Skip to main content
Log in

Cognitive Vulnerability to Depression in Seasonal Affective Disorder: Predicting Mood and Cognitive Symptoms in Individuals with Seasonal Vegetative Changes

  • Original Article
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

Research indicates that seasonal fluctuations in vegetative functions (e.g., sleep, appetite, and energy) occur to varying degrees in the general population and a large fluctuation in vegetative functioning is often considered the core of seasonal affective disorder (SAD). The purpose of the present study was to determine if, among those with seasonal changes in vegetative functioning, a cognitive vulnerability to depression is associated with an increased risk for developing the cognitive and affective symptoms of SAD. Results indicate that participants with more dysfunctional attitudes, a more ruminative response style, and a more internal attributional style for negative events report experiencing more severe mood and cognitive symptoms of depression during the winter, controlling for the severity of vegetative symptoms. This was the case both for retrospective reports of typical symptoms and prospective reports of actual symptoms. These results provide support for Young’s dual vulnerability model, in which cognitive factors interact with environmentally mediated biological factors in the pathogenesis of full-symptom SAD, and suggest that cognitively-oriented interventions may be useful as adjunctive or alternative treatments for SAD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. The original authors interpret the results as indicating a seasonal effect in both groups but with the winter scores being similar to the fall scores for the SAD group and the winter scores being similar to the summer scores for the healthy control group, which is not a theoretically meaningful pattern.

References

  • Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358–372.

    Article  Google Scholar 

  • American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, 4th ed, Text Revision. Washington, DC: Author.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory—II. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 53–63.

    Google Scholar 

  • Clark, D. M., & Teasdale, J. D. (1985). Constraints of the effects of mood on memory. Journal of Personality and Social Psychology, 48, 1595–1608.

    Article  Google Scholar 

  • Enns, M. W., Levitan, R. D., Levitt, A. J., Dalton, E. J., & Lam, R. W. (1999). Diagnosis, epidemiology, and pathophysiology. In R. Lam, & A. Levitt, (Eds), Canadian consensus guidelines for the treatment of seasonal affective disorder (pp. 20–36). Canada: Clinical and Academic Publishing.

    Google Scholar 

  • Farmer, A., Harris, T., Redman, K., Mahmood, A., Sadler, S., & McGuffin, P. (2001). The Cardiff Depression Study: A sib-pair study of dysfunctional attitudes in depressed probands and healthy control subjects. Psychological Medicine, 31, 627–633.

    Article  PubMed  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). Structured clinical interview for DSM-IV axis I disorders (SCID-Clinician Version). New York: New York State Psychiatric Institute Biometrics Research Department.

    Google Scholar 

  • Gemar, M. C., Segal, Z. V., Sagrati, S., & Kennedy, S. J. (2001). Mood-induced changes on the implicit association test in recovered depressed patients. Journal of Abnormal Psychology, 110, 282–289.

    Article  PubMed  Google Scholar 

  • Gladstone, T. R., & Kaslow, N. J. (1995). Depression and attributions in children and adolescents: A meta-analytic review. Journal of Abnormal Child Psychology, 23, 597–606.

    Article  PubMed  Google Scholar 

  • Hammen, C., & Krantz, S. E. (1985). Measures of psychological processes in depression. In E. E. Beckham, & W. R. Leber, (Eds), Handbook of depression: Treatment, assessment, and research (pp. 408–444). Homewood, IL: Dorsey Press.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Hardin, T. A., Wehr, T. A., Brewerton, T., Kasper, S., Berrettini, W., Rabkin, J., & Rosenthal, N. E. (1991). Evaluation of seasonality in six clinical populations and two normal populations. Journal of Psychiatric Research, 25, 755–787.

    Article  Google Scholar 

  • Hodges, S., & Marks, M. (1998). Cognitive characteristics of seasonal affective disorder: A preliminary investigation. Journal of Affective Disorders, 50, 59–64.

    Article  PubMed  Google Scholar 

  • Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an Automatic Thoughts Questionnaire. Cognitive Therapy and Research, 3, 383–396.

