Personal vulnerability, life events, and depressive symptoms: A test of a specific interactional model.

We tested Beck's (1983) hypothesis that depressive symptoms occur when an individual experiences a negative life event that specifically matches the individual's personal motivational vulnerability. Ninety-eight undergraduates completed measures of depression level, recent life events, and sociotropic and autonomous achievement motivations. Consistent with the theory, sociotropy was associated with depression level and also served as a moderator of the relations between depression and frequency of recent negative social events. However, sociotropy also demonstrated nonpredicted interactive effects with negative events categorized a priori as autonomy related. Autonomy was unrelated to depression and showed no evidence of being a vulnerability to any type of life event. The findings generally support the value of examining the role in depression of interactions between personality characteristics and life events, although they do not support the specific matching predictions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relations of sociotropic and autonomous personality characteristics to specific symptoms in depressed patients.

A number of writers have suggested that two sets of personality characteristics are associated both with vulnerabilities to depression in response to different classes of events and with different clinical presentations of depression. The present study examined the relations between levels of sociotropic and autonomous personality characteristics and specific, theoretically derived clusters of symptoms in 80 unipolar depressed patients. As was predicted, sociotropy was related to the cluster of symptoms associated with the concept of anxious-reactive depression and was unrelated to the autonomous symptoms cluster. In contrast, the predicted relations of autonomous personality characteristics and symptoms were not found. These results support the idea that the symptom picture in depression may be related to personality characteristics, but they also suggest that the measurement of autonomy may require revision. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Percutaneous retrieval of transsected rotablator coronary guidewire using Amplatz "Goose-Neck snare"

OBJECTIVE: The cognitive-behavioral model of bulimia nervosa suggests that maladaptive cognitions are associated with the development and maintenance of bulimia nervosa. This study was conducted to evaluate (a) the relation between bulimic symptomatology and the cognitive-personality styles of sociotropy (reflecting themes of acceptance and approval) and autonomy (reflecting themes of independence and achievement), and (b) the specificity of the relation between these two cognitive-personality styles and bulimic versus depressive symptoms. METHOD: 105 undergraduate women were administered self-report measures of sociotropy and autonomy, as well as bulimic and depressive symptomatology. RESULTS: Whereas both sociotropy and autonomy were related to bulimic symptomatology, only sociotropy was uniquely associated with symptoms of bulimia when controlling for the effects of depressive symptoms. DISCUSSION: Themes of acceptance and approval may be important cognitive-personality features of bulimia nervosa.     

Predictors of the generation of episodic stress: A longitudinal study of late adolescent women.

The effects of depression and Axis I comorbidity on subsequent self-generated life stress were examined in a longitudinal sample of 134 late adolescent women. The results indicated that specific forms of psychopathology constitute a risk factor for future self-generated episodic stress, even when controlling for prior chronic stress. Comorbid depression had a particularly salient effect in the prediction of stress related to interpersonal conflicts. The effects of family psychopathology and sociotropy were mediated through participant psychiatric status, whereas autonomy made an independent contribution to the prediction of episodic stress. These results support C. Hammen's (1991) stress generation model in a community sample, demonstrating how individuals with depression play a role in the creation of stress, and also refine prior work by showing that only the comorbid form of depression is associated with subsequent conflict-related stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sociotropy and autonomy: Relationship to antidepressant drug treatment response and endogenous-nonendogenous dichotomy.

Evaluated the relationship of sociotropic and autonomous personality traits with response to pharmacotherapy for 217 depressed outpatients using the Sociotropy-Autonomy Scale. Sociotropy was related to nonendogenous depression, whereas autonomy was related to endogenous depression. Ss who had high autonomous–low sociotropic traits showed greater response to antidepressants (and greater drug/placebo differences) than those who had high sociotropic–low autonomous traits (who showed no drug/placebo differences). Hierarchical multiple regression analysis showed that the sociotropy–autonomy, but not the endogenous–nonendogenous, distinction was a predictor of drug treatment response. The combination of endogeneity and autonomy predicted response to placebo. If replicated, these findings may enable better matching of patient traits to various treatment modalities for depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship of sociotropy/autonomy and dependency/self-criticism to DSM-III—R personality disorders.

