Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Home
Hostname: page-component-ffbbcc459-jtd8l Total loading time: 0.169 Render date: 2022-03-14T19:11:05.016Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }
  • English
Psychological Medicine Psychological Medicine

Article contents

Dysfunctional attitudes and vulnerability to persistent depression

Published online by Cambridge University Press:  09 July 2009

J. M. G. Williams ,
D. Healy ,
J. D. Teasdale ,
W. White  and
E. S. Paykel
J. M. G. Williams*
Affiliation:
MRC Applied Psychology Unit and Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge
D. Healy
Affiliation:
MRC Applied Psychology Unit and Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge
J. D. Teasdale
Affiliation:
MRC Applied Psychology Unit and Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge
W. White
Affiliation:
MRC Applied Psychology Unit and Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge
E. S. Paykel
Affiliation:
MRC Applied Psychology Unit and Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge
*
1Address for correspondence: Dr Mark Williams, MRC Applied Psychology Unit, 15 Chaucer Road, Cambridge, CB2 2EF.
Get access Rights & Permissions[Opens in a new window]

Synopsis

Forty-four patients who met criteria for major depressive disorder were assessed for presence of dysfunctional attitudes and negative self-schema on admission. After six weeks, of sixteen patients who had shown high dysfunctional attitudes, six (35%) had not recovered. By contrast, of seventeen patients who had been equally severely depressed at the outset, but had low dysfunctional attitudes, only one (6%) had not recovered. The rating by the patients of themselves, as opposed to their attitudes, did not however predict. Thirty-one patients were tested six months later. Twenty-one (68%) remained asymptomatic, ten patients had relapsed or not responded to treatment, but neither type of admission measure predicted the state at this point. This is consistent with previous evidence which suggests that vulnerable attitudes assessed when symptomatic predict recovery, but that for prediction of relapse, cognitive measures need to be used when the patient is asymptomatic.

Type
Original Articles
Information
Psychological Medicine , Volume 20 , Issue 2 , May 1990 , pp. 375 - 381
Copyright
Copyright © Cambridge University Press 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bech, P., Gram, L. F.Dein, E., Jacobson, O., Viger, J. & Boiling, T. G. (1975). Quantitative rating of depressive states. ACTa Psychiatrica Scandinavica 51, 161–170.CrossRefGoogle ScholarPubMed
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. International University Press: New York.Google Scholar
Beck, A. T., Rush, B. J., Shaw, B. F. & Emery, G. (1979). Cognitive Therapy of Depression. Guildford Press: New York.Google Scholar
Burns, D. D. (1980). Feeling Good: The New Mood Therapy. Signet, New American Library. New York.Google Scholar
Carney, N. W. P., Roth, M. & Garside, R. F. (1965). The diagnosis of depressive syndromes and the prediction of ECT response. British Journal of Psychiatry 111, 659–674.CrossRefGoogle Scholar
Dent, J. & Teasdale, J. D. (1988). Negative cognition and the persistence of depression. Journal of Abnormal Psychology 97, 29–34.CrossRefGoogle Scholar
Evans, M., Hollan, S. D., DeRubeis, R. J., Piascki, J. M., Tuasson, V. B. & Vye, C. (1985). Accounting for relapse in a treatment outcome study of depression.Presented at the Annual Meeting of the Association for the Advancement of Behaviour Therapy,November 1985.Google Scholar
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology and Neurosurgical Psychiatry 23, 56–61.CrossRefGoogle Scholar
Hammen, C., Marks, T., Mayol, A. & de Mayo, R. (1985). Depressive self-schemas, life stress and vulnerability to depression. Journal of Abnormal Psychology 94, 308–319.CrossRefGoogle ScholarPubMed
Hammen, C., Dyck, D. G. & Micklowitz, D. J. (1986). Stability and severity parameters of depressive self-schema responding. Journal of Social and Clinical Psychology 4, 23–45.CrossRefGoogle Scholar
Knesevich, J. W., Biggs, J. T., Clayton, P. J. & Ziegler, V. E. (1977). Validity of the Hamilton Rating Scale for Depression. British Journal of Psychiatry 131, 49–52.CrossRefGoogle ScholarPubMed
Lewinsohn, P. M., Steinmetz, J. L., Larson, D. W. & Franklin, J. (1981). Depression related cognitions: antecedents or consequences? Journal of Abnormal Psychology 90, 213–219.CrossRefGoogle Scholar
Miller, I. W., Norman, W. H. & Keitner, G. I. (1989). Validation of a high cognitive dysfunction subgroup of depressed patients.Paper presented at World Congress of Cognitive Therapy,Oxford,June 1989.Google Scholar
Norman, W. H., Miller, I. W. & Keitner, G. I. (1987). Relationship between dysfunctional cognitions and depressive subtypes. Canadian Journal of Psychiatry 32, 194–198.CrossRefGoogle ScholarPubMed
Rush, A. J., Weissenburger, J. & Eaves, G. (1986). Do thinking patterns predict depressive symptoms? Cognitive Therapy and Research 10, 225–236.CrossRefGoogle Scholar
Simons, A. D., Garfield, F. L. & Murphy, T. E. (1984). The process of change in cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry 41, 45–51.CrossRefGoogle Scholar
Simons, A. D., Murphy, G. E., Levine, J. L. & Wetzel, R. D., (1986). Cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry 43, 43–50.CrossRefGoogle Scholar
Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion 2, 247–274.CrossRefGoogle Scholar
Teasdale, J. D. & Dent, J. (1987). Cognitive vulnerability to depression: an investigation of two hypotheses. British Journal of Clinical Psychology 26, 113–126.CrossRefGoogle ScholarPubMed
Wilkinson, I. M. & Blackburn, I. M. (1981). Cognitive style in depressed and recovered depressed patients. British Journal of Clinical Psychology 20, 283–292.CrossRefGoogle ScholarPubMed
Williams, J. M. G. (1984). The Psychological Treatment of Depression: A Guide to the Theory and Practice of Cognitive Behaviour Therapy. Croom Helm: Beckenham, and Free Press (Macmillans): New York.CrossRefGoogle Scholar
Williams, J. M. G. (1989). Cognitive treatment for depression. In Depression: An lntegrative Approach (ed. Herbst, K. and Paykel, E. S.), pp. 163–173. Heinemann: London.Google Scholar
47
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Dysfunctional attitudes and vulnerability to persistent depression
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Dysfunctional attitudes and vulnerability to persistent depression
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Dysfunctional attitudes and vulnerability to persistent depression
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *