Cognitive aspects of chronic depression.

Previous research on chronic depression has focused on its link with other mood disorders and Axis II personality disorders. However, there are few data examining whether the cognitive perspective applies to this condition. In this cross-sectional study, 42 outpatients with chronic depression were compared with 27 outpatients with nonchronic major depressive disorder and 24 never psychiatrically ill controls on cognitive variables thought to be related to vulnerability to depression (e.g., dysfunctional attitudes, attributional style, a ruminative response style, and maladaptive core beliefs). Both depressed groups were more elevated than a never-ill comparison group. However, chronically depressed individuals were generally more elevated on measures of cognitive variables than those with major depressive disorders even after controlling for mood state and personality disorder symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributions and expectations: A confluence of vulnerabilities in mild depression in a college student population.

The reformulated model of learned helplessness assumes that attributional style has its impact on depression in part through the intermediary effect of pessimistic or negative expectations about the occurrence of future outcomes. A possible logical next step in testing the model is to measure jointly attributions and expectations and to examine their combined (interactive) contributions. We used a short-term longitudinal design to examine whether attributional style works in combination with other factors, such as expectations, to predispose individuals to depression. Consistent with the initial theoretical analysis, the interaction of attributional style and expectations predicted depression on the Beck Depression Inventory 6 weeks later. We also found that attributional style predicted depression 6 weeks later in interaction with initial level of depression. These findings support our confluence hypothesis, which assumes that vulnerability factors can combine interactively and qualify the effects of attributional style. These interaction-effect findings have implications for currently popular cognitive theories of depression and for previous research on vulnerability to depression that has examined only the effects of single cognitive variables (such as attributional style) considered alone. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributional style, depression, and perceptions of consensus for events.

This study examined the differences between depressed and nondepressed individuals' implicit perceptions of consensus, which may contribute to differences in their attributional styles. Subjects rated the extent to which positive, negative, and neutral events happen to themselves and to the average college student and completed measures of depth of depression and attributional style. Perceptions of consensus were highly correlated with all components of attributional style for negative and positive events. Hierarchical regression analyses revealed that ratings of others explained variance in attributional style beyond that explained by ratings of the self for positive but not for negative events. Path analyses, however, indicated that the indirect path from perceptions of consensus to depression mediated through attributional style was nonsignificant for positive events, although it was significant for negative events. These findings are discussed in terms of the role of perceptions of others as precursors of attributional style and depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Importance of attributions as a predictor of how people cope with failure.

This study examined the extent to which causal attributions were predictive of depressed mood in college students who experienced a negative event. In a replication and extension of a study by Metalsky, Abramson, Seligman, Semmel, and Peterson (1982), we evaluated students' attributional style and their attributions for an examination performance in the college classroom. Additionally, an indirect probe was used to assess unsolicited attributions. Subjects were asked about their plans to prepare for the next examination in order to test for the motivational deficits predicted by the reformulated learned helplessness (RLH) model. Unlike Metalsky et al., attributional style did not predict depressed mood following a disappointing examination performance. Attributions for the particular examination performance were predictive of depressed mood for students who were disappointed in their examination performance. Few subjects, 31%, gave attributions in response to the indirect probe, and there was no support for the prediction that unexpected negative events would lead to subjects' making more attributions. Internal, stable, and global attributions for poor examination performance resulted in students making more plans to study for the next examination, a finding contrary to what is predicted by the RLH model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Negative and positive cognition in depressed and nondepressed chronic-pain patients.

