Defense Mechanisms in Mania,Bipolar Depression and Unipolar Depression

The present study compared the use of defense mechanisms in ten bipolar manic, ten bipolar depressed and ten unipolar depressed patients. The defense mechanisms were assessed by two methods: TAT stories scored by Defense Mechanism Manual and Defense Mechanism Rating Scale ratings of psychodynamic interviews. The severity of symptoms was assessed by Beck Depression Inventory for depressed patients and Young’s Manic Rating Scale for manic patients. Both bipolar manic and depressed groups used the defense mechanism of denial, borderline level defenses and immature defenses significantly more than the unipolar depression group. The manic group showed greater dependence on narcissistic level defenses as compared to the other two groups. Positive relationships were found between severity of manic symptoms and the defense mechanisms of denial as well as the narcissistic level defenses. The bipolar depression group also used more action level defenses as compared to the unipolar depression group. The unipolar depression group scored higher on the defense mechanism of identification and adaptive level defenses as compared to the manic group. A negative correlation was found between the severity of depressive symptoms for unipolar depression group and the defense mechanism of identification. The neurotic level defenses were used most frequently by unipolar depression group, followed by the bipolar depression group and manic group. Some of these findings are in consonance with the psychoanalytic understanding of mania and depression.     

Self-esteem and depression revisited: implicit positive self-esteem in depressed patients?

The cognitive behavioural model of depression holds that negative cognitions related to the self have etiological importance for the maintenance and relapse of depression. This has been confirmed by research using questionnaires. Recent research using the Implicit Association Test, however, showed positive implicit self-esteem in formerly depressed participants, even after negative mood induction [Gemar, Segal, Sagrati, & Kennedy (2001). Mood-induced changes on the implicit association test in recovered depressed patients. Journal of Abnormal Psychology, 110, 282-289]. These results are not in line with cognitive theory of depression. Since this could be an artifact of the specific procedure that was used, we investigated implicit self-esteem of currently depressed participants and healthy controls using three different paradigms: The Implicit Association Test, the Name Letter Preference Task, and the Extrinsic Affective Simon Task. The results of the three experiments are unequivocally indicative of positive implicit self-esteem in currently depressed patients. However, it remains an intriguing question what exactly these indirect measures assess.     

Attributional style, depression, and perceptions of consensus for events

This study examined 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.     

Cognitive processing of emotional information in depression, panic, and somatoform disorder

Emotional Stroop tasks (subliminal/supraliminal exposures), implicit memory tasks (tachistoscopic word identification), and explicit memory tasks (free recall after incidental learning) with 4 word types (physical threat, positive, negative, and neutral words) were administered to patients with major depressive disorder (n=30), panic disorder (n=33), somatoform disorder (n=25), and healthy control participants (n=33). On the Stroop task, panic patients showed subliminal interferences for physical threat and negative words, depressive patients showed supraliminal interferences for negative words, and somatoform patients showed supraliminal interferences for physical threat words. No patient groups demonstrated implicit memory biases. On the explicit memory task, depressive and panic patients showed memory biases for negative words; somatoform patients showed biases for physical threat words.     

轻微及中度抑郁者的积极自我

研究基于积极心理视角,考察抑郁个体在多个自我维度上,外显及内隐自尊的水平高低与稳定特性。被试选自高中学生,有效数据131人,分为抑郁(65人)与正常(66人)两组。所有被试在有/无应激两个时间点完成自我描述问卷II与改进内隐联想测验。结果发现,不论外显/内隐水平,抑郁个体倾向在指向个体内部的自我维度上具有积极自我,并且倾向在核心价值之外的自我维度上具有稳定自尊。由此证实,抑郁个体自我机制中的确存在积极成分。     

Field perspective deficit for positive memories characterizes autobiographical memory in euthymic depressed patients

Research on autobiographical memory (AM) and the ability to retrieve specific autobiographical events in euthymic depressed patients yielded divergent results. The main goal of the present study was to further explore episodic specificity of AM among fully remitted depressed patients. Twenty euthymic depressed patients and 20 matched healthy controls were given a semi-structured interview, which assesses episodic specificity of positive and negative autobiographical memories regarding event and details' specificity, autonoetic consciousness (remember/know procedure) and visual perspective (field/observer procedure). Results showed an impairment of episodic specificity of AM in euthymic depressed patients. This impairment was explained by a field perspective deficit for positive memories only. These results suggest that euthymic patients continue to exhibit discrepancy between their current self and their self for positive past behaviors, which maintains an unfavorable view of their current self. Specific cognitive interventions may improve the self-relevance of their positive memories.     

