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Relationships of cognitions associated with coping reactions to depression in spousal caregivers of Alzheimer's disease patients

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Abstract

Attributions (globality and stability) related to the reformulated learned helplessness (RLH) model of depression, and attributes, self-evaluations, and expectancies concerning coping reactions (degree of upset, success, satisfaction, control in future, future coping success) postulated by Wortman and Dintzer (1978) were examined for their respective relations to severity and prevalence of diagnosable depression in a highly stressed sample (N =68) of spouse caregivers of Alzheimer's disease patients. Subjects' attribution-related cognitions concerning two situational contexts were obtained: (1) an unpredictable upsetting behavior by the Alzheimer patient, and (2) significant life change experienced by the caregiver as a result of his/her spouse's Alzheimer's disease. The results indicated that only globality was related to depression for the Alzheimer patient's unpredictable behavior; however, both globality and stability were related to depression for the subject's life change situation. The pattern of the other depressogenic coping cognitions was also different for the two contexts: While ratings of upset and lack of current and future control were related to depression for the Alzheimer patient's behavior, ratings of poor current and future coping, lack of coping success, and coping dissatisfaction were related to depression for the subject's life change context. The discussion of the contextual specificity of coping cognitive patterns focused on the possible significance of the intrapersonal versus the interpersonal nature of the situational context.

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This study was funded by National Institute of Mental Health Grant MH33779 to the third author.

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Coppel, D.B., Burton, C., Becker, J. et al. Relationships of cognitions associated with coping reactions to depression in spousal caregivers of Alzheimer's disease patients. Cogn Ther Res 9, 253–266 (1985). https://doi.org/10.1007/BF01183845

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