Vulnerability to depression: Reexamining state dependence and relative stability.

Treatment-related decreases in Dysfunctional Attitudes Scale (DAS; Weissman & Beck, 1978) scores have been interpreted as evidence that dysfunctional attitudes are state-dependent concomitants of depression. Data from the National Institute of Mental Health Treatment of Depression Collaborative Research Program were used to reexamine the stability of dysfunctional attitudes. Mean scores for Perfectionism, Need for Approval, and total DAS decreased after 16 weeks of treatment. However, test–retest correlations showed that the DAS variables displayed considerable relative stability. Structural equation models demonstrated that dysfunctional attitudes after treatment were significantly predicted by initial level of dysfunctional attitudes as well as by posttreatment depression. The relative stability of dysfunctional attitudes was even higher during the 18-month follow-up period. The results were consistent with Beck's (1967) and Blatt's (1974) theories of vulnerability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dysfunctional attitudes and attribution style in healthy controls and patients with schizophrenia, psychotic depression, and nonpsychotic depression.

Compared the scores of 242 psychiatric inpatients with schizophrenia, psychotic depression, or nonpsychotic depression and 53 healthy controls on the Attribution Style Questionnaire (ASQ) and the Dysfunctional Attitude Scale (DAS). Results provide mixed support for the cognitive and learned helplessness models of depression. Depressed Ss scored significantly higher than healthy controls on the DAS and ASQ, but there were no differences between depressed and schizophrenic Ss. (14 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Efficiently assessing negative cognition in depression: An item response theory analysis of the Dysfunctional Attitude Scale.

Despite a central role for dysfunctional attitudes in cognitive theories of depression and the widespread use of the Dysfunctional Attitude Scale, form A (DAS-A; A. Weissman, 1979), the psychometric development of the DAS-A has been relatively limited. The authors used nonparametric item response theory methods to examine the DAS-A items and develop a briefer version of the scale. Using DAS-A data obtained from depressed participants enrolled in 2 large depression treatment studies (N = 367), the authors developed a 9-item DAS form (DAS-SF?). In addition, because 2 versions of the DAS are needed for certain study designs, they also developed a 2nd short version (DAS-SF?). These short forms were highly correlated with the original 40-item DAS-A (rs ranged from .91 to .93), exhibited change similar to that of the DAS-A over the course of treatment, were moderately correlated with related self-report assessments, predicted concurrent depression severity, and predicted change in depression from before to after treatment. Taken together, the authors believe the DAS-SF? and DAS-SF? provide an efficient and accurate assessment of dysfunctional attitudes among depressed individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Induced Mood Change and Dysfunctional Attitudes in Remitted Bipolar I Affective Disorder.

This study investigated the possibility that, in remitted bipolar I affective disorder, dysfunctional attitudes are mood-state dependent. Participants were 120 individuals with remitted bipolar I disorder, remitted unipolar depression, or no history of affective disorder. The Dysfunctional Attitudes Scale (DAS; Weissman, 1979) was completed before and after positive or negative mood challenge. Following mood increase, the bipolar group changed significantly less in DAS total score than did the other 2 groups, and in goal-striving and achievement attitudes relative to the unipolar group. These findings did not provide clear support for the mood-state dependency theory in bipolar disorder, arguing instead for the presence in bipolar I disorder of dysfunctional cognitions that show characteristic resilience in the face of minor positive mood increase. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dysfunctional attitudes and episodes of major depression: Predictive validity and temporal stability in never-depressed, depressed, and recovered women.

In a large, community-based sample of women (N = 750), the authors examined the nature of associations between dysfunctional attitudes and depression. Dysfunctional attitudes were evaluated both as a vulnerability factor for depression and as a consequence of depression. A link was found between past depression and baseline elevations in dysfunctional attitudes that was independent of current subsyndromal symptoms, but intensification of dysfunctional attitudes following prospectively evaluated episodes of depression (depressive "scarring") was not observed. Although baseline dysfunctional attitudes predicted an episode of major depression over 3 years of prospective study, this prediction, considered alone or in interaction with negative life events, was redundant with that offered by history of past depression. Further, no significant prediction was evident for the Dysfunctional Attitude Scale (A. N. Weissman & A. T. Beck, 1978) when the formerly depressed and never-depressed cohorts were considered separately. Implications for cognitive theories are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress, coping, and marital satisfaction in couples with a depressed wife.