Implicit but not explicit self-esteem predicts future depressive symptomatology

To date, research on the predictive validity of implicit self-esteem for depressive relapse is very sparse. In the present study, we assessed implicit self-esteem using the Name Letter Preference Task and explicit self-esteem using the Rosenberg self-esteem scale in a group of currently depressed patients, formerly depressed individuals, and never depressed controls. In addition, we examined the predictive validity of explicit, implicit, and the interaction of explicit and implicit self-esteem in predicting future symptoms of depression in formerly depressed individuals and never depressed controls. The results showed that currently depressed individuals reported a lower explicit self-esteem as compared to formerly depressed individuals and never depressed controls. In line with previous research, all groups showed a positive implicit self-esteem not different from each other. Furthermore, after controlling for initial depressive symptomatology, implicit but not explicit self-esteem significantly predicted depressive symptoms at six months follow-up. Although implicit self-esteem assessed with the Name Letter Preference Test was not different between formerly depressed individuals and never depressed controls, the findings suggest it is an interesting variable in the study of vulnerability for depression relapse.     

Activation of latent self-schemas as a cognitive vulnerability factor for depression: The potential role of implicit self-esteem

To date, only two studies have investigated implicit self-esteem in depressed individuals. Surprisingly, both studies found evidence not in line with the cognitive theory of depression. We wanted to test whether these findings are replicable by investigating implicit self-esteem using the Implicit Association Test in currently depressed (CD), never depressed controls (ND), and formerly depressed individuals (FD). The latter two groups were tested before and after a negative mood induction. The results are in line with the previous two studies suggesting no difference in implicit self-esteem between CD patients and ND controls. Moreover, before mood induction, FD individuals evidenced a higher implicit self-esteem as compared to the two other groups. Compared to ND participants, FD individuals showed a significant drop in implicit self-esteem after the negative mood induction procedure, but this was due to the higher implicit self-esteem of FD before the mood induction. These results are discussed in the light of new perspectives on implicit self-esteem and depression.     

Implicit and explicit memory bias in depressed and non depressed subjects

Abstract

Two experiments were carried out to investigate a possible mood-congruent memory bias in explicit memory (free-recall test) and implicit memory (word-stem completion task) for positive and negative words in depressed and non depressed college students. A comparison of implicit and explicit mood-congruent memory bias should help to reveal cognitive processes involved in this effect. The results of both studies indicated that depressed subjects showed a memory bias not only on the traditional explicit memory task, but on the implicit memory task as well. The theoretical implications of these results are discussed.     

Episodic autobiographical memory in depression: Specificity, autonoetic consciousness, and self-perspective

Autobiographical memory (AM) and the self are closely linked. AM retrieval in depression is characterized by a lack of specificity, suggesting an impairment of episodic AM. Autonoetic consciousness and self-perspective, which are critical to episodic AM, have never been addressed in depression. Twenty-one depressed inpatients and 21 matched controls were given an episodic AM task designed to assess positive and negative memories regarding specificity, autonoetic consciousness (remember/know procedure), and self-perspective (field/observer procedure). For specificity, "remember", and "field" responses, ANOVAs revealed a main group effect and a group x valence interaction. Between groups, patients showed lower scores than controls for positive memories. Within groups, patients showed greater scores for negative memories, and controls showed greater scores for positive memories. There is a global episodic AM impairment of positive memories in depression regarding specificity, autonoetic consciousness, and self-perspective. Our results suggest new cognitive interventions to improve the self-relevance of positive memories in depression.     

