Moderating effects of three coping strategies and self-esteem on perceived discrimination and depressive symptoms: A minority stress model for Asian international students.

This study examined 3 coping strategies (reflective, suppressive, and reactive), along with self-esteem, as moderators of the relation between perceived discrimination and depressive symptoms. International students (N = 354) from China, India, Korea, Taiwan, and Hong Kong provided data via an online survey. The role of perceived general stress was statistically controlled. Hierarchical regression analyses indicated a significant direct effect of perceived discrimination, a significant 2-way interaction of perceived discrimination and suppressive coping, and a significant 3-way interaction of perceived discrimination, reactive coping, and self-esteem in predicting depressive symptoms. An increased tendency to use suppressive coping appeared to strengthen the association between perceived discrimination and depressive symptoms. In contrast, the association between perceived discrimination and depressive symptoms was not significant when reactive coping was infrequently used, but only for students with relatively high self-esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Locus of control, self-esteem, stimulus appraisal, and depressive symptoms in children.

Self-esteem, locus of control, stimulus appraisal, and depressive symptoms, which are related to depression in adults, were investigated in 225 5th and 6th graders. Ss completed the Piers-Harris Children's Self-Concept Scale, Children's Locus of Control Scale, and Moyal-Miezitis Stimulus Appraisal Scale. Grade and sex effects were not significant. All other intervariable correlations were significant and are consistent with research at the adult level. Results are discussed in terms of the helplessness model of depression and in terms of implications for studying childhood depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prospective associations between marital discord and depressive symptoms in middle-aged and older adults.

Data from both spouses in a population-based sample of middle-aged and older adults (N = 1,869 couples) were used to evaluate the 2-year prospective association between marital discord and depressive symptoms. Nested path analyses indicated that (a) baseline marital discord predicted one's own depressive symptoms at follow-up, (b) baseline depressive symptoms predicted one's own marital discord at follow-up, (c) baseline depressive symptoms predicted partners' marital discord at follow-up, and (d) there were no gender differences in the magnitudes of the pathways between one's own baseline depressive symptoms and one's own marital discord at follow-up or between one's own baseline marital discord and one's own depressive symptoms at follow-up. These results suggest a bidirectional longitudinal association between marital discord and depressive symptoms in middle-aged and older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The therapeutic alliance in psychodynamic psychotherapy: Theoretical conceptualizations and research findings.

The construct of the therapeutic alliance is approached from the psychoanalytic tradition by reference to the ideas of Freud, R. Sterba, E. R. Zetzel, R. R. Greenson, and L. Luborsky. The transtheoretical approaches posited by E. S. Bordin and L. Gaston are also presented and the relation of alliance to the transference is discussed. The empirical evidence as to the role of the alliance in psychodynamically oriented psychotherapy is presented, and the construct is operationally defined by means of the major psychometric instruments. Factors that foster the development of strong alliances (patient and therapist factors), as well as those that hinder or result in its rupture are discussed in detail. The differential association of alliance to outcome depending on who measures the alliance (patient, therapist, or independent observer) and the timing of the measurement of the alliance (first, third, fifth, or later session) are considered. Last, there is a discussion of the criticisms of how research in this area is conducted, and suggestions for future researchers are made. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Association of social relationships with depressive symptoms: Testing an alternative to social support.

Low social support and expressed emotion have been associated with depression, but no studies examined their relative contributions. A self-report questionnaire was developed to measure family emotional involvement and perceived criticism to assess the main components of family expressed emotion. 83 family practice patients older than 40 yrs responded to a survey assessing depressive symptoms, social support, life events, and expressed emotion. Perceived criticism, intense emotional involvement, and negative life events were all independently associated with depressive symptoms. After controlling for expressed emotion, the association of low social support with depressive symptoms was no longer statistically significant. Results support the primacy of family interactions (with high perceived criticism and emotional involvement) over low social support in explaining the association between social relationships and depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-blame and depressive symptoms.

Investigated whether internal attributions for bad events are always associated with depression. The depressive symptoms of 86 female undergraduates correlated with blame directed at their own characters. In contrast, blame directed at their own behaviors correlated with lack of depressive symptoms. Behaviorally attributed bad events were seen as more controllable and their causes less stable and less global than were characterologically attributed bad events and their causes. Characterological blame increased with more negative life events during the last year, implying that individuals who blame their character may arrive at this attributional style by a covariation analysis. Finally, characterological blame did not precede the onset of depressive symptoms 6 or 12 wks later. As a result, characterological blame may be a strong concomitant of depression but not a cause. (27 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Low self-esteem is a risk factor for depressive symptoms from young adulthood to old age.

