Psychopathology in children of parents with recurrent depression

We examined the prevalence of psychopathology in children of parents with recurrent major depression (n=61)and children of normal control parents (n=46).Rates of psychopathology in the children of depressed parents were consistently higher when compared either with the control children or with rates of disorder reported for nonclinically referred children from other studies. Forty-one percent of high-risk children met criteria for at least one psychiatric disorder compared with 15% of low-risk children. Significant differences between groups were found for affective disorders and attention deficit disorder, and a nonsignificant trend was noted for anxiety disorder, all of which were more prevalent in the children of depressed parents.This work was supported, in part, by a W. T. Grant Foundation Faculty Scholar Award, No. 8308700.     

Factors in the self-deception questionnaire: associations with depression

Disagreement presently exists over whether depressed or nondepressed persons exercise more cognitive distortion on material about the self. A negative correlation between the Self-Deception Questionnaire (SDQ, Sackeim & Gur, 1978, 1979) and the Beck Depression Inventory (BDI, Beck, 1967) has been cited as evidence that it is the nondepressed individuals who exercise more distortion (Sackeim, 1983). This negative correlation was replicated, and the SDQ was factor analyzed to determine which factors might account for the correlation with depression. The three largest factors, identified by content themes of relationships with parents, emotionality, and denial of tabooed activities, correlated reliably with the BDI. Discussion focused on whether these correlations reflect differences in self-deception that are associated with depression or differences in veridical responding between depressed and nondepressed subjects on those items in the SDQ. Suggestions for future research and possible therapeutic implications are also discussed.     

Psychopathology of adolescent suicide: hopelessness, coping beliefs, and depression

Two studies of adolescents examined the relation of several cognitive variables and depression to suicide-related behaviors. Study 1 compared hopelessness and depression in 281 high school students. Unlike research with adults, depression was significantly related to suicidal behaviors, even after hopelessness was statistically controlled. When depression was controlled, hopelessness was unrelated to suicidal behaviors for boys and only modestly related for girls. Study 2 examined depression, hopelessness, survival-coping beliefs, fear of social disapproval, and social desirability in relation to suicidal behaviors in 53 male juvenile delinquents. Again, hopelessness did not account for a significant proportion of the variance in suicide. Depression was uniquely related to past suicide attempts. Survival-coping beliefs were associated with self-predicted future suicide and other suicidal behaviors. Survival-coping beliefs are discussed as a cognitive buffer to suicidal ideation in adolescence.     

Using the short mood and feelings questionnaire to detect depression in detained adolescents

The Mood and Feelings Questionnaire (MFQ) is examined for its utility in screening youth in juvenile justice settings for depression. In a cross-sectional study conducted at King County Juvenile Detention Center, a representative sample of 228 detained adolescents complete structured assessments, including the MFQ and the Massachusetts Youth Screening Instrument. Fifty youth also complete the Voice-Diagnostic Interview Schedule for Children. Internal reliability coefficient for the MFQ short form (SMFQ) is = .87. Factor analysis produces a unifactorial scale with item loadings of .43 to .78. At SMFQ cutoff > or = 10, sensitivity and specificity are optimized at 1.00/0.79. Prevalence of major depressive disorder is estimated at 32.1% (95% Confidence Interval = 25.3% to 39.2%). The SMFQ shows potential for depression screening of detained adolescents.     

Factor analysis of the cognitive-somatic anxiety questionnaire

The Cognitive-Somatic Anxiety Questionnaire (CSAQ; Schwartz, Davidson, & Goleman, 1978) is a brief self-report rating scale designed to differentiate between cognitive and somatic symptoms of anxiety. The CSAQ gained relatively widespread acceptance as a behavioral assessment instrument before much was known about its psychometric properties. Psychometric studies of the CSAQ (e.g., DeGood & Tait, 1987) have raised questions about the instrument's item content and subscale structure. The primary purpose of the present study was to determine whether the Cognitive and Somatic subscales correspond to the instrument's factorial structure in a clinically anxious population. The sample consisted of 120 nonpsychotic psychiatric inpatients. Factor analysis with oblique rotation accounted for 60% of the total variance and yielded four factors that do not conform to the Cognitive-Somatic subscale structure. The results challenge the validity of the CSAQ and suggest the need for an improved instrument capable of differentiating the multidimensional features of clinical anxiety.     

