Interactions of depressed college students with their roommates: not necessarily negative

Coyne's (1976b) interactional theory of the social environment's role in maintaining depression suggests that depressed people create negative affect in others. This leads to a pattern of interactions between depressed individuals and others that is aversive to both parties and becomes a vicious circle. We examined interactions of 15 depressed and 15 nondepressed college students with their roommates. On questionnaires, roommates did indicate more rejection, dislike, and avoidance of the depressed students than of the nondepressed students, consistent with Coyne's theory, and depressed-student-roommate interactions were more personally involved (higher percentage of self-disclosure) and less positive than nondepressed-student-roommate interactions. The moods of both depressed students and their roommates were worse than those of controls before the interaction but, contrary to expectation, improved over the course of the interaction, whereas the moods of nondepressed students and their roommates did not change significantly. Implications of these results for Coyne's theory are discussed.     

Sex differences in the expression of depression in adolescents

The purpose of the present study is to examine the patterns of depressive response of adolescents on The Beck Depression Inventory (BDI). Subjects, who were registered at the Western Québec Regional School Board (Grades 7–12), completed the BDI in the context of intact classes. Out of 1015 subjects, 249 (152 females, 97 males) met the cut-off score of 15 and above on the BDI, and were retained for the study. Sixty-three percent were francophone and 37 percent were anglophone. Ages ranged from 12 to 17 years. Results did not reveal any difference in the BDI scores as a function of either sex, age, or language. However, a significant discriminant function was obtained from subjects' responses that correctly differentiates depressed males from depressed females in 67.8% of the cases. These differential patterns of depressive responding are compared with those observed in depressed college students and adult psychiatric patients, and discussed in light of the literature on adolescent depression.This is an extended version of a poster paper presented at the 48th annual meeting of the Canadian Psychological Association, Vancouver, June 1987.     

Interpersonal perceptions and consequences of depressive-significant other relationships: a naturalistic study of college roommates

We investigated social perceptions and consequences of depression and anxiety in roommate relationships. Mildly depressed, anxious but nondepressed, and nondepressed-nonanxious students (targets) and normal, same-sex roommates (a) rated the interpersonal impact on themselves of typical associations with their roommates and (b) judged their own interpersonal impact. Only depressed men received negative evaluations and emotional reactions from their roommates. However, depressed women reported more negative reactions to their normal roommates than vice versa. Finally, depressed targets perceived their interpersonal impact negatively, whereas their normal roommates perceived their own interpersonal impact as overly positive. These findings suggest that negative relationships between depressives and nondepressed others may be attributable, at least in part, to both participants' misperceptions of their social behavior and its consequences.     

Factors in the self-deception questionnaire: associations with depression

Disagreement presently exists over whether depressed or nondepressed persons exercise more cognitive distortion on material about the self. A negative correlation between the Self-Deception Questionnaire (SDQ, Sackeim & Gur, 1978, 1979) and the Beck Depression Inventory (BDI, Beck, 1967) has been cited as evidence that it is the nondepressed individuals who exercise more distortion (Sackeim, 1983). This negative correlation was replicated, and the SDQ was factor analyzed to determine which factors might account for the correlation with depression. The three largest factors, identified by content themes of relationships with parents, emotionality, and denial of tabooed activities, correlated reliably with the BDI. Discussion focused on whether these correlations reflect differences in self-deception that are associated with depression or differences in veridical responding between depressed and nondepressed subjects on those items in the SDQ. Suggestions for future research and possible therapeutic implications are also discussed.     

Cluster analysis of depressed college students' social behaviors.

Measures of interpersonal behaviors exhibited by depressed college students toward their dormitory roommates were cluster analyzed, and this procedure produced 2 relatively distinct subgroups: a dependent, friendly, overgenerous type and an autocratic, competitive, aggressive, mistrustful type. These 2 groups were studied over a 9-month period; findings revealed that behaviors associated with each cluster were relatively stable and unrelated to gender or initial symptom severity. In longitudinal analyses, depressives in one group showed symptom abatement across time, whereas symptoms of the other group remained elevated. The roommates of depressives exhibited relatively high levels of hostility and a progressive decline in social contact and satisfaction with their depressed cohabitant. The results are discussed in relation to other typological approaches to unipolar depression.     

