Depression, Confidence, and Decision: Evidence Against Depressive Realism
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This research examined how retrospective self-assessments of performance are affected by major depression. To test the validity of the depressive realism versus the selective processing hypotheses, aggregate posttest performance estimates (PTPEs) were obtained from clinically depressed patients and an age-matched comparison group across 4 decision tasks (object recognition, general knowledge, social judgment, and line-length judgment). As expected on the basis of previous findings, both groups were underconfident in their PTPEs, consistently underestimating the percentage of questions they had answered correctly. Contrary to depressive realism, and in partial support of the selective processing account, this underconfidence effect was not reduced but modestly exacerbated in the depressed patients. Further, whereas the PTPEs of the comparison group exceeded that expected on the basis of chance alone those of the depressed individuals did not. The results provide no support for the depressive realism account and suggest that negative biases contribute to metacognitive information processing in major depression.
- Abramson, L. Y., & Alloy, L. B. (1981). Depression, non-depression, and cognitive illusions: Reply. Journal of Experimental Psychology: General, 110, 436–447.
- Ackermann, R., & DeRubeis, R. J. (1991). Is depressive realism real? Clinical Psychology Review, 11, 565–584.
- Albright, J. S., & Henderson, M. C. (1995). How real is depressive realism? A question of scales and standards. Cognitive Therapy and Research, 19, 589–609.
- Alloy, L. B., & Abramson, L. Y. (1979). Judgment of contingency in depressed and nondepressed students: Sadder but wiser? Journal of Experimental Psychology: General, 108, 441–485.
- Alloy, L. B., & Ackerman, L. Y. (1988). Depressive realism: Four theoretical perspectives. In L. B. Alloy (Ed.), Cognitive process in depression (pp. 223–265). New York: Guilford.
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed., DSM-IV). Washington, DC: APA Press.
- Baron-Cohen, S., Wheelwright, S., Hill, J., Raste, Y., & Plumb, I. (2001). The “Reading the Mind in the Eyes” test, revised version: A study with normal adults and adults with Asperger Syndrome or high-functioning autism. Journal of Child Psychology and Psychiatry and Allied Disciplines, 42, 241–251.
- Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.
- Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
- Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. E., & Erbaugh, J. K. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
- Brenner, L. A., Koehler, D. J., Liberman, V., & Tversky, A. (1996). Overconfidence in probability and frequency judgments: A critical examination. Organizational Behavior and Human Decision Processes, 65, 212–219.
- Brunswik, E. (1943). Organismic achievement and environmental probability. Psychological Review, 50, 255–272.
- Clark, D. A., Beck, A. T., & Alford, B. A. (1999). Scientific foundations of cognitive theory and therapy of depression. New York: Wiley.
- Cohen, J., Macwhinny, B., Flatt, M., & Provost, J. (1993). PsyScope: An interactive graphic system for designing and controlling experiments in the psychology laboratory using Macintosh computers. Behavior Research Methods, Instruments and Computers, 25, 257–271.
- Colin, M. (1998). The character of mind. Oxford, UK: Oxford University Press.
- Crawford, J. D., & Stankov, L. (1996). Age differences in the realism of confidence judgments: A calibration study using tests of fluid and crystallized intelligence. Learning and Individual Differences, 8, 83–103.
- Dobson, K. S., & Pusch, D. (1995). A test of the depressive realism hypothesis in clinically depressed subjects. Cognitive Therapy and Research, 19, 179–194.
- Dykman, B. M., & Abramson, L. Y. (1989). Processing of ambiguous and unambiguous feedback by depressed and nondepressed college students: Schematic biases and their implications for depressive realism. Journal of Personality and Social Psychology, 56, 431–445.
- First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders, Clinical Version (SCID-CV). Washington, D.C.: American Psychiatric Press, Inc.
- Gigerenzer, G., Hoffrage, U., & Kleinbölting, H. (1991). Probabilistic mental models: A Brunswikian theory of confidence. Psychological Review, 98, 506–528.