大学生性别自我概念的结构

同时运用外显的自陈式量表和自行设计的内隐联想测验来研究大学生的性别自我概念 ,结果表明 :(1)运用内隐联想测验来测量内隐性别自我概念是可靠、有效、敏感的 ;(2 )在性别自我概念的内隐层面上 ,性别差异十分显著 ;在性别自我概念的外显层面上 ,除了女性正性量表外 ,其他量表上均未表现出显著的差异。 (3)性别自我概念是一个双重的结构 :包括一个内隐的性别自我概念和一个外显的性别自我概念 ,前者是一个一维的未分化的结构 ,后者是一个两维的结构 ,并且二者相对独立     

Implicit depression and hopelessness in remitted depressed individuals

Cognitive theories of depression posit that automatically activated cognitive schemas, including negative thoughts about the self and the future, predispose individuals to develop depressive disorders. However, prior research has largely examined these constructs using explicit tests in currently depressed individuals. Using the Implicit Association Test (IAT), the present study examined automatic associations between the self and mood state ("depression IAT") and between the future and mood state ("hopelessness IAT") before and after a negative mood induction in 19 remitted depressed individuals and 23 healthy controls. In the depression IAT, remitted depressed participants exhibited an overall lower tendency to associate themselves with happiness relative to the healthy controls before the mood induction. Control, but not remitted depressed, participants' automatic associations between the self and happiness diminished following the mood induction. Contrary to our hypotheses, no significant findings emerged when considering the hopelessness IAT. Consistent with prior studies, no significant correlations emerged between implicit and explicit biases, suggesting that these measures probe different processes. Results extend prior IAT research by documenting the presence of a reduced tendency to associate the self with happiness in a sample at increased risk for depression.     

Math = male,me = female,therefore math not = me

College students, especially women, demonstrated negativity toward math and science relative to arts and language on implicit measures. Group membership (being female), group identity (self = female), and gender stereotypes (math = male) were related to attitudes and identification with mathematics. Stronger implicit math = male stereotypes corresponded with more negative implicit and explicit math attitudes for women but more positive attitudes for men. Associating the self with female and math with male made it difficult for women, even women who had selected math-intensive majors, to associate math with the self. These results point to the opportunities and constraints on personal preferences that derive from membership in social groups.     

关系自我和集体自我在自我建构中的层级关系

三重自我建构认为,自我包含三个方面：个体自我,关系自我和集体自我。个体自我的核心地位已经得到诸多研究的证实,但关系自我和集体自我的层级关系还缺乏定论。越重要的自我,与积极信息的联系越紧密,以达到维持自尊、抵御自我威胁的目的。因此,采用内隐联想范式（IAT）验证对两种自我的积极联想,并对比两者积极联想程度以确定其层级关系。结果发现,相比非自我信息,被试对关系自我和集体自我均存在内隐的积极联想,从内隐的层面证实了关系自我和集体自我的存在。相比关系自我,被试对集体自我存在更强的积极联结,自我建构中的集体自我在内隐层面占据更为重要的位置。     

Implicit measurement of positive and negative future thinking as a predictor of depressive symptoms and hopelessness

Research using explicit measures has linked decreased positive future thinking, but not increased negative future thinking, with clinical depression. However, individuals may be unable or unwilling to express thoughts about the future, and can be unaware of implicit beliefs that can influence their behavior. Implicit measures of cognition may shed light on the role of future thinking in depression. To our knowledge, the current study presents the first implicit measure of positive and negative future thinking. A sample of 71 volunteers (38 healthy; 33 with sub-clinical depression) completed both implicit and explicit measures of positive and negative future thinking. The findings indicate differences in the evaluation of both positive and negative future events between the two groups. However, group differences were more pronounced on the implicit measure. These findings point to the potential utility of an implicit measure of future thinking in mental health research and clinical practice.     

Depression reduces perceptual sensitivity for positive words and pictures

There is evidence of maladaptive attentional biases for lexical information (e.g., Atchley, Ilardi, & Enloe, 2003; Atchley, Stringer, Mathias, Ilardi, & Minatrea, 2007) and for pictographic stimuli (e.g., Gotlib, Krasnoperova, Yue, & Joormann, 2004) among patients with depression. The current research looks for depressotypic processing biases among depressed out-patients and non-clinical controls, using both verbal and pictorial stimuli. A d′ measure (sensitivity index) was used to examine each participant's perceptual sensitivity threshold. Never-depressed controls evidenced a detection bias for positive picture stimuli, while depressed participants had no such bias. With verbal stimuli, depressed individuals showed specific decrements in the detection of positive person-referent words (WINNER), but not with positive non-person-referent words (SUNSHINE) or with negative words. Never-depressed participants showed no such differences across word types. In the current study, depression is characterised both by an absence of the normal positivistic biases seen in individuals without mood disorders (consistent with McCabe & Gotlib, 1995), and by a specific reduction in sensitivity for person-referent positive information that might be inconsistent with depressotypic self-schemas.     

