Marital dissatisfaction and incidence of major depressive episode in a community sample

The association between marital dissatisfaction at baseline and 12-month incidence of major depressive episode (MDE) was examined in a community sample of married individuals from the New Haven Epidemiologic Catchment Area program (N = 904) who did not meet criteria for MDE at baseline. Results indicate that marital dissatisfaction was associated with increased incidence of MDE, with a significant risk ratio of 2.7 and an attributable risk of 29.5%. Thus, dissatisfied spouses were nearly 3 times more likely than nondissatisfied spouses to develop an MDE during the year, and nearly 30% of the new occurrences of MDE were associated with marital dissatisfaction. The association between marital dissatisfaction and risk of MDE (a) remained significant when controlling for demographics and depression history and (b) was not moderated by sex or by depression history. Findings suggest that marital dissatisfaction may be etiologically related to major depression.     

Marital closeness, functional disability, and adjustment in late life

Socioemotional selectivity theory (SST) posits that emotionally close relationships are increasingly valued as people perceive constraints on time. Based on SST, this study of 1,532 older married persons hypothesized that emotional dimensions of marriage would more strongly predict adjustment at higher levels of functional disability. High levels of marital closeness were negatively associated with depression and anxiety and positively associated with self-esteem. Consistent with predictions derived from SST, marital closeness moderated the negative psychological effects of high levels of functional disability on depression, anxiety, and self-esteem. Results are discussed in the context of SST and traditional stress-buffering models of social support.     

Prevalence of various depressive symptoms in a sample of the general population.

Data on prevalence of and demographics associated with various symptoms of depression are reported for a sample of the general population. Of the nine symptoms assessed, the most frequently occurring were dysphoric mood (17.8%), increased sleep (15%), and loss of interest in other people or activities previously enjoyed (11.8%). 39% of subjects reported one or more symptoms of depression. 8% of subjects reported wondering if life is worth living, a symptom that in and of itself is suggestive of clinically significant depression. The number of depressive symptoms reported was related to income, education, age, and residence (city versus county), but not to sex. The findings provide evidence that various symptoms of depression may be more common in the general population than previously suspected.     

Ethnic variation in depressive symptoms in a community sample in Hawaii

A modified CES-D was administered to a community sample of 176 European Americans (EA), 209 Native Hawaiians (NH), and 357 Japanese Americans (JA), yielding measures of depression, positive affect, depressed affect, somatic disturbance, and disturbed interpersonal relations. Positive affect was lower in JA relative to EA, consistent with findings among Native Japanese, a pattern attributed to cultural variation in emotion regulation. NH reported lower positive affect than EA, accompanied by elevated negative affect and somatic disturbance, suggesting generally higher levels of depressive symptoms. The three ethnic groups varied in mental health care usage with differing associations between depressive symptoms and experiences of stressful life events. Taken together, these results suggest ethnic variation in depressive symptoms may arise from differing cultural beliefs.     

Friend support and psychological distress in a U.S. adult twin sample

Friend support is often assumed to exert direct environmental influences on psychological distress, yet the role of both genetic and environmental influences on this association has not been examined. This study investigates whether both genetic and environmental factors explain the link between friend support and psychological distress in adults. The sample was drawn from the Midlife Development in the United States study and included 947 pairs of monozygotic, same‐sex dizygotic (DZ), and opposite‐sex DZ twins. Results showed that genetic influences explain the association between friend support and psychological distress, suggesting that heritable contributions to friend support also shape psychological distress. Interventions focused on psychological distress should consider how individuals' heritable characteristics influence their friend support and psychological distress.     

A new U.S. adult nonpatient sample

A project to collect an American adult nonpatient sample for the Rorschach Comprehensive System (CS; Exner, 2001) took place between 1999 and 2005, and this article presents data for 450 participants in the project. Inclusion criteria, demographic information, and interrater agreement statistics are described. Findings for most of the CS variables are similar to earlier Rorschach Workshops samples, but some differences emerged and their implications for modifying interpretive guidelines are discussed.     