Confirmatory factor analysis of the AEQ-A questionnaire in Finland

The Adolescent version of the Alcohol Expectancy Questionnaire (Brown et al., 1980) was administered to a male population sample in Finland (N=195; median age 18.5 years). Three issues were investigated: Did the items of each subscale measure single latent constructs? Was the AEQ-A better described by a single-factor model (e.g., global positive expectancy) or by a null model implying scale independence? Were alcohol expectancies related to drinking habits? Confirmatory factor analyses by PRELIS2 and LISREL8 indicated that single-construct models were appropriate only for the Enhanced sexuality and Increased arousal scales while several items were unrelated to the postulated latent constructs in the other five scales. Adequate fits were obtained for these scales only when unrelated items were removedand/or anlayses were based on nondichotomus scores derived from contentwise homogenous groups of items. Even when revised so that the each scale formally fitted a single latent construct, the resulting latent constructs were not well described by either the single-factor model or the null model. Expected social benefit in terms of the revised Enhanced or impeded social behavior scale was the most significant predictor of drinking frequency while quantity consumed per drinking occasion was significantly related to the Improved cognitive and motor abilities scale only.     

Sex differences in the clinical expression of depression

Recent epidemiological studies have established that the lifetime prevalence rate of depression is greater in women than in men. It was the purpose of the present study to investigate the possibility that the true prevalence of male depression is underestimated because males have learned through social rejection that it is inappropriate for them to openly express depressive feelings. Consistent with this notion that men only express depressive symptoms consonant with their traditional male sex role, a discriminant function analysis performed on the self-reported symptomatology of depressed patients revealed that men were more likely to report sex role appropriate symptoms such as work-related problems and somatic concerns. Since other self-presentational concerns may contribute to the sex difference in depression, it is suggested that future research directly examine the ways in which men experience and express symptoms of depression.An earlier draft of this article was presented at the 55th Annual Meeting of the Eastern Psychological Association, Baltimore, Maryland, April 1984. This research was supported in part by a grant from the Medical Research Council of Canada, awarded to the first author, and Grant No. 6606-1768-46 from the Health Services and Promotions Branch of Health and Welfare Canada, awarded to the second author. The authors would like to thank Dr. Paul Grof, Kaely Hutchinson, and the staff and patients of Hamilton Psychiatric Hospital for their help and cooperation with the project.     

Eating disorder examination questionnaire and clinical impairment assessment questionnaire: general population and clinical norms for young adult women in Sweden

Optimal use of assessment instruments for the detection and diagnosis of eating disorders (ED) depends on the availability of normative data. The aim of this work was to, for the first time, collect norms for both the Eating Disorder Examination Questionnaire (EDE-Q) and the newly developed Clinical Impairment Assessment (CIA) Scale from a general population of young women in Sweden, as well as from a clinical population of ED patients in Sweden. Participants were composed of both a randomized sample from the general population of women aged 18–30 years (N = 760) as well as from a clinical population aged 18–66 years (N = 2383). Data for the clinical population was extracted from the Stepwise database. Mean scores, standard deviations and percentile ranks for the global for the EDE-Q (as well as its subscales) and the CIA are presented. Prevalence figures of key eating disorder behaviors are also reported. Comparisons are made between the results in the present study with other existing normative studies on the EDE-Q and the CIA. The present study contributes to improving the accuracy of the interpretation of scores of the widely used self-report measure of ED, the EDE-Q, and the CIA, both of which play important roles in for diagnosis, prevention and intervention of ED.     

A multitrait-multimethod analysis of the preschool behavior questionnaire

The Preschool Behavior Questionnaire is a teacher rating instrument yielding a total score reflecting overall level of adjustment and three subscale scores labeled Hostile/Aggressive, Anxious/Fearful, and Hyperactive/Distractible. This study assessed the convergent and discriminant validity of this teacher rating measure against two alternative measures within a multitrait-multimethod analysis. The results supported the construct validity of the Hostile/Aggressive and Anxious/Fearful scores as well as the overall score. There was, however, no support for the validity of the Hyperactive/Distractible score.This research was supported, in part, by a grant from the Pickering Foundation. The authors would like to thank Maria Bhaneja for her help in the collection and coding of data. Thanks are also extended to the teachers and children who participated in the study.     

Assessing self-critical perfectionism in clinical depression

Several facets of perfectionism have been strongly associated with depression and anxiety. Dunkley and Blankstein (2000) combined these maladaptive traits with self-criticism to create a general construct labeled self-critical perfectionism. In this study, we employed confirmatory factor analysis to evaluate a model for assessing self-critical perfectionism in a clinically depressed sample using scales from 3 instruments. Participants were 356 depressed adult outpatients who completed 2 multidimensional measures of perfectionism and a measure of self-criticism. A confirmatory factor model that separated a self-critical perfectionism construct from a more adaptive, achievement-striving component of perfectionism was supported. A composite scale assessing self-critical perfectionism demonstrated much larger correlations with distress measures compared to a composite scale assessing achievement striving and also showed evidence of discriminant validity. In this study, we provided further support for the valid assessment of self-critical perfectionism and extended evidence for its assessment to a clinically depressed sample.     

