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.     

Do Social Relationships Buffer the Effects of Widowhood? A Prospective Study of Adaptation to the Loss of a Spouse

The idea that strong social relationships can buffer the negative effects of stress on well‐being has received much attention in existing literature. However, previous studies have used less than ideal research designs to test this hypothesis, making it difficult to draw firm conclusions regarding the buffering effects of social support. In this study, we examined the buffering hypothesis in the context of reaction and adaptation to widowhood in three large longitudinal datasets. We tested whether social relationships moderated reaction and adaptation to widowhood in samples of people who experienced loss of a spouse from three longitudinal datasets of nationally representative samples from Germany (N = 1,195), Great Britain (N = 562), and Australia (N = 298). We found no evidence that social relationships established before widowhood buffered either reaction or adaptation to the death of one's spouse. Similarly, social relationships that were in place during the first year of widowhood did not help widows and widowers recover from this difficult event. Social relationships acquired prior to widowhood, or those available in early stages of widowhood, do not appear to explain individual differences in adaptation to loss.     

Predicting adaptation to parenthood: The role of responsiveness,gratitude, and trust

The influence of positive relationship processes, specifically perceived responsiveness, felt gratitude, and felt trust, on perceived adaptation to parenthood was investigated. It was hypothesized that both higher initial levels prior to pregnancy as well as increases over time in perceived responsiveness, felt gratitude, and felt trust predicted better adaptation to parenthood. Data from a five‐wave longitudinal study of 109 newlyweds who became parents during the course of the study were used. Results showed that baseline positive relationship processes before pregnancy positively predicted adaptation to parenthood up to 4 years later. Changes over time were even stronger predictors of adaptation. Positive relationship processes may buffer against stressors during challenging life transitions, improving one's own adaptation as well the adaptation of one's partner.     

Early Adolescent Depressive Symptoms: Prediction from Clique Isolation,Loneliness, and Perceived Social Acceptance

This study examined whether clique isolation predicted an increase in depressive symptoms and whether this association was mediated by loneliness and perceived social acceptance in 310 children followed from age 11–14 years. Clique isolation was identified through social network analysis, whereas depressive symptoms, loneliness, and perceived social acceptance were assessed using self ratings. While accounting for initial levels of depressive symptoms, peer rejection, and friendlessness at age 11 years, a high probability of being isolated from cliques from age 11 to 13 years predicted depressive symptoms at age 14 years. The link between clique isolation and depressive symptoms was mediated by loneliness, but not by perceived social acceptance. No sex differences were found in the associations between clique isolation and depressive symptoms. These results suggest that clique isolation is a social risk factor for the escalation of depressive symptoms in early adolescence. Implications for research and prevention are discussed.     

The Content of Older Adults’ Autobiographical Memories Predicts the Beneficial Outcomes of Reminiscence Group Participation

Much research has investigated the beneficial outcomes of reminiscence groups, like guided autobiography groups. Few have assessed whether the content of the autobiographical memories shared during these groups, however, predicts beneficial outcomes. This is the main goal of the current study. Sixteen participants responded to questionnaires about depression, death attitudes, and psychological well-being before and after an 8-week reminiscence group. Results indicated that group participation decreased depression, lowered fear and avoidance of death, and improved death acceptance. The 41 memory narratives collected from group participants were content analyzed for affective, cognitive, and sensory processes. Analyses revealed that memory content predicted levels of depression after group participation. Specifically, memories with more positive affective words (e.g., happy) predicted less depressive symptoms, and memories with negative cognitive process words (e.g., perhaps) predicted more depressive symptoms. The implications for remembering life events in old age are discussed.     

Illusion of control: invulnerability to negative affect and depressive symptoms after laboratory and natural stressors.

We examined whether individual differences in susceptibility to the illusion of control predicted differential vulnerability to depressive responses after a laboratory failure and naturally occurring life stressors. The illusion of control decreased the likelihood that subjects (N = 145) would (a) show immediate negative mood reactions to the laboratory failure, (b) become discouraged after naturally occurring negative life events, and (c) experience increases in depressive symptoms a month later given the occurrence of a high number of negative life events. In addition, the stress-moderating effect of the illusion of control on later depressive symptoms appeared to be mediated in part by its effect on reducing the discouragement subjects experienced from the occurrence of negative life events. These findings provide support for the hopelessness theory of depression and for the optimistic illusion-mental health link.     

