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Initial symptom levels and the life-event–depression relationship.
Authors:Hammen  Constance; Mayol  Arlene; DeMayo  Robert; Marks  Terry
Abstract:93 undergraduates selected for diversity of initial depression levels were studied longitudinally to explore the relation between stressful events and depression. Ss were chosen on the basis of their scores on an information-processing procedure, the Beck Depression Inventory, the Schedule for Affective Disorders and Schizophrenia—Lifetime Version, and the SCL-90. After the initial screening, Ss completed a 2-hr interview covering current and lifetime diagnostic status and stressful life-event occurrence in the previous 12 mo. Following this, they participated in 4 regular monthly follow-ups. Regression analyses and inspection of individual patterns supported the hypothesis that initial depression status is a critical factor in depression–event associations and that concurrent high-impact negative events contribute significantly but modestly to outcomes. It appeared that nonsymptomatic Ss were relatively resistant to onset even when exposed to high-impact stress events, whereas a subset of initially symptomatic Ss continued to have both more depression and more high-impact events over time. It is suggested that future research on event–depression associations should carefully consider these different outcome patterns: symptom resistance and symptom onset in nondepressed persons and symptom remission and symptom maintenance or recurrence in initially depressed persons. (43 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)
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