Abstract
Anxiety and depression overlap extensively at the level of symptoms and disorder. We tested the etiological factors from two cognitive vulnerability-stress models of depression (Hopelessness theory and Beck's theory) for specificity in predicting depression compared with anxiety. Multiple symptom measures of anxiety and depression with good discriminant validity, diagnoses of anxiety and depression, cognitive vulnerability (negative cognitive style and dysfunctional attitudes), and negative events were assessed in three prospective studies: one with a short-term (5-weeks) follow-up, the second with a long-term (2-years) follow-up, and the third with an academic midterm design. Results show that negative events were a general risk factor for anxiety and depression. Cognitive vulnerability for depression interacted with negative events to predict future depression specifically but not anxiety. Comparison of the two theories suggests that their cognitive vulnerability-stress components overlap largely in the prediction of depression. Implications for the co-occurrence of anxiety and depression as well as for the cognitive vulnerability-stress theories of depression are discussed.
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REFERENCES
Abela, J. R. Z., & Seligman, M. E. P. (2001). The hopelessness theory of depression: A test of the diathesis-stress component in the interpersonal and achievement domains. Cognitive Therapy and Research, 24, 361–378.
Abramson, L. Y., Alloy, L. B., Hankin, B. L., Haeffel, G. J., MacCoon, D., & Gibb, B. E. (2002). Cognitive vulnerability-stress models of depression in a self-regulatory and psychobiological context. In I. H. Gotlib & C. Hammen (Eds.), Handbook of depression (pp. 295–313). New York: Guilford.
Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358–372.
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. California: Sage.
Alloy, L. B., Abramson, L. Y., Hogan, M. E., Whitehouse, W. G., Rose, D. T., Robinson, M. S., et al. (2000). The Temple-Wisconsin Cognitive Vulnerability to Depression (CVD) Project: Lifetime history of Axis I psychopathology in individuals at high and low cognitive risk for depression. Journal of Abnormal Psychology, 109, 403–418.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: Author.
Barlow, D. H., Chorpita, B. F., & Turovsky, J. (1996). Fear, panic, anxiety, and disorders of emotion. In D. A. Hope (Ed.), Nebraska symposium on motivation, 1995: Perspectives on anxiety, panic, and fear. Current theory and research in motivation (Vol. 43, pp. 251–328). Lincoln, NE: University of Nebraska Press.
Barnett, P. A., & Gotlib, I. H. (1988). Psychosocial functioning and depression: Distinguishing among antecedents, concomitants, and consequences. Psychological Bulletin, 104, 97–126.
Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy: An International Quarterly, 1, 5–37.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
Brady, E. U., & Kendall, P. C. (1992). Comorbidity of anxiety and depression in children and adolescents. Psychological Bulletin, 111, 244–255.
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 102, 179–192.
Burns, D. D., & Eidelson, R. J. (1998). Why are depression and anxiety correlated? A test of the tripartite model. Journal of Consulting and Clinical Psychology, 66, 461–473.
Chorpita, B. F., Albano, A. M., & Barlow, D. H. (1998). The structure of negative emotions in a clinical sample of children and adolescents. Journal of Abnormal Psychology, 107, 74–85.
Clark, D. A., Beck, A. T., & Stewart, B. (1990). Cognitive specificity and positive-negative affectivity: Complementary or contradictory views on anxiety and depression? Journal of Abnormal Psychology, 99, 148–155.
Clark, L. A. & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Coyne, J. C. (1994). Self-reported distress: Analog or ersatz depression? Psychological Bulletin, 116, 29–45.
Coyne, J. C., & Gorlib, I. H. (1983). The role of cognition in depression: A critical appraisal. Psychological Bulletin, 99, 972–505.
Endicott, J., & Spitzer, R. A. (1978). A diagnostic interview: The schedule for affective disorders and schizophrenia. Archives of General Psychiatry, 35, 837–844.
Epstein, S. (1980). The stability of behavior: II. Implications for psychological research. American Psychologist, 35, 790–806.
Flett, G. L., Vredenburg, K., & Krames, L. (1997). The continuity of depression in clinical and nonclinical samples. Psychological Bulletin, 121, 395–416.
Gladstone, T. R. G., Kaslow, N. J., Seeley, J. R., & Lewinsohn, P. M. (1997). Sex differences, attributional style, and depressive symptoms among adolescents. Journal of Abnormal Child Psychology, 25, 297–305.