Bias and Accuracy of Children's Perceptions of Peer Acceptance: Prospective Associations with Depressive Symptoms

Are depressive symptoms in middle childhood associated with more or less realistic social self-perceptions? At the beginning and end of the school year, children in grades 3 through 5 (n=667) rated how much they liked their classmates, predicted the acceptance ratings they would receive from each of their classmates, and completed self-report measures of perceived acceptance and depressive symptoms. Accuracy of perceived acceptance was indexed by the mean difference between pairs of predicted and received ratings (absolute values). Standardized residual scores created by regressing self-reported perceived acceptance (either predicted ratings or children's responses to a questionnaire measure of perceived peer acceptance) onto peer acceptance ratings formed two measures of bias. Bi-directional associations were found for accuracy of perceived acceptance and depressive symptoms; inaccurate perceptions predicted increases in depressive symptoms and depressive symptoms predicted decreased accuracy. Neither measure of bias predicted changes in depressive symptoms. Depressive symptoms predicted increases in negatively biased perceptions as assessed via questionnaire.     

The time course of grief reactions to spousal loss: evidence from a national probability sample

Most studies of widowhood have focused on reactions during the first few years postloss. The authors investigated whether widowhood had more enduring effects using a nationally representative U.S. sample. Participants were 768 individuals who had lost their spouse (from a few months to 64 years) prior to data collection. Results indicated that the widowed continued to talk, think, and feel emotions about their lost spouse decades later. Twenty years postloss, the widowed thought about their spouse once every week or 2 and had a conversation about their spouse once a month on average. About 12.6 years postloss, the widowed reported feeling upset between sometimes and rarely when they thought about their spouse. These findings add to an understanding of the time course of grief.     

Neuroticism,Life Events and Negative Thoughts in the Development of Depression in Adolescent Girls

Theories of depression suggest that cognitive and environmental factors may explain the relationship between personality and depression. This study tested such a model in early adolescence, incorporating neuroticism, stress-generation and negative automatic thoughts in the development of depressive symptoms. Participants (896 girls, mean age 12.3 years) completed measures of personality and depressive symptoms, and 12 months later completed measures of depressive symptoms, recent stressors and negative automatic thoughts. Path analysis supported a model in which neuroticism serves as a distal vulnerability for depression, conferring a risk of experiencing dependent negative events and negative automatic thoughts, which fully mediate the effect of neuroticism on later depression. A second path supported a maintenance model for depression in adolescence, with initial levels of depression predicting dependent negative events, negative automatic thoughts and subsequent depressive symptoms. Unexpectedly, initial depression was also associated with later independent life events. This study establishes potential mechanisms through which personality contributes to the development of depression in adolescent girls.     

Examining Temporal Associations between Perceived Maternal Psychological Control and Early Adolescent Internalizing Problems

The present study examined a) the associations between adolescent-reported maternal psychological control and self-reported internalizing problems one year later, while simultaneously examining the opposite direction of effects and b) the equivalence of these associations across gender. Participants were 479 10-to-14-year old adolescents (55% female) participating in two waves of a study. Results from multi-group, cross-lagged panel analyses indicated that although early adolescents’ depressive symptoms and social anxiety predicted change in perceived maternal psychological control one year later, perceived maternal psychological control did not predict change in early adolescents’ internalizing problems. Elevated levels of depressive symptoms were associated with increased levels of perceived maternal psychological control one year later, whereas elevated levels of social anxiety were associated with decreased levels. Aforementioned findings were consistent across boys’ and girls’ data. Study findings extend limited research on adolescent effects, demonstrating that early adolescents’ internalizing problems play a role in perceived maternal psychological control.     

Stress‐buffering or stress‐exacerbation? Social support and social undermining as moderators of the relationship between perceived stress and depressive symptoms among married people

This prospective panel study examined social support and social undermining from the spouse as moderators of the relationship between perceived stress and depressive symptoms. Participants were 181 married people who completed questionnaires at two points in time. The interval between time 1 (T1) and time 2 (T2) was approximately 6 weeks. Multiple regression analysis showed that T1 perceived stress and T1 spouse undermining, but not T1 spouse support, predicted increases in depressive symptoms from T1 to T2. T1 spouse undermining, but not T1 spouse support, moderated the association between T1 perceived stress and T2 depressive symptoms. These findings supported a stress-exacerbation hypothesis for the effect of spouse undermining on the stress process. Discussion focuses on possible mechanisms for the stress-exacerbation effect.     