Examined negative and positive automatic thoughts and attributional style in 60 men (aged 21–64 yrs) who were depressed chronic-low-back-pain (CLBP) patients, nondepressed CLBP patients, or healthy controls. Ss completed measures that included the Attribution Style Questionnaire and the Automatic Thoughts Questionnaire (S. D. Hollon and P. C. Kendall; see record 1981-20180-001). Depressed Ss exhibited significantly more negative automatic thoughts than nondepressed Ss and controls. Nondepressed Ss reported significantly more positive automatic thoughts than did depressed Ss and controls. No significant differences were found for attributional style. Different cognitive-behavioral interventions might be considered for depressed and nondepressed CLBP Ss. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Temporary vascular occlusion during cerebral aneurysm surgery

Mood disorders and attention deficit-hyperactivity disorder (ADHD) co-occur in 20-30% of children and adolescents diagnosed in both epidemiological and clinical studies, but little information is available regarding cognitive factors that may be relevant to the expression of co-occurring mood disorders and ADHD. This study examined whether ADHD with and without a comorbid mood disorder could be differentiated on the basis of cognitive factors associated with prominent theories of depression. Children meeting diagnostic criteria for ADHD (n = 14) or ADHD and a comorbid mood disorder (n = 27) were assessed on a variety of cognitive indices. Children in the comorbid group reported more negative views of themselves and a more depressogenic attributional style. Cognitive disturbances associated with A. T. Beck's (1967) cognitive model and attributional style theories of depression differentiate ADHD children with significant mood pathology.     

The differential effects of mood on age differences in the correspondence bias.

The present study found that age-related differences in the correspondence bias were differentially influenced by induced mood. Young and older adults completed an attitude-attribution task after having been induced to experience a positive, neutral, or negative mood. Although negative moods intensified age-related differences in the correspondence bias, young and older adults were equally susceptible to the correspondence bias when in a positive mood. In addition, induced mood differentially influenced the attributional confidence of young and older adults. Whereas negatively induced young adults were less confident than positively induced young adults in their attributions, negatively induced older adults were more confident than positively induced older adults in their attributions. Findings are discussed in terms of how positive and negative moods operate differently in motivating young and older adults' attributional judgments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive factors differentiating attention deficit–hyperactivity disorder with and without a comorbid mood disorder.

Mood disorders and attention deficit–hyperactivity disorder (ADHD) co-occur in 20–30% of children and adolescents diagnosed in both epidemiological and clinical studies, but little information is available regarding cognitive factors that may be relevant to the expression of co-occurring mood disorders and ADHD. This study examined whether ADHD with and without a comorbid mood disorder could be differentiated on the basis of cognitive factors associated with prominent theories of depression. Children meeting diagnostic criteria for ADHD (n?=?14) or ADHD and a comorbid mood disorder (n?=?27) were assessed on a variety of cognitive indices. Children in the comorbid group reported more negative views of themselves and a more depressogenic attributional style. Cognitive disturbances associated with A. T. Beck's (1967) cognitive model and attributional style theories of depression differentiate ADHD children with significant mood pathology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributional style and attributional patterns among married couples.

Explored whether couples develop an attributional style in explaining marital behavior. Results demonstrate that spouses vary greatly in the extent to which they develop an attributional style in this area. Development of an attributional style is correlated with marital distress. Investigators have assumed that simultaneous attributional ratings across several attributional dimensions best characterize the attributions that spouses make for marital events. Yet almost all studies to date have considered each attributional dimension separately. The current investigation explored whether meaningful attributional patterns across dimensions were discernible for marital events. Findings indicate that such patterns do exist and are psychologically interpretable, and support the hypothesis that distressed spouses tend to maximize negative partner behaviors while minimizing positive partner behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributions for positive life events predict recovery from depression among psychiatric inpatients: An investigation of the Needles and Abramson model of recovery from depression.

The authors investigated whether attributions for positive life events predict decreases in hopelessness and depressive symptoms among clinically depressed adults. Measures of attributional style, attributions for recent events, depressive symptoms, dysfunctional attitudes, hopelessness, and life events were administered to 52 depressed psychiatric inpatients treated with antidepressant medication; the measures were readministered 12 and 24 days later. Results indicated that (a) internal, stable, global attributions for recent positive events mediated a significant association between attributional style for positive life events and decreased hopelessness; (b) decreases in hopelessness mediated a significant association between internal, stable, global attributions for recent positive events and decreases in depressive symptom levels; and (c) depressotypic cognitions were not associated with decreases in either hopelessness or depressive symptom levels. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributions as moderators of affective and behavioral responses to social failure.

