Self-criticism and Interpersonal Dependency as vulnerability factors to depression

Abstract

The present study compared levels of self-criticism and of dependency in 20 currently clinically depressed patients, 20 remitted patients, and 20 normal controls. Results from the Depressive Experience Questionnaire (DEQ) and the Interpersonal Dependency Inventory (IDI) indicated that currently depressed and remitted patients had equally high levels of self-criticism and of dependency, which were significantly higher than those of normal controls. Dependency and self-criticism of DEQ and IDI scales correlated positively, raising the question of the independence of the two constructs. Overall, results supported the status of self-criticism and dependency as stable vulnerability factors to depression, in that these factors remain active beyond the end of a depressive episode. Discussion about the research methodology is presented.

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References

  1. American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorder (3rd ed., rev.) (DSM-III-R). Washington DC: Author.

    Google Scholar 

  2. Arieti, S., & Bemporad, J. (1980). Depression-prone personality in women.Journal of Abnormal Psychology, 89, 303–308.

    PubMed  Google Scholar 

  3. Barnett, P. A., & Gotlib, I. H. (1988). Psychosocial functioning and depression: Distinguishing among antecedents, concomitant, and consequences.Psychological Bulletin, 104, 97–126.

    PubMed  Google Scholar 

  4. Beck, A. T., Epstein, N., Harrison, R. P., & Emery, G. (1983).Development of the Sociotropy-Autonomy Scale: A measure of personality factors in psychopathology. Unpublished manuscript, University of Pennsylvania, Philadelphia.

    Google Scholar 

  5. Beck, A. T., Steer, R. A., & Garbin, M. g. (1988). Psychometric properties of the Beck Depression Invenoty: Twenty-five years of evaluation.Clinical Psychology Review, 77–100.

  6. Beck, A. T., Ward, C. M., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression.Archives of General Psychiatry, 4 561–571.

    PubMed  Google Scholar 

  7. Beck, A., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The hopelessness scale.Journal of Consulting and Clinical Psychology, 42, 861–865.

    PubMed  Google Scholar 

  8. Belsher, G., & Costello, C. G. (1988). Relapse after recovery from unipolar depression: A critical review.Psychological Bulletin, 104, 84–96

    PubMed  Google Scholar 

  9. Blaney, P. H. (1986). Affect and memory: A review.Psychological Bulletin 99, 229–246

    PubMed  Google Scholar 

  10. Blatt, S. J. (1974). Level of object representation in anaclitic and introjective depression.Psychoanalytic Study of the Child, 29, 107–157.

    PubMed  Google Scholar 

  11. Blatt, S. J., D'Afflitti, J. P., & Quinlan, D. M. (1976). Experiences of depression in normal young adults.Journal of Abnormal Psychology, 85, 383–389.

    Google Scholar 

  12. Blatt, S., Quinlan, D., Chevron, E., McDonald, D., & Zuroff, D. (1982). Dependency and self criticism: Psychological dimensions of depression.Journal of Consulting and Clinical Psychology, 50, 113–124.

    Google Scholar 

  13. Brewin, C. R., & Furnham, A. (19870. Dependency, self-criticism and depressive attributional style.British Journal of Clinical Psychology, 26, 225–226.

    Google Scholar 

  14. Brown, J. D., & Silberschatz, G. (1989). Dependency, self-criticism, and depressive attributional style.Journal of Abnormal Psychology, 98, 187–188.

    PubMed  Google Scholar 

  15. Derry, P. A., & Kuiper, N. A. (1981). Schematic processing and self-reference in clinical depression.Journal of Abnormal Psychology, 90, 286–297.

    PubMed  Google Scholar 

  16. Dobson, K. S., & Shaw, B. F. (1986). Cognitive assessment with major depressive disorders.Cognitive Therapy and Research, 10, 13–29.

    Google Scholar 

  17. Dobson, K. S., & Shaw, B. F. (1987). Specificity and stability of self-referent encoding in clinical depression.Journal of Abnormal Psychology, 96.

  18. Dohr, K. B., Rush, J. A., & Bernstein I. (1989). Cognitive biases in depression.Journal of Abnormal Psychology, 98, 263–267.