Let it be: Accepting negative emotional experiences predicts decreased negative affect and depressive symptoms

The present studies examined whether a tendency to accept negative emotional experiences buffers individuals from experiencing elevated negative affect during negative emotional situations (Study 1) and from developing depressive symptoms in the face of life stress (Study 2). Both studies examined female samples. This research expands on existing acceptance research in four ways. First, it examined whether acceptance has beneficial correlates when it matters most: in emotionally taxing (versus more neutral) contexts. Second, in Study 2 a prospective design was used in which acceptance was measured before stress was encountered and before outcomes were measured. Third, depressive symptoms (rather than general functioning or trauma symptoms) were examined as a particularly relevant outcome in the context of stress. Fourth, to enhance generalizability, a community sample (versus undergraduates or a purely clinical sample) was recruited. Results indicated that acceptance was correlated with decreased negative affect during a negative emotion induction but not an affectively neutral condition (Study 1). In Study 2, acceptance interacted with life stress such that acceptance predicted lower levels of depressive symptoms after higher, but not lower, life stress. These results suggest that accepting negative experiences may protect individuals from experiencing negative affect and from developing depressive symptoms.     

Rebuilding the network: New relationships in widowhood

This study examined the formation of nonkin relationships in widowhood, using personal network data from 548 older men and women who lost a partner through death fewer than 10 years earlier. Relationships established after the death of the spouse were cited by 27.6% of the respondents. New relationships with neighbors were cited in particular. New relationships were more often nominated by women than by men. Formation of new relationships was strongly and positively associated with the duration of widowhood, the presence of a new partner, and having put effort into seeking new relationships. The findings suggest that, to gain a proper understanding of why some widowed individuals form new relationships and others do not, knowledge is required about the quality of the social network prior to widowhood.     

Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial

Objective

The current study examined the efficacy of an early intervention based on acceptance and commitment therapy (ACT) for depressive symptomatology. The ACT intervention is aimed at increasing the acceptance of negative thoughts and emotions and living a mindful and value-based life.

Method

Adults with mild to moderate depressive symptomatology were randomly assigned to the ACT intervention (n = 49) or to a waiting list (n = 44). The mean age of the participants was 49 years. The majority of the participants was female and of Dutch origin. All the participants completed measures before and after the intervention, as well as three months later at follow-up to assess depression (CES-D), anxiety (HADS-A), fatigue (CIS), alcohol use and acceptance (AAQ-II).

Results

The ACT intervention led to statistically significant reduction in depressive symptomatology (Cohen’s d = .60). These reductions were maintained at the three-month follow-up. Also significant reductions in anxiety and fatigue were observed. Moreover, mediational analysis showed that the improvement of acceptance during the intervention mediated the effects of the intervention on depressive symptomatology at follow-up.

Conclusion

These findings suggest that an early intervention based on ACT, aimed at increasing acceptance, is effective in reducing depressive symptomatology.     

Cognitive Vulnerability to Depression in Canadian and Chinese Adolescents

The goal of the current study was to compare diathesis-stress and transactional models of cognitive vulnerability to depression in samples of Canadian (n = 118) and Chinese (n = 405) adolescents. We utilized a six-month multi-wave, longitudinal design in order to examine whether (a) perceived control moderated the association between the occurrence of dependent interpersonal stressors and subsequent increases in depressive symptoms (i.e., a diathesis-stress perspective) and (b) dependent interpersonal stressors mediated the association between perceived control and subsequent increases in depressive symptoms (i.e., a transactional perspective). Results from idiographic, time-lagged, hierarchical linear modeling analyses indicated that for Canadian adolescents both diathesis-stress and transactional models were significant predictors of depressive symptomology. When examining the diathesis-stress model, boys, but not girls, who reported lower perceived control, reported higher levels of depressive symptoms following the occurrence of dependent interpersonal stress. Gender differences, however, were not present in the transactional model. In contrast, transactional, but not diathesis-stress, models were significant in Chinese adolescents, and gender differences did not emerge. Overall, these results may reflect culturally-relevant differences in the etiology of depression in Canadian and Chinese adolescents.     

Predictors and consequences of childhood depressive symptoms: a 5-year longitudinal study.

A 5-year longitudinal study investigated the interrelationships among children's experiences of depressive symptoms, negative life events, explanatory style, and helplessness behaviors in social and achievement situations. The results revealed that early in childhood, negative events, but not explanatory style, predicted depressive symptoms; later in childhood, a pessimistic explanatory style emerged as a significant predictor of depressive symptoms, alone and in conjunction with negative events. When children suffered periods of depression, their explanatory styles not only deteriorated but remained pessimistic even after their depression subsided, presumably putting them at risk for future episodes of depression. Some children seem repeatedly prone to depressive symptoms over periods of at least 2 years. Depressed children consistently showed helpless behaviors in social and achievement settings.     