大学生感恩内隐效应的实验研究

研究探讨内隐联想测验(Implicit Association Test,IAT)和Go/No-go联想任务测验(Go/No-go Association Task, GNAT)测量大学生感恩的可行性,并分析内隐感恩与外显感恩的关系。预备性研究从现代汉语字典中挑选自我词/他人词各16个,从汉语成语大辞典中挑选出与感恩相关的积极词/消极词各20个,根据65位大学生的评定结果筛选出自我词/他人词各8个,积极词/消极词各8个,用于正式研究。正式研究采用IAT、GNAT感恩测量程序和青少年感恩量表(Adolescent Gratitude Scale,AGS),对155名大学生同时进行IAT、GNAT及外显感恩的测量。结果发现:(1)大学生普遍具有积极的内隐感恩,内隐感恩不存在性别、生源地和独生与否等人口统计学指标上的显著差异;(2)大学生的内隐感恩与外显感恩相关不显著,是两个不同的建构;(3)采用IAT和GNAT研究感恩是可行的。     

Information processing and cognitive organization in unipolar depression: specificity and comorbidity issues

This study investigated information processing and cognitive organization in clinical depression. The specificity of various cognitive mechanisms to depression was also examined. Twenty-six depressed/anxious individuals, 24 pure depressives, 25 never-depressed anxious controls, and 25 nonpsychiatric controls completed a modified Stroop task, the Self-Referent Encoding Task, and two tasks designed to assess cognitive structure. Comorbid depressed/anxious, depressed, and anxious groups performed similarly to one another but differed significantly from nonpsychiatric controls, on the processing and organization of negative content. Specificity to depression was also obtained, as both depressed groups endorsed and recalled less positive information and organized positive self-relevant information with less interconnectedness than anxious individuals and nonpsychiatric controls. These results suggest that depressed individuals have an interconnected negative self-representational system and lack a well-organized positive template of self. These findings are discussed in terms of cognitive models of depression and the tripartite model of depression and anxiety.     

Life events,social support and depression in haemodialysis patients

This study examined the effects of life events and social support on depression in 200 dialysis patients. The instruments used included the Beck Depression Inventory, a modified version of Sarason's Life Experiences Survey and a Social Support Inventory (SSI) constructed by the authors. The SSI consisted of five quantitative measures and three measures of perceived social support. These measures were found to be internally consistent and stable over time. Results showed that clinically depressed dialysis patients reported fewer positive life events and appraised life events more negatively than non‐depressed patients. The total number of life events and the number of negative life events were not found to differentiate between depressed and non‐depressed patients. With regard to social support variables, results showed that depressed patients reported less frequent actual contact and telephone contact with others and perceived a smaller amount and less availability of social support and less satisfaction with perceived social support along the functional dimensions of emotional, informational, appraisal and instrumental support and social companionship. The results were found to provide support for a main effect model of social support and not for a buffering model. Copyright © 1999 John Wiley & Sons, Ltd.     

Recollective Experience During Recognition of Emotional Words in Clinical Depression

Earlier work has shown that free recall tasks produce a robust mood-congruent memory effect in depression, whereas recognition tasks produce heterogeneous results. This study aimed to further investigate recognition memory for positive, negative and neutral words in depressed patients and matched comparison participants with the Remember/Know/Guess procedure for assessing recollection and familiarity. No mood-congruent memory bias effect was detected in discrimination abilities. However, depressed patients recollected (more Remember responses) more negative than positive or neutral words, whereas comparison participants recollected more positive than neutral words. No mood-congruent pattern was evidenced for Know responses. However, the depressed patients responded to fewer words overall with Know responses than the comparison participants. These results suggest that the mood-congruent memory pattern in depressed patients is related to conscious recollection rather than to familiarity. Attentional biases toward negative words and elaboration processes and/or encoding in reference to the self may contribute to these findings.