Stability of negative self-structures: A longitudinal comparison of depressed, remitted, and nonpsychiatric controls
β Scribed by David J. A. Dozois
- Book ID
- 102310491
- Publisher
- John Wiley and Sons
- Year
- 2007
- Tongue
- English
- Weight
- 152 KB
- Volume
- 63
- Category
- Article
- ISSN
- 0021-9762
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
To be considered a vulnerability marker for depression, a variable should, in addition to demonstrating sensitivity and specificity, also show evidence of temporal stability (i.e., remain present in the absence of depressive symptomatology). Although many cognitive factors are associated with depression, the majority of them appear to be episode rather than vulnerability markers. This study examined cognitive organization of positive and negative interpersonal and achievement content in clinically depressed, remitted, and nonpsychiatric controls. At initial assessment, a sample of 54 clinically depressed individuals and 37 neverβdepressed controls completed selfβreport measures of positive and negative automatic thoughts and two cognitive organizational tasks. They were retested 6 months later when half of the depressed group no longer met diagnostic criteria for major depression. Negative automatic thoughts decreased and positive automatic thoughts increased significantly in individuals who had improved clinically. The organization of negative interpersonal content remained stable despite symptom amelioration, but negative achievement content was less interconnected at followβup in those patients who had improved. The structure of relational schemas, in particular, appears to be stable and may be an important cognitive vulnerability factor for depression. Β© 2007 Wiley Periodicals, Inc. J Clin Psychol 63: 319β338, 2007.
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