    PubMed  Google Scholar 

  19. Eaves, G., & Rush, A. J. (1984). Cognitive patterns in symptomatic and remitted unipolar major depression.Journal of Abnormal Psychology, 93, 31–40.

    Google Scholar 

  20. Endicott, J., & Spitzer, R. (1978). A diagnostic interview: The Schedule for Affective Disorders and Schizophrenia.Archives of General Psychiatry, 35, 837–844.

    PubMed  Google Scholar 

  21. Gotib, I. H., & Cane, D. G., (1987). Construct accessibility and clinical depression: A longitudinal investigation.Journal of Abnormal Psychology, 96, 199–204.

    Google Scholar 

  22. Hamilton, E. W., & Abramson, L. Y. (1983). Cognitive patterns and major depressive disorder: A longitudinal study in a hospital setting.Journal of Abnormal Psychology, 92, 173–184.

    Google Scholar 

  23. Hammen, C., Ellicott, A., Gitlin, M., & Jamison, K. R. (1989). Sociotropy/autonomy and vulnerability to specific life events in patients with unipolar depression and bipolar disorders.Journal of Abnormal Psychology, 98, 154–160.

    Google Scholar 

  24. Hammen, C. L., Marks, T., deMayo, P., & Mayol, A. (1985). Self-schemas and risk for depression: A prospective study.Journal of Personality and Social Psychology, 49, 1147–1159.

    Google Scholar 

  25. Hirschfeld, R. M. A., Klerman, G. L. Clayton, P. J., & Keller, M. B. (1983). Personality and depression; Empirical findings.Archives of General Psychiatry, 40, 993–998.

    PubMed  Google Scholar 

  26. Hirschfield, R. M. A. Klerman, G. l. Clayton, P. J. Keller, M. B., & Andreasen, N. C. (1984). Personality and gender-related differences in depression.Journal of Affective Disorders, 7, 211–221.

    PubMed  Google Scholar 

  27. Hirschfeld, R. M. A., Klerman, G. L., Gough, H. G. Barrett, J., Korchin, S. J., & Chodoff, P. (1977). A measure of interpersonal dependency.Journal of Personality Assessment, 41, 610–618.

    PubMed  Google Scholar 

  28. Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire.Cognitive Therapy and Research, 4, 383–396.

    Google Scholar 

  29. Hollon, S. D., Kendall, P. C., & Lumry, A. (1986). Specificity of depressotypic cognitions in clinical depression.Journal of Abnormal Psychology, 95, 52–29.

    PubMed  Google Scholar 

  30. Keller, M. B., Lavori, P. W., Endicott, J., Coryell, W., & Klerman, G. L. (1983). “Double depression”: Two-year follow-up.American Journal of Psychiatry, 140, 689–694.

    PubMed  Google Scholar 

  31. Kuiper, N. A., & MacDonald, M. R. (1982). Self and other perception in mild depressives.Journal of Personality, 50, 67–80.

    PubMed  Google Scholar 

  32. Nietzel, M. T., & Harris, M. J. (1990). Relationship of dependency and achievement/autonomy to depression.Clinical Psychology Review, 10, 279–297.

    Google Scholar 

  33. NIMH/NIH Consensus Development Conference Statement (1985). Mood disorders: Pharmacologic prevention of recurrences.American Journal of Psychiatry, 142, 469–476.

    Google Scholar 

  34. Pilon, D. J., Olioff, M., Bryson, S. E., & Doan, B. D. (1986).Relation of depressive experiences and symptoms to stress in a clinical sample. Paper presented at the annual meeting of the Canadian Psychological Association, Toronto, Ontario.

  35. Pilowsky, I., & Katsikitis, M. (1983). Depressive illness and dependency.Acta Psychiatrica Scandinavia, 66 11–14.

    Google Scholar 

  36. Pincus, A. (1987).Dependency: pathology, disposition, and construct validity. Paper presented at the University of British Columbia, Vancouver.

  37. Reich, J., Noyes, R., Hirschfeld, R., Coryell, W., & O'Gorman, T. (91987). State and personality in depressed and panic patients.American Journal of Psychiatry, 144, 181–187.