- Gotlib, I. H. (1981). Self-reinforcement and recall: Differential deficits in depressed and non-depressed psychiatric patients. Journal of Abnormal Psychology, 90, 521–530.
- Gotlib, I. H. (1983). Perception and recall of interpersonal feedback: Negative bias in depression. Cognitive Therapy and Research, 7, 399–412.
- Griffin, D., & Tversky, A. (1992). The weighting of evidence and the determinants of confidence. Cognitive Psychology, 24, 411–435.
- Haaga, D. A. F., & Beck, A. T. (1995). Perspectives on depressive realism: Implications for cognitive theory of depression. Behaviour Research and Therapy, 33, 41–48.
- Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.
- Hancock, J. A., Moffoot, A. P. R., & O’Carroll, R. E. (1996). “Depressive realism” assessed via confidence in decision-making. Cognitive Neuropsychiatry, 1, 213–220.
- Johnson, T. J., & DiLorenzo, T. M. (1998). Social information processing biases in depressed and nondepressed college students. Journal of Social Behavior and Personality, 13, 517–530.
- Kendall, P. C., Hollon, S. D., Beck, A. T., Hammen, C. L., & Ingram, R. E. (1987). Issues and recommendations regarding use of the Beck Depression Inventory. Cognitive Therapy and Research, 11, 289–299.
- Koenig, L. J., Ragin, A. B., & Harrow, M. (1995). Accuracy and bias in depressives judgements for self and other. Cognitive Therapy and Research, 19, 505–517.
- Koutstaal, W. (2003). Older adults encode—but do not always use—perceptual details: Intentional versus unintentional effects of detail on memory judgments. Psychological Science, 14, 189–193.
- Koutstaal, W., & Matthews, S. C. (2004). The relation between confidence and decision accuracy across task domains in older versus younger adults. Manuscript under revision.
- Lichtenstein, S., Fischhoff, B., & Phillips, L. D. (1982). Calibration of subjective probabilities: The state of the art up to 1980. In D. Kahneman, P. Slovic, & A. Tversky (Eds.). Judgment under uncertainty: Heuristics and biases (pp. 306–334). New York: Cambridge University Press.
- McKendree-Smith, N., & Scogin, F. (2000). Depressive realism: Effects of depression severity and interpretation time. Journal of Clinical Psychology, 56, 1601–1608.
- Morris, S. J. (1996). Processing strategies used by disphoric individuals: Self-derogating, non-self-enhancing, or schematic? Cognitive Therapy and Research, 20, 213–233.
- Nierenberg, A. A., & DeCecco, L. M. (2001). Definitions of antidepressant treatment response, remission, nonresponse, partial response, and other relevant outcomes: A focus on treatment-resistant depression. Journal of Clinical Psychiatry, 62, 5–9.
- Pacini, R., Muir, F., & Epstein, S. (1998). Depressive realism from the perspective of cognitive-experiential self-theory. Journal of Personality and Social Psychology, 74, 1056–1068.
- Sniezek, J. A., Paese, P. W., & Switzer, F. S. (1990). The effect of choosing on confidence in choice. Organizational Behavior and Human Decision Processes, 46, 264–282.
- Stankov, L. (1998). Calibration curves, scatterplots and the distinction between general knowledge and perceptual tasks. Learning and Individual Differences, 10, 29–50.
- Stone, E. R., Dodrill, C. L., & Johnson, N. (2001). Depressive cognition: A test of depressive realism versus negativity using general knowledge questions. The Journal of Psychology, 135, 583–602.
- Depression, Confidence, and Decision: Evidence Against Depressive Realism
Journal of Psychopathology and Behavioral Assessment
Volume 27, Issue 4 , pp 243-252
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- depressive realism
- cognitive therapy
- Author Affiliations
- 1. Department of Psychology, University of Reading, Reading, United Kingdom
- 2. Department of Psychology, University of Minnesota, Elliott Hall, 75 East River Road, Minneapolis, Minnesota, 55455
- 3. Affective Disorders Unit, Bethlem Royal Hospital, Beckenham, Kent, United Kingdom
- 4. Institute of Psychiatry, King’s College, University of London, United Kingdom