Evaluated the relationships among psychological distress, perceived stress, marital satisfaction, and coping in 20 couples in which the pregnant wife suffered major depression, 20 couples in which the pregnant wife suffered minor depression, and 40 control couples in which the pregnant wife was nondepressed. Consistent with a systems conceptualization of depression, the depressed Ss and their husbands both reported greater dissatisfaction in their marriages and used more dysfunctional coping strategies than did the nondepressed control couples. Whereas both the minor and major depressed Ss differed from the nondepressed Ss with respect to psychological distress and perceived stress, only husbands of the minor depressed Ss differed significantly on these measures from husbands of the nondepressed Ss, reporting greater distress and a higher level of perceived stress. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relative benefits of assertion or cognitive self-control treatment for depression as a function of proficiency in each domain.

Compared responses to an assertion training and a cognitive self-control treatment as a function of 28 depressed females' (mean age 40 yrs) initial assertion and cognitive self-control skills. 16 other Ss served as waiting list controls. All Ss were assessed on measures including the Minnesota Multiphasic Personality Inventory (MMPI), Beck Depression Inventory, and Rathus Assertiveness Schedule. It was predicted that (a) reductions in depression would be greater for treated as compared to waiting-list control conditions and (b) Ss low in a skill (cognitive or assertion) would benefit most from treatment addressing that skill. Only the 1st prediction was supported; treated Ss obtained greater depression reduction than controls. Neither cognitive nor assertion skill level significantly predicted response to the treatments. Effects of the treatments were not specific to targeted skills, and treatment had a significant impact only on cognitive self-control skill. Implications for skills-deficit models of depression therapy are discussed. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reactions to child custody decisions involving homosexual and heterosexual parents.

Examined the effects of gender and sexual orientation of petitioning parents on attitudes about child custody decisions among 274 undergraduates who were either high or low in homophobia. In Phase 1, Ss completed the Heterosexual Attitudes Toward Homosexuals Scale and the Kinsey Heterosexual-Homosexual Rating Scale that were embedded in a general questionnaire on social attitudes. In Phase 2, the same Ss were asked to give their opinions about the outcome of contrived custody cases where the parent winning custody was homosexual or heterosexual. There was less support for a homosexual than a heterosexual parent. This was particularly noticeable for male Ss. Unexpectedly, mothers were not favored over fathers; instead, Ss favored parents of their own gender. Ss who scored low in homophobia reacted more favorably to a homosexual parent than a heterosexual parent, while the reverse was true for those scoring high in homophobia. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dysfunctional attitudes are mood-state dependent.

To test the hypothesis that self-report of dysfunctional attitudes is mood-state dependent, dysfunctional attitudes were assessed in 43 women before and after they received a depressed or elated mood induction. As predicted, the mood induction produced reliable changes in mood and in dysfunctional attitudes, although the increase in dysfunctional attitudes following the negative mood induction was not large enough to be statistically significant. We also tested the hypothesis, from the cognitive theory of depression, that subjects with previous episodes of depression would report more dysfunctional attitudes than would subjects without such a history. As predicted, subjects who reported previous episodes of depression endorsed more dysfunctional attitudes than did subjects who did not report such a history. However, this effect occurred only for subjects who were in a negative mood state when their dysfunctional attitudes were assessed. These findings support the proposition of the cognitive theory that dysfunctional attitudes are traits but suggest that these traits are mood-state dependent. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depressed patients with dysfunctional families: Description and course of illness.