Undergraduate women with a helpless or nonhelpless attributional style as measured by the Attributional Style Questionnaire were subjected to social failure or success (interaction with unresponsive or responsive confederates). Subsequently, each interacted with a second naive subject. As predicted, individuals with a helpless attributional style became depressed and hostile (as measured by the Multiple Affect Adjective Check List) after interacting with an unresponsive confederate. Furthermore, in comparison with nonhelpless subjects, helpless subjects who interacted with the unresponsive confederate evidenced more tension in their voices during both interactions and less pleasantness in their nonverbal behavior during the second interaction. Overall, the second group of subjects did not respond differently to the first group of subjects as an interactive function of attributions and experimental condition of the initial subjects. However, helpless subjects in the second group spoke less, were less nonverbally pleasant, and became more hostile than did nonhelpless subjects after interacting with individuals who had previously interacted with an unresponsive confederate. A consistent but unexpected pattern was found for nonhelpless subjects: They responded more adaptively to stressful than to nonstressful interactions. Results are interpreted as providing support for a vulnerability model of depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributional style and the Type A coronary-prone behavior pattern.

Examined the attributional styles of Types A (coronary-prone) and B (non-coronary-prone) individuals in 2 studies in which 62 undergraduates and 199 18–65 yr old county residents, classified on the Jenkins Activity Survey, completed an attributional style questionnaire. Past research suggests that Type A's exhibit greater performance deficits than Type B's following exposure to extended, salient uncontrollable stimuli. The reformulated learned-helplessness model suggests that individuals most prone to such performance deficits should exhibit an attributional style characterized by internal, stable, and global attributions for negative outcomes, but external, unstable, and specific attributions for positive outcomes. However, a self-esteem protection explanation of learned-helplessness findings predicts an opposite, self-serving attributional style. Results from both studies indicate that Type A's were more self-serving than Type B's in their attributions for positive and negative outcomes. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Positive life events, attributional style, and hopefulness: Testing a model of recovery from depression.

A model of a recovery process from depression that is compatible with the hopelessness theory of depressive onset is proposed. This model predicts that depressives who have an enhancing attributional style for positive events (i.e., make global, stable attributions for such events) will be more likely to regain hopefulness and, thereby, recover from depression, when positive events occur. This prediction was tested by following a group of depressed college students longitudinally for 6 weeks. Although neither positive events alone nor attributional style alone predicted reduction in hopelessness, depressives who both showed the enhancing attributional style for positive events and experienced more positive events showed dramatic reductions in hopelessness which were accompanied by remission of depressive symptoms. Thus, attributional style for positive events may be a factor that enables some depressives to recover when positive events occur in their lives. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of suppressing a negative autobiographical memory on concurrent intrusions and subsequent autobiographical recall in dysphoria.

Depressed individuals endeavor to suppress intrusive thoughts and memories as a form of mood control. Two predictions from this literature were examined. The 1st was that attempts to suppress a preselected negative memory during a stream-of-consciousness (SOC) task in dysphoric individuals, relative to a no-suppress condition, would lead to relatively speeded access to other negative but not positive memories on a subsequent cue-word recall task. No such effects were predicted for nondysphoric controls. The 2nd prediction was that, across all participants who were asked to suppress memories, higher levels of depressed mood would be associated with more intrusions of the to-be-suppressed memory during the SOC and that this association would be stronger than the comparable relation in participants who were not asked to suppress memories. Results support both predictions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributional styles and life events in the classroom: Vulnerability and invulnerability to depressive mood reactions.

