Psychosocial processes of remission in unipolar depression: Comparing depressed patients with matched community controls.

Investigated the posttreatment phase of unipolar depression by examining the personal and social-environmental characteristics of remitted, partially remitted, and nonremitted depressed patients. The sample was based on a 12-mo follow-up of 424 depressed persons who received psychiatric treatment and a comparable follow-up of demographically matched, nondepressed community controls. 98.8% of the Ss were located at 12-mo follow-up. Analyses were based on 380 Ss. At follow-up, the 138 Ss whose depressive symptoms remitted also reported improvement in other aspects of their adjustment as well as in personal resources such as self-esteem and coping responses to posttreatment stressors. In contrast, the 133 nonremitted Ss continued to report deficits in each of these domains. 124 Ss were categorized as partially remitted. Remitted Ss approached normal levels of life stressors and social resources, whereas nonremitted Ss continued to report heightened stressors and lower levels of support. Risk factors identified at treatment intake were predictive of these Ss' subsequent outcome at follow-up. These findings imply that many successfully treated depressed patients can resume near-normal patterns of functioning and that remission is linked to normalization of personal and social context factors. (34 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Spouses of late-life problem drinkers: Functioning, coping responses, and family contexts.

This prospective study focused on spouses of late-life problem drinkers. At initial assessment, 87 spouses of late-life problem drinkers reported poorer health-related and social functioning, more reliance on cognitive coping strategies, and more shared, cognitive avoidance coping than did 87 spouses of nonproblem drinkers; they also reported more stressful, less supportive family contexts. 22 spouses of individuals who would remit over a 1-yr interval did not appear to provide their partners with an impetus for recovery. However, spouses of remitted problem drinkers improved in several areas over the 1-yr follow-up. By contrast, 65 spouses of nonremitted partners continued to function more poorly and reported less supportive relationships with partners and escalating conflicts with children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family and extrafamily resources and the 10-year course of treated depression

A group of 313 depressed patients and 284 controls was assessed at baseline (treatment intake for the patients) and at 1-year, 4-year, and 10-year follow-ups. Stably remitted patients achieved levels of family and extrafamily resources that were comparable with those of the controls. Although partially remitted and nonremitted patients' social resources improved, they continued to show deficits in these areas relative to controls and stably remitted patients. Several indexes of social resources predicted stable remission: more family independence, fewer family arguments and less conflict, and more helpful friends and activities with friends. Assessment of social resources at treatment intake and short-term follow-ups can help identify and provide intervention foci for patients at risk for nonremission of depression.     

Weight changes in caregivers of Alzheimer's care recipients: Psychobehavioral predictors.

Relationships of changes in body mass index (BMI) were examined with changes in psychobehavioral variables in spouse caregivers of individuals with Alzheimer's disease (n?=?81) and matched spouses of controls (n?=?86). Men caregivers had significantly greater BMI and obesity than men controls at both times. Over 15–18 months, women caregivers gained significantly more weight than did women controls. A trend for greater obesity occurred in women caregivers than in women controls at follow-up. Although weight gain was not related to psychobehavioral variables in controls, in men caregivers decreased perceived control and increased fat intake explained significant variance in weight gain. In women caregivers, increased anger control and increased calories explained weight gain. Such caregivers may be at risk for health problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Associative interference in the paired-associate learning of remitted and nonremitted schizophrenics.

This experiment replicates a previous study which showed that recently hospitalized schizophrenics and normals did not differ in susceptibility to associative interference. 80 long-term schizophrenics were divided into remitted and nonremitted groups according to current mental status. The nonremitted Ss tended to exhibit more associative interference than either the remitted Ss or the normals in the previous study (.05     

Caregiver depression after bereavement: Chronic stress isn't over when it's over.