Relationships between A. T. Beck's (1983) constructs of sociotropy/autonomy and S. J. Blatt's (see record 1976-12367-001) constructs of dependency/self-criticism and the Diagnostic and Statistical Manual of Mental Disorders-III (DSM-III) Axis II personality disorders were examined. Two measures of personality styles and a structured diagnostic interview for personality disorders were administered to 138 outpatients. Significant relationships were found between both sets of constructs and a number of personality disorders using both categorical and dimensional measures of Axis II psychopathology. These relationships were consistent with previous theory, supporting recent conceptualizations extending the range of psychopathology associated with these personality styles from depression to the personality disorders. However, the autonomy/self-criticism dimension was correlated with a broader range of personality disorder traits and diagnoses than anticipated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality, negative social interactions, and depressive symptoms.

Examined the associations among the frequency of negative social interactions, personality traits, and depressive symptoms in university students. 176 Ss completed measures of negative social interactions, sociotropy, autonomy, perfectionism, and depressive symptoms. It was found in the total sample that higher depression symptoms scores were correlated significantly with the frequency of negative social interactions, sociotropy, autonomy, and socially prescribed perfectionism. Additional results indicate that the frequency of negative social interactions accounted for unique variance in depressive symptoms over and above the variance predicted by personality traits, but it did not interact with these personality traits to predict unique variance in depressive symptoms. It was also found that the reported frequency of negative social interactions was correlated positively with socially prescribed perfectionism, sociotropy, and autonomy, especially among women. The current findings are discussed in terms of their implications for specific vulnerability and stress generation models of personality, life events, and depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Congruence of personality and life events in depression.

Consistent with the personality–event congruence hypothesis, highly sociotropic depressed patients (n?=?19) reported more recent negative interpersonal events than negative autonomy events and more negative interpersonal events than did highly autonomous depressed patients (n?=?22), for whom the hypothesis was not supported. There was no evidence of such congruence among nondepressed schizophrenic patients (n?=?44). In a 2nd study, there was significant personality–event congruence in dysphoric students (n?=?26) but not in nondysphoric students (n?=?56). Both the high-sociotropy and high-autonomy dysphoric groups separately yielded nonsignificant trends consistent with congruence. These findings add to the growing support for the importance of the sociotropy construct in depression and weaker support for the autonomy construct or its measurement, and they suggest that the congruence effect does not generalize to all psychopathologies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Conceptualizing and Measuring Personality Vulnerability to Depression: Comment on Coyne and Whiffen (1995).

J. C. Coyne and V. E. Whiffen (1995) reviewed research on personality vulnerability to depression, focusing on S. J. Blatt's (1974, 1990) concepts of dependency and self-criticism and A. T. Beck's (1983) concepts of sociotropy and autonomy. The authors discuss 6 issues raised in that review: (a) the typological or dimensional nature of vulnerability, (b) the theoretical implications of "mixed" vulnerability, (c) the relations of vulnerability to Neuroticism. (d) the potential confounding of vulnerability with concurrent depression, (e) the potential confounding of vulnerability with social context, and (f) the differentiation of dependency from relatedness. The authors conclude that Blatt's and Beck's concepts are continuous, nearly orthogonal dimensions that can be identified and measured independently from Neuroticism, depression, and social context. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Temperament, personality, and the mood and anxiety disorders.

Reviews the literature on temperament, personality, and mood and anxiety disorders. The review is organized primarily around L. A. Clark and D. Watson's (1991) tripartite model for these disorders, but other influential approaches are also examined. Negative affectivity (or neuroticism) appears to be a vulnerability factor for the development of anxiety and depression, indicates poor prognosis, and is itself affected by the experience of disorder. Positive affectivity (or extraversion) is related more specifically to depression, may be a risk factor for its development, suggests poor prognosis, and also may be affected by the experience of disorder. Other personality dimensions (e.g., anxiety sensitivity, attributional style, sociotropy or dependency, autonomy or self-criticism, and constraint) may constitute specific vulnerability factors for particular disorders. It is suggested that more longitudinal and measurement-based research that jointly examines anxiety and depression is needed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The addition of sociotropy to the dual pathway model of bulimia.