Depressed and Nondepressed Students: Differences in Interpersonal Perceptions

The purpose of this research was to study the patterns of interpersonal behavior of depressed students. Depressed participants rated themselves lower than non-depressed controls on assertiveness and initiation of interactions and significantly higher than controls on concern about what others think, introversion, and submissiveness. Depressed participants also scored significantly higher than controls on measures of dependency, self-criticism, and the need to please others. Ratings of depressed participants by their roommates were not correlated with depressed participants' self-reports. In contrast, most subscale self-ratings and roommate ratings for the nondepressed participants and their roommates were significantly correlated.     

Depressed and nondepressed students: differences in interpersonal perceptions

The purpose of this research was to study the patterns of interpersonal behavior of depressed students. Depressed participants rated themselves lower than non-depressed controls on assertiveness and initiation of interactions and significantly higher than controls on concern about what others think, introversion, and submissiveness. Depressed participants also scored significantly higher than controls on measures of dependency, self-criticism, and the need to please others. Ratings of depressed participants by their roommates were not correlated with depressed participants' self-reports. In contrast, most subscale self-ratings and roommate ratings for the nondepressed participants and their roommates were significantly correlated.     

The stability of depressive symptoms in college students: An empirical demonstration of regression to the mean

In a recent paper, Vredenburg, Flett, and Krames (1993) hypothesized that the apparent instability of depressive symptom scores in college students may be due, in part, to the phenomenon known as statistical regression to the mean. This statistical principle was demonstrated in the current study. A sample of 183 university students completed the Beck Depression Inventory (BDI) at two timepoints separated by a 3-month interval. Consistent with past results, analyses revealed substantial changes in symptom scores over time with decrements being evident among many subjects with elevated symptom scores at Time 1. Examination of the amount of change over time in BDI scores indicated a pattern of findings that approximated the regression to the mean phenomenon. Statistical tests confirmed that regression to the mean accounted for a significant amount of the change in symptom scores over time. The implications of these findings are discussed in terms of the nature of depressive symptoms in students and the inappropriateness of assigning subjects to depressed or nondepressed groups on the basis of elevated scores on a self-report measure.     

Depression and vulnerability as assessed by the Rorschach method

We examined clinically depressed (CD; n = 16), previously depressed (PD; n = 19) and never depressed (ND; n = 18) individuals on 13 theoretically selected Rorschach (Exner, 1993; Rorschach, 1942) variables and on the Beck Depression Inventory (BDI; Beck, Rush, Shaw, & Emery, 1979). The group assignment was made according to the criteria of Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994). We tested 2 contradictory models for depressive vulnerability, Beck's (Clark & Beck, 1999) and Miranda and Persons's (1988; Persons & Miranda, 1992), in a planned comparison design with focused contrasts. The CDs significantly contrasted the combined group of NDs and the PDs in a pathological direction on 8 of the 13 Rorschach variables and on the BDI. However, the combined group of CDs and PDs also significantly contrasted the NDs in a pathological direction on 3 of these Rorschach variables and on the BDI. In addition, logistic regression analyses indicated that Rorschach indexes significantly improved the prediction of major depression above and beyond that achieved by the BDI. The findings show that the Rorschach method was able to identify (a) cognitive and aggressive disturbances that are present in individuals who are actively depressed but not in individuals who have been depressed in the past or never been depressed and (b) affective and coping disturbances that are present in depressed individuals and to some degree in PD individuals but not in individuals who have not experienced depression. We discuss the scanty evidence of psychological disturbances in PD individuals, as measured with the Rorschach, in relation to the mood-state dependent hypothesis of Miranda and Persons (1988; Persons & Miranda, 1992).     

Depression in a Cancer Patient Population

The main goal of this study was to examine depression and its components in cancer patients as compared with healthy control subjects and psychiatric inpatients. The participants were 54 cancer patients (28 females with breast cancer, 26 males with prostate cancer), 59 healthy controls (33 females, 26 males), and 75 psychiatric patients (27 females, 48 males). Participants were administered the Beck Depression Inventory (BDI) and the State Trait Personality Inventory (STPI) Depression scales. Cancer patients had higher overall depression scores than did healthy controls as measured by BDI, but the difference was due primarily to the significantly higher scores of the cancer patients on the BDI Somatic–Performance subscale. No differences were found on the BDI Cognitive–Affective subscale. Cancer patients also scored significantly higher than healthy controls on the State-Trait Personality Inventory (STPI) State Depression (S-Dep) scale because of higher Euthymia subscale scores. The psychiatric inpatients scored significantly higher than the other groups on all measures of depression. The findings of this study suggest that cancer patients may be erroneously labeled as depressed because of somatic–performance difficulties they may experience, which are similar to symptoms of depressed individuals. In addition, it is essential to delineate the various components of depression in evaluating cancer patients.     