Sex differences in stress generation: an examination of sociotropy/autonomy, stress, and depressive symptoms

Hammen (1991) proposed that both individual characteristics and depressive symptomatology may explain the stress generation process, in which individuals contribute, in part, to a more stressful environment for themselves. Nonetheless, research has not teased apart the impact of vulnerability factors and depressive symptomatology on this process. Ninety-nine college students, selected to be variable on personality vulnerabilities of sociotropy and autonomy, were followed for 6 weeks. Weekly depressive symptoms and stressful life events that were likely caused in part by the individual (dependent stress) were assessed. Multilevel modeling results indicated that prior-week depressive symptoms significantly predicted current-week dependent interpersonal stress levels. A significant sex-by-sociotropy effect emerged such that being female and scoring high on sociotropy predicted higher levels of dependent interpersonal stress. This interpersonal stress generation effect for women partially mediated the relationship between sociotropy and depressive symptoms.     

The association of forgiveness and 12-month prevalence of major depressive episode: Gender differences in a probability sample of U.S. adults

Research suggests that gender differences in interpersonal orientations may differentially predispose women and men to depression. While women tend to be more interdependent and show interpersonal depressive styles, men are more independent and show self-critical styles. Forgiveness is one religious/spiritual, interpersonal variable that has received very little attention in the literature on depression. Hence, the purpose of this study was to examine forgiveness as a multidimensional, inter-relational variable that may have differential associations with depression in women and men. We measured multiple forms of forgiveness and assessed 12-month prevalence of major depressive episode using a screening version of the Composite International Diagnostic Interview. We controlled for religiousness/spirituality and demographic in our analyses, and used data from a nationally representative, probability sample of 1,423 adults, ages 18 years and older. Women reported higher levels of religiousness/spirituality and forgiveness than men. Among women, forgiveness of others, forgiveness of self, and feeling forgiven by God were associated with decreased odds of depression (p < 0.05), whereas seeking forgiveness was associated with increased odds (p < 0.05). For men, only forgiveness of oneself was significantly associated with decreased odds of depression (p < 0.05).     

Contribution Patterns in Major U.S. Marital and Family Therapy Journals: 1992 Through 2002

The institutional sources of articles published between 1992 and 2002 in five major family therapy journals—the American Journal of Family Therapy, Contemporary Family Therapy, Family Process, Journal of Family Psychology, and the Journal of Marital and Family Therapy were reviewed. Noteworthy similarities and differences as compared to earlier reviews were found. While no single institution dominated in numbers of publications, six of the top 10 institutions found between 1980 and 1995 were also found to be within the top 10 most productive institutions between 1992 and 2002. Patterns and changes in contributions from international sources, as well as from institutions with a COAMFTE-accredited program are discussed. Contributions from private practitioners and clinicians are also addressed.     

The contributions of interpersonal attachment and friendship group identification to depressive symptoms in a nonclinical sample

Drawing on previous literature from the separate areas of adult attachment and group processes, we explored attachment and group identification as predictors for depressive symptoms in a nonclinical sample. We found that attachment anxiety and friendship group identification predicted scores on the Beck Depression Inventory, such that higher attachment anxiety resulted in higher depressive symptoms, and greater friendship group identification resulted in lower depressive symptoms. Mediational analysis suggested that group identification partially mediated the effect of attachment avoidance on depressive symptoms, but did not mediate the effect of attachment anxiety on depressive symptoms.     

Marital satisfaction and depression: a replication of the Marital Discord Model in a Latino sample

The Marital Discord Model of Depression maintains that marital discord is an important antecedent in the development of depression. Although empirical evidence supports this premise, none of this research has been done with Latinos. The purpose of this study was to test the longitudinal relationship between marital satisfaction and depression among 99 Brazilian women. Using structural equation modeling, results indicated that marital satisfaction was a strong predictor of depression 2 years later. Marital satisfaction was also related to cooccurring depression. These results provide evidence that the Marital Discord Model of Depression is an appropriate theoretical model for the conceptualization of marital discord and depression with Latina women and suggest the potential utility of using couples therapy for treating depression among this population.     