    Article  Google Scholar 

  • Imber, S. D., Pilkonis, P. A., Sotsky, S. M., Elkin, I., Watkins, J. T., Collins, J. F., Shea, M. T., Leber, W. R., & Glass, D. R. (1990). Mode-specific effects among three treatments of depression. Journal of Consulting and Clinical Psychology, 58, 352–359.

    Article  PubMed  Google Scholar 

  • Ingram, R. E. (1984). Toward an information processing analysis of depression. Cognitive Therapy and Research, 8, 443–478.

    Article  Google Scholar 

  • Kasper, S., Wehr, T. A., Bartko, J. J., Gaist, P. A., & Rosenthal, N. E. (1989). Epidemiological changes in mood and behavior: A telephone survey of Montgomery County, Maryland. Archives of General Psychiatry, 46, 823–833.

    PubMed  Google Scholar 

  • Lam, R. W., Buchanan, A., & Remick, R. A. (1989). Seasonal affective disorder—A Canadian sample. Annals of Clinical Psychiatry, 1, 241–245.

    Article  Google Scholar 

  • Levitan, R. D., Rector, N. A., & Bagby, R. M. (1998). Negative attributional style in seasonal and nonseasonal depression. American Journal of Psychiatry, 155, 428–430.

    PubMed  Google Scholar 

  • Madden, P. A. F., Heath, A. C., Rosenthal, N. E., & Martin, N. G. (1996). Seasonal changes in mood and behavior: The role of genetic factors. Archives of General Psychiatry, 53, 47–55.

    PubMed  Google Scholar 

  • Martin, M. (1990). On the induction of mood. Clinical Psychology Review, 10, 669–697.

    Article  Google Scholar 

  • Miranda, J., Gross, J. J., Persons, J., & Hahn, J. (1998). Mood matters: Negative mood induction activates dysfunctional attitudes in women vulnerable to depression. Cognitive Therapy and Research, 22, 363–376.

    Article  Google Scholar 

  • Murray, G., Allen, N. B., & Trinder, J. (2001). A longitudinal investigation of seasonal variation in mood. Chronobiology International, 18, 875–891.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., Morrow, J., & Fredrickson, B. L. (1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology, 102, 20–28.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., Parker, L. E., & Larson, J. (1994). Ruminative coping with depressed mood following loss. Journal of Personality and Social Psychology, 67, 92–104.

    Article  PubMed  Google Scholar 

  • Partonen, T., & Rosenthal, N. E. (2001). Symptoms and course of illness. In T. Partonen, & A. Magnusson, (Eds), Seasonal affective disorder: Practice and research. Oxford: Oxford University Press.

    Google Scholar 

  • Peterson, C., Semmel, A., von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. P. (1982). The attributional style questionnaire. Cognitive Therapy and Research, 6, 287–299.

    Article  Google Scholar 

  • Reardon, A., Young, M. A., & Blodgett, C. (2001, November). Patterns of symptom remission in seasonal affective disorder. Poster presented at the annual meeting of the Society for Research in Psychopathology, Madison, WI.

  • Rohan, K. J., Lindsey, K. T., Roecklein, K. A., & Lacy, T. J. (2004). Cognitive-behavioral therapy, light therapy, and their combination in treating seasonal affective disorder. Journal of Affective Disorders, 80, 273–283.

    Article  PubMed  Google Scholar 

  • Rohan, K. J., Sigmon, S. T., & Dorhofer, D. M. (2003). Cognitive-behavioral factors in seasonal affective disorder. Journal of Consulting and Clinical Psychology, 71, 22–30.

    Article  PubMed  Google Scholar 

  • Rosenthal, N. E., Genhart, M., Sack, D. A., Skwerer, R. G., & Wehr, T. A. (1987). Seasonal affective disorder: Relevance for treatment and research of bulimia. In J. L. Hudson, & H. G. Pope, (Eds.), Psychobiology of Bulimia. Washington, D.C.: American Psychiatric Press.

    Google Scholar 

  • Rosenthal, N. E., Sack, D. A., Gillin, J. C., Lewy, A. J., Goodwin, F. K., Davenport, Y., Muller, P. S., Newsome, D. A., & Wehr, T. A. (1984). Seasonal affective disorder: A description of the syndrome and preliminary findings with light therapy. Archives of General Psychiatry, 41, 72–80.

    PubMed  Google Scholar 

  • Schmitt, L., & Young, M. A. (2000, May). Clustering of symptoms across the offset of seasonal affective disorder. Paper presented at the Annual Meeting of the Society for Light Treatment and Biological Rhythms, Evanston, IL.

  • Segal, Z. V., Gemar, M. C., & Williams, S. (1999). Differential cognitive response to a mood challenge following successful cognitive therapy or pharmacotherapy for unipolar depression. Journal of Abnormal Psychology, 108, 3–10.

    Article  PubMed  Google Scholar 

  • Segal, Z. V., & Ingram, R. E. (1994). Mood priming and construct activation in tests of cognitive vulnerability to unipolar depression. Clinical Psychology Review, 14, 663–695.

    Article  Google Scholar 

  • Spoont, M. R., Depue, R. A., & Krauss, S. S. (1991). Dimensional measurement of seasonal variation in mood and behavior. Psychiatry Research, 39, 269–284.

    Article  PubMed  Google Scholar 

  • Steer, R. A., Ball, R., Ranieri, W. F., & Beck, A. T. (1999). Dimensions of the Beck Depression Inventory—II in clinical depressed outpatients. Journal of Clinical Psychology, 55, 117–128.

    Article  PubMed  Google Scholar 

  • Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27, 247–259.

    Article  Google Scholar 

  • Weissman, A. N. (1979). The dysfunctional attitude scale: A validation study (Doctoral dissertation, University of Pennsylvania, 1979). Dissertation Abstracts International, 40(3-B), 1389–1390.

    Google Scholar 

  • Weissman, A. N., & Beck, A. T. (1978, November). Development and validation of the Dysfunctional Attitude Scale: A preliminary investigation. Paper presented at the meeting of the American Educational Research Association, Toronto, Ontario, Canada.

  • Whisman, M. A., Miller, I. W., Norman, W. H., & Keitner, G. I. (1991). Cognitive therapy with depressed inpatients: Specific effects on dysfunctional cognitions. Journal of Consulting and Clinical Psychology, 59, 282–288.

    Article  PubMed  Google Scholar 

  • Williams, J. B., Link, M. J., Rosenthal, N. E., Amira, L., & Terman, M. (1992). Structured interview guide for the Hamilton Rating Scale for depression—seasonal affective disorder version (SIGH-SAD). New York: New York State Psychiatric Institute.

    Google Scholar 

  • Yin, P., & Fan, X. (2000). Assessing the reliability of Beck Depression Inventory scores: Reliability generalization across studies. Educational and Psychological Measurement, 60, 201–223.

    Article  Google Scholar 

  • Young, M. A. (1999). Integrating psychological and physiological mechanisms of SAD: The dual vulnerability model. Biological Rhythms Bulletin, 1, 4–6.

    Google Scholar 

  • Young, M. A., & Azam, O. A. (2003). Ruminative response style and the severity of seasonal affective disorder. Cognitive Therapy and Research, 27, 223–233.

    Article  Google Scholar 

  • Young, M. A., Blodgett, C., & Reardon, A. (2003). Measuring seasonality: Psychometric properties of the SPAQ and ISV. Psychiatry Research, 117, 75–83.

    Article  PubMed  Google Scholar 

  • Young, M. A., Watel, L. G., Lahmeyer, H. W., & Eastman, C. I. (1991). The temporal onset of individual symptoms in winter depression: Differentiating underlying mechanisms. Journal of Affective Disorders, 22, 191–197.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Justin L. Enggasser.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Enggasser, J.L., Young, M.A. Cognitive Vulnerability to Depression in Seasonal Affective Disorder: Predicting Mood and Cognitive Symptoms in Individuals with Seasonal Vegetative Changes. Cogn Ther Res 31, 3–21 (2007). https://doi.org/10.1007/s10608-006-9076-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-006-9076-z

Keywords

Navigation