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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Younger (14- to 17-year-old) inner-city adolescent mothers have been reported by Colletta (1983) as being more depressed than older (18- to 19-year-old) inner-city adolescent mothers. To determine whether this finding applies to pregnant adolescents, the revised Beck Depression Inventory (BDI; Beck, Rush, Shaw, & Emery, 1979; Beck & Steer, 1987) was administered to 175 (65.1%) Black, 64 (23.8%) Hispanic, and 30 (11.1%) White inner-city adolescents during their 28th week of pregnancy. The sample was divided into 129 (48.0%) younger (13- to 15-year-old) adolescents and 140 (52.0%) older (16- to 18-year-old) adolescents. The mean profiles of the 21 BDI symptoms were comparable for both age groups, and it was concluded that younger and older pregnant inner-city adolescents describe similar levels of self-reported depression.
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PMID:Self-reported depression in younger and older pregnant inner-city adolescents. 186 91

A descriptive correlation design was used to study the relationship between the degree of cognitive distortions and the level of depression in bulimic patients. The theoretical framework was based on Beck's (1976) cognitive theory of depression. Beck viewed symptoms of depression as consequences of distorted thought processes. The instruments that were used to measure the study variables were the General Cognitive Error Questionnaire (Lefebvre, 1981) and the Beck Depression Inventory (Beck, Rush, Shaw, & Emery, 1979). The hypotheses for the study predicted that there would be a positive relationship between the degree of cognitive distortions and the level of depression in bulimic patients. The Pearson r was used to determine if a statistically significant relationship existed between degree of cognitive distortions and level of depression. Data analysis revealed that there was a significant relationship, r(28) = .586, r2 = .343, p less than .001, between the degree of cognitive distortions and level of depression in this study of 30 bulimic patients.
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PMID:Degree of cognitive distortions and level of depression in bulimic patients. 193 40

This paper reviews the major findings of studies evaluating the efficacy and secondary prevention aspects of the cognitive-behavior therapies (CBT) for depression. Currently, CBT includes well-developed systems of several psychotherapy/behavior therapy in both individual and group modalities. These approaches have been shown to be efficacious, when comparable to any standard treatment, with unipolar, non-psychotic depressions. They remain untested in bipolar disorders. The paper addresses both values of combined treatments, and the limitations of these approaches. As the Beck, Rush, Shaw and Emery (1979) approach to CBT has been shown in seven studies to lower relapse and recurrence rates, these important findings are emphasized. The paper is placed in the context of the literature of psychosocial factors in the onset, maintenance and recurrence of the depressive disorders.
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PMID:Cognitive-behavior therapies for major depression: current status with an emphasis on prophylaxis. 266 96

Empirical tests of the diathesis-stress component of A. T. Beck's (1976; A. T. Beck, A. J. Rush, B. F. Shaw, & G. Emery, 1979) cognitive theory of depression have generally not yielded positive results. The resulting focus on conceptual and methodological concerns has diverted attention from the more fundamental issue of how validly vulnerability is measured. The present investigation uses the Dysfunctional Attitude Scale (DAS; A. N. Weissman, 1979; A. N. Weissman & Beck, 1978), the most commonly used measure of vulnerability in this area, but adopts a more in-depth approach by examining DAS factors in addition to the typical total score. This study involved a sample of undergraduates who had never before taken a college-level examination. The dimension of the DAS measured by the Perfectionistic Achievement factor had the strongest relationship to increased depressive symptoms in response to poorer-than-expected performance on the examination. Implications for future research in this area are discussed.
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PMID:Dimensions of dysfunctional attitudes as vulnerabilities to depressive symptoms. 767 66

The Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976a) and the Sociotropy-Autonomy Scale (SAS; Beck, Epstein, Harrison, & Emery, 1983) have been used virtually interchangeably to assess personality styles that are believed to influence the development of depressive symptomatology in the context of specific negative life events. This study examined the extent to which these two personality measures overlap and tested the congruency hypothesis. The congruency hypothesis predicts that levels of depression vary as a function of the interaction between personality and the occurrence of thematically related negative life events. Results indicated that the DEQ Dependency and the SAS Sociotropy scales appear to measure similar constructs, whereas the DEQ Self-Criticism and SAS Autonomy scales do not appear to measure similar constructs. Further, support was obtained for the congruency hypothesis using either the DEQ Dependency scale or the SAS Sociotropy scale; however, support for this hypothesis was not obtained for the DEQ Self-Criticism scale or the SAS Autonomy scale.
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PMID:Personality, life events, and depression. 772 54

