Overgeneral autobiographical memory predicts changes in depression in a community sample

This study investigated whether overgeneral autobiographical memory (OGM) predicts the course of symptoms of depression and anxiety in a community sample, after 5, 6, 12 and 18 months. Participants (N = 156) completed the Autobiographical Memory Test and the Depression Anxiety Stress Scales-21 (DASS-21) at baseline and were subsequently reassessed using the DASS-21 at four time points over a period of 18 months. Using latent growth curve modelling, we found that OGM was associated with a linear increase in depression. We were unable to detect changes over time in anxiety. OGM may be an important marker to identify people at risk for depression in the future, but more research is needed with anxiety.     

Predicting first intercourse among urban early adolescent girls: The role of emotions

Little is known about how girls perceive their ongoing or future sexual experiences, especially the emotions that they associate with these experiences. This study examined how early adolescent girls characterise first intercourse experiences in terms of positive and negative emotions over a one-year period. A US sample of 162 girls (12–14 years), primarily Latina and Black, completed two interviews one year apart that assessed sexual cognitions, affect, and behaviour. Girls anticipated primarily negative emotions associated with first intercourse, but recalled primarily positive emotions for first and recent intercourse experiences. In addition, girls’ emotion scores proved more useful than two types of cognitions (intentions and perceived readiness) and pre-intercourse sexual experience in predicting transitions to intercourse over the one-year period.     

The role of controlled attention on recall in major depression

Information processing biases are hallmark features of major depressive disorder (MDD). Depressed individuals display biased memory and attention for negative material. Given that memory is highly dependent on attention for initial encoding, understanding the interplay of these processes may provide important insight into mechanisms that produce memory biases in depression. In particular, attentional control—the ability to selectively attend to task-relevant information by both inhibiting the processing of irrelevant information and disengaging attention from irrelevant material—may be one area of impairment in MDD. In the current study, clinically depressed (MDD: n = 15) and never depressed (non-MDD: n = 22) participants' line of visual gaze was assessed while participants viewed positive and negative word pairs. For each word pair, participants were instructed to attend to one word (target) and ignore one word (distracter). Free recall of study stimuli was then assessed. Depressed individuals displayed greater recall of negatively valenced target words following the task. Although there were no group differences in attentional control in the context of negative words, attention to negative targets mediated the relationship between depression status and recall of negative words. Results suggest a stronger link between attention and memory for negative material in MDD.     

Links between neuroticism,emotional distress,and disengaging attention: Evidence from a single-target RSVP task

Anxiety and depression are often associated with attention control deficits, but few studies have explored whether neuroticism can account for these links. In the present study, undergraduate students (n=146) completed self-report measures of neuroticism, worry, anxious arousal, and anhedonic depression and also completed a visual attention task in which they were asked to identify a red target letter embedded within a rapid sequence of items. Neuroticism was associated with detection of the target when it was preceded by a distracter with which it shared a feature in common (a green letter). Specifically, these distracters produced longer attentional blinks in individuals with elevated levels of neuroticism. In contrast, target detection was not significantly associated with worry, anxious arousal, or anhedonic depression. We discuss the implications of this link between neuroticism and attention for cognitive models of emotional distress and disorders.     

Opposite effects of anxiety and depressive symptoms on executive function: The case of selecting among competing options

People constantly face the need to choose one option from among many, such as when selecting words to express a thought. Selecting between many options can be difficult for anyone, and can feel overwhelming for individuals with elevated anxiety. The current study demonstrates that anxiety is associated with impaired selection across three different verbal tasks, and tests the specificity of this finding to anxiety. Anxiety and depression frequently co-occur; thus, it might be assumed that they would demonstrate similar associations with selection, although they also have distinct profiles of symptoms, neuroanatomy and neurochemistry. Here, we report for the first time that anxiety and depressive symptoms counter-intuitively have opposite effects on selection among competing options. Specifically, whereas anxiety symptoms are associated with impairments in verbal selection, depressive symptoms are associated with better selection performance. Implications for understanding the mechanisms of anxiety, depression and selection are discussed.     