    PubMed  Google Scholar 

  38. Robins, C. J. (1985).Construct validity of the Sociotropy-Autonomy Scale: A measure of vulnerability to depression Unpublished manuscript, New York University, New York.

    Google Scholar 

  39. Robins, C. J., & Block, P. (1986).The role of personalty and life events in depression: A test of an interactinal model. Manuscript submitted for publication.

  40. Safran, J. D. (1990). Towards a refinement of cognitive therapy in light of interperson theory: I. Theory.Clinical Psychology Review, 10 87–105.

    Google Scholar 

  41. Safran, J. D., & Segal, Z. V. (1990).Interpersonal process in cognitive therapy. New York: Basic Books.

    Google Scholar 

  42. Safran, J. D., Setal, Z. V. Hill, C., & Whiffen, V. (1990). Refining strategies for research on self-representations in emotional disorders.Cognitive Research and Therapy, 14, 143–160.

    Google Scholar 

  43. Segal, Z. V. (1988). Appraisal of the self-schema construct in cognitive models of depression.Psychological Bulletin, 103, 147–162.

    PubMed  Google Scholar 

  44. Seligman, M. E. P., Abramson, L. Y. Semmel, A., & von Baeyer, C. (1979). Depressive attributional style.Journal of Abnormal Psychology, 88 242–247.

    PubMed  Google Scholar 

  45. Silverman, J. S., Silverman, J. A., & Eardley, D. A. (1984). Do maladaptive attitudes cause depression.Archives of General Psychiatry, 41, 28–30.

    PubMed  Google Scholar 

  46. Simons, A., Murphy, G., Levine, J., & Wetzel, R. (1986). Cognitive therapy and pharmacotherapy for depression: Sustained improvement over one year.Archives of General Psychiatry, 43, 43–48.

    PubMed  Google Scholar 

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

  48. Welkowitz, J., Lish, J., & Bond, R. N. (1985). The depressive experiences questionnaire: Revision and validation.Journal of Personality Assessment, 49, 89–94.

    PubMed  Google Scholar 

  49. Zimmerman, M. (1983).The Inventory to Diagnose Depression. Iowa City: Department of Psychiatry, University of Iowa.

    Google Scholar 

  50. Zimmerman, M., & Coryell, W. (1987). The Inventory to Diagnose Depression (IDD): A self-report scale to diagnose major depressive disorder.Journal of Consulting and Clinical Psychology, 55, 55–59.

    PubMed  Google Scholar 

  51. Zimmerman, M., Coryell, W, Corenthal, D., & Wilson, S. (1986). A self-report scale for diagnose major depressive disorder.Archives of General Psychiatry, 43.

  52. Zuroff, D., Igreja, I., & Mongrain, M. (1990). Dysfunctional attitudes, dependency, and self-criticism as predictors of depressive mood states: A 12 month longitudinal study.Cognitive Therapy and Research, 14, 315–326.

    Google Scholar 

  53. Zuroff, D. C., & Mongrain, M. (1987). Dependency and self-criticism: Vulnerability factors for depressive affective states.Journal of Abnormal Psychology, 96, 14–22.

    Google Scholar 

  54. Zuroff, D. C., Moskowitz, D. S., Wielgus, M. S., Powers, T. A., & Franko, D. L. (1980). Construt validity of the dependency and self-criticism scales of the Depressive Experiences Questionnaire.Journal of Research in Personality, 17 226–241.

    Google Scholar 

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Correspondence to Keith Dobson.

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We would like to thank Dr. Ian Bradley from the Department of Psychology of the Allan Memorial Institute and Dr. Ronald Remick from the Department of Psychiatry of the Health Sciences Center, for their collaboration in the project. The present study was supported in part by a Quebec Government Graduate Fellowship (F.C.A.R.) awarded to the first author.

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Franche, RL., Dobson, K. Self-criticism and Interpersonal Dependency as vulnerability factors to depression. Cogn Ther Res 16, 419–435 (1992). https://doi.org/10.1007/BF01183166

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Key words

  • depression
  • dependency
  • self-criticism
  • vulnerability factors