68 depressed patients were subdivided according to their family's level of family functioning into functional and dysfunctional groups. Patients from dysfunctional families did not differ from those of functional families on measures of severity of depression, chronicity of depression, depression subtypes, other nonaffective psychiatric diagnoses, history of depression, or neuroendocrine functioning. Ss from dysfunctional families did have significantly higher levels of neuroticism. A 12-mo follow-up of these patients indicated that depressed patients with dysfunctional families had significantly poorer course of illness, as manifested by higher levels of depression, lower levels of overall adjustment, and a lower proportion of recovered patients. Thus, impaired family functioning appears to be an important prognostic factor in major depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping profiles associated with psychiatric, physical health, work, and family problems.

Examined coping profiles of 11 samples (identified in the stress literature) with a total of 1,298 individuals experiencing psychiatric, physical health, work, or family problems. Comparisons were made in Ss with and without anxiety and depression to control for the effects of distress. Coping was similar for Ss in similar problem categories, but different for Ss in different categories. Psychiatric Ss made more use of avoidance and less use of social supports. Ss with physical health problems were among the most frequent users of social supports. Ss with a family problem were among the most frequent users of problem-focused coping and the least frequent users of self-blame. Ss with work stress were the most frequent users of self-blame. Results support the hypothesis that persons with psychopathology cope in maladaptive ways involving dysfunctional strategies that constitute the behavioral disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between personality pathology and dysfunctional cognitions in previously depressed adults.

Multivariate and univariate regression models were used to examine the relationship between Axis II personality pathology and dysfunctional cognitions in a follow-up study of 40 formerly depressed inpatients. A dimensionalized measure of overall Axis II pathology was significantly and positively related to dysfunctional attitudes (Dysfunctional Attitudes Scale [DAS]) and maladaptive negative event attributions (Attributional Style Questionnaire–Negative Composite [ASQ-N]); the Axis II measure accounted for approximately 29% of the variance in DAS and 14% of the variance in ASQ-N, after controlling statistically for subsyndromal depressive symptoms (Beck Depression Inventory [BDI]). Axis II pathology was not significantly associated with positive event attributions, and no significant Axis II?×?BDI interaction effects were observed. A secondary canonical analysis of Axis II clusters was largely consistent with a hypothesized general personality pathology factor associated with dysfunctional cognitions, though a more specific association between Axis II Cluster C pathology and dysfunctional attitudes was also observed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assertiveness, territoriality, and personal space behavior as a function of group assertion training.

42 18-40 yr old females who requested services from a university counseling center were employed to examine changes in assertiveness, territoriality, and personal space as a function of group assertion training. Ss were assigned to either a treatment (assertion training) group or to a control (waiting list) group. The following outcomes were hypothesized: (a) Ss who participated in the assertion training treatment program would increase their assertive behavior significantly more than controls. (b) Treatment Ss would exhibit smaller personal space zones than would controls. (c) Treatment Ss would use more space on a drawing task than would controls. Data collected from a battery of measures, including the Rathus Assertiveness Schedule, the College Self-Expression Scale, and the Assertive Behavior Situation Test, provided strong support for the 1st and 3rd hypothesis and partial support for the 2nd hypothesis. Implications of the findings for counseling and for the use of ethological constructs are discussed. (23 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An examination of differences between multiple- and single-incident victims of sexual assault.

Examined differences between 25 multiple- and 25 single-incident victims of sexual assault using demographic data and a 117-item interview that assessed functioning prior to the current rape. Multiple-incident Ss were poorer and more transient than were single-incident Ss. Multiple-incident Ss also had a history of more frequent victimization other than rape and were significantly more dysfunctional in their personal and interpersonal adjustment. They reported more problems with depression, and 52% had attempted suicide. Comparisons of events leading up to and surrounding the current rape for these 2 groups were not significant. (10 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Negative cognitive styles, dysfunctional attitudes, and the remitted depression paradigm: A search for the elusive cognitive vulnerability to depression factor among remitted depressives.