An examination of trait,spontaneous and instructed emotion regulation in dysphoria

Depression is thought to be characterised by impaired emotion regulation, although the mechanisms of that regulation are not yet well understood. The present study examined trait, spontaneous and instructed emotion regulation in dysphoric (n = 66) and non-dysphoric (n = 86) participants. Participants were randomly assigned to use reappraisal while watching a sadness-inducing film clip (instructed emotion regulation condition) or were not given specific viewing instructions (spontaneous emotion regulation condition). Participants also completed trait measures of emotion regulation. Dysphoric individuals reported greater spontaneous use of rumination and suppression than non-dysphoric individuals, and these strategies were associated with greater negative emotional reactivity to the sadness-inducing film clip. Both participant groups were able to effectively use reappraisal when instructed to do so. The clinical implications of these findings and future research directions are discussed.     

Autobiographical memory specificity and the persistence of depressive symptoms in HIV-positive patients: Rumination and social problem-solving skills as mediators

Individuals infected with human immunodeficiency virus (HIV) are at elevated risk for depressive conditions, which in turn can negatively impact health-related behaviours and the course of illness. The present study tested the role of autobiographical memory specificity and its interaction with perceived stress in the persistence of depressive symptoms among dysphoric HIV-positive individuals. Additionally, we examined whether rumination and social problem solving mediated these effects. Results indicated that memory specificity moderated the impact of perceived stress, such that perceived stress was more strongly associated with follow-up depressive symptoms among those with greater memory specificity. Rumination, but not social problem solving, mediated this effect. Implications of these findings are discussed.     

Standardized assessment of relationship functioning in OEF/OIF Veterans with and without PTSD

Posttraumatic Stress Disorder (PTSD) is associated with difficulties in intimate relationships, with most prior research examining associations with continuous, single-dimension, and often-unstandardized measures of general relationship quality or aggression. Standardized, well-normed assessments that include multiple couple problem areas could provide more precise information about the presence and specific nature of clinically significant concerns in patient care settings. This investigation aimed to replicate findings regarding increased difficulties in relationship functioning among Operations Enduring and Iraqi Freedom Veterans with PTSD and their romantic partners, specifically using a standardized assessment that permits identification of cases of clinically significant general couple distress and difficulties across multiple problem areas. We compared 32 male Veterans with PTSD and 33 without PTSD, and their romantic partners on reports of several problem areas using the revised Marital Satisfaction Inventory (MSI-R). All participants underwent structured diagnostic interviewing. PTSD couples reported clinically significant levels of relationship distress several times more frequently than comparison couples, both for general distress and across all specific problem areas (e.g., aggressive behavior, quality of leisure time together, sexual functioning, conflicts about finances and child rearing). The most notable problem areas for PTSD couples were affective and problem-solving communication. These results replicate associations of PTSD with general couple discord and multiple specific areas of couple difficulties and extend them by documenting the clinical severity of these problems. Mental health providers may consider incorporating standardized couple assessments into their evaluations of Veterans’ functioning. Couple therapies may consider using such measures to prioritize targets for treatment.     

The 'black hole' in the inner universe

Summary The metaphor of the 'black hole' has been borrowed from astronomy in order to describe certain phenomena occurring in work with autistic and psychotic children. This metaphor is different from Tustin's concept of the 'black hole'. I shall attempt to describe another phenomenon: not that of the hole in the self, resulting from premature separation, but the hole in the object that the autistic or psychotic child is relating to - or, rather, turning away from. I describe an autistic boy's need to protect himself against the catastrophic experience of relating to an object with such a hole in its mind. That is a particular kind of a depressed object which emits deadness, instead of the lively, responsive affect that the child should get in communication. It is not an intrusive object, but it sucks in and drowns energy. If the experience of relating to the 'black hole' in the object happens early and in such a powerful way that the child's energy feels insufficient to defend against it in any way, then the fear of annihilation becomes so strong that it may lead to the wiping out of the whole internal universe in order to escape its deadly gravitational pull. Only when a different kind of relationship gets internalized, through therapy, with an object that contains and returns life and energy, can the mind grow enough to be able to communicate the other, darker side of the relationship from which it has closed itself away.