The dual pathway model of bulimia proposes that internalized societal pressures lead to self-perceived body dissatisfaction. In turn, body dissatisfaction is thought to be associated with dietary restraint and negative affect that influences development of bulimia. In an expansion of the dual pathway model of bulimia, this investigation included the need for approval and fear of social rejection (referred to as sociotropy) in the model. Questionnaires measuring the dual pathway model and sociotropy were completed by 184 female undergraduates and a proposed theoretical model was tested using structural equation modeling. The findings provide support for several aspects of the dual pathway model of bulimia and the addition of sociotropy appears to strengthen the model's predictions of bulimic behaviour. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stressful life events and personality styles: relation to impairment and treatment outcome in patients with social phobia

Forty-five patients with social phobia and 15 individuals with no mental disorder were compared on number and type of life events experienced. Social phobia patients were further examined to evaluate the effect of negative life events and of the interaction between personality style and life events on severity of impairment and reactions to cognitive-behavioral group therapy. Patients with social phobia reported more negative life events than participants with no mental disorder. Among patients with social phobia, more frequent negative life events were associated with higher scores on measures of depression and general anxiety. Patients high on autonomy who reported more negative autonomous (i.e., achievement-oriented) life events also scored higher on measures of social anxiety and general anxiety. There were no significant interactions between sociotropy and the frequency of reported socially oriented negative life events. However, patients high on sociotropy scored higher on measures of social anxiety, depression, and general anxiety. Patients who had experienced more negative life events improved more after treatment on measures of social anxiety than did those who had experienced fewer negative life events. Implications of these findings and recommendations for future research are discussed.     

Cognitive and existential therapies: Toward an integration.

Cognitive and existential therapies are typically viewed as so diverse in their assumptions as to be largely incompatible, representing opposite ends of the psychotherapeutic spectrum. The purpose of this article is to show how a merging of these therapies may contribute to a greater range of options for therapists. The authors attempt to show the surprisingly wide number of connections between these two schools. Comparisons and suggestions are made in the areas of the therapeutic relationship, interpersonal and environmental factors, sociotropy and autonomy, and meaning-making. Existential therapy is especially helpful in understanding the formation and identification of ontological core schemas, and an extensive list of these is provided. A case example involving a 32-yr-old female client with depression is provided that illustrates the integration of these two approaches. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptions of stressful life events and depression: A test of attributional models.

Tested the attributional models of depression proposed by L. Y. Abramson et al (see record 1979-00305-001), using 278 undergraduates who had recently experienced a stressful event and 51 55–79 yr old adults who sought treatment for problems with depression. Three questions were addressed: (a) the validity of the hypothesized independent and direction relation between each of the dimensions of internality, stability, controllability, intentionality, and globality and depression; (b) the causal relation between attributions and depression in a 2-mo prospective study; and (c) evaluation of the model on the 2 disparate samples. Ss were administered a battery of depression measures; students completed an attribution questionnaire, while adults completed a measure of life stress attributions. Causal modeling statistical procedures were applied to both the question of concurrent relations and causal relations between cognitions and depression. Results suggest minimal support for the attributional model: The dimensions were not each independently and directly associated with depression in the manner predicted, and the model that best fit the data was generally congruent for both the normal and clinical samples. In terms of direction of causality, the data were more consistent in indicating that depression causes cognitions than in indicating the reverse. (45 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The influence of social support and problematic support on optimism and depression in chronic illness: A prospective study evaluating self-esteem as a mediator.

The present study focused on the mechanism through which social and problematic support affects psychological adjustment in chronic illness. The authors hypothesized that self-esteem would mediate the relations between social and problematic support and adjustment. Eighty-six end-stage renal disease patients were assessed twice for social support, problematic support, and self-esteem. Adjustment was assessed twice by depression and optimism. Mediational analyses indicated that social support operated through self-esteem to influence optimism cross-sectionally and prospectively and depression cross-sectionally. Social support was associated with high self-esteem, which in turn increased optimism and was related to decreased depression. Problematic support was unrelated to self-esteem obviating mediational analysis. Disaggregating social support into subscales showed that belonging support predicted decreases in depression, and both tangible and belonging support predicted increases in optimism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Victim attributions and post-rape trauma.

