Self-criticism, dependency and the five factor model of personality in depression: assessing construct overlap

The construct overlap between the lower-ordered personality constructs linked to depression, dependency and self-criticism, and higher-ordered personality constructs of the Five Factor Model (FFM) were assessed by exploratory factor analysis in a depressed sample. Three robust factors were extracted: negative affectivity (Neuroticism, Self-Criticism), positive affectivity (Extraversion, Openness), and interpersonal sensitivity (Dependency, Agreeableness). These findings suggest that there is significant construct redundancy between self-criticism and Neuroticism, while dependency appears to represent a more unique dimension associated with, but relatively distinct from Neuroticism and the other dimensions of the FFM.     

The Depressive Experiences Questionnaire: validity and psychological correlates in a clinical sample

This study sought to compare the original and revised scoring systems of the Depressive Experiences Questionnaire (DEQ) and to assess the construct validity of the Dependent and Self-Critical subscales of the DEQ in a clinically depressed sample. Subjects were 103 depressed inpatients who completed the DEQ, the Beck Depression Inventory (BDI), the Hopelessness Scale, the Automatic Thoughts Questionnaire (ATQ), the Rathus Assertiveness Schedule (RAS), and the Minnesota Multiphasic Personality Inventory (MMPI). The original and revised scoring systems of the DEQ evidenced good concurrent validity for each factor scale, but the revised system did not sufficiently discriminate dependent and self-critical dimensions. Using the original scoring system, self-criticism was significantly and positively related to severity of depression, whereas dependency was not, particularly for males. Factor analysis of the DEQ scales and the other scales used in this study supported the dependent and self-critical dimensions. For men, the correlation of the DEQ with the MMPI scales indicated that self-criticism was associated with psychotic symptoms, hostility/conflict, and a distress/exaggerated response set, whereas dependency did not correlate significantly with any MMPI scales. Females, however, did not exhibit a differential pattern of correlations between either the Dependency or the Self-Criticism scales and the MMPI. These findings suggest possible gender differences in the clinical characteristics of male and female dependent and self-critical depressive subtypes.     

The Depressive Experiences Questionnaire: Validity and Psychological Correlates in a Clinical Samples

This study sought to compare the original and revised scoring systems of the Depressive Experiences Questionnaire (DEQ) and to assess the construct validity of the Dependent and Self-critical subscales of the DEQ in a clinically depressed sample. Subjects were 103 depressed inpatients who completed the DEQ the Beck Depression Inventory (BDI), the Hopelessness Scale, the Automatic Thoughts Questionnaire (ATQ), the Rathus Assertiveness Schedule (RAS), and the Minnesota Multiphasic Personality Inventory (MMPI). The original and revised scoring systems of the DEQ evidenced good concurrent validity for each factor scale, but the revised system did not sufficiently discriminate dependent and self-critical dimensions. Using the original scoring system, self-criticism was significantly and positively related to severity of depression, whereas dependency was not, particularly for males. Factor analysis of the DEQ scales and the other scales used in this study supported the dependent and self-critical dimensions. For men, the correlation of the DEQ with the MMPI scales indicated that self-criticism was associated with psychotic symptoms, hostility/conflict, and a distress/exaggerated response set, whereas dependency did not correlate significantly with any MMPI scales. Females, however, did not exhibit a differential pattern of correlations between either the Dependency or the Self-criticism scales and the MMPI. These findings suggest possible gender differences in the clinical characteristics of male and female dependent and self-critical depressive subtypes.     

Frequency and duration of mood fluctuations: effects of dependency, self-criticism, and negative events

Few studies have examined the relation between depressive vulnerability factors and the duration of symptom disturbance, defined as the length of time during which mood states are elevated above a certain threshold. We examined the duration of mood disturbances in male (N=31) and female (N=71) college-aged individuals who completed mood checklists twice weekly for 10 weeks. Results showed that dependency and self-criticism were related to the mean severity of ratings across all checklists and the mean duration of disturbances, as well as the number of disturbances lasting at least 7 or 14 days. Some evidence for the congruency model was found. Dependency and self-criticism moderated the relation between vulnerability congruent hassles and mood. Sensitivity analyses showed that altering the threshold at which symptom scores were designated as symptom disturbances did not affect the pattern of results for dependency and self-criticism. Results have implications for the debate concerning the relation between vulnerability factors and depressive severity.     

Dependent and Self-Critical Depressive Experiences among Inner-City Adolescents

ABSTRACT The Adolescent Depressive Experiences Questionnaire was administered to 142 inner-city ninth graders. Based on theory, several potential correlates of dependency and self-criticism were selected for study, including depression, aspects of anxiety, locus of control, and facets of social behavior. Self-criticism showed stronger associations with depression and concerns about losing others' approval, while dependency showed stronger associations with diffuse tension and worry and sensitivity to others' behavior. The two depressive tendencies had comparable associations with physiological anxiety and external locus of control. These findings are discussed in terms of current perspectives on the symptomatic heterogeneity of depressive experiences.     