Predictors of the first onset of a major depressive episode and changes in depressive symptoms across adolescence: stress and negative cognitions

This 6-year longitudinal study examined stressors (e.g., interpersonal, achievement), negative cognitions (self-worth, attributions), and their interactions in the prediction of (a) the first onset of a major depressive episode (MDE), and (b) changes in depressive symptoms in adolescents who varied in risk for depression. The sample included 240 adolescents who were first evaluated in Grade 6 (M = 11.86 years old; SD = 0.57; 54.2% female) and then again annually through Grade 12. Stressful life events and depressive diagnoses were assessed with interviews; negative cognitions and depressive symptoms were assessed with self-report questionnaires. Discrete time hazard modeling revealed a significant interaction between interpersonal stressors and negative cognitions, indicating that first onset of an MDE was predicted by high negative cognitions in the context of low interpersonal stress, and by high levels of interpersonal stressors at both high and low levels of negative cognitions. Analyses of achievement stressors indicated significant main effects of stress, negative cognitions, and risk in the prediction of an MDE, but no interactions. With regard to the prediction of depressive symptoms, multilevel modeling revealed a significant interaction between interpersonal stressors and negative cognitions such that among adolescents with more negative cognitions, higher levels of interpersonal stress predicted higher levels of depressive symptoms, whereas at low levels of negative cognitions, the relation between interpersonal stressors and depression was not significant. Risk (i.e., maternal depression history) and sex did not further moderate these interactions. Implications for intervention are discussed.     

Mother and Child Depressive Symptoms in Youth with Spina Bifida: Additive, Moderator, and Mediator Models

The purpose of the study was to examine the extent to which parenting behaviors influence the relation between maternal and child depressive symptoms in youth with spina bifida and a comparison sample. Previous research has found that maternal depression not only negatively impacts the mother–child relationship, but also places the child at risk for developing depressive symptoms. However, certain parenting behaviors might buffer the association between maternal and youth depression. The influence of maternal depressive symptoms and parenting behavior (i.e., acceptance, behavioral control, psychological control) on youth depressive symptoms were examined in the context of three models: (1) an additive/cumulative risk model, (2) a moderator model, and (3) a mediator model. Data were examined longitudinally at five time points when youth were 8–9 through 16–17 years of age. Results supported an additive/cumulative risk model, but did not support the moderator or mediator models. Low maternal acceptance, high behavioral control, and high psychological control were risk factors for child depressive symptoms at several time points, with maternal depressive symptoms exerting an additional risk at later time points. A group difference between the spina bifida and comparison youth was not supported. Findings indicate that in general, maternal parenting behavior is salient throughout childhood and early adolescence, but maternal depressive symptoms do not exert an influence until mid-adolescence. Family interventions should aim to promote maternal mental health and maternal parenting behaviors to reduce the risk of the development of depressive symptoms in adolescence.     

Judgement of control revisited: Are the depressed realistic or pessimistic?

The study, firstly, examined the depressive realism postulate in relation to control judgments. A group of depressed and nondepressed undergraduates were exposed to a total of six judgement of control tasks (from 0% control tio 100% control). Depressed and nondepressed subjects did not differ in their control judgements. Secondlym, an attempt is made to classify subjects on the basis of these six judgements of control tasks as optimisticm, realistic and pessimistic in perceived control judgements.It was found that pessimistic rather than realistic subjects, had higher depressive symptomatology. Lastly, pessimism about control predicted the depressive symptomatology as assessed three months later. The results are discussed in relation to the phenomenon of depressive realism and the hopelessness theory of depression.     

Transactional Relationships among Cognitive Vulnerabilities, Stressors, and Depressive Symptoms in Adolescence

The transactional cognitive vulnerability to stress model Hankin & Abramson (Psychological Bulletin, 127:773–796, 2001) extends the traditional diathesis-stress model by proposing that the relationships among cognitions, depressive symptoms, and stressors are dynamic and bidirectional. In this study three different pathways among these variables were assessed simultaneously: (1) cognitive vulnerabilities and stressors as predictors of depressive symptoms (vulnerability model), (2) depressive symptoms and cognitive vulnerabilities as predictors of stressors (stress generation model), and (3) depressive symptoms and stressors as predictors of cognitive vulnerabilities (consequence model). A fully cross-lagged design panel was employed with 1,187 adolescents (545 girls and 642 boys, Mean Age?=?13.42 years) who were assessed at two time points separated by 6 months. They completed measures of cognitive vulnerabilities (maladaptive schema domains and negative inferential style), stressors, and depressive symptoms. Inferential style and schemas of the disconnection and rejection domain predicted prospective increases in depressive symptoms. Initial levels of depressive symptoms and most cognitive vulnerabilities predicted greater stress generation. Initial levels of stressors and depressive symptoms predicted an increase in negative inferential style and maladaptive schema domains over time. These bidirectional relationships were mostly similar for boys and girls, although there were a few gender differences. The findings support a transactional model with reciprocal relationships among stress, depressive symptoms, and cognitive vulnerabilities. Transactional implications for depression interventions among adolescents are discussed.