Presence of meaning,search for meaning,religiousness, satisfaction with life and depressive symptoms among a diverse Israeli sample

The present study explored the structure and correlates of meaning in life (MIL) among an Israeli sample. The sample consisted of 559 adults. The average age of participants was 48.24 and 61.3% of them were females. Participants provided demographic information and completed measures of MIL, satisfaction with life, and depressive symptoms. The MIL Questionnaire showed a very good fit for the proposed 2-factor model (i.e. presence of meaning, search for meaning) to the data collected from the current sample. Presence of meaning correlated positively with both search for meaning and satisfaction with life, and negatively with depressive symptoms. Search for meaning was positively and weakly tied to satisfaction with life, but was unrelated to depressive symptoms. Religiousness appeared as a significant moderator between the two meaning factors, and between them and life satisfaction. Specifically, as religiousness became stronger: (a) the link between presence of meaning and search for meaning became weaker; (b) the link between presence of meaning and life satisfaction became stronger and (c) the link between search for meaning and life satisfaction became weaker. The findings suggest that there are differential implications of presence search for meaning on the health and well-being, and the important role religiousness plays in this regard.     

Marital discord and child behavior problems in a nonclinic sample

Mothers' evaluations of their marital relationship and of their children's behavior at home and teachers' ratings of the children's behavior in school were obtained using well-established measures. While an association was found between ratings of marital discord and children's problematic behavior, the relation was a fairly weak one. The present findings are discussed in comparison to the results of other research that has relied upon clinic samples and nonindependent ratings in examining the relation between marital and child problems. In general, it appears that different methodological procedures lead to quite different conclusions about the strength of the association between interparental conflict and child behavior problems.This work was supported in part by a grant from the Sigma Xi Scientific Society.     

Assault victimization and suicidal ideation or behavior within a national sample of U.S. adults

Data from a nationally representative sample of 5,238 U.S. adults were used to examine the extent to which physical assault victimization was associated with suicidal ideation or behavior (SIB). The results from multivariable logistic regression analyses indicate that physical assault victimization was positively associated with SIB after adjusting for sociodemographic characteristics and alcohol use (OR = 3.6; 95% CI = 2.4-5.5). Those who were injured during the most recent physical assault (OR = 2.7; 95% CI = 1.2-6.0) and those who were assaulted by a relative (OR = 3.4; 95% CI= 1.0-11.0) or intimate partner (OR = 7.7; 95% CI = 2.7-22.5) were significantly more like to report SIB than victims who were not injured or were assaulted by a stranger. Also, those who were victimized but not injured (OR = 5.6; 95% CI = 3.8-8.2) and those who were victimized by a stranger (OR = 2.9; 95% CI = 1.4-6.0) were more likely to report SIB than non-victims. These results highlight the need for legal, medical, mental health, and social service providers to address the co-occurrence of violent victimization and suicidal ideation, particularly, but not exclusively, victimization by family members and intimates.     