Validating the McGill Revision of the Depressive Experiences Questionnaire

Research has identified important psychometric differences between the original Depressive Experiences Questionnaire (DEQ; Blatt, D'Affliti, & Quinlan, 1976) and two of its most widely used revisions, which have failed to preserve the degree of between-scale orthogonality routinely observed with the original Dependency and Self-Criticism scales. The purpose of this study was (a) to examine construct validity for the recently developed McGill revision of the DEQ (Santor, Zumff, & Fielding, this issue), which preserves between-scale orthogonality; (b) to compare the McGill revision of the DEQ with other existing revisions with respect to measures of personality, motivation, and interpersonal relatedness; and (c) to explore the correlates of items that appear to be responsible for maintaining the degree of orthogonality between measures of Dependency and Self-Criticism. Results suggest that (a) the McGill revision of the DEQ offers more valid estimates of the relations among dependency, self-criticism, and other theoretically relevant constructs, such as depressed mood and agreeableness, than other existing revisions and (b) items differentiating Dependency and Self-Criticism assess broad interpersonal orientations that can be characterized as communal or agentic. Results validate the newer McGill scales, further support the utility of the methods used in their development, and provide insights into the differences between Dependency and Self-Criticism.     

The role of self-criticism, dependency, and hassles in the course of depressive illness: a multiwave longitudinal study

The current study utilized a multiwave longitudinal design to examine whether dependency and/or self-criticism influence the course of depressive symptoms in a community sample of adults with a history of major depression. In addition, the authors examined whether self-esteem serves as a buffer against the development of depressive symptoms following increases in hassles in individuals possessing such traits. At Time 1, 102 participants completed measures assessing depressive symptoms, self-criticism, dependency, and self-esteem. Every 6 weeks for the next year, participants completed measures assessing depressive symptoms and hassles. High self-criticism was associated with greater elevations in depressive symptoms following elevations in hassles in low but not high-self-esteem individuals. Results with respect to dependency, however, were contrary to hypotheses. High dependency was associated with elevations in depressive symptoms following elevations in hassles in high-self-esteem individuals. In contrast, high dependency was associated with chronically elevated depressive symptoms in low-self-esteem individuals.     

Construct validation of the dependency and self-criticism scales of the depressive experiences questionnaire

S. J. Blatt (Psychoanalytic Study of the Child, 1974, 29, 107–157) distinguished between two types of depressive experiences, one characterized by strong dependency needs and the other by self-criticism and guilt. This paper reports a series of validation studies of the Depressive Experiences Questionnaire (DEQ), which was developed to measure individuals' vulnerabilities to these types of experiences (S. J. Blatt, J. P. D'Afflitti, & D. M. Quinlan, Journal of Abnormal Psychology, 1976, 85, 383–389). The Dependency and Self-Criticism scales were shown to be stable in the face of both a 13-week interval and the receipt of midterm grades. Dependency was associated with conflict concerning the expression of hostility and, in males, feelings of helplessness. Self-Criticism was associated with low self-esteem and high levels of morality-conscience guilt. In a study of behavior in dyadic problem-solving tasks, Dependency in males was found to be negatively related to task leadership, and Self-Criticism in females tended to be negatively related to judged likeability. On the other hand, little support was found for the hypotheses that Dependency would be related to field dependent cognitive style and to the use of primitive defense mechanisms. The results were viewed as supporting the utility of Blatt's distinction between the two types of depression, but a number of anomalous findings indicated a need for further study of the DEQ. The question of the developmental level of the two types of depression, possible sex differences in the correlates of the scales, and the possibility of situational specificity in individuals' responses were identified as the areas most in need of study.     

A multisource approach to self-critical vulnerability to depression: the moderating role of attachment

The present study investigated the effects of self-criticism, dependency, and attachment variables in depression among couples. We utilized a multisource design that involved self-reports and spouse reports of personality and depression. This approach enabled us to explore the patterns of relations between self-reported and the spouse's report of the partner's view of self-criticism, dependency, and attachment dimensions, as well as the contribution of the latter to the moderation of distress. Participants were 120 couples in their first marriages. It was found that: (1) Self- and spouses' reported self-criticism are both associated with depression; (2) negative assessments of personality factors and attachment models by the self and spouse contribute uniquely in predicting depressive symptomatology; and (3) beyond the covariation between target's depression and marital maladjustment, attachment models of self and of other as reported by both the self and spouse moderate the effects of self-reported personality vulnerability on depressive symptomatology. Our results indicate that self-ratings and ratings by others must both be considered in the context of depression in close interpersonal relationships. Beyond the methodological implications of multisource data, our findings support the view of depression as an interpersonal process.     