A core prediction of the reformulated model of learned helplessness and depression states that when confronted with the same negative life event, people who display a tendency to attribute negative outcomes to internal, stable, or global factors should be more likely to experience a depressive reaction than people who typically attribute negative outcomes to external, unstable, or specific factors. The present study tested that prediction with 227 undergraduates by determining whether the content of Ss' attributional styles at 1 point in time predicted the severity of their depressive response (Multiple Affect Adjective Check List) to receiving a low grade on an exam at a subsequent time. Consistent with the prediction, Ss with an internal or global attributional style for negative outcomes at Time 1 experienced a depressive response when confronted with a low grade; Ss with an external or specific attributional style were invulnerable to this response. In contrast to results for the internality and globality dimensions, Ss' scores along the stability attribution dimension were not correlated with the severity of their depressive response to the low grade. In the absence of a negative life event, Ss' generalized tendencies to make internal or global attributions for negative outcomes at Time 1 were not significantly correlated with their subsequent changes in depressive mood, although there was a nonsignificant positive correlation between severity of depressive response and the tendency to make global attributions for negative outcomes at Time l. (14 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Diurnal mood variation in major depressive disorder.

Depression disturbs mood, but a clear picture of diurnal mood rhythms in depression has yet to emerge. This study examined variations in positive affect (PA) and negative affect (NA), two dimensions of mood that generate diurnal patterns among healthy individuals. Repeated measurements of NA and PA in daily life were obtained over 6 days from 47 depressed outpatients and 39 healthy individuals using the Experience Sampling Method. Relative to healthy individuals, depressed individuals exhibited increasing PA levels during the day with a later acrophase. In contrast, depressed persons' NA exhibited a more pronounced diurnal rhythm and was more variable from moment to moment than healthy individuals'. Ambulatory mood measurements in depression suggest distinct diurnal disturbances of positive and negative affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Biased processing of emotional information in girls at risk for depression.

Researchers have documented that children of depressed mothers are at elevated risk for developing a depressive disorder themselves. There is currently little understanding, however, of what factors place these children at elevated risk. In the present study, the authors investigated whether never-disordered daughters whose mothers have experienced recurrent episodes of depression during their daughters' lifetime are characterized by biased processing of emotional information. Following a negative mood induction, participants completed an emotional-faces dot-probe task. Daughters at elevated risk for depression, but not control daughters of never-disordered mothers, selectively attended to negative facial expressions. In contrast, only control daughters selectively attended to positive facial expressions. These results provide support for cognitive vulnerability models of depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Negative attributional style in seasonal and nonseasonal depression

OBJECTIVE: There is a substantial relationship between dysfunctional cognitions and the clinical course of major depression. This study examined whether this association extends to patients with seasonal affective disorder. METHOD: A revised version of the Attributional Style Questionnaire was used to assess negative attributional style and predict response to treatment in a group of depressed outpatients, 26 with seasonal depression and 30 with nonseasonal, unipolar major depression. RESULTS: Pretreatment scores on negative attributional style did not differ between the patients with seasonal affective disorder and those with nonseasonal depression. Negative attributional style predicted poor response to pharmacotherapy in the nonseasonal depression group but did not predict response to light therapy in the group with seasonal affective disorder. CONCLUSIONS: Dysfunctional cognitions may play a lesser role in seasonal affective disorder than in nonseasonal depression.     

Depressive attributional style and depression following childbirth.

The reformulated learned helplessness model posits that individuals who make internal, stable, and global attributions for undesired outcomes are more likely than others to become depressed when faced with important life events that are perceived as uncontrollable. Two questions arise from the reformulated learned helplessness model within the context of the event of childbirth. The 1st question is whether the relationship between depressive attributional style and concurrent depression found in college undergraduates can be extended to women anticipating the birth of their 1st child. The 2nd question is whether women's prenatal attributional style is predictive of depression in the 1st wk postpartum. 50 pregnant women (mean age 28.85 yrs) completed the Attributional Style Questionnaire and 3 measures of depression during the 3rd trimester of pregnancy and 3 days postpartum. The results provide negligible support for the notion of depressive attributional style as defined by the hypothesis. Depression of clinical severity was reported by 2–6% of Ss during the 3rd trimester and by 10–24% postpartum. (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)