Étude de la structure de la rumination dispositionnelle chez les adultes autistes : une analyse de réseau
Titre original en anglais : Investigating the structure of trait rumination in autistic adults: A network analysis
Williams, Z. J., McKenney, E. E., & Gotham, K. (2021). Investigating the structure of trait rumination in autistic adults: A network analysis. Autism, 25(7), 2048-2063. https://doi.org/10.1177/13623613211012855
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Résumé
La rumination, une forme de pensée négative passive et répétitive, prédit le développement de troubles dépressifs chez les personnes non autistes, et des travaux récents suggèrent que des niveaux plus élevés de rumination pourraient contribuer aux taux élevés de dépression dans la population autiste. À l'aide d'une analyse de réseau psychologique, cette étude visait à examiner la structure de la rumination chez les personnes autistes et les relations entre la rumination et les symptômes dépressifs individuels. Des réseaux de corrélations partielles non régularisés ont été estimés à partir de données transversales recueillies auprès de 608 adultes autistes ayant rempli la Ruminative Responses Scale et le Beck Depression Inventory-II. Des indices de centralité des nœuds ont été calculés afin de déterminer quels symptômes spécifiques pouvaient exercer une influence disproportionnée sur le réseau de pensées négatives répétitives. Les nœuds ont également été regroupés en communautés, et des nœuds « passerelles » spécifiques ont été identifiés comme reliant le plus fortement ces différentes communautés. Les résultats ont montré de fortes relations positives entre toutes les facettes de la pensée ruminative, à l'instar d'une étude antérieure menée auprès d'adultes non autistes. Les cognitions négatives dirigées vers soi semblaient particulièrement centrales dans ce réseau. Les symptômes de dépression les plus fortement liés à la rumination chez les adultes autistes étaient la tristesse et la culpabilité. Bien que ces résultats soient préliminaires, ils mettent en évidence des facettes spécifiques de la rumination qui justifient des études futures en tant que facteurs de risque de dépression et cibles potentielles d'intervention dans la population autiste. Résumé grand public Les adultes autistes sont considérablement plus susceptibles de développer une dépression que les personnes de la population générale, et des recherches récentes ont indiqué que certaines différences dans les styles de pensée associés à l'autisme pourraient jouer un rôle dans cette association. La rumination, l'acte de penser sans cesse à la même chose sans résultat fonctionnel, est un facteur de risque important de dépression chez les adultes autistes et non autistes. Cependant, on sait peu de choses sur la manière dont différents types de rumination sont liés les uns aux autres et aux symptômes dépressifs spécifiquement dans la population autiste. Afin de combler cette lacune dans les connaissances, nous avons recruté un large échantillon en ligne d'adultes autistes, qui ont rempli des questionnaires évaluant à la fois la tendance à ruminer et les symptômes de dépression. En examinant le réseau d'interactions entre la rumination et les symptômes de dépression, cette étude a permis d'identifier des aspects particuliers de la rumination, tels que penser de manière répétitive à ses sentiments de culpabilité ou se critiquer soi-même, qui pourraient être particulièrement importants pour maintenir ces schémas de pensée nocifs chez les adultes autistes. Bien que des études supplémentaires soient nécessaires, il est possible que les symptômes identifiés comme les plus « influents » dans le réseau soient des cibles particulièrement pertinentes pour de futures interventions concernant les troubles de l'humeur et anxieux dans la population autiste.
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