MMPI X and Zero Items in a Psychiatric Outpatient Group

One of the most intriguing characteristics of interpersonal dependency is its ability to predict elevated levels of social support. Yet studies of interpersonal dependency use various measures to assess this effect. In this study, I compared 3 commonly used measures of interpersonal dependency in terms of their prediction of social support: Hirschfield's Interpersonal Dependency Inventory (IDI; Hirschfeld et al., 1977), the dependency factor of the Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976), and the Dependency subscale of the Personal Style Inventory (PSI; Robins et al., 1994). A total of 152 undergraduates were administered these measures as well as measures of depressive symptoms and social support a week prior to their first exam period and a week after this period (interval time = 8 weeks). DEQ–dependency predicted an increase in social support, whereas PSI–Dependency and IDI predicted a decrease in social support over time. DEQ–dependency appears to capture better than the other 2 measures the dialectic tension between risk and resilience in interpersonal dependency.     

Self-esteem, depression, and alcohol dependency among high school students

123 high school students completed the short form of the Coopersmith Self-esteem Inventory-School Form and its Lie scale, Beck's Depression Inventory, and an Alcohol Dependency Scale. Analyses of variance (2 x 4) showed boys had higher mean Lie scores than girls, and freshmen had lower mean alcohol dependency scores than sophomores, juniors, and seniors. Correlations between self-esteem scores and depression scores were significant and negative, but values were significant and positive between self-esteem and lie scores and between depression and alcohol dependency scores. Much work is required to understand better the relations among depression, self-esteem, and drug and alcohol dependency in high school students if interventions are to focus upon prevention.     

What measure of interpersonal dependency predicts changes in social support?

One of the most intriguing characteristics of interpersonal dependency is its ability to predict elevated levels of social support. Yet studies of interpersonal dependency use various measures to assess this effect. In this study, I compared 3 commonly used measures of interpersonal dependency in terms of their prediction of social support: Hirschfield's Interpersonal Dependency Inventory (IDI; Hirschfeld et al., 1977), the dependency factor of the Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976), and the Dependency subscale of the Personal Style Inventory (PSI; Robins et al., 1994). A total of 152 undergraduates were administered these measures as well as measures of depressive symptoms and social support a week prior to their first exam period and a week after this period (interval time = 8 weeks). DEQ-dependency predicted an increase in social support, whereas PSI-Dependency and IDI predicted a decrease in social support over time. DEQ-dependency appears to capture better than the other 2 measures the dialectic tension between risk and resilience in interpersonal dependency.     

Trait vulnerability and coping strategies in the transition to motherhood

Using a prospective design, we explored the role of approach and emotional/avoidance-coping strategies in the relations between dependent and self-critical trait vulnerabilities and postpartum depressive symptoms among first-time mothers. It was assumed that dependency and self-criticism associate with approach and emotional/ avoidance strategies respectively, and that approach-coping strategies moderate trait vulnerabilities to depressive symptoms after childbirth. One hundred forty-six first pregnancy participants were assessed during the third trimester of pregnancy and eight weeks postpartum. Dependency was found to associate positively with high approach and low emotional/avoidance-coping strategies, while self-criticism was found to correlate positively with high emotional/avoidance and low approachcoping strategies. In addition, approach-coping scores were found to moderate selfcritical trait vulnerability, reducing self-critical participants' depressive symptoms, thus confirming the coping effectiveness hypothesis. Results suggest that personality dispositions may affect the selection of coping processes, but that specific coping strategies are effective beyond personality characteristics, moderating the association between trait vulnerabilities and depressive symptoms. We propose a model in which self-criticism functions as vulnerability to depressive symptoms in the childbearing period. Our results illustrate the need to distinguish dependent and selfcritical personality traits, and point to the need to integrate personality and contextual factors in the study of childbirth depressive symptoms.     

Trait vulnerability and coping strategies in the transition to motherhood

Using a prospective design, we explored the role of approach and emotional/avoidance-coping strategies in the relations between dependent and self-critical trait vulnerabilities and postpartum depressive symptoms among first-time mothers. It was assumed that dependency and self-criticism associate with approach and emotional/ avoidance strategies respectively, and that approach-coping strategies moderate trait vulnerabilities to depressive symptoms after childbirth. One hundred forty-six first pregnancy participants were assessed during the third trimester of pregnancy and eight weeks postpartum. Dependency was found to associate positively with high approach and low emotional/avoidance-coping strategies, while self-criticism was found to correlate positively with high emotional/avoidance and low approachcoping strategies. In addition, approach-coping scores were found to moderate selfcritical trait vulnerability, reducing self-critical participants' depressive symptoms, thus confirming the coping effectiveness hypothesis. Results suggest that personality dispositions may affect the selection of coping processes, but that specific coping strategies are effective beyond personality characteristics, moderating the association between trait vulnerabilities and depressive symptoms. We propose a model in which self-criticism functions as vulnerability to depressive symptoms in the childbearing period. Our results illustrate the need to distinguish dependent and selfcritical personality traits, and point to the need to integrate personality and contextual factors in the study of childbirth depressive symptoms.     

