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Cognitive Therapy and Research

, Volume 21, Issue 4, pp 409–420 | Cite as

Life Event, Mood, and Cognitive Predictors of Perceived Stress Before and After Treatment for Major Depression

  • Michael W. Otto
  • Maurizio Fava
  • Susan J. Penava
  • Elizabeth Bless
  • Robert T. Muller
  • Jerrold F. Rosenbaum
Article

Abstract

Using regression models, we examined the influence of negative life events, depression severity, dysfunctional attitudes, and problem-solving ability on the perceived stress of depressed outpatients before and after antidepressant treatment. The report of negative life events predicted the level of perceived stress in untreated patients, but was not a significant predictor after treatment. Depression severity, dysfunctional attitudes, and problem-solving ability were associated with each other, improved with treatment, and associated with perceived stress before and after treatment. These findings are consistent with the hypothesis that less adaptive coping strategies are applied under conditions of mood disturbance, and that these strategies are in turn linked with increased stress.

depression dysfunctional attitudes problem solving perceived stress negative life events 

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REFERENCES

  1. Aldwin, C. M., & Revenson, T. A. (1987). Does coping help? A reexamination of the relation between coping and mental health. Journal of Personality and Social Psychology, 53, 337–348.Google Scholar
  2. Billings, A. G., & Moos, R. H. (1984). Coping, stress, and social resources among adults with unipolar depression. Journal of Personality and Social Psychology, 46, 877–891.Google Scholar
  3. Brown, G. W., Harris, T. Q., & Peto, J. (1973). Life events and psychiatric disorders. Part 2: Nature of causal link. Psychological Medicine, 3, 159–176.Google Scholar
  4. Cohen, S., Kamark, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.Google Scholar
  5. Dixon, W. A., Heppner, P. P., Burnett, J. W., Anderson, W. P., & Wood, P. K. (1993). Distinguishing among antecedents, concomitants, and consequences of problem-solving appraisal and depressive symptoms. Journal of Counseling Psychology, 40, 357–364.Google Scholar
  6. Dobson, K. S., & Breiter, H. J. (1983). Cognitive assessment of depression: Reliability and validity of three measures. Journal of Abnormal Psychology, 92, 286–297.Google Scholar
  7. Dohr, K. B., Rush, A. J., & Bernstein, I. H. (1989). Cognitive biases and depression. Journal of Abnormal Psychology, 98, 263–267.Google Scholar
  8. D'Zurilla, T. J., & Sheedy, C. F. (1991). Relation between social problem-solving ability and subsequent level of psychological stress in college students. Journal of Personality and Social Psychology, 61, 841–846.Google Scholar
  9. Fava, M., Bless, E., Otto, M. W., Pava, J. A., & Rosenbaum, J. F. (1994). Dysfunctional attitudes in major depression: Changes with pharmacotherapy. Journal of Nervous and Mental Disease, 182, 45–49.Google Scholar
  10. Fava, M., Rosenbaum, J. F., McCarthy, M., Pava, J. A., Steingard, R., & Fox, R. (1992). Correlations between perceived stress and depressive symptoms among depressive outpatients. Stress Medicine, 8, 73–76.Google Scholar
  11. Fava, M., Rosenbaum, J. F., Pava, J. A., McCarthy, M. K., Steingard, R. J., & Bouffides, E. (1993). Anger attacks in unipolar depression, Part I: Clinical correlates and response to fluoxetine treatment. American Journal of Psychiatry, 150, 1158–1163.Google Scholar
  12. Felton, B. J., & Revenson, T. A. (1984). Coping with chronic illness: A study of illness controllability and the influence of coping strategies of psychological adjustment. Journal of Consulting and Clinical Psychology, 52, 343–353.Google Scholar
  13. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.Google Scholar
  14. Hammen, C., Mayol, A., deMayo, R., & Marks, T. (1986). Initial symptom levels and the life-event—depression relationship. Journal of Abnormal Psychology, 95, 114–122.Google Scholar
