Enhancing attributional style and positive life events predict increased hopefulness among depressed psychiatric inpatients

A prospective study was conducted to investigate whether enhancing attributional style and positive life events are associated with recovery from depression through the mediation of increased hopefulness, as predicted by the Needles and Abramson (1990) model of recovery from depression. The Attributional Style Questionnaire, Beck Depression Inventory, Beck Hopelessness Scale, Dysfunctional Attitudes Scale, Uplifts Scale, and Revised Hassles Scale were administered to 32 depressed psychiatric inpatients shortly after admission and readministered a mean of 10 days later. The results indicated that the combined effects of enhancing attributional style and positive life events predicted decreases in hopelessness, which were in turn associated with decreases in depression symptom levels. By contrast, neither the combined effects of depressotypic attributional style and life events nor the combined effects of dysfunctional attitudes and life events was associated with decreases in hopelessness or depression symptom levels.     

Positive life events, attributional style, and hopefulness: testing a model of recovery from depression

A model of a recovery process from depression that is compatible with the hopelessness theory of depressive onset is proposed. This model predicts that depressives who have an enhancing attributional style for positive events (i.e., make global, stable attributions for such events) will be more likely to regain hopefulness and, thereby, recover from depression, when positive events occur. This prediction was tested by following a group of depressed college students longitudinally for 6 weeks. Although neither positive events alone nor attributional style alone predicted reduction in hopelessness, depressives who both showed the enhancing attributional style for positive events and experienced more positive events showed dramatic reductions in hopelessness which were accompanied by remission of depressive symptoms. Thus, attributional style for positive events may be a factor that enables some depressives to recover when positive events occur in their lives.     

Negative attributional style, hopelessness depression and endogenous depression

The hopelessness theory of depression [Abramson, L. Y., Metalsky, G. I. & Alloy, L. B. (1989). Hopelessness depression: a theory-based subtype of depression. Psychological Review, 96, 358-372.] postulates that a negative attributional style represents a risk factor for a particular constellation of depressive symptoms, termed 'hopelessness depression'. Four studies tested the relation of negative attributional style to hopelessness depression symptoms versus endogenous depression symptoms. Despite the considerable overlap of hopelessness and endogenous depression symptoms, negative attributional style was more related to the former than the latter, consistent with hopelessness theory.     

Surviving a failure: Efficacy and a laboratory based test of the hopelessness model of depression

Abramson, Metalsky and Alloy's (1989) revision of the reformulated model of helplessness and depression to hopelessness theory introduced the possibility of additional diatheses for depression. The present paper describes a laboratory-based test of the hopelessness model which provides an opportunity to explore the role of efficacy in relation to the new model and to extend its application to anxiety. Undergraduate students were asked to complete a general ability test and received false feedback which led them to believe that they had performed less well than they had anticipated. Attributional style was found to be predictive of increase in anxiety following failure feedback. The interaction between attributional style and eficacy was found to predict depression. Among subjects who were low in efficacy attributional style was significantly related to depression. While the study provided partial support for hopelessness theory it indicates a role for the assessment of efficacy as a moderator variable within the model.     

Depressive realism and attributional style: implications for individuals at risk for depression

Prior research has found that depressed individuals are more realistic in their interpretations of certain events than nondepressed individuals. However, the implications of this finding for the etiology of depressive disorders have never been clarified. The current investigation sought to remedy this situation by exploring realism in the context of a well-validated, cognitive diathesis-stress theory of the etiology of a subtype of depression: hopelessness theory (Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358-372). A sample of 239 college students, including groups of participants with depressogenic versus nondepressogenic attributional styles, recorded the causes they assigned to events; the extent to which their attributions were objectively realistic was evaluated. A comparison of the degree of objectivity was also made between dysphoric and nondysphoric individuals. Contrary to expectations derived from the depressive realism hypothesis, dysphoric individuals exhibited less realistic attributions as compared to nondysphoric individuals. Further, individuals at risk for depression evidenced a pessimistic bias, while individuals not at risk evidenced an optimistic bias.     

