Self-devaluative dysphoric experience and the prediction of persistent first-episode major depressive disorder in adolescents.
Psychol Med
; 35(4): 539-48, 2005 Apr.
Article
en En
| MEDLINE
| ID: mdl-15856724
ABSTRACT
BACKGROUND:
The quality of subjective experience of dysphoria may predict persistence of depression, independently of severity. This is tested in a clinic sample of adolescents with first episode of major depression using the Depressed States Checklist adapted for adolescents.METHOD:
Ninety-four adolescents with DSM-IV major depressive disorder (MDD) were followed up at 12 months. Self-devaluative components of dysphoric experience, ruminative style, over-general autobiographical memory, and self-reported and observer-rated measures of depression severity were assessed at presentation and evaluated as predictors of persistent MDD.RESULTS:
Persistent MDD was predicted by the independent additive effects of the higher self-devaluative component of dysphoria, lower general intelligence and greater observer-rated severity of depression at presentation. Neither self-reported depression score, overgeneral memory retrieval nor ruminative style contributed.CONCLUSIONS:
High levels of self-devaluative dysphoric experience increase the liability for persistence of first-episode MDD. Other affective-cognitive components also contribute. The adolescent version of the Depressed States Checklist is a useful brief measure of cognitive vulnerability for persistence in currently depressed young people.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Autoimagen
/
Depresión
/
Trastorno Depresivo Mayor
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Psychol Med
Año:
2005
Tipo del documento:
Article
País de afiliación:
Reino Unido