Although the adverse mental health consequences of caregiving for a relative with a progressive dementia are well documented, little is known about caregivers' adaptation after bereavement. This longitudinal study examined changes in 3 groups: continuing caregivers, who had been caregiving across a 4-yr period (n?=?98), bereaved caregivers, whose impaired relative died between Years 1 and 4 (n?=?49), and controls (n?=?107). Although a mean of 19.8 mo had elapsed since bereavement by Year 4, bereaved and continuing caregivers did not differ on syndromal depression or depressive symptoms; both groups were significantly more depressed than controls. Time since bereavement was unrelated to depression or social support. Those caregivers who ruminated more about caregiving after bereavement reported more depression, greater stress, and greater social isolation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life circumstances and personal resources as predictors of the ten-year course of depression

A 10-year naturalistic study of 313 patients who entered treatment for unipolar depression and a community comparison group of 284 nondepressed adults was conducted. We compared life stressors, social resources, personal resources, and coping among patients who were remitted (N = 76), partially remitted (N = 146), or nonremitted (N = 91). Compared with the controls and the remitted patients, the partially remitted and nonremitted patients consistently experienced more life stressors and fewer social resources, were less easygoing, and relied more on avoidance coping. A less easygoing disposition, fewer close relationships, and more reliance on avoidance coping were associated with higher odds of experiencing a course of partial remission or nonremission. In addition, more depressive symptoms and medical conditions predicted nonremission.     

Depression-related psychosocial variables: Are they specific to depression in adolescents?

Although the psychosocial difficulties associated with adolescent depression are relatively well known, the extent to which these problems are specific to depression has received little attention. The authors examined the specificity to depression of a wide range of psychosocial variables in the following 3 groups of adolescents: depressed cases (n?=?48), nonaffective disorder cases (n?92?), and never mentally ill participants (n?=?1, 079). The authors found 3 of the 44 variables assessed in this study to be strongly specific to depression, and only the depressed participants exhibited more problematic functioning than did the never mentally ill controls. Three variables are as follows: self-consciousness, self-esteem, and a reduction in activities because of physical illness or injury. Eight variables were more strongly associated with depression than with nonaffective disorder, and 8 variables characterized both depressed and nonaffective disorder adolescents. Implications of these findings for psychosocial theories of depression are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributional, perceptual, and affective responses to depressed and nondepressed marital partners.

Husbands of wives with (n?=?22) or without (n?=?23) a history of a depressive disorder indicated their attributions about and affective reactions to real and hypothetical positive and negative events occurring to their wives, rated their wives on personality traits categorized as depression-related and depression-neutral, and reported their own marital satisfaction. Husbands of depressed, relative to nondepressed, wives made more dispositional attributions, reported more negative affect in reaction to negative events, and indicated less marital satisfaction. Depressed wives were rated more negatively on both depression-related and depression-neutral personality traits. Results are interpreted as suggesting that spouses of depressed wives have a generalized negative view of their wives, which may also be operating within distressed marriages. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive patterns in symptomatic and remitted unipolar major depression.

Examined maladaptive thinking in 11 endogenous and 13 nonendogenous, unipolar, nonpsychotic depressed 22–70 yr old female patients when symptomatic (Time 1) and, later, when clinically remitted (Time 2). As a control, 17 nondepressed Ss were tested at 2 times, as were 7 unremitted depressed Ss. Ss were administered a battery of scales, including the Beck Depression Inventory and the Hamilton Rating Scale for Depression. Symptomatic depressed Ss had more dysfunctional attitudes, depressive attributional biases, and negative automatic thoughts than did controls, whereas the 2 symptomatic depressed groups did not differ with regard to thinking patterns. With remission, negative automatic thoughts equaled normal control values, although biased attitudes and attributions continued to persist in both endogenous and nonendogenous remitted groups. Attributional but not attitudinal biases correlated with several measures of chronicity, which suggested that attributional biases either result from long-term depressions or lead to greater time spent in depressive episodes. (35 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parent–child interaction among depressed fathers and mothers: Impact on child functioning.

Relatively little is known about whether children of depressed mothers versus fathers demonstrate similar difficulties and whether parent-child interaction moderates the effects of maternal depression, paternal depression, or both. In the current study, intact families with a depressed father (n?=?50), a depressed mother (n?=?41), and normal control families (n?=?50) completed questionnaires and participated in videotaped problem-solving interactions. Results indicate that paternal and maternal depression were similarly associated with child adjustment problems and more impaired parent-child communication. Interestingly, maternal versus paternal depression was associated with increased parent-child negativity, whereas father-child interactions were more influential than mother-child interactions in predicting child outcome after controlling for parental depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Feeling controlled in marriage: A phenomenon specific to physically aggressive couples?

Spouses in maritally happy nonaggressive (H; n?=?21), distressed nonaggressive (DNA; n?=?16), and distressed aggressive (DA; n?=?20) marriages were interviewed about their perceptions of their spouse as controlling. Four areas of spousal control were assessed: involvement in decision making, relationships with family and friends, freedom to plan activities independently, and sense of competence and self-respect. Overall, as expected, spouses in happy marriages reported feeling less controlled than spouses in the 2 distressed groups. Few gender differences were obtained, with the exception that wives in aggressive marriages were more likely to report that their husbands controlled their sense of competence and self-respect. Differences between the DA and DNA groups depended on the specific area of control. Wives in the aggressive couples were significantly more likely than their husbands to state that their spouse's aggression was an attempt to control them. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital quality, coping with conflict, marital complaints, and affection in couples with a depressed wife.

This study compared 3 groups of women--outpatient depressed, inpatient depressed, and community control--and their husbands on a range of variables including marital functioning and styles of coping with conflict. Outpatient depressed couples reported greater marital distress and more destructive and less constructive tactics for resolving conflict than did community control couples. They also were more likely to have been previously married and to express regrets about having married their current husbands. There were smaller and less consistent differences for couples with inpatient depressed spouses, although inpatient couples with younger wives were similar to outpatient depressed couples. Both groups of depressed women and their husbands reported fewer expressions of affection and more complaints about the marriage than did control couples. Results are discussed in terms of interpersonal perspectives on depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Diagnostic differences in social anhedonia: A longitudinal study of schizophrenia and major depressive disorder.

This study examined the hypothesis that, in schizophrenia, elevated trait social anhedonia (SA) is a stable individual difference, whereas in depression, increased SA is a reflection of a current clinical state that will diminish with recovery. Differences in trait Negative Affect (NA) and Positive Affect (PA) were also examined. Individuals with schizophrenia (n?=?55) and depression (n?=?34) were evaluated at baseline during hospitalization and compared with nonpsychiatric control participants (n?=?41). Participants were assessed again at a 1-year follow-up. At baseline, compared with control participants, individuals with schizophrenia and depression were both characterized by elevated SA, greater NA, and lower PA. In schizophrenic individuals, elevated SA remained stable over the follow-up. However, in recovered depressed patients, SA declined over the follow-up period. Group differences remained in NA and PA over the 1-year follow-up. These results support the view that elevated SA is enduring in schizophrenia but that elevated SA is transiently related to clinical status in depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rote learning in schizophrenic and normal subjects under positive and negative reinforcement conditions.

The defects on rote learning performance of adding positive or negative verbal reinforcers to the information provided by presentation of the correct response was studied in normals and in remitted and nonremitted schizophrenics. On a verbal discrimination task, the reinforcers facilitated the performance of all groups (p     

Predictive validity of automatic self-associations for the onset of anxiety disorders.

Negative self-cognitions are assumed to play an important role in the onset of anxiety disorders. Current dual-process models emphasize the relevance of differentiating between more automatic and more deliberate self-cognitions in this respect. Therefore, this study was designed to test the prognostic value of both deliberate and automatic self-anxious associations as a generic vulnerability factor for the onset of anxiety disorders between baseline and 2-year follow-up. To test the disorder specificity of negative self-associations, we also measured self-depressed associations. Self-report measures of depressive symptoms, anxiety symptoms, neuroticism, and fearful avoidance were included as covariates. Healthy controls (n = 593), individuals who had depression (n = 238), and individuals remitted from an anxiety disorder (n = 448) were tested as part of the Netherlands Study of Depression and Anxiety. Deliberate self-anxious associations predicted the onset of anxiety disorders in all groups. Automatic self-anxious associations showed predictive validity only in individuals remitted from an anxiety disorder or in currently depressed individuals. Although deliberate self-depressed associations were related to the onset of anxiety disorders as well, automatic self-depressed associations were not. In the (remitted) patient groups, only deliberate self-anxious associations showed independent predictive value for the onset of anxiety disorders together with self-reported fearful avoidance behavior. In the healthy controls, only a composite index of negative emotionality (depressive or anxiety symptoms and neuroticism) showed independent predictive validity. This study provides the first evidence that automatic and deliberate self-anxious associations have predictive value for the future onset of anxiety disorders. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Specificity and stability of self-referent encoding in clinical depression.