Shame, guilt, and depressive symptoms: a meta-analytic review

Recent theoretical and empirical work has facilitated the drawing of sharp conceptual distinctions between shame and guilt. A clear view of these distinctions has permitted development of a research literature aimed at evaluating the differential associations of shame and guilt with depressive symptoms. This study quantitatively summarized the magnitude of associations of shame and guilt with depressive symptoms. Two hundred forty-two effect sizes were obtained from 108 studies employing 22,411 participants. Shame showed significantly stronger associations with depressive symptoms (r = .43) than guilt (r = .28). However, the association of shame and depressive symptoms was statistically indistinguishable from the associations of 2 maladaptive variants of guilt and depressive symptoms (contextual-maladaptive guilt, involving exaggerated responsibility for uncontrollable events, r = .39; generalized guilt, involving "free-floating" guilt divorced from specific contexts, r = .42). Other factors also moderated the effects. External shame, which involves negative views of self as seen through the eyes of others, was associated with larger effect sizes (r = .56) than internal shame (r = .42), which involves negative views of self as seen through one's own eyes. Depressive symptom measures that invoked the term guilt yielded stronger associations between guilt and depressive symptoms (r = .33) than depressive symptom measures that did not (r = .21). Age, sex, and ethnicity (proportion of Whites to Asians) did not moderate the effects. Although these correlational data are ambiguous with respect to their causal interpretation, results suggest that shame should figure more prominently in understandings of the emotional underpinnings of depressive symptoms.     

Resource loss, resource gain, and depressive symptoms: a 10-year model.

This study examined a broadened conceptualization of the stress and coping process that incorporated a more dynamic approach to understanding the role of psychosocial resources in 326 adults studied over a 10-year period. Resource loss across 10 years was significantly associated with an increase in depressive symptoms, whereas resource gain across 10 years was significantly associated with a decrease in depressive symptoms. In addition, change in the preponderance of negative over positive events across 10 years was inversely associated with change in resources during the period. Finally, in an integrative structural equation model, the association between change in life events and depressive symptoms at follow-up was completely mediated through resource change.     

On the links between positive religious coping,satisfaction with life and depressive symptoms among a multinational sample of Muslims

This study tested the levels and consequences of positive religious coping among a multinational sample of Muslims. The sample consisted of 706 university students recruited in three Muslim countries: Israel/Palestine, Turkey and Malaysia. Participants' average age was 22.61, and 65% of them were females. This investigation applied a cross‐sectional comparative methodology. Measures used: demographics, positive religious coping, satisfaction with life and depressive symptoms. The findings indicated that (a) participants reported high levels of positive religious coping usage, and Malaysians scored significantly higher in this regard than both Palestinians and Turks; (b) positive religious coping correlated positively with satisfaction with life but was not linked to depressive symptoms and (c) the magnitude of correlation between positive and satisfaction with life was significantly higher among Malaysians than among both Palestinians and Turks. The findings suggest that to understand the implications of positive religious coping for the health and well‐being of Muslims, a detailed and nuanced analysis is needed.     

An exploratory study of the relations between psychopathic traits and depressive symptoms in a non-clinical sample of adolescents

Empirical evidence suggests an association between psychopathic traits, depressive symptoms and delinquent behavior in community samples of adolescents. In this study, a sample of 243 high school students completed questionnaires assessing depressive symptoms and psychopathic traits (callousness and narcissistic traits). There were significant positive correlations between depressive symptoms, callousness and narcissistic traits. Narcissistic traits appeared to be a mediator between depressive mood and callousness while depressive mood was the main predictor of impulsivity/poor behavioral control. These findings are consistent with the hypothesis that impulsivity/poor behavioral control, callous and narcissistic traits are defenses against depressed mood. Narcissistic defenses may prepare the development of callousness. There might be a developmental process from depressive symptoms to psychopathic traits and behavior problems in adolescents.     

Stress, depressive symptoms, and smoking cessation among pregnant women.

Perceived stress and depressive symptoms were examined as correlates and predictors of smoking cessation during pregnancy in a sample of 819 pregnant smokers (454 baseline smokers and 365 baseline quitters). Women who quit early in pregnancy had lower levels of stress and depressive symptoms than baseline smokers. Adjusting for level of addiction and other demographic factors related to stress and depressive symptoms eliminated the significant association between depressive symptoms and smoking cessation. Lower levels of stress and depressive symptoms were not predictive of cessation in later pregnancy. Prenatal healthcare providers should continue to assess level of addiction and provide targeted intensive cessation interventions. Interventions that reduce stress and depression may also be of benefit to women who are continuing smokers in early pregnancy.