Results from studies using a behavioral high-risk design and approximations to it generally have corroborated the cognitive vulnerability hypothesis of depression, whereas results from remitted depression studies typically have not. Suspecting that design features of previously conducted remitted designs likely precluded them from detecting maladaptive cognitive patterns, the authors conducted a study featuring the remitted design that has been successful in studies of a biological vulnerability for depression. Participants' current depressive symptoms, negative cognitive styles (hopelessness theory), dysfunctional attitudes (Beck's theory), and lifetime prevalence of clinically significant depression were assessed. Participants who had remitted from an episode of clinically significant depression had more negative cognitive styles, but not greater levels of dysfunctional attitudes, than did never depressed individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pregnancy problems, postpartum depression, and early mother–infant interactions.

24 women (mean age 24 yrs) who had received ultrasound examinations and psychological interviews during the 3rd trimester of pregnancy were subsequently divided into a group of 12 Ss who had reported pregnancy problems (marital difficulties and ambivalence about the child) and another group of 12 Ss who had not. Ss were then observed at 3–5 mo postpartum in interactions with their infants and were given the Beck Depression Inventory, the State-Trait Anxiety Inventory, the Nowicki-Strickland Internal–External Control Scale for Adults, measures of mothers' and infants' temperament, and a maternal developmental expectations and childrearing attitudes scale. The mothers who had experienced pregnancy problems were more depressed, anxious, and externalizing postpartum and expressed more punitive childrearing attitudes. These depressed mothers and their infants showed less optimal interaction behaviors. Results suggest that postpartum depression can be predicted from a simple set of questions regarding the mother's negative feelings about her marriage and her expectant child during the prenatal period. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Specificity of depressotypic cognitions in clinical depression.

Evaluated 2 measures of cognition in depression, an automatic thoughts questionnaire (ATQ) and the Dysfunctional Attitudes Scale (DAS), for sensitivity and specificity in a series of diagnostically distinct clinical outpatients. The 69 Ss were divided among the following diagnoses: bipolar disorder, depressed; unipolar disorder, depressed; substance abuse, depressed; substance abuse disorder; and general psychiatric disorder. Findings show that both measures covaried with syndrome rather than nosological depression, and the ATQ, but not the DAS, evidenced good specificity. (35 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping humour, stress, and cognitive appraisals.

Investigated relationships between sense of humor and cognitive appraisals (CAs) and reappraisals of a potentially stressful event. CAs by 44 female university students for an academic examination were obtained at several points in time. Ss with high scores on the Coping Humor scale by R. A. Martin and H. M. Lefcourt (see record 1984-15058-001) appraised the exam as more of a positive challenge. In their reappraisals, high humor Ss' ratings of importance and positive challenge were positively related to performance on the exam, whereas for low humor Ss this relationship was negative. High humor Ss adjusted their expectations on the next exam on the basis of performance on the previous exam, whereas low humor Ss did not. Sense of humor was negatively related to both perceived stress and dysfunctional standards for self-evaluation. Results support the proposal that a sense of humor may facilitate coping and adjustment. (French abstract) (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Attitudes, polarization, and diagnosticity: Exploring the effect of affect.

Examines the various judgmental effects of attitude intensity or commitment. 28 feminist and 26 nonfeminist undergraduates estimated the prevalence of both pro- and antifeminist attitudes in various segments of the population. They then estimated the prevalence of various personality traits and demographic characteristics among others with either pro- or antifeminist attitudes. In accord with a "false consensus" hypothesis, both S groups perceived profeminist attitudes to be more common among all population groups. In addition, however, committed Ss viewed the population as significantly more polarized on the women's rights issue. Relative to the remaining Ss, committed feminists overestimated the prevalence of both pro- and antifeminist attitudes. Although both S groups found information concerning others' position on women's rights to be highly diagnostic of personality traits and attitudes, committed feminists saw this information as significantly more diagnostic for both pro and anti others. Implications for both attribution and attitude theories are discussed. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)