Depressive reactions and unemployment.

Investigated correlates of situation-specific depressive affect associated with unemployment and correlates of more general depressive symptoms assessed by the Beck Depression Inventory (BDI) for 116 15–32 yr old unemployed Ss. Consistent with a frustrated work-motivation pattern, depressive affect was associated with concern about being unemployed and with stronger endorsement of external causes of unemployment. Consistent with a self-blame view of depression, BDI scores were related to stronger endorsement of internal causes for unemployment, to low self-esteem, and to feelings of helplessness. Stronger endorsement of internal causes was found among those Ss with a longer history of unemployment. Multiple regression analyses showed, however, that the attributional variables accounted for a relatively low proportion of the variance in the depression measures. Results question the adequacy of attributional accounts of depression. (44 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of the Beck Depression Inventory in veterans with spinal cord injury.

Hypothesized that 7 Beck Depression Inventory items would be poor discriminators between depressed and nondepressed spinal cord injury Ss. To test this hypothesis, 124 veterans (aged 19–79 yrs) with spinal cord injury were administered the Beck Depression Inventory and evaluated for the presence of a major depressive episode. Ss were first administered the Mini-Mental Status Examination, interviewed and then administered the Beck Depression Inventory. Discriminant function analysis revealed that 3 of the 7 items were poor discriminators. Since clinicians are faced with the dilemma of deciding whether endorsement of Beck Depression Inventory items is indicative of depressive symptomatology or the sequelae of spinal cord injury, the authors derived cut scores appropriate for spinal cord injury patients. Data on the sensitivity and specificity of these cut scores are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Magnetic resonance imaging correlates of depression in early- and late-onset Alzheimer''s disease

Even today psychotic depression is connected to a lot of unanswered questions. A self-questionnaire (BFD) was developed in order to evaluate cognitions corresponding to mood congruent depressive delusions. They were assumed to indicate psychotic depression and to be related to severity of the depressive syndrome. 42 depressed inpatients were examined by the BFD, the Hamilton Depression Scale (HAMD) and the Beck Depression Inventory (BDI). BFD scores were found increased in psychotic depression (p = 0.009) and correlated to BDI scores (p = 0.002). 19 re-examined patients showed a significant improvement in HAMD and BDI scores but not concerning the delusion indicating cognitions (BFD), which were significantly correlated to suicidality items of BDI and HAMD (p = 0.005). The results prove the delusion indicating nature of cognitions measured by the BFD and their correlation to severe depression. Differences in treatment response are indicated and persisting or increasing BFD scores seem to be accompanied by more severe suicidal tendency.     

Children of depressed mothers: Maternal strain and symptom predictors of dysfunction.

Because of both methodological and theoretical limitations, previous studies of offspring of parents with affective disorders have rarely tested psychosocial models of depressive vulnerability. The current research is part of a longitudinal investigation of psychosocial risk for disorder in 8- to 16-year-old children of unipolar, bipolar, medically ill, and normal mothers. High rates of psychopathology, including depression, were found in children in the high-risk groups. The current study evaluated the separate contributions of maternal depressive history, current self-reported depressive symptoms (Beck Depression Inventory scores), and chronic strains to observe relations between these ordinarily confounded variables and children's psychiatric diagnoses and current functioning. Hierarchical regression analyses indicated that chronic strain added significantly to the prediction of several outcomes and that current depressive symptoms were more predictive of children's scores than was maternal history of affective disorder. Both chronic strains and current Beck Depression Inventory scores are viewed as concomitants of affective disorder but are not specific to it. Therefore studies of the risk to children conferred by parental disorder cannot assume that diagnostic status as such is a single risk factor and must attend to the effects of ongoing stressors and nonspecific symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictive relation of automatic thoughts and student efficacy to depressive symptoms in undergraduates.

Examined the relative contribution to subsequent depression of automatic thoughts and self-efficacy, after controlling for initial depressive symptoms, life events stress, and social support. 49 undergraduates completed a test battery that included the Beck Depression Inventory, the Automatic Thoughts Questionnaire (ATQ; S. D. Hollon and P. C. Kendall [see PA, Vol 66:180]) and the Life Events Scale twice at monthly intervals. Initial scores on the ATQ and on a measure of efficacy each predicted subsequent depressive symptoms. Automatic thoughts and perceived self-efficacy may serve additive predisposing roles in depression. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Affective ratings and startle modulation in people with nonclinical depression.

