Cognitive processing and posttraumatic growth after stroke.

Objective: To examine whether posttraumatic growth (PTG) after stroke is associated with cognitive processing and psychological distress and whether time since stroke moderates relationships between these variables. Method: A sample of stroke survivors (N = 60) completed the Posttraumatic Growth Inventory, the Cognitive Processing of Trauma Scale and the Hospital Anxiety and Depression Scale. Results: PTG correlated positively with four indicators of cognitive processing (i.e., positive cognitive restructuring, downward comparison, resolution, and denial) and negatively with depression. Time since stroke moderated a number of these relationships. As length of time since stroke increased, the relationships between PTG and anxiety and depression became more negative and significant, and the relationships between PTG and downward comparisons and resolution became more positive and significant. Discussion: The findings indicate the possibility of PTG after stroke and suggest that cognitive processing is an important process for engendering such growth. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reliabilities and concurrent validities of popular self-report measures of depression, anxiety, and social desirability.

135 male and 256 female undergraduates completed the Self-Rating Depression Scale, Beck Depression Inventory, Depression Adjective Check Lists, State-Trait Anxiety Inventory, Taylor Manifest Anxiety Scale, S-R Inventory of Anxiousness, Marlowe-Crowne Social Desirability Scale, and Edwards Social Desirability Scale. Pearson correlation coefficients indicated strong relationships between measures of depression and between measures of anxiety. However, pairs of anxiety and depression measures correlated almost as strongly. All depression and anxiety measures were significantly associated with the Edwards Social Desirability Scale. Findings question the use of a self-report measure of depression to select "depressed" Ss among college students. (34 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

State and trait anxiety, coping styles and depression among psychiatric inpatients.

Examined relationships among state and trait anxiety, coping styles, and depression in 17 male and 26 female adult psychiatric inpatients. Ss completed measures of state and trait anxiety, situation perception, depression and coping styles (Multidimensional Anxiety Scales, Multidimensional Coping Inventory, and Beck Depression Inventory) at 2 times (approximately 2 days after admission to the hospital and approximately 4 days after the 1st test administration). Results reveal significant positive correlations between level of depressive symptomatology and both state and trait anxiety. Emotion-oriented coping was positively correlated with depression, whereas task-oriented coping was negatively correlated with depression. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prediction of handicap and emotional distress in patients with recurrent vertigo: symptoms, coping strategies, control beliefs and reciprocal causation

Factors predicting handicap and distress were examined in a longitudinal study of 101 patients suffering from recurrent vertigo (dizziness). Analysis of a questionnaire assessing coping strategies yielded four distinct individualised coping styles: problem-focused information-seeking; distraction; denial; and relinquishing responsibility. After controlling for the severity of physical and psychological symptoms and distress, handicap was negatively related to internal locus of control and positively correlated with relinquishing responsibility. Symptoms of somatic anxiety predicted an increase in handicap over a 7 month period, while handicap and somatic anxiety symptoms predicted an increase in distress. These results are interpreted in terms of a reciprocal causal relationship between handicap and distress, mediated partly by somatic symptoms. Parallels with pain, panic and phobia suggest that patients with vertigo might benefit from psychological therapies.     

Coping, control, and adjustment in type 2 diabetes.

The relationships of both coping strategies and perceived control to psychological and physiological adjustment were investigated in 115 adults (65 women, 50 men) with Type 2 diabetes. Results showed that (a) emotional preoccupation and palliative coping were positively correlated with depression and state anxiety, whereas perceived control was negatively correlated with depression, state anxiety, and hemoglobin A1c (HbA1c); (b) instrumental coping predicted lower depression; (c) perceived control moderated the relationships between instrumental coping and depression, and emotional preoccupation coping and HbA1c; and (d) emotional preoccupation coping mediated the relationships between perceived control and depression, and perceived control and state anxiety. Results are discussed in terms of the goodness-of-fit hypothesis (V. J. Conway & D. J. Terry, 1992), optimal coping, and the importance of perceived control in psychological and physiological adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood depression, locus of control, and school achievement

Childhood depression and locus of control (as assessed by a 20-item peer nomination inventory and the Children's Nowicki-Strickland Locus of Control Scale, respectively) were studied as they relate to each other and to measures of school achievement and intellectual functioning. Ss were 452 male and 492 female 4th and 5th grade public school children. Measures of achievement included standardized reading and math scores and teacher ratings of work/study habits and school achievement. The Draw-A-Person Test was used as an index of intellectual functioning. Locus of control and depression were positively related. All measures of achievement were negatively related to both external locus of control and depression. The negative relationship also held for IQ, although it was not as strong. The joint association of depression and locus of control with achievement and IQ was evidenced by a significant correlation between canonical variates representing these 2 sets of variables. (29 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Inflammatory bowel disease: a study of the association between anxiety and depression, physical morbidity, and nutritional status