Attributional style and depressive symptoms in adolescents: an examination of the role of various indicators of cognitive vulnerability

This study focuses on the hopelessness theory to explain depressive symptoms in adolescents. The aim is to assess which dimensions of the attributional style (causal attribution, attribution of consequences, implications for the self, total score, and weakest link score) better moderate the impact of negative events on the increase of depressive symptoms. For this purpose, 856 Spanish adolescents (449 girls and 407 boys, ages between 14 and 17 years) were assessed at the beginning of the school year and at follow-up 6 months later. They completed measures of depressogenic cognitive style [Hankin, B. L., & Abramson, L. Y. (2002). Measuring cognitive vulnerability to depression in adolescents: Reliability, validity, and gender differences. Journal of Clinical Child and Adolescent Psychology, 31, 491-504], negative life events, and depressive symptoms. The results show that only the dimension of attribution of stable and global causes moderated the impact of the negative events on the increase of depression at follow-up. The results are discussed in terms of the meaning of the weakest link score and the construct of attributional style from a developmental perspective.     

A test of the hopelessness theory of depression in youth psychiatric inpatients

Evaluated the hopelessness theory of depression among youth psychiatric inpatients. According to the hopelessness theory of depression, negative attributional style may cross-sectionally relate to an array of psychopathological symptoms. However, in the presence but not the absence of negative life events, negative attributional style relates to the onset and exacerbation of depressive (not other) symptoms. Moreover, negative attributional style relates to depression onset or exacerbation specifically via changes in hopelessness (not other mediators). This study of 60 youth psychiatric inpatients (22 boys and 38 girls; ages 9 to 17, M = 14.33, SD = 1.86), 34 of whom were assessed 2 months after leaving the hospital, tested hopelessness theory. At baseline, participants completed self-report questionnaires on attributional style, hopelessness, self-esteem, depression, and anxiety; at follow-up, questionnaires on negative life events and symptoms were completed. Chart diagnoses were available. Results were consistent with all hypotheses derived from hopelessness theory.     

The Children's Attributional Style Interview: Developmental Tests of Cognitive Diathesis-Stress Theories of Depression

This paper presents an initial assessment of the Children's Attributional Style Interview (CASI), a newly designed measure for assessing attributional style in young children (age 5 and up). The CASI was used to conduct prospective tests of the reformulated helplessness (L. Y. Abramson, M. Seligman, & J. Teasdale, 1978) and the integrated hopelessness/self-esteem (G. I. Metalsky, T. E. Joiner, Jr., T. S. Hardin, & L. Y. Abramson, 1993) theories of depression in a sample of 147 5–10-year-old children. For comparison, the same tests were also conducted with the Children's Attributional Style Questionnaire-Revised (CASQ-R; N. J. Kaslow & S. Nolen-Hoeksema, 1991), a commonly used measure for assessing attributional style in older children (age 8 and up). The CASI evidenced support of the reformulated helplessness theory and partial support of the integrated hopelessness/self-esteem theory. The CASI also demonstrated good internal consistency. Thus, our findings provide initial support for the CASI as a methodologically sound measure of attributional style for children as young as 5 years old. Although preliminary, our findings also suggest possible developmental differences in how attributional style interacts with self-esteem and negative life stress. The CASI should prove to be a useful tool in furthering the understanding of the origins and development of attributional style in childhood, as well as its contribution to the understanding of the development and prevention of depressive symptomatology in children.     

A comparison of depressed and nondepressed disturbed children on measures of attributional style,hopelessness, life stress,and temperament

Upon admission to a hospital treatment program, clinically depressed and nondepressed children (aged 9–17 years) were assessed on measures of attributional style, hopelessness, depression, life stress, and child temperament. The depressed group tended to attribute positive events to specific and unstable factors when compared with the nondepressed sample. Group differences also were found on child temperament measures. However, no differences were reported between the diagnostic groups on self-reported depression, hopelessness, or life stress. The findings suggested that there may not be a unique constellation of cognitive characteristics in depressed children when compared with a nondepressed clinical sample. For both depressed and nondepressed groups, treatment did appear to affect self-reported depression and overall ratings of depressogenic attributional style.     

Childhood maltreatment and maltreatment‐specific inferences: A test of Rose and Abramson's (1992) extension of the hopelessness theory

In extending the etiological chain of the hopelessness theory of depression (Abramson, Metalsky, & Alloy, 1989), Rose and Abramson (1992) proposed a developmental model by which childhood maltreatment may contribute to the development of a negative inferential style. Once developed, this negative inferential style leaves the individual vulnerable to developing hopelessness and symptoms of hopelessness depression. In the current cross‐sectional study, reports of childhood emotional, but not physical or sexual, maltreatment were significantly related to undergraduates' inferential styles. In addition, results from path analyses indicated that inferences about specific experiences of childhood emotional maltreatment mediated this relationship. Testing Rose and Abramson's entire model, results from path analyses supported a partial, but not full, mediation model.     