This study tested predictions based on the emotion context insensitivity (ECI) hypothesis of Rottenberg, Gross, and Gotlib (2005) that a nonclinical sample of people with depressive symptoms would show reduced responses to both positive and negative stimuli relative to people without depression and would show an enhanced response to novelty. Seventy individuals completed diagnostic questionnaires, made ratings of 21 affectively valenced pictures, and then viewed the same 21 pictures and 21 novel pictures while startle blink responses were recorded from electromyographic activity of the orbicularis oculi. People with scores on the Beck Depression Inventory (BDI; Beck, Ward, Mendelson, Mock, & Erbaugh, 1961) indicative of depression demonstrated a lack of affective startle modulation compared to the nondepression group. For all participants, the startle response was larger for novel pictures than for previously viewed pictures, but scores on the BDI were not related to response to novelty. Taken together, the results suggest that nonclinical depression is associated with a lack of affective modulation of startle, as has been shown for clinical depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive distortion, helplessness, and depressed mood in rheumatoid arthritis: A four-year longitudinal analysis.

Cognitive models of depression have been invoked to explain the development of depressive symptoms and disorders in patients with chronic pain. However, few long-term, prospective studies have examined A. T. Beck's (1967, 1987) model in this context. 72 patients with rheumatoid arthritis completed the Beck Depression Inventory, the Cognitive Errors Questionnaire, and the Arthritis Helplessness Index during an initial assessment and again 4 yrs later. Initial levels of cognitive distortion were significantly related to follow-up levels of depressed mood, controlling for initial depression levels. This was also true for perceptions of helplessness. In contrast, initial depression levels did not predict changes in these cognitive processes. Results suggest that cognitive distortion and helplessness contribute to depressed mood among patients with arthritis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Nonparametric item analyses of the Beck Depression Inventory: Evaluating gender item bias and response option weights.

Nonparametric item response models were used to investigate the psychometric properties of the Beck Depression Inventory in depressed outpatient (N?=?648) and nonpatient college (N?=?1,182) samples. The authors examined item bias between men and women as a function of severity of depression and distinguished group mean differences from item bias. They also assessed the appropriateness of the weights assigned to response option categories. In both depressed outpatient and nonpatient college samples, most items and options discriminated individuals differing in degree of depression, and little gender item bias existed between men and women. Estimated response option weights did, however, correspond more closely to a priori weights in the depressed outpatient sample than in the nonpatient college sample. The greatest amount of bias was observed in Item 14, assessing distortion of body image. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Changes in depressive self-schemata and depressive symptoms following cognitive therapy.

Examined the effects of 6–8 sessions of Beck's cognitive therapy on mildly and moderately depressed college students' depressive symptoms and depressive self-schemata. Participants were randomly assigned to either cognitive therapy (n?=?31) or no treatment (n?=?43). The Beck Depression Inventory was used to assess depressive symptoms, and self-referent judgment, recall, and reaction time (RT) measures were used to assess depressive self-schemata. Results support the efficacy of cognitive therapy in reducing depressive symptoms and depressive self-schemata, as measured by self-referent judgment and self-referent recall. The reduction in the recall of negative self-referent judgments may play a role in the outcome of cognitive therapy for depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Group treatment of depression: Individual predictors of outcome.

The present study attempted to identify patient characteristics predictive of individual outcome in a psychoeducational group treatment for unipolar depression. Forty participants meeting Research Diagnostic Criteria for depressive disorders were assessed on demographic and psychological variables at both pre- and posttreatment and on participation variables during treatment. The treatment modality was the Coping With Depression Course. At the end of treatment, 85% of the subjects no longer met diagnostic criteria for depressive disorders. A stepwise multiple regression analysis attained a multiple correlation of .92, accounting for 85% of the variance in posttreatment depression level. Ten variables accounted for significant portions of the outcome variance beyond that explained by pretreatment Beck Depression Inventory scores. The results of previous studies were partially replicated; predictive ability was improved markedly over prior reports. The results suggest that the most robust predictors of outcome are pretreatment levels of depression, social functioning, perceived mastery over events, and early positive perceptions of group cohesiveness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Incomplete adherence after pediatric heart and heart-lung transplantation

Cognitive bias was investigated in survivors of motor vehicle accidents with either acute stress disorder (ASD; n = 17) or no ASD (n = 17). Participants completed the acute stress disorder interview, the Beck depression inventory, the Beck anxiety inventory, the impact of event scale, and a probability questionnaire (PQ) and a cost questionnaire (CQ) within four weeks of their accident. ASD participants exaggerated both the probability of negative events occurring, and the adverse cost of those events more than non-ASD participants. IES-Avoidance scores were the only significant predictors of both PQ and CQ scores. Findings are discussed in terms of the role of cognitive errors in posttraumatic adjustment.     