BACKGROUND: The etiology of inflammatory bowel disease is unclear, and the role played by anxiety and depression is highly controversial. Anxiety and depression in patients with inflammatory bowel disease could be secondary to disabling symptoms, but the interaction between physical morbidity and psychologic illness in these subjects has not been sufficiently investigated. Patients with inflammatory bowel disease are nevertheless frequently undernourished, but there are no studies on the association between anxiety and depression and malnutrition. This study was designed to characterize anxiety and depression in subjects affected by inflammatory bowel disease and to establish the influence of physical morbidity and/or nutritional status on psychologic disorders. METHODS: Seventy-nine consecutive patients, 43 with Crohn's disease (CD) and 36 with ulcerative colitis (UC), were enrolled in the study. An index of the disease activity and physical morbidity was obtained by the simplified Crohn's Disease Activity Index and Truelove-Witts criteria and using the Clinical Rating Scale. Thirty-six healthy volunteers were studied as controls. All the subjects were given the State and Trait Anxiety Inventory (STAI) test and the Zung self-rating Depression Scale. RESULTS: The percentage of subjects with state anxiety was significantly higher in the CD (P < 0.001) and UC (P < 0.001) groups than in control subjects. There was no significant difference in trait anxiety among groups. The percentage of subjects with depression was significantly higher in the CD (P < 0.05) and UC (P < 0.05) groups than in control subjects. State anxiety and depression were significantly associated with physical morbidity and correlated with malnutrition in CD and UC patients. CONCLUSION: Anxiety and depression in patients with inflammatory bowel disease could be reactive to the disabling symptoms and to malnutrition. As measured with the STAI, personality trait of anxiety does not seem to play an important role in inflammatory bowel disease.     

Psychological states in terminal cancer patients as measured over time.

Examined the level of and the change over time in denial, death anxiety, anxiety, depression, hostility, love, being, and self-esteem in terminal cancer patients. Ss were 30 cancer patients (aged 51–74 yrs), 27 arthritic patients (aged 52–75 yrs) who constituted a chronically ill, but not terminal, control group, and 30 healthy control Ss (aged 51–76 yrs). Psychometric instruments to assess the psychological states (the Multiple Affect Adjective Check List, the Rosenberg Self-Esteem Scale, the Death Anxiety Scale, and the Being and Love scales of the Personal Orientation Inventory) were administered 3 times at 6-wk intervals. The cancer patients had significantly lower death anxiety than the control Ss, and a relative increase in the Being variable over time. There was little evidence of appreciable denial of serious illness in the cancer patients and an inverse relation between death anxiety and denial, which lends some support to clinical opinions that denial protects against death anxiety. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive-behavioral and psychodynamic group psychotherapy in treatment of geriatric depression.

Assessed whether depressed geriatric patients would respond to group psychotherapy and, if so, whether they would respond differently to cognitive-behavioral and psychodynamic group psychotherapy. 33 55–78 yr olds entered the study, and 20 completed the 9-mo course of treatment. Ss in both types of groups showed statistically and clinically significant reductions on observer-rated measures of depression and anxiety (Hamilton Rating Scale for Depression and Hamilton Anxiety Scale), as well as on self-report measures of depression (Self-Rating Depression Scale and Beck Depression Inventory). There were no clinically significant differences, but a statistically significant difference between the types of groups was found for the Beck Depression Inventory, and this favored the cognitive-behavioral treatment. Limitations on interpretation of these results because of the lack of a control condition are discussed. (44 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Religiousness and mental health reconsidered: A study of an intrinsically religious sample.

Despite the existence of strong viewpoints, the relation between religiousness and mental health is not yet clearly understood. The Religious Orientation Scale has provided researchers with a valuable tool for differentiating between intrinsic (I) and extrinsic (E) religious orientations, thereby clarifying some of the confusion in this area. In the present study we assessed correlations between these two scales and anxiety, personality traits, self-control, irrational beliefs, and depression. Results generally indicated that I is negatively correlated with anxiety and positively correlated with self-control and "better" personality functioning, whereas the opposite is true of E. Correlations were generally not found with irrational beliefs or depression. By dividing subjects into a fourfold typology, we discovered that 98.6% of the present sample of religious students were "intrinsics." When their personality scores were compared with those of other normal populations, trends slightly favoring this intrinsic sample were observed. Thus, these results indicated that I is related to "normality" and that religiousness is not necessarily indicative of emotional disturbance. Some implications for counseling are suggested. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preference for situations involving effort, time pressure, and feedback in relation to Type A behavior, locus of control, and test anxiety.