The relationship between attributions and depression varies across attributional dimensions and across samples

Two hypotheses implicit in the use of composite measures of attributions in tests of learned helplessness theory (but not implicit in the theory itself) were tested: the hypotheses that relationships between depression and the three types of attributions are equal in magnitude and are linear. To test these hypotheses, data from three published studies of the reformulated learned helplessness theory (Abramson, Seligman, & Teasdale, 1978) were reanalyzed. The hypothesis that internal, stable, and global attributions are equally related to depression was tested and rejected. Increases in internal attributions were related to depression in one sample; increases in global attributions for negative events were related to depression in two samples; stability attributions for negative events were unrelated to depression. The relationship between attributions and depression was nonlinear in one of the three populations studied. Finally, a third hypothesis was tested: the hypothesis that the relationship between attributions and depression is equal across samples. The hypothesis was rejected: attributions for negative events were more highly related to depression in a psychiatric sample than in normal populations. Implications of these findings for learned helplessness theory and for the use of composite measures of attributional style are discussed.     

Depressogenic cognitive styles: predictive validity, information processing and personality characteristics, and developmental origins.

Two of the major cognitive theories of depression, the theory of Beck [Beck, A. T. (1967). Depression: clinical, experimental and theoretical aspects. New York: Harper & Row. and Beck, A. T. (1987) Cognitive models of depression. Journal of Cognitive Psychotherapy: an International Quarterly, 1, 5-37] and the hopelessness theory [Abramson, Metalsky, & Alloy, (1989) Hopelessness depression: a theory-based subtype of depression. Psychological Review, 96, 358-372], include the hypothesis that particular negative cognitive styles increase individuals' likelihood of developing episodes of depression, in particular, a cognitively mediated subtype of depression, when they encounter negative life events. The Temple-Wisconsin Cognitive Vulnerability to Depression (CVD) project is a two-site, prospective longitudinal study designed to test this cognitive vulnerability hypothesis, as well as the other etiological hypotheses of Beck's and the hopelessness theories of depression. In this article, based on CVD project findings to date, we review evidence that the hypothesized depressogenic cognitive styles do indeed confer vulnerability for clinically significant depressive disorders and suicidality. In addition, we present evidence regarding moderators of these depressogenic cognitive styles, the information processing and personality correlates of these styles and the possible developmental antecedents of these styles. We end with a consideration of future research directions and the clinical implications of cognitive vulnerability to depression.     

The mediation component of the hopelessness depression in relation to negative life events

A necessary test of the mediational processes component of the hopelessness theory of depression is to test whether the individuals who have negative attributional style and experience negative life events are likely to make negative attributions for the negative events they confront. The present study, using undergraduate students, find that the negative attributional style do not predict negative attributions subjects made for the negative life events they experience within a period of 3 months. However, subjects' negative attributions for the negative life events coupled with the experience of a high number of negative life events predicted their depressive symptomatology. The depressive symptomatology is found not to be mediated through hopelessness. The findings are discussed in relation to the hopelessness theory of depression.     

Attributional style as a diathesis in predicting depression,hopelessness, and suicide ideation in college students

Attributional style was examined as a diathesis for depression, hopelessness, and suicidal ideation. A naturalistic stressor—obtaining a D or F on an Introductory Psychology exam—was used in a longitudinal design to test for the effects of stress in predicting these criteria. Controlling for preexam levels of depression, hopelessness, and suicide ideation, prestress attributional style was consistently related to poststress levels of each of these criteria. Both positive and negative attributional styles measured at Time 1 were predictive of these criteria at Time 2. Regression analyses revealed that exam grade, attributional style alone, and attributional style in interaction with stress predicted each of the three criteria. The results are seen as supportive of a prestress attributional style diathesis to depression, hopelessness, and suicidal ideation.     