A test of subliminal symbiotic activation as a means of alleviating depression.

Thirty-six depressive subjects were randomly assigned to one of three treatment groups. Group 1 subjects received 60 subliminal presentations of a slide of two figures and the words MOMMY AND I ARE ONE for male subjects and DADDY AND I ARE ONE for female subjects. Group 2 subjects received 60 subliminal slide presentations of a single figure with the words PEOPLE ARE WALKING. Group 3 subjects did not receive a slide. A pretest and posttest Beck Depression Inventory was administered to assess depression increase or decrease. The "subliminal" therapy was carried out over four different sessions. The data show that Group 1 subjects significantly reduced depression scores from pretest to posttest, whereas the subjects in Groups 2 and 3 did not reduce depression scores. Discussion is centered on comparisons of the data with past findings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Randomized controlled trial of a preventive intervention for perinatal depression in high-risk Latinas.

Objective: A randomized controlled trial was conducted to evaluate the efficacy of a cognitive–behavioral (CBT) intervention to prevent perinatal depression in high-risk Latinas. Method: A sample of 217 participants, predominantly low-income Central American immigrants who met demographic and depression risk criteria, were randomized into usual care (UC; n = 105) or an 8-week CBT group intervention during pregnancy and 3 individual booster sessions during postpartum (n = 112). Participants completed measures assessing depressive symptoms (Center for Epidemiological Studies Depression Scale at baseline; Beck Depression Inventory, Second Edition [BDI–II]) and major depressive episodes (Mood Screener) at 5 time points throughout the perinatal period. Results: Intent-to-treat analyses indicated that intervention participants had significantly lower depressive symptoms and fewer cases of moderate depression (BDI–II ≥ 20) at Time 2 than UC participants. These effects were stronger for women who fully participated in the intervention (≥4 classes). The cumulative incidence of major depressive episodes was not significantly different between the intervention (7.8%) and UC (9.6%) groups. Conclusions: A CBT intervention for low-income, high-risk Latinas reduced depressive symptoms during pregnancy but not during the postpartum period. Low levels of depressive symptoms and lower than expected rates of clinical depression in both groups may partially be due to methodological issues. As perinatal depression is a significant public health problem, more work is needed to prevent perinatal depression in low-income, ethnically diverse women. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Decline in self-reported dysphoria after treatment entry in inner-city cocaine addicts.

This study examined self-reported dysphoria in 82 consecutive admissions to intensive outpatient treatment for cocaine abuse on whom data for the Beck scales for depression, anxiety, and hopelessness were available for intake and 4 subsequent weeks with no more than 1 missing data point. Mean scores on the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) decreased significantly between intake and Week 1, with no further significant changes from Weeks 1–4. Similar drops in the rate of clinically significant BDI and BAI scores also were observed. Scores on the Beck Hopelessness Scale (BHS) showed no significant changes. By Week 4, rates of clinically significant depression, anxiety, and hopelessness were similar (17%, 13%, and 16%, respectively) . These findings suggest that assessing depression and anxiety using the BDI and BAI in this population should be postponed for at least 1 week after intake and that intake levels of self-reported mood may be inappropriate baseline measures for evaluating treatment effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential functioning of the Beck Depression inventory in late-life patients: Use of item response theory.

The present analyses examined age-related measurement bias in responses to items on the revised Beck Depression Inventory (BDI) in depressed late-life patients versus midlife patients. Item response theory (IRT) models were used to equate the scale and to differentiate true-group differences from bias in measurement in the 2 samples. Baseline BDI data (218 late life and 613 midlife) were used for the present analysis. IRT results indicated that late-life patients tended to report fewer cognitive symptoms, especially at low to average levels of depression. Conversely, they tended to report more somatic symptoms, especially at higher levels of depression. Adjusted cutoff scores in the late-life group are provided, and possible reasons for age-related differences in the performance of the BDI are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Utility of the Beck Depression Inventory with psychiatrically hospitalized adolescents.