This study assessed (a) the kinds of attributions victims make, (b) whether behavioral and characterological self-blame are associated with other variables as hypothesized (e.g., perception of future avoidability of being raped), and (c) whether behavioral self-blame is associated with better post-rape adjustment (R. Janoff-Bulman; see record 1981-01320-001). Attributions and adjustment were assessed in a sample of adult female rape victims seen at a hospital-based rape crisis program. Many victims blamed themselves but tended to place more blame on external factors. The pattern of relations between behavioral and characterological self-blame and other attributional measures did not support the hypothesized distinctions between them. Both kinds of self-blame were significantly associated with increased post-rape depression. Attributions strongly predicted adjustment, accounting for up to 67% of the variance in 3-day post-rape depression. The theoretical and clinical implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social support and hostility as predictors of depressive symptoms in cardiac patients one month after hospitalization: a prospective study

OBJECTIVE: Hospitalization for cardiac disease is associated with an increased risk for depression, which itself confers a poorer prognosis. Few prospective studies have examined the determinants of depression after hospitalization in cardiac patients, and even fewer have examined depression within the weeks after hospital discharge. The present study assessed the prospective relations among perceptions of social support and trait hostility in predicting symptoms of depressive symptoms at 1 month after hospitalization for a diagnostic angiography in 506 coronary artery disease (CAD) patients. METHOD: A series of structural equation models 1) estimated the predictive relations of social support, hostility, and depressive symptoms while in the hospital to symptoms of depression 1 month after hospitalization, and 2) compared these relations across gender, predicted risk classification, and age. RESULTS: Social support assessed during hospitalization was independently negatively associated with depressive symptoms 1 month after hospitalization, after controlling for baseline symptoms of depression, gender, disease severity, and age. Hostility was an indirect predictor of postdischarge depressive symptomology by way of its negative relation with social support. This pattern of relations did not differ across gender, predicted risk classification, and age. CONCLUSIONS: Our findings suggest that a patient's perceived social support during hospitalization is a determinant of depressive symptoms 1 month later. The relation of social support and hostility to subsequent depressive symptoms was similar across a variety of populations.     

Autonomy disturbances in subtypes of anorexia nervosa.

Examined the hypothesis that disturbances in the development of autonomy are a central psychological feature in anorexia nervosa. Several measures relevant to autonomy, including the General Causality Orientations Scale (Deci & Ryan, 1985b), Structural Analysis of Social Behavior (Benjamin, 1977), Mutuality of Autonomy Scale (Urist, 1977), and Family Environment Scale (Moos, 1974) were administered to 19 restrictive anorexics, 14 bulimic anorexics, and 17 normal controls. All 3 groups were matched for age, sex, race, education, and marital status; the anorexic groups were matched for current percentage of ideal body weight, duration of illness, and treatment history. We hypothesized that anorexics would evidence greater problems with autonomy than would controls and that the 3 groups would show differential patterns of response on these measures. Results largely confirmed these hypotheses. The restrictors experienced a greater sense of impersonal causality than did either the bulimic anorexics or the controls. Compared with the control group, both restrictive and bulimic anorexic groups exhibited poorer self-concept, more pathological object relations, and more disturbed family interactions. We concluded that problems with autonomy-related issues are prominent in anorexia nervosa and that different subtypes may be associated with distinct forms of autonomy disturbance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Severe and nonsevere events in first onsets versus recurrences of depression: Evidence for stress sensitization.

Overall, research has evidenced support for Post's (1992) model, which asserts that the 1st episode of depression is more likely to be associated with severe life events than are subsequent episodes. In spite of this, there are significant gaps in the understanding of the stress–depression association. This study aimed to address three gaps by (a) identifying the explanatory model underlying the association (stress sensitization vs. stress autonomy), (b) elucidating how the role of stress changes with successive episodes, and (c) examining the role of nonsevere events. The impact and occurrence of severe and nonsevere events in a 5-year longitudinal study of late-adolescent women were examined using Cox regression models. Overall, we found support for the stress sensitization model over the stress autonomy model. Specifically, the impact of nonsevere (but not severe) events was greater in individuals with a history of depression compared with those with no history of depression. In addition, the occurrence of severe (but not nonsevere) events was greater for 1st onsets than recurrences. These effects were modified by event independence. The results were discussed in terms of the underlying mechanisms of the stress–depression association and future directions for research were elaborated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)