Haeffel, G. J., Abramson, L. Y., Voelz, Z., Metalsky, G. I., Halberstadt, L., Dykman, B., et al. (2003). Cognitive vulnerability to depression and lifetime history of axis I psychopathology: A comparison of Negative Cognitive Styles (CSQ) and Dysfunctional Attitudes (DAS). Journal of Cognitive Psychotherapy: An International Quarterly, 17, 3–22.
Hamilton, E.W., & Abramson, L. Y. (1983). Cognitive patterns and major depressive disorders: A longitudinal study in a hospital setting. Journal of Abnormal Psychology, 92, 173–184.
Hammen, C. (1991). The generation of stress in the course of unipolar depression. Journal of Abnormal Psychology, 100, 555–561.
Hankin, B. L., & Abramson, L.Y. (2001). Development of gender differences in depression: An elaborated cognitive vulnerability-transactional stress theory. Psychological Bulletin, 127, 773–796.
Hankin, B. L., & Abramson, L. Y. (2002). Measuring cognitive vulnerability to depression in adolescence: Reliability, validity, and gender differences. Journal of Child and Adolescent Clinical Psychology, 31, 491–504.
Hankin, B. L., Abramson, L. Y., & Angeli, N. (1999, November). A prospective test of hopelessness theory: Predicting different depression and anxiety constructs. Paper presented at the 14th annual meeting of the Society for Research in Psychopathology, Montreal, Canada.
Hankin, B. L., Abramson, L. Y., Moffitt, T. E., McGee, R., Silva, P. A., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107, 128–140.
Hankin, B. L., Abramson, L. Y., & Siler, M. (2001). A prospective test of the hopelessness theory of depression in adolescence. Cognitive Therapy and Research, 25, 607–632.
Hankin, B. L., Fraley, R. C., Lahey, B. B., & Waldman, I. D. (in press). Is youth depression best viewed as a continuum or discrete category? A taxometric analysis of childhood and adolescent depression in a population-based sample. Journal of Abnormal Psychology.
Hankin, B. L., Roberts, J., & Gotlib, I. H. (1997). Elevated self standards and emotional distress during adolescence: Emotional specificity and gender differences. Cognitive Therapy and Research, 21, 663–680.
Ilardi, S. S., & Craighead, W. E. (1999). The relationship between personality pathology and dysfunctional cognitions in previously depressed adults. Journal of Abnormal Psychology, 108, 51–57.
Ingram, R. E., Miranda, J., & Segal, Z. V. (1998). Cognitive vulnerability to depression. New York, NY: Guilford.
Joiner, T. E. (1996). A confirmatory factor-analytic investigation of the tripartite model of depression and anxiety in college students. Cognitive Therapy and Research, 20, 521–539.
Joiner, T. E., Metalsky, G. I., Lew, A., & Klocek, J. (1999). Testing the causal mediation component of Beck's theory of depression: Evidence for specific mediation. Cognitive Therapy and Research, 23, 401–412.
Kraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, K. (2001). How do risk factors work together? Mediators, moderators, independent, overlapping and proxy risk factors. American Journal of Psychiatry, 158, 848–856.
Lewinsohn, P. M., Joiner, T. E., & Rohde, P. (2001). Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents. Journal of Abnormal Psychology, 110, 203–215.
Lewinsohn, P. M., Rohde, P., & Gau, J. M. (2003). Comparability of self-report checklist and interview data in the assessment of stressful life events in young adults. Psychological Reports, 93, 459–471.
Lewinsohn, P. M., Solomon, A., Seeley, J. R., & Zeiss, A. (2000). Clinical implications of “subthreshold” depressive symptoms. Journal of Abnormal Psychology, 109, 345–351.
Luten, A., Ralph, J., & Mineka, S. (1997). Depressive attributional style: Is it specific to depression vs. anxiety vs. negative affect? Behavior Research and Therapy, 8, 703–720.
Maser, J. D., & Cloninger, C. R. (1990). Comorbidity of mood and anxiety disorders. Washington, DC: American Psychiatric Association Press.
McClelland, G. H., & Judd, C. M. (1993). Statistical difficulties of detecting interactions and moderator effects. Psychological Bulletin, 114, 376–390.
McMahon, S.D., Grant, K. E., Compas, B. E., Thurm, A. E., & Ey, S. (2003). Stress and psychopathology in children and adolescents: Is there evidence of specificity? Journal of Child Psychology and Psychiatry, 44, 107–133.