Interpersonal concomitants and antecedents of depression among college students

Depressed college students were compared with other-psychopathology and normal controls regarding the relationship they developed with dormitory roommates during a 9-month period. Diagnostic status was periodically assessed via SADS interviews, thus also permitting identification of new cases of depression during the year. Psychosocial characteristics found to be uniquely associated with current depression were: (a) low social contact with roommates, (b) low enjoyability of these contacts, and (c) high life-event stress. Roommates of depressives reported low enjoyability of the relationship and high levels of aggressive behavior towards the depressive. No features were found to be uniquely associated with new cases before they became depressed; however, several antecedents of general psychopathology were identified.     

The power of love: mediation of rejection in roommate relationships of dependents and self-critics

This research examined roommate responses to dependent and self-critical personality styles in the hope of finding individuals for whom rejection may be more likely. Interpersonal traits associated with dependency and self-criticism along the love and dominance axes of the Circumplex also were investigated to clarify patterns contributing to roommate rejection. Both dependents and self-critics were more depressed throughout the year. Dependents, however, were perceived as more submissive and loving and were better accepted by roommates. Self-critics were seen as submissive and hostile and were more likely to be rejected. Structural equation modeling indicated that the personality-rejection effects were mediated by perceived interpersonal traits along the love axis and their associated affective consequences for roommates.     

THE SILENCING THE SELF SCALE: Schemas of Intimacy Associated With Depression in Women

The Silencing the Self Scale (STSS), derived from a longitudinal study of clinically depressed women, measures specific schemas about how to make and maintain intimacy hypothesized to be associated with depression in women. To assess its psychometric properties, the STSS was administered with the Beck Depression Inventory (BDI) to three samples of women: college students ( n = 63), residents in battered women's shelters ( n = 1401, and mothers ( n = 270) (of 4-month-old infants) who abused cocaine during pregnancy. The STSS had a high degree of internal consistency and test-retest reliability and was significantly correlated with the BDI in all three samples.     

Social conflict, social support, and psychological distress: evidence of cross-domain buffering effects.

A longitudinal study examined the relative and joint effects of perceived social support and social conflict on psychological distress in 228 college students. Women had higher perceived social support from roommates and friends and less conflict with roommates than did men; there were no gender differences in level of conflict with friends or psychological distress. Roommate conflict predicted increases in psychological distress over time; this effect was attenuated by high levels of perceived social support from friends. Friend conflict also predicted increases in psychological distress over time; this effect was attenuated by high levels of perceived social support from roommates. These results show the importance of negative and positive aspects of social experiences to emotional functioning and the importance of compensatory social support for individuals facing social conflicts.     

Sex differences in coping with depression

A Depression Coping Questionnaire (DCQ) was devised to compare strategies for coping with depression reported by male and female college students. Discriminant analysis showed that females were significantly more likely than males to report crying, eating, smoking cigarettes, becoming irritable, and confronting their feelings when depressed. Males were significantly more likely than females to report becoming aggressive and engaging in sexual behavior when depressed. Discriminant analysis data from students in Massachusetts showed significant cross-validation with discriminant analysis data from students in California. Comparison of depressed males and females indicated that depressed males reported behaviors of withdrawal such as spending time alone and using stimulating and tranquilizing drugs. Depressed females reported self-blame. Significant multiple correlations between DCQ questions and depression scores on the Beck Depression Inventory (BDI) showed that high BDI scores were associated with isolation and escape in males, and with self-blame and acting out in females. It is concluded that depressed females might benefit most from alleviation of self-blame and adaptive relabeling of depressive symptoms, and depressed males might benefit most from increased self-awareness and active coping.The authors are indebted to Colleen F. Surber, John R. Surber, and Frederick B. Meeker.     

Interpersonal Reactions to Depression and Physical Disablllty In Dyadic Interactions1

Examined the interpersonal responses of persons engaged in dyadic interactions with confederates who enacted either depressed or socially appropriate roles and appeared either with or without a physical disability. Subject negative evaluations of confederates were indirectly obtained from a thought-listing measure. The overt behaviors of subjects were surreptitiously recorded on videotape and measures of verbal and nonverbal behavior were acquired. Subjects spoke less to the depressed targets and had significantly higher rates of negative evaluations of these persons. In addition, subjects gazed less at the depressed confederates. These effects were not moderated by target physical appearance. Findings are discussed as they relate to social models of depression and the stigmatizing effects of disability.     