Data from two large longitudinal studies were used to analyze reciprocal relations between self-esteem and depressive symptoms across the adult life span. Study 1 included 1,685 participants aged 18 to 96 years assessed 4 times over a 9-year period. Study 2 included 2,479 participants aged 18 to 88 years assessed 3 times over a 4-year period. In both studies, cross-lagged regression analyses indicated that low self-esteem predicted subsequent depressive symptoms, but depressive symptoms did not predict subsequent levels of self-esteem. This pattern of results replicated across all age groups, for both affective–cognitive and somatic symptoms of depression, and after controlling for content overlap between the self-esteem and depression scales. The results suggest that low self-esteem operates as a risk factor for depressive symptoms at all phases of the adult life span. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal depressive symptoms and depressive symptoms in adolescents

The relationship between maternal depressive symptoms and rates of adolescent (15-16 years) depressive symptoms was studied in a birth cohort of 934 New Zealand children. There was a clear correlation between maternal depressive symptoms and subsequent depressive symptoms in adolescent females (r = .44) but no association (r = -.01) between maternal depressive symptoms and depressive symptoms in adolescent males. Subsequent analysis suggested that the correlation between maternal depression and depressive symptoms in adolescent females was largely explained by the associations of both measures with a series of social and contextual factors including social disadvantage, marital discord and family adversity. It is concluded that maternal depression is only associated with depression in adolescence insofar as maternal depression is associated with social disadvantage, marital discord or family adversity.     

The association of level and stability of self-esteem and depressive symptoms in the acute inpatient stroke rehabilitation setting.

Purpose: Explore the relationship of level and stability of self-esteem with self-reported depressive symptoms during acute inpatient stroke rehabilitation. Research Method: A consecutive sample of 79 participants was administered measures of state self-esteem and mood twice a day for 4 consecutive days. The Geriatric Depression Scale (GDS) was administered at the end of the 4 days. Self-esteem level was calculated by averaging the total self-esteem scores across the assessments, and self-esteem stability was operationalized as the standard deviation of self-esteem total scores. Mood level and stability were calculated likewise. Results: Regression analysis indicated that self-esteem stability moderated self-esteem level in predicting GDS scores, with stable lower self-esteem level associated with the most reported depressive symptoms. Unstable higher self-esteem levels were associated with more depressive symptoms than stable higher self-esteem. This interaction was demonstrated after controlling for mood level and stability, suggesting the independence of self-esteem stability from mood characteristics. Conclusion: Self-esteem stability may be an important variable in identifying individuals at risk for emotional disturbance following stroke. Further exploration of self-esteem stability correlates in this setting is warranted. (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)     

A survey of depressive symptoms among Vietnamese-American men in three locales: prevalence and correlates

Adolescent health problems are often undetected in physicians' offices. The Dartmouth Primary Care Cooperative Information Project has developed a validated and reliable approach to identify adolescent health problems and initiate education in a school setting. A self-administered, anonymous, 26-item questionnaire was given to 204 students in a rural high school. Responses were scanned into PC-based software. Within one working day students were given individualized letters identifying their problem health issues as detected by the questionnaire and recommendations for education. Ninety-nine percent of students participated. Six weeks later 49% of a sample of 41 students reported reading the information and 50% planned to change behavior. This standardized, validated strategy of adolescent health assessment, feedback, and education was feasible for use in schools. The school responded to the data by employing a psychologist to address mental health needs.     

Attributional style and depressive symptoms among children.

The reformulation of helplessness theory proposes that an insidious attributional style accompanies and predisposes depressive symptoms. The present study investigated predictions of the reformulation among 96 8–13 yr olds who completed the Children's Attributional Style Questionnaire (ASQ) and Children's Depression Inventory twice, 6 mo apart. 83 of their parents completed the adult ASQ and the Beck Depression Inventory at their children's 2nd testing. Children who attributed bad events to internal, stable, and global causes were more likely to report depressive symptoms than were children who attributed these events to external, unstable, and specific causes. This depressive attributional style predicted depressive symptoms 6 mo later, suggesting that it may be a risk factor for depression. Children's attributional style for bad events and their depressive symptoms converged with those of their mothers but not their fathers. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Victims of rape: Repeated assessment of depressive symptoms.

115 rape victims (aged 15–71 yrs) were examined at 2 wks and at 1, 2, 4, 8, and 12 mo after the assault. A matched control group of 87 nonvictims was seen at the same intervals. To control for the effects of repeated testing, 3 additional groups of 22–26 victims were assessed only once at 2, 4, or 8 mo postrape. All Ss completed the Beck Depression Inventory and the Hamilton Psychiatric Rating Scale for Depression. Depressive symptoms were significantly higher in victims of rape than in nonvictim controls following the assault. By 4 mo postrape, depressive symptoms in the victim group had diminished to the level shown by the nonvictim control group. Results from the single-testing victim groups indicated that repeated assessment affected the self-report measure, but not the interviewer-rated measure. Variables reflecting pre-rape functioning were more predictive of continued problems with depressive symptoms than were demographic variables or variables associated with the rape and its aftermath. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Satisfaction with social support and depressive symptoms: A panel analysis.

The literature suggests that persons who are dissatisfied with the amount of social support that has been provided to them may subsequently suffer from psychological disorder. At the same time, there is evidence that individuals who initially suffer from emotional disorder may consequently be less satisfied with their social support systems than may persons who enjoy better mental health. The purpose of this study was to test these competing hypotheses with panel data from a community survey of older adults. The findings indicate that changes in satisfaction with support tend to precede changes in depressive symptoms. A number of issues in the analysis of longitudinal data are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A longitudinal analysis of anxiety and depressive symptoms.