McQuaid, J. R., Monroe, S. M., Roberts, J. E., Kupfer, D. J., & Frank, E. (2000). A comparison of two life stress assessment approaches: Prospective prediction of treatment outcome in recurrent depression. Journal of Abnormal Psychology, 109, 787–791.
Metalsky, G. I., Halberstadt, L. J., & Abramson, L. Y. (1987). Vulnerability to depressive mood reactions: Toward a more powerful test of the diathesis £ stress and causal mediation components of the reformulated theory of depression. Journal of Personality and Social Psychology, 52, 386–393.
Metalsky, G. I., & Joiner, T. E., Jr. (1992). Vulnerability to depressive symptomatology: A prospective test of the diathesis-stress and causal mediation components of the hopelessness theory of depression. Journal of Personality and Social Psychology, 63, 667–675.
Metalsky, G. I., & Joiner, T. E., Jr. (1997). The Hopelessness Depression Symptom Questionnaire. Cognitive Therapy and Research, 21, 359–384.
Metalsky, G. I., Joiner, T. E., Jr., Hardin, T. S., & Abramson, L. Y. (1993). Depressive reactions to failure in a naturalistic setting: A test of the hopelessness and self-esteem theories of depression. Journal of Abnormal Psychology, 102, 101–109.
Mineka, S., Pury, C., & Luten, A. (1995). Explanatory style in anxiety versus depression. In G. Buchanan & M. E. P. Seligman (Eds.), Explanatory style (pp. 135–158). Hillsdale, NJ: Erlbaum.
Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49, 377–412.
Monroe, S. M., & Hadjiyannakis, K. (2002). The social environment and depression: Focusing on severe life events. In I. H. Gotlib, & C. Hammen (Eds.), Handbook of depression (pp. 314–340). New York: Guilford.
Monroe, S. M., & Simons, A. D. (1991). Diathesis-stress theories in the context of life stress research: Implications for the depressive disorders. Psychological Bulletin, 110, 406–425.
Nitschke, J. B, Heller, W., Imig, J. C., McDonald, R. P., & Miller, G. A. (2001). Distinguishing dimensions of anxiety and depression. Cognitive Therapy and Research, 25, 1–22.
Ralph, J., & Mineka, S. (1998). Attributional style and self esteem: The prediction of emotional distress following a midterm exam. Journal of Abnormal Psychology, 107, 203–215.
Roberts, J. E., & Gotlib, I. H. (1997). Temporal variability in global self-esteem and specific self-evaluation as prospective predictors of emotional distress: Specificity in predictors and outcome. Journal of Abnormal Psychology, 106, 521–529.
Ruscio, J., & Ruscio, A. M. (2000). Informing the continuity controversy: A taxometric analysis of depression. Journal of Abnormal Psychology, 109, 473–487.
Ruscio, J., & Ruscio, A. M. (2002). A structure-based approach to psychological assessment: Matching measurment models to latent structure. Psychological Assessment, 9, 4–6.
Tram, J. M., & Cole, D. A. (2000). Self-perceived competence and the relation between life events and depressive symptoms in adolescence: Mediator or moderator? Journal of Abnormal Psychology, 109, 753–760.
Watson, D., Clark, L. A., Weber, K., Assenheimer, J. S., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. Journal of Abnormal Psychology, 104, 15–25.
Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression scales. Journal of Abnormal Psychology, 104, 3–14.
Weiss, B., Suesser, K., & Catron, T. (1998). Common and specific features of childhood psychopathology, Journal of Abnormal Psychology, 107, 118–127.
Weissman, A., & Beck, A.T. (1978, November). Development and validation of the Dysfunctional Attitudes Scale. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Chicago, IL.
Zimmerman, M., & Coryell, W. (1987). The Inventory to Diagnose Depression, lifetime version. Acta Psychiatrica Scandinavia, 75, 495–499.
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Hankin, B.L., Abramson, L.Y., Miller, N. et al. Cognitive Vulnerability-Stress Theories of Depression: Examining Affective Specificity in the Prediction of Depression Versus Anxiety in Three Prospective Studies. Cognitive Therapy and Research 28, 309–345 (2004). https://doi.org/10.1023/B:COTR.0000031805.60529.0d
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DOI: https://doi.org/10.1023/B:COTR.0000031805.60529.0d