The self-referent encoding task was to investigate the specificity and stability of the self-schema in depression. Results of a comparison between depressed psychiatric (n?=?24), nondepressed psychiatric control (n?=?15), and nonpsychiatric control (n?=?14) patients revealed that the self-referent encoding task is specific to depression and that the use of content-specific adjectives in the task is important for the results obtained. A subset of the depressed group (n?=?9) who completed the task at a second occasion while still depressed showed results very similar to those obtained at the first testing occasion. A subset of depressed subjects (n?=?14) who completed the task on remission of their depression, however, evidenced a pattern of results quite dissimilar to those obtained while they were depressed. The pattern of results showed considerable shift in these subjects' self-referent encoding, and their results approximated those obtained by the two control groups. These results are discussed with reference to (a) the concept of the self-schema and its relevance for depression and (b) the self-referent encoding task as a means of assessing the self-schema. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression and marital functioning: An examination of specificity and gender differences.

Recent work has emphasized the importance of assessing the marital relationships of depressed persons. The present study was designed to examine the specificity to clinical depression of problematic marital functioning and to assess potential gender differences in the marital relationships and spousal interactions of depressed persons. Depressed psychiatric patients, nondepressed medical patients, and nondepressed community control subjects and their spouses completed measures of marital satisfaction and then participated in a 20-min marital interaction task. Subjects then completed measures assessing their postinteraction mood and perceptions of their spouses, and the interactions were scored with respect to the frequency of occurrence of a number of behaviors. The depressed couples differed from the community controls on virtually every measure of marital functioning. Furthermore, although the medical patients and their spouses also reported marital dissatisfaction and exhibited dysfunctional interactional behavior, only the depressed couples were characterized by negative affect following the interactions and by negative appraisals of their spouses' behaviors. This negative affect was particularly pronounced for the depressed women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integrated behavior change techniques for problem drinkers in the community.

Evaluated the therapeutic potential of learning techniques in changing abusive drinking patterns and achieving moderation using 80 regularly employed drinkers with intact families, remaining self-esteem, but also alcohol-related problems. The following procedures were studied: videotaped self-confrontation of drunken behavior, aversion training for overconsumption, discrimination training for blood alcohol concentration, alternatives training, behavior counseling, and alcohol education. All the techniques were applied to Group 1 (n?=?23), the last 4 to Group 2 (n?=?19), alcohol education only to Group 3 (n?=?21), and the last 3 to Group 4 (n?=?17). Tests administered included the California Psychological Inventory, the Marlowe-Crowne Social Desirability Scale, and Rotter's Internal–External Locus of Control Scale. During the 1st yr of follow-up, significant decreases in alcohol intake were found for all groups, and the percentage of moderate drinkers changed from 0% to 62.5%. Significant differences between groups were not found. The effects on outcome of a large variance in pretreatment S characteristics such as alcohol intake, the amount of possible change in intake, the program's learning orientation, and blind follow-up are discussed as factors that may partially account for the lack of differential treatment effects. It is concluded that moderation is a more attainable and feasible goal for problem drinkers than for chronic alcoholics. (36 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral activation and inhibition systems and the severity and course of depression.

Theorists have proposed that depression is associated with abnormalities in the behavioral activation (BAS) and behavioral inhibition (BIS) systems. In particular, depressed individuals are hypothesized to exhibit deficient BAS and overactive BIS functioning. Self-reported levels of BAS and BIS were examined in 62 depressed participants and 27 nondepressed controls. Clinical functioning was assessed at intake and at 8-month follow-up. Relative to nondepressed controls, depressed participants reported lower BAS levels and higher BIS levels. Within the depressed group, lower BAS levels were associated with greater concurrent depression severity and predicted worse 8-month outcome. Levels of both BIS and BAS showed considerable stability over time and clinical state. Overall, results suggest that BAS dysregulation exacerbates the presentation and course of depressive illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)