The authors modeled depressive and anxiety symptom data from 1,391 participants in a longitudinal study of middle-aged and older Swedish twins (M age?=?60.9 years, SD?=?13.3). Although anxiety and depression were highly correlated, a model with distinct Anxiety and Depression factors fit the data better than models with Positive and Negative Affect factors or a single Mental Health factor. Lack of well-being was associated with anxiety rather than depression. Over two 3-year intervals, anxiety symptoms led to depressive symptoms, but the relationship was not reciprocal. Anxiety symptoms were more stable than depression. These findings provide additional support for the idea that anxiety symptoms may reflect a personality trait such as neuroticism more than do depressive symptoms and suggest that low positive affect may not be as specific to depression among older adults as in younger people. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Shame, guilt, and depressive symptoms: A meta-analytic review.

Recent theoretical and empirical work has facilitated the drawing of sharp conceptual distinctions between shame and guilt. A clear view of these distinctions has permitted development of a research literature aimed at evaluating the differential associations of shame and guilt with depressive symptoms. This study quantitatively summarized the magnitude of associations of shame and guilt with depressive symptoms. Two hundred forty-two effect sizes were obtained from 108 studies employing 22,411 participants. Shame showed significantly stronger associations with depressive symptoms (r = .43) than guilt (r = .28). However, the association of shame and depressive symptoms was statistically indistinguishable from the associations of 2 maladaptive variants of guilt and depressive symptoms (contextual-maladaptive guilt, involving exaggerated responsibility for uncontrollable events, r = .39; generalized guilt, involving “free-floating” guilt divorced from specific contexts, r = .42). Other factors also moderated the effects. External shame, which involves negative views of self as seen through the eyes of others, was associated with larger effect sizes (r = .56) than internal shame (r = .42), which involves negative views of self as seen through one's own eyes. Depressive symptom measures that invoked the term guilt yielded stronger associations between guilt and depressive symptoms (r = .33) than depressive symptom measures that did not (r = .21). Age, sex, and ethnicity (proportion of Whites to Asians) did not moderate the effects. Although these correlational data are ambiguous with respect to their causal interpretation, results suggest that shame should figure more prominently in understandings of the emotional underpinnings of depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Antecedents of stressful experiences: Depressive symptoms, self-esteem, gender, and coping.

Numerous studies have identified depressive symptoms as antecedent to stressful experiences. However, the interrelations of depressive symptoms, personal resources, and coping as antecedents of stressful experiences are largely unknown. For this investigation, a prospective design was used to test a model estimating two categories of daily hassles at Time 2 in relation to depressive symptoms, self-esteem, gender, coping, and daily hassles at Time 1. Utilizing simultaneous equations, direct effects were observed for depressive symptoms, Time 1 hassles, gender, and avoidance coping in relation to category of hassles at Time 2. Depressive symptoms and avoidance coping were observed to be mediators for gender and self-esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent recognition of parental affect: Influence of depressive symptoms.

This study examined depressive biases in adolescents' labeling of parental affect. Adolescents (151 girls; 82 boys) and their parents engaged in videotaped problem-solving interactions. Adolescents then participated in a video-mediated recall procedure in which they watched the videotaped interaction and indicated how they thought their parents were feeling. Indices of parents' affect during the problem-solving interactions were also provided by parent self-report and behavioral observations. Adolescent depressive symptoms were associated with overreporting of parental aggressive affect and underreporting of parental happy and neutral affects, relative to both directly observed and self-reported parental affect. Depressive symptoms were not associated with overreporting of parental dysphoric affect. Given the importance of accurately reading affective cues for negotiating interpersonal interactions, these findings likely have implications for understanding processes that contribute to adverse relationships among the families of adolescents with depressive symptoms. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Maternal depressive symptoms in autism: Response to psychoeducational intervention.

Assessed the impact of psychoeducation intervention on the depressive symptoms of 28 mothers of young children with autism or related disorders (aged 2–6 yrs). Mothers in 2 demographically comparable treatment and no-treatment groups completed the Center for Epidemiologic Studies Depression Scale at the time of the child's diagnosis, and at 6 and 18 mo later. Repeated measures ANOVA procedures revealed a significant treatment time interaction. Mothers who participated in the psychoeducational treatment program decreased in depressive symptoms over time, and mothers without treatment showed no change over time. Results are discussed in terms of understanding maternal depression in most of these families as a modifiable adjustment reaction to the stress of caring for a child with a chronic disability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of rumination in depressive disorders and mixed anxiety/depressive symptoms.

Several studies have shown that people who engage in ruminative responses to depressive symptoms have higher levels of depressive symptoms over time, after accounting for baseline levels of depressive symptoms. The analyses reported here showed that rumination also predicted depressive disorders, including new onsets of depressive episodes. Rumination predicted chronicity of depressive disorders before accounting for the effects of baseline depressive symptoms but not after accounting for the effects of baseline depressive symptoms. Rumination also predicted anxiety symptoms and may be particularly characteristic of people with mixed anxiety/depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)