Identifying Cognitive and Interpersonal Predictors of Adolescent Depression

Emerging research has begun to examine cognitive and interpersonal predictors of stress and subsequent depression in adolescents. This research is critical as cognitive and interpersonal vulnerability factors likely shape expectations, perspectives, and interpretations of a given situation prior to the onset of a stressor. In the current study, adolescents (n?=?157; boys=64, girls=93), ages 12 to 18, participated in a 6-month, multi-wave longitudinal study examining the impact of negative cognitive style, self-criticism, and dependency on stress and depression. Results of time-lagged, idiographic multilevel analyses indicate that depressogenic attributional styles (i.e., composite score and weakest link approach) and self-criticism predict dependent interpersonal, but not noninterpersonal stress. Moreover, the occurrence of stress mediates the relationship between cognitive vulnerability and depressive symptoms over time. At the same time, self-criticism predicts above and beyond depressogenic attributional styles (i.e., composite and weakest link approach). In contrast to our hypotheses, dependency does not contribute to the occurrence of stress, and additionally, no gender differences emerge. Taken together, the findings suggest that self-criticism may be a particularly damaging vulnerability factor in adolescence, and moreover, it may warrant greater attention in the context of psychotherapeutic interventions.     

Perfectionistic Automatic Thoughts and Psychological Distress in Adolescents: An Analysis of the Perfectionism Cognitions Inventory

The present paper examines a measure of perfectionistic automatic thoughts in terms of its psychometric properties and association with depression in adolescents. The Perfectionism Cognitions Inventory (PCI) was administered to two samples of adolescents. The first sample of adolescents (N?=?250) also completed measures of trait perfectionism and depression. The second sample of adolescents (N?=?105) completed these same measures as well as measures of negative automatic thoughts, positive automatic thoughts, self-criticism, and dependency. Psychometric analyses established that the PCI consists of one large factor with a high level of internal consistency. As expected, the PCI in adolescents was correlated significantly with trait measures of perfectionism, self-criticism, dependency, as well as general measures of automatic thoughts. Most importantly, a series of hierarchical regressions established that the PCI accounted for a significant degree of unique variance in depression, over and above the variance attributable to trait personality measures and negative automatic thoughts in general. Overall, the findings suggest perfectionistic automatic thoughts can be assessed in a reliable and valid manner in adolescents and that the experience of frequent, perfectionistic thoughts contributes uniquely to increased levels of psychological distress.     

Predictors of Stress Generation in Adolescents in Mainland China

The current longitudinal study examined whether the personality vulnerabilities of self-criticism and dependency prospectively predicted stress generation in Chinese adolescents. Participants included 1,116 adolescents (588 girls and 528 boys), aged 15 to 18 years from rural, urban and ultra-urban mainland China. Participants completed self-report measures of personality, depressive and anxious symptoms and participated in a clinical interview assessing lifetime history of depression. The occurrence of negative life events was measured using a contextual-threat interview every 6-months for a total period of 18-months. Logistic regression analyses showed that after controlling for past depressive episodes and current depressive and anxious symptoms, self-criticism was prospectively associated with the occurrence of interpersonal stress generation, but not noninterpersonal stress generation. Dependency also predicted interpersonal stress generation, although only in girls and not boys. In line with previous Western findings, girls reported more interpersonal stress generation. Analyses across 3 levels of urbanization revealed several significant differences including higher reported interpersonal stress generation in urban girls than urban boys and overall higher levels of negative life events in ultra-urban youth. In sum, findings from the current study suggest that the stress generation process may be generalizable to Chinese youth.     

Investigation of a developmental model of risk for depression and suicidality following spousal bereavement

Data from a community-based multi-wave investigation were used to examine a developmental model of risk for depression and suicidality following the death of a spouse. Measures of perceived parental affection and control during childhood were administered to 218 widowed adults 11 months after the death of the spouse. Self-esteem, spousal dependency, depression, and suicidality were assessed 9 months later. Dependency on the deceased spouse mediated a significant association between retrospectively reported parental control during childhood and post-loss depressive symptoms. Depressive symptoms mediated significant associations of dependency on the deceased spouse and low self-esteem with suicidal ideation and behavior.