Contingency judgments by depressed college students: sadder but not always wiser

We examined depressed and nondepressed college students' perceptions of control over outcomes in a task similar to the one introduced by Alloy and Abramson (1979, Experiment 2). In Experiment 1, when subjects completed a contingency learning task with no one else present, nondepressed subjects perceived themselves to have more control over frequently occurring response-independent outcomes than did depressed subjects, which replicated Alloy and Abramson's finding. When subjects completed the task in the presence of an observer, depressed students perceived themselves to have more control than did nondepressed students. In Experiment 2, the observer effects found in Experiment 1 were replicated, and we extended those results by showing that when response-independent outcomes occurred relatively infrequently, depressed and nondepressed subjects who completed the task in the presence of an observer did not reliably differ in their estimates of personal control. In Experiment 3, which included minor procedural variations from the other experiments, the pattern of results found in Experiments 1 and 2 was replicated under conditions in which observers were present while subjects received frequently occurring outcomes. Together, the results of the three experiments demonstrate that the consistently accurate personal control estimates of depressed subjects that have been found across a variety of situations break down when subjects complete a contingency learning task in the presence of an observer, and outcomes occur independently of response at a high frequency.     

Decreased approach motivation in depression

The present study examined relations between choice preference and reaction time to emotionally valenced words, dysphoric symptoms (BDI), and dysfunctional attitudes (DAS) in clinically depressed (CD; n= 61), previously depressed (PD; n= 42), and never depressed controls (ND; n= 46). The results showed: (1) NDs and PDs exhibited a choice preference for the relatively more positive words and differed significantly from CDs; (2) PDs and CDs exhibited longer reaction time and differed significantly from NDs; and (3) BDI and DAS were positively associated with reaction time to positively valenced words, whereas no associations were found for reaction time to negatively valenced words. The increased reaction time, in PDs and CDs, is discussed as a possible vulnerability factor to depression, which may be related to decreased approach motivation.     

Diagnosing depression in patients with physical diseases using the beck depression inventory (BDI)

Abstract

Four-hundred-and-forty-three patients with a physical illness (355 with coronary heart disease and 88 with chronic pain), 150 unemployed persons and 623 subjects from the normal population in Jämtland, Sweden were tested using the BDI (Beck Depression Inventory). The aim of the study was to investigate whether scores on both the physical and non-physical components of the BDI differed between the patients and the other groups, or whether only the physical component was significantly higher in the patient group, and in such a case whether this could be interpreted as symptomatic of physical disease and not of depression. A cutoff score of ≥ 10 to determine mild depression and two different alternative physical and non-physical components were used. Forty-three percent of the patients with coronary heart disease and 50% of patients with chronic pain were categorized as being at least mildly depressed. Factor analyses indicated that a physical component comprising five items was the most meaningful and could best discriminate the physical symptoms. The patients' scores were significantly higher than those of the other two groups on the physical component but only higher than the normal population sample on the nun-physical component. This supports the idea that the items for physical symptoms in the BDI might be confounding when determining depression in patients with physical diseases. The non-physical component seems to be the best indicator of depression and is recommended as a complement to the total BDI scale when determining the degree of depression in patients suffering from a physical disease.     

Symptom Severity at Week 4 of Cognitive-Behavior Therapy Predicts Depression Remission

Early response has been shown to predict psychotherapy outcome. We examined the strength of the relationship between early response and remission in 82 patients who received naturalistic cognitive-behavior therapy in a private practice setting, and 158 patients who received protocol cognitive therapy in a research setting. We predicted that the relationship between early response and remission would be substantial enough to guide clinical decision making in both samples, and that a simple model of severity at Week 4 of treatment would predict remission as effectively as a more complex change score. Logistic regressions showed that a simple model based on the Week 4 Beck Depression Inventory (BDI) score was as predictive of remission as more complex models of early change. A receiver operating characteristics analysis showed that BDI score at Week 4 was substantially predictive of remission in both the naturalistic and research protocol samples; the area under the curve was .80 and .84 in the naturalistic and protocol samples, respectively. To guide clinical decision making, we identified threshold scores on the BDI corresponding to various negative predictive values (probability of nonremission when nonremission is predicted). Our results indicate that depressed patients who remain severely depressed at Week 4 of cognitive therapy are unlikely to reach remission at the end of relatively brief (maximum 20 sessions) treatment. We discuss implications of our findings for clinical decision making and treatment development.