Maternal depression, adult attachment, and children's emotional distress.

INTRODUCTION: Our goal was to evaluate the impact of depressed mothers' marital intimacy and attachment security in romantic relationships on children's internalizing and externalizing symptoms. METHOD: Forty-six clinically depressed mothers rated attachment security, marital intimacy, and symptoms shown by their children aged 8 to 12. RESULTS: Maternal avoidance of closeness predicted increases in children's internalizing symptoms over a 6-month period. DISCUSSION: Avoidance of closeness in depressed mothers may be implicated in the development of internalizing symptoms in their children, possibly because individuals who are avoidant of closeness are poor caregivers.

Twenty years of progress in the study of trauma.

In this article, the authors argue that studies investigating the nature of traumatic memory have made the greatest contribution to trauma research in the past 20 years. Neuroimaging studies provide empirical support for the diagnosis of posttraumatic stress disorder and have important implications for the treatment of trauma survivors. In the future, the authors hope to see an empirically derived model of trauma that incorporates both mediating and moderating factors to predict outcome.

Mediators of the link between childhood sexual abuse and emotional distress: a critical review.

A history of childhood sexual abuse (CSA) is a risk factor for adult emotional distress, including symptoms of depression, anxiety, dissociation, and trauma. However, CSA is likely associated with adult distress indirectly through an impact on mediating variables. In a review of the empirical literature, the authors found support for the roles of shame or self-blame, interpersonal difficulties, and avoidant coping strategies as mediators. In addition, emotional distress appears to mediate links between CSA and other adverse outcomes, such as alcohol abuse and revictimization. The authors conclude with a number of methodological and conceptual recommendations.

Are gender differences in depression explained by gender differences in co-morbid anxiety?

BACKGROUND: This review tested the hypothesis that gender differences in depression rates are a function of gender differences in co-morbid anxiety disorders. METHOD: We identified studies using diagnostic criteria, and reporting rates of pure depression, pure anxiety and co-morbid depression and anxiety, separately for females and males. The results of these studies were examined to assess the level of support for the co-morbidity hypothesis. RESULTS: Although some studies supported or partially supported the hypothesis, the methodologically superior studies did not. CONCLUSIONS: We conclude that women are more likely than men to be diagnosed with either disorder alone or co-morbidly. Furthermore, the ratio of women to men who experience anxiety alone or anxiety in combination with depression tends to be higher than the ratio of women to men who experience depression alone. Attempts to explain the gender difference in rates of depression would benefit from an understanding that women also are more likely to experience anxiety.

Parental care and personality in melancholic and nonmelancholic depression.

The authors hypothesized that low parental care is linked to nonmelancholic depression through depressive personality traits and personality dysfunction. This hypothesis was tested using path analysis with data provided from a sample of patients meeting DSM-IV criteria for major depression and distinguished on the basis of melancholic symptoms. The results supported their hypothesis. Lack of parental care was associated with self-critical traits, and higher levels of these traits were associated with personality dysfunction, which in turn was associated with nonmelancholic, but not melancholic, depression. Dependent traits were uniquely associated with the onset of an anxiety disorder before the first episode of depression. Researchers interested in the link between personality and depression are encouraged to focus their efforts on patients whose depressive episodes do not meet DSM-IV criteria for melancholia, and on the personality dimension of self-criticism rather than dependency.