  15. Heppner, P. P., Hibel, J. H., Neal, G. W., Weinstein, C. L., & Rabinowitz, F. E. (1982). Personal problem solving: A descriptive study of individual differences. Journal of Counseling Psychology, 29, 580–590.Google Scholar
  16. Heppner, P. P., & Petersen, C. H. (1982). The development and implications of a personal problem solving inventory. Journal of Counseling Psychology, 29, 66–75.Google Scholar
  17. Lightsey, O. R. (1994). Positive automatic cognitions as moderators of the negative life event-dysphoria relationship. Cognitive Therapy and Research, 18, 353–365.Google Scholar
  18. Mavissakalian, M. (1990). The relationship between panic disorder/agoraphobia and personality disorders. Psychiatric Clinics of North America, 13, 661–684.Google Scholar
  19. Miranda, J., Persons, J. B., & Byers, C. N. (1990). Endorsement of dysfunctional beliefs depends on current mood state. Journal of Abnormal Psychology, 99, 237–241.Google Scholar
  20. Nezu, A. M. (1987). A problem solving formulation of depression: A literature review and proposal of a pluralistic model. Clinical Psychology Review, 7, 121–144.Google Scholar
  21. Nezu, A. M., & Ronan, G. F. (1985). Life stress, current problems, problem solving, and depressive symptoms: an integrative model. Journal of Consulting and Clinical Psychology, 53, 693–697.Google Scholar
  22. Olinger, L. J., Kuiper, N. A., & Shaw, B. F. (1987). Dysfunctional attitudes and stressful life events: An interactive model of depression. Cognitive Therapy and Research, 11, 25–40.Google Scholar
  23. Paykel, E. S., Myers, J. K., Dienelt, M. N., Klerman, G. L., Lindenthal, J. J., & Pepper, M. P. (1969). Life events and depression: A controlled study. Archives of General Psychiatry, 21, 753–760.Google Scholar
  24. Peselow, E. D., Robins, C., Block, P., Barouche, F., & Fieve, R. R. (1990). Dysfunctional attitudes in depressed patients before and after clinical treatment and in normal control subjects. American Journal of Psychiatry, 147, 439–444.Google Scholar
  25. Reich, J., Noyes, R., Hirschfeld, R., Coryell, W., & O'Gorman, T. (1987). State and trait personality in depressed and panic patients. American Journal of Psychiatry, 144, 181–187.Google Scholar
  26. Ricciardi, J. N., Baer, L., Jenike, M. A., Fischer, S. C., Sholtz, D., & Buttolph, M. L. (1992). Changes in DSM-III-R Axis II diagnoses following treatment of obsessive-compulsive disorder. American Journal of Psychiatry, 149, 829–831.Google Scholar
  27. Sarason, I. G., Johnson, J. H., & Siegel, J. M. (1978). Assessing the impact of life changes: Development of the Life Experience Survey. Journal of Consulting and Clinical Psychology, 46, 932–946.Google Scholar
  28. Schotte, D. E., & Clum, G. A. (1987). Problem-solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology, 55, 49–54.Google Scholar
  29. Schotte, D. E., Cools, J., & Payvar, S. (1990). Problem-solving deficits in suicidal patients: Trait vulnerability or state phenomenon? Journal of Consulting and Clinical Psychology, 58, 562–564.Google Scholar
  30. Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. D. (1989). Structured Clinical Interview for DSM-III-R—Patient Version (SCID-P). New York: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
  31. Thoits, P. A. (1983). Dimensions of life events that influence psychological distress: An evaluation and synthesis of the literature. In H. B. Kaplan (Ed.), Psychosocial stress (pp. 33–103). New York: Academic Press.Google Scholar
  32. Weissman, A. N. (1979). The dysfunctional attitude scale: A validation study. Dissertation Abstracts International, 40, 1389B–1390B.Google Scholar
  33. Wise, E. H., & Barnes, D. R. (1986). The relationship among life events, dysfunctional attitudes, and depression. Cognitive Therapy and Research, 10, 257–266.Google Scholar

Copyright information

© Plenum Publishing Corporation 1997

Authors and Affiliations

  • Michael W. Otto
    • 1