Recent theoretical formulations differentiate two types of depressive experiences: one focused on interpersonal issues, such as loss, abandonment, and loneliness; the other focused on issues of self-esteem, such as failure, guilt, and lack of self-worth and autonomy. The Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976, 1979) assesses these two types of depression. Symptom-based measures of depression (i.e., the Beck Depression Inventory, Beck, Rush, Shaw, & Emery, 1979) have highly significant correlations with the DEQ Self-Criticism factor but only marginally significant correlations with the DEQ Dependency (or interpersonal) factor. Through the use of facet theory and Smallest Space Analysis (Guttman, 1982a), two facets were identified within the DEQ Dependency factor that appear to assess two different levels of interpersonal relatedness. One facet, labelled dependence, includes items expressing feelings of helplessness; fears and apprehensions about separation and rejection; and intense, broad-ranging concerns about possible loss unrelated to a particular relationship. The second facet, labelled relatedness, includes items that consider feelings of loss and loneliness in reaction to disruption of a relationship with a particular person. The dependence facet had significantly higher correlations with measures of depression, whereas the relatedness facet had significantly higher correlations with measures of psychological well-being, especially in women. Thus, the DEQ Dependency factor appears to contain two facets that assess interpersonal relatedness at different developmental levels and correlate differentially with measures of depression and of psychological well-being.
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PMID:Subscales within the dependency factor of the Depressive Experiences Questionnaire. 772 57

Both the Geriatric Depression Scale (J. A. Yesavage et al., 1983) and the Beck Depression Inventory (A. T. Beck, A. J. Rush, B. F. Shaw, & G. Emery, 1979) were less effective in identifying depressed men than women in a sample of 191 geriatric psychiatric inpatients with major unipolar depression. From one quarter to one half of the men were missed cases, depending on the cutoff score used. Separate cutoff scores for older men and women on depression screening instruments may be appropriate.
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PMID:Sex differences in the sensitivity of two self-report depression scales in older depressed inpatients. 799 28

Measures of depression and anxiety correlate highly with one another. It has been hypothesized that this shared variance partly reflects poor discriminant validity, which could be improved by linking item content more closely to diagnostic criteria. We tested this speculation by comparing the Inventory to Diagnose Depression (Zimmerman, Coryell, Corenthal, & Wilson, 1986), developed to correspond with diagnostic criteria for major depression, with the Beck Depression Inventory (Beck, Rush, Shaw, & Emery, 1979) in terms of discriminant validity. These measures correlated more strongly with each other than with anxiety but did not differ in their relations with anxiety.
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PMID:Discriminant validity of the Inventory to Diagnose Depression. 847 66

The purpose of this study was to provide an experimental test of the theory of change put forth by A. T. Beck, A. J. Rush, B. F. Shaw, and G. Emery (1979) to explain the efficacy of cognitive-behavioral therapy (CT) for depression. The comparison involved randomly assigning 150 outpatients with major depression to a treatment focused exclusively on the behavioral activation (BA) component of CT, a treatment that included both BA and the teaching of skills to modify automatic thoughts (AT), but excluding the components of CT focused on core schema, or the full CT treatment. Four experienced cognitive therapists conducted all treatments. Despite excellent adherence to treatment protocols by the therapists, a clear bias favoring CT, and the competent performance of CT, there was no evidence that the complete treatment produced better outcomes, at either the termination of acute treatment or the 6-month follow-up, than either component treatment. Furthermore, both BA and AT treatments were just as effective as CT at altering negative thinking as well as dysfunctional attributional styles. Finally, attributional style was highly predictive of both short- and long-term outcomes in the BA condition, but not in the CT condition.
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PMID:A component analysis of cognitive-behavioral treatment for depression. 887 14

A number of studies have indicated that social support is associated with the course of depression. However, none of these studies have ruled out the potentially confounding effects of personality factors, such as neuroticism. The authors examined whether social support was related to the course of depression after controlling for neuroticism and several possible confounding clinical variables. Participants were 59 patients meeting Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1987) criteria for major depression. All participants received structured diagnostic interviews and completed self-report measures of social support and neuroticism. Follow-up assessments at 6 months included the Longitudinal Interval Follow-Up Evaluation (M. B. Keller et al., 1987) and the Beck Depression Inventory (A. T. Beck, A. J. Rush, B. F. Shaw, & G. Emery, 1979). Results indicated that social support significantly predicted both severity of depression and recovery from depression at follow-up over and above the effects of initial depression severity, dysthymia, and neuroticism.
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PMID:The association between social support and course of depression: is it confounded with personality? 924 50


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