Eighty subjects from an introductory psychology course rated the desirability of eight course structures that differed according to all combinations of the presence or absence of effort required for success, time pressure, and the provision of feedback. Subjects also completed questionnaire measures of the Type A behavior pattern, test anxiety, and external locus of control. Results showed that the Type A behavior pattern was negatively related to external locus of control and that externals tended to have higher test anxiety scores than internals. Multiple regression analyses that involved the personality variables and age and gender showed that the Type A variable predicted preference for course structures that involved effort and feedback and that external control predicted preference for course structures that were independent of effort and provided little feedback. Test anxiety and desirability ratings were positively correlated for the course structure that was not dependent on effort, had little time pressure, and had little feedback. The results were consistent with the view that individuals seek out and prefer situations that are consistent with their personality characteristics. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Postpartum anxiety and depression: onset and comorbidity in a community sample

A community-based sample of 107 women completed the Beck Anxiety Inventory, Beck Depression Inventory, State-Trait Anxiety Inventory, and Edinburgh Postnatal Depression Scale at 14 weeks postpartum and at 30 weeks postpartum. The point prevalence of anxiety was 8.7% at 14 weeks and 16.8% at 30 weeks postpartum. The point prevalence of depression was 23.3% at 14 weeks and 18.7% at 30 weeks postpartum. The incidence of anxiety during this time period was 10.28%, and the incidence of depression was 7.48%, indicating high incidences of both postpartum anxiety and depression later in the postpartum period. The Edinburgh Postnatal Depression Scale was found to have a strong correlation with the State Anxiety Scale of the State-Trait Anxiety Inventory (r = .73 at 14 weeks, r = .82 at 30 weeks), suggesting that the Edinburgh Postnatal Depression Scale may be a good screening instrument for anxiety as well as depression.     

Comparison of the validities of the Beck, Zung, and MMPI Depression scales.

Compared the validities of 3 widely used self-report depression measures: the Beck Depression Inventory (BDI), the MMPI Depression scale, and the Self-Rating Depression Scale (SRDS). Each inventory was administered to 101 inpatient psychiatric ward patients and to 99 chemical dependency ward patients. All of the Ss were male and less than 60 yrs of age. The 3 scales were correlated with clinicians' global ratings of depression, with scores on 5 DSM-III-based factor-analytic depression scales, and with an overall depression score based on the DSM-III criteria. In general, the SRDS produced better validity coefficients than the BDI, which in turn yielded higher correlations with these criteria than did the MMPI Depression Scale. (5 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relations between the Pleasant Events Schedule, depression, and other aspects of psychopathology.

Studied the relations between the Mood Related subscale of the Pleasant Events Schedule (PES), depression, and other psychopathology. 100 psychiatric inpatients and outpatients (mean age 35.7 yrs) had diagnoses of either major, nonmajor, or no depression. All Ss completed the PES, the Beck Depression Inventory, the State-Trait Anxiety Inventory, and a Dutch personality questionnaire. Results show that the PES correlated negatively with depression as well as with anxiety and (social) neuroticism. Principal components analysis revealed 2 factors, negative and positive affect. The latter was dominated by PES scores. Using factor scores, the 3 diagnostic groups could be meaningfully discriminated. It is concluded that depression may be better described using 2 affect dimensions rather than 1. (27 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cloning and functional expression of a cDNA encoding geranylgeranyl diphosphate synthase from Taxus canadensis and assessment of the role of this prenyltransferase in cells induced for taxol production

In 50% risk carriers for Huntington disease (n = 41), hereditary cerebral hemorrhage with amyloidosis Dutch-type (n = 9) familial adenomatous polyposis coli (n = 45) and hereditary breast and ovarian cancer (n = 24), pretest intrusion and avoidance (Impact of Event Scale), anxiety and depression (Hospital Anxiety and Depression Scale), feelings of hopelessness (Beck Hopelessness Scale), and psychological complaints (Symptom Checklist) were assessed to determine their psychological well-being. The manner of discussing the genetic disorder, the test, and its implications during a semistructured interview (reflecting on one's emotions without getting carried away or dismissing or minimizing the subject) was judged in terms of coherence. Participants at risk for neurodegenerative disorders had higher anxiety and depression scores and more psychological complaints than did those at risk for cancer syndromes. Those reporting high intrusion/high avoidance had higher anxiety and depression scores and more psychological complaints than did those reporting low intrusion/low avoidance. However, the scoring of the interview showed that participants reporting high intrusion/high avoidance were more reflective about their emotions without getting carried away or dismissing the subject (e.g., more coherent) than those reporting low intrusion/low avoidance. This result suggests that participants with higher stress scores may be actively dealing with the emotional implications of the test, whereas those with low stress scores may (as yet) be unable to face these implications. It is important to identify the strategy of coping with threat to provide suitable counseling and necessary guidance. However, long-term follow-up is needed to learn the consequences of a denial coping strategy for those participating in a genetic testing program.     