Psychopathology in anxiety disorders

Complaints of anxiety, often meetingDiagnostic and Statistical Manual of Mental Disorders, 3rd ed. (DSM-III), criteria for anxiety disorder, are among the most common problems presenting to health practitioners. In spite of the frequency of anxiety and anxiety disorders, little is known about the basic psychopathology of these conditions that would lead to the development of more efficient and effective treatments and possible preventive efforts. Recently, there has been an increase in research on the psychopathology of anxiety disorders from biological, psychological, and social perspectives. The National Institute of Mental Health's Clinical Research Branch sponsored a 2-day workshop of investigators representing diverse research approaches to discuss emerging issues and research practices within the anxiety disorders. Discussions centered on a review of the general areas of classification, phenomenology, and etiology. A selective summary of this workshop is presented along with recommendations for specific research directions.     

Interpretation of ambiguous information in clinical depression

The present study used two cognitive tasks--a text comprehension task and a homophone task--to investigate whether clinically depressed individuals have a negative bias when interpreting ambiguous information. Previous research indicates that both tasks are sensitive to anxiety-related interpretive biases, and that the former is less prone to response bias effects. Negative memory biases were also assessed. Results showed that, compared with normal controls, depressed individuals made more negative interpretations on the homophone task, and they also showed an enhanced negative recall bias. However, the groups did not differ in interpretative bias on the text comprehension task. Possible explanations of the results are discussed, including the potential influences of self-referent processing and response bias.     

Depressive realism and clinical depression

Depressive realism suggests that depressed individuals make more accurate judgments of control than their nondepressed counterparts. However, most studies demonstrating this phenomenon were conducted in nonclinical samples. In this study, psychiatric patients who met criteria for major depressive disorder underestimated control in a contingent situation and were consistently more negative in their judgments than were nondepressed controls. Depressed patients were less likely than their nondepressed counterparts to overestimate control in a noncontingent situation, but largely because they perceived receiving less reinforcement. Depressed patients were no more likely to use the appropriate logical heuristic to generate their judgments of control than their nondepressed counterparts and each appeared to rely on different primitive heuristics. Depressed patients were consistently more negative than their nondepressed counterparts and when they did appear to be more “accurate” in their judgments of control (as in the noncontingent situation) it was largely because they applied the wrong heuristic to less accurate information. These findings do not support the notion of depressive realism and suggest that depressed patients distort their judgments in a characteristically negative fashion.     

The nature of clinical depression: symptoms, syndromes, and behavior analysis

In this article we discuss the traditional behavioral models of depression and some of the challenges analyzing a phenomenon with such complex and varied features. We present the traditional model and suggest that it does not capture the complexity of the phenomenon, nor do syndromal models of depression that dominate the mainstream conceptualization of depression. Instead, we emphasize ideographic analysis and present depression as a maladaptive dysregulation of an ultimately adaptive elicited emotional response. We emphasize environmental factors, specifically aversive control and private verbal events, in terms of relational frame theory, that may transform an adaptive response into a maladaptive disorder. We consider the role of negative thought processes and rumination, common and debilitating aspects of depression that have traditionally been neglected by behavior analysts.     

The post-event processing questionnaire in a clinical sample with social phobia

Post-event processing (PEP) involving rumination about perceived inadequacy in a past social situation has been proposed as an important maintaining factor in social phobia. The three aims of this study were to examine (a) the factor structure and internal reliability of a modified version of the Post-Event Processing Questionnaire [Rachman, S., Grüter-Andrew, J., & Shafran, R. (2000). Post-event processing in social anxiety. Behaviour Research and Therapy, 38, 611-617] in a clinical sample with social phobia (N=117), (b) the associations between PEP and symptoms of anxiety and depression, and (c) the relationship between perspective-taking ('field' and 'observer') and anxiety. Principal axis factor analysis yielded a highly reliable one-factor solution in our clinical sample, which generally replicated Rachman et al.'s findings with a sample of undergraduate students. PEP was most strongly and independently associated with state anxiety when depression, general anxiety and stress were controlled for. Contrary to expectations, PEP was not related to measures of social anxiety. The relationship between perspective-taking and anxiety was more complex than expected. Theoretical implications of these findings are discussed with reference to contemporary cognitive-behavioural models of social phobia.