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Mind wandering and depression: A status report

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PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.neubiorev.2021.12.028

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Mind wandering; Depression; Rumination; Experience sampling; Sustained attention-to-response task (SART); Self-report scales; Meta-awareness

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This study reviews and discusses the role of mind wandering (MW) in depression, with a focus on its relation to rumination. While there is limited information available on MW in depression, the existing studies provide some insights into this topic. However, further research is needed to compare patients with depression to healthy controls, measure both MW and rumination, and explore biases in the assessment of MW.
While many clinical studies and overviews on the contribution of rumination to depression exist, relatively little information regarding the role of mind wandering (MW) in general is available. Therefore, it remains an open question whether patterns of MW are altered in depression and, if so, how these alterations are related to rumination. Here, we review and discuss studies investigating MW in cohorts, showing either a clinically significant depression or with clinically significant disorders accompanied by depressive symptoms. These studies yield first tentative insights into major issues. However, further investigations are required, specifically studies which: i) compare patients with a primary diagnosis of major depression with healthy and appropriately matched controls, ii) implement measures of both MW and rumination, iii) are based on experience sampling (in combination with other key approaches), iv) compare experience sampling during daily life, resting state and attentional tasks, v) explore possible biases in the assessment of MW, vi) acquire data not only related to the propensity and contents of MW, but also regarding meta-awareness and intentionality.

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