Investigated whether the Beck Depression Inventory (BDI) is a psychometrically sound instrument for measuring depressive symptomatology in 78 12–16 yr old psychiatrically disturbed adolescents. Test–retest, item-total, and coefficient alpha estimates of reliability were found to be statistically acceptable. BDI scores discriminated between patients with a hospital diagnosis of major depressive disorder and a diagnostically heterogeneous group of patients with nonaffective conditions. Results suggest that the BDI can be used profitably in clinical and treatment studies of depressive phenomena in early adolescence. (6 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender and reporting differences in measures of depression.

135 female and 75 male undergraduates (aged 18–30 yrs) responded to the Beck Depression Inventory and to 9 items assessing depression from the Hopkins Symptom Checklist. The hypothesis was explored that males particularly would endorse test items in a less "depressed" direction when presented explicitly as constituting a test of depression, but would endorse more depressive content when items were presented in a context not portrayed as measuring depression. Some support was obtained for the view that males may approach and respond differently to depression inventories compared to females. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preventing perinatal depression in low-income home visiting clients: A randomized controlled trial.

Objective: To assess the efficacy of a 6-week cognitive-behavioral intervention in preventing the onset of perinatal depression and reducing depressive symptoms among low-income women in home visitation programs. Method: Sixty-one women who were pregnant or who had a child less than 6 months of age and who were assessed as at risk for perinatal depression were randomized to a 6-week, group-based cognitive-behavioral intervention or usual home visiting services. Study participants were predominately African American, unmarried, and unemployed. Intervention sessions were led by a licensed clinical social worker or clinical psychologist. Home visitors provided 1-on-1 reinforcement of key intervention messages between group sessions. Depressive symptoms were measured with the Beck Depression Inventory–II (Beck, Steer, & Brown, 1996), and major depressive episodes were measured with the Maternal Mood Screener (MMS; Le & Mu?oz, 1998). Outcomes were assessed at baseline and at 1 week and 3 months postintervention. Results: Repeated measures analysis of variance indicated that there was a significant Time × Condition interaction, F(2, 112) = 4.1, p = .02. At 3 months postintervention, 9 of 27 (33%) women receiving usual care reported levels of depressive symptoms that met clinical cutoff for depression on the MMS compared with 3 of 32 (9%) women in the intervention condition, χ2(1, N = 59) = 5.18, p     

Causal attributions and perinatal depression.

85 1st-time mothers (18–35 yrs old) were followed from the 3rd trimester of pregnancy through the 2nd mo after childbirth. Initial attributional style was assessed (Attributional Style Questionnaire; ASQ) as well as causal attributions for a range of naturally occurring stressful events. Ss were assessed for level of depression with the Beck Depression Inventory and the Hamilton Rating Scale for Depression at 3 points. Pregnancy scores on the ASQ predicted level of postpartum depression among Ss who were not depressed during pregnancy. However, among Ss who were depressed during pregnancy, the ASQ was not a significant predictor of postpartum depression. Speed of recovery from postpartum depressive symptoms was significantly predicted by the ASQ. Other results indicate that the ASQ was not a good predictor of causal attributions for naturally occurring stressful events. Attributional style had a direct relationship to subsequent depression, rather than an indirect relationship mediated by causal attributions for actual stressful events. Unless findings can be attributed to problems in the measurement of attributions for actual events, modifications in the reformulated learned helplessness model may be indicated. (45 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive distortion and depression in chronic pain: Association with diagnosed disorders.

Previous studies have demonstrated that cognitive distortion is associated with increased levels of self-reported depression among chronic pain patients, suggesting that cognitive models of depression might be useful in this context. However, reliance on self-reports of depression hampers generalization of these results to clinically significant depressive disorders. To address this problem, we examined the association between depression diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) (i.e., major depression and dysthymia) and scores on the Cognitive Errors Questionnaire. Depressed chronic pain patients and depressed nonpain patients reported more cognitive distortion than did nondepressed pain patients and normal controls. These results support the relevance of cognitive theory in the explication of clinically significant depression among chronic pain patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)