Occupational Risk Factors for Breast Cancer among Nurses

This study examined the relationship between coping and depression in multiple sclerosis patients, and how that relationship varies at different levels of physical impairment. One-hundred and one patients with clinically definite MS were assessed using the Kurtzke Expanded Disability Status Scale (EDSS), the Ways of Coping Inventory (WCI) with three sub-scales developed by Wineman et al, and the Beck Depression Inventory (BDI). Depression was significantly higher at more advanced levels of neurologic impairment than at lower levels. Escape-Avoidance and Emotional Respite were positively related to level of depression. Planful Problem-Solving and Cognitive Reframing were negatively related to depression. An interaction between coping, depression, and level of neurologic impairment was observed in which Planful Problem-Solving and Cognitive Reframing were more strongly related to depression at higher levels of impairment. The interaction effect for Escape-Avoidance and Emotional Respite with depression and level of impairment did not reach significance. It was concluded that there is a significant interaction between level of neurologic impairment, coping behaviors, and depression in patients with MS.     

Anosognosia and denial: Their relationship to coping and depression in acquired brain injury.

Objective: To evaluate relations among denial, anosognosia, coping strategies, and depression in persons with brain injury. Study Design: Correlational. Setting: A Midwest residential, post-acute brain injury rehabilitation center. Participants: Twenty-seven adults with brain injury. Measures: Clinician's Rating Scale for Evaluating Impaired Self-Awareness and Denial of Disability After Brain Injury, COPE, Beck Depression Inventory-I. Results: Denial and anosognosia were related and co-occurred. Use of process coping strategies was associated with greater use of problem-focused coping strategies. Higher levels of denial were associated with greater use of avoidant coping strategies, and greater use of these coping strategies was related to higher levels of depression. Conclusions: Individuals primarily in denial and individuals primarily anosognosic differ in the coping strategies they institute. Avoidant coping strategies are used more frequently by individuals in denial, and use of these strategies is associated with higher levels of clinical depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Specificity in the assessment of daily hassles: Hassles, locus of control, and adjustment in college students.

Argues that there are important differences in the hassles experienced by various populations and that measures of daily life hassles (DLHs) should be constructed specifically for the particular population being studied. The argument is supported by 2 studies conducted with 413 college students who received a modified version of the Hassles Scale, a multidimensional measure of locus of control, and various measures of adjustment. The Hassles Scale was associated significantly with depression in Study 1 and with depression and anxiety in Study 2. However, the perception of DLHs did not interact with an external locus of control to predict unique variance in adjustment scores in either study. Moreover, it was found in both studies that females gave higher severity ratings to their DLHs. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does age play a role in structure of anxiety and depression in children and youths? An investigation of the tripartite model in three age cohorts.

Although previous studies provide some support for a tripartite model of relations between anxiety and depression in children, there is evidence to suggest that anxiety and depression may be increasingly differentiated over development. Using a confirmatory factor analytic strategy with rationally selected item sets from the Revised Children's Manifest Anxiety Scale and the Children's Depression Inventory, the current study sought to test unitary, dual. and tripartite models for anxiety and depression in a cross-sectional design using 3 narrow-band age cohorts of nonreferred children and youths. The results found little evidence of increasing differentiation. All models provided a moderate fit to the data, with some evidence that a correlated 3-factor model was the preferred model in all age cohorts. Further research is required to explore the discriminant validity and clinical utility of the tripartite dimensions in childhood populations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Screening instruments for depression and anxiety following stroke: experience in the Perth community stroke study

Evaluation of the relative efficacy of three screening instruments for depression and anxiety in a group of stroke patients was undertaken as part of the Perth community stroke study. Data are presented on the sensitivity and specificity of the Hospital Anxiety and Depression Scale (HAPS), the Geriatric Depression Scale and the General Health Questionnaire (GHQ) (28-item version) in screening patients 4 months after stroke for depressive and anxiety disorders diagnosed according to DSM-III criteria. The GHQ-28 and GDS but not the HADS depression, were shown to be satisfactory screening instruments for depression, with the GHQ-28 having an overall superiority. The performance of all 3 scales for screening post-stroke anxiety disorders was less satisfactory. The HADS anxiety had the best level of sensitivity, but the specificity and positive predictive values were low and the misclassification rate high.