Negative Attributional Style for Interpersonal Events and the Occurrence of Severe Interpersonal Disruptions as Predictors of Self-Reported Suicidal Ideation

We applied the hopelessness theory of depression to suicidal symptoms: 203 undergraduates completed questionnaires on attributional style, negative life events, hopelessness, and suicidal symptoms at one point in time and again 10 weeks later. Consistent with prediction, the combination of a negative attributional style for interpersonal events and the occurrence of such events were prospectively related to increases in self-reported suicidally over the course of the 10-week study. These findings displayed specificity with respect to interpersonal versus achievement-related styles and events. Contrary to hypothesis, hopelessness did not mediate the relation between the Attributional style x Stress interaction and the increases in self-reported suicidality.     

Enhancing attributional style as a resiliency factor in depressogenic stress generation

Abstract

There is a growing body of evidence that suggests depression and cognitive vulnerabilities to depression may lead individuals to generate stressful events. However, there has been no study to date that has directly examined factors that may lead individuals to be less likely to generate stressful events. The present study examines whether an enhancing attributional style, the tendency to make global and stable inferences following occurrence of a positive event, functions as a resiliency factor in stress generation. One hundred and sixty-seven female students completed measures of depression symptoms and attributional style at baseline and occurrence of life events since baseline at a four-week follow-up. Results indicated that an enhancing attributional style predicted decreased levels of stressful events over the following four weeks, even when controlling for depression symptoms. The findings of this study suggest that there may be resiliency factors that can help protect individuals from the generation of stressful events.     

Positive attributional style,life events and their effect on children's mood: Prospective study

The present study extended previous research into the role of cognitive style in predicting depressive symptoms in children by examining positive attributional style for positive events in a prospective manner, with a focus on the influence of prior life experience. A non‐clinical sample of 102 children (aged 10–12 years) was recruited. Participants completed self‐report measures of depression, attributional style, stressful life events, and positive life events on two occasions (approximately 6 months apart). Positive attributional style for positive events moderated the relationship between negative life events and follow‐up depressive symptoms. Number of positive events did not significantly moderate the negative life events–depression symptoms relationship although there was a trend in the expected direction. Positive attributional style for positive events appeared to act as both a mediator and moderator in the positive events–depression symptoms relationship. Theoretical and clinical implications of these findings are discussed.     

Attributional Style, Self-Esteem, and Human Immunodeficiency Virus: A Test of the Hopelessness and Self-Esteem Theories of Depression

Research on the hopelessness and self-esteem theories of depression (Abramson, Metalsky, & Alloy, 1989; Metalsky, Joiner, Hardin, & Abramson, 1993) suggests that HIV-infected persons with depressotypic attributional style (AS) and low self-esteem (SE) may be at risk for onset of a syndrome referred to as hopelessness depression (HD). In a prospective study conducted to test these theories, measures of anxiety and depression, AS, and SE were administered to 85 HIV+ and 43 HIV– men; symptoms were reassessed 6 months later. Results indicated that: (1) The interaction of AS, SE, and HIV status predicted change in HD symptoms, but not overall depression or anxiety symptoms; (2) HIV+ men with depressotypic AS and high SE had increased HD symptom levels while other men with high SE had decreased HD symptom levels; (3) HD symptoms remained stable over the 6-month interval among men with low SE; and (4) High SE predicted decreases in anxiety symptoms among HIV– men, but not among HIV+ men. Contrary to the study hypothesis, these findings suggest that among individuals with life-threatening illnesses such as HIV infection, those with depressotypic AS and high SE may be at highest risk for onset of HD.     

Predictors of Attributional Style Change in Children

A number of studies have supported the hypothesis that negative attributional styles may confer vulnerability to the development of depression. The goal of this study was to explore factors that may contribute to the development of negative attributional styles in children. As hypothesized, elevated levels of depressive symptoms and hopelessness at the initial assessment predicted negative changes in children's attributional styles over the 6-month follow-up period. In addition, elevated levels of verbal victimization occurring between the 2 assessments, as well as that occurring in the 6 months preceding the initial assessment, prospectively predicted negative changes in children's attributional styles over the follow-up. Further, initial depressive symptoms and verbal victimization during the follow-up continued to significantly predict attributional style change even when the overlap among the predictors was statistically controlled. Contrary to the hypotheses, however, neither parent-reported levels of overall negative life events nor parents' attributions for their children's events predicted changes in children's attributional styles.