vulnerable for generating a ruminative "halting problem". This problem leads to high opportunity costs, learned helplessness and diminished overt behavior. Besides reviewing evidence for the conceptual paths of this model, we discuss its neurophysiological correlates and point towards clinical implications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Solución de Problemas / Depresión Límite: Humans Idioma: En Revista: Neurosci Biobehav Rev Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Solución de Problemas / Depresión Límite: Humans Idioma: En Revista: Neurosci Biobehav Rev Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos