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Depression and attributional cognitions for hypothetical and stressful events in mental health center patients

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Abstract

Thirty nonpsychotic male mental health patients, of whom 15 were diagnosed as having depression according to the Research Diagnostic Criteria, completed three depression inventories and a questionnaire designed to assess attributions and other cognitions. Concern with causality, concern with avoidability, degree of upsetness, globality, the attributional composite, and uncertainty, were found to be positively associated with depression. In general, cognitive features correlated with depression similarly for hypothetical and for stressful events. The correlation between globality and depression was significant for stressful events but not for hypothetical events. Depression correlated significantly with degree of upsetness and concern with causality for hypothetical events but not for stressful events. Uncontrollability, intentionality, and prior expectation of an event's occurrence and recurrence were found not to be associated with depression. Also found to be unrelated to depression was the extent to which the question “What were the causes of this event” was reported to be important. The results for concern with causality and concern with avoidability are interpreted as manifestations of attributional activity, and suggest perhaps that extent of involvement with antecedents of negative outcome events is positively associated with depression. The results also support the hypothesis of a depressive composite attributional style and the hypothesis of greater uncertainty with depression. They confirm a lack of a difference between attributions for real versus hypothetical events.

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The authors are grateful to two anonymous reviewers of an earlier version of this manuscript and to Dr. Steven Hollon, associate editor, for their helpful remarks. This paper is based on findings from a study conducted by authors Groen and Kramer in partial fulfillment of the requirements for thedoctorandus degree in clinical psychology at the University of Utrecht. The authors thank the staff and patients of the Ariënshof Clinic, Bosch en Duin, The Netherlands, for their cooperation and participation. The authors also gratefully acknowledge the work of Frans de Ridder, Caroline Bisschop, and Gerard Krijnen in collecting the data for this study.

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van den Bout, J., Cohen, L., Groen, P. et al. Depression and attributional cognitions for hypothetical and stressful events in mental health center patients. Cogn Ther Res 11, 625–633 (1987). https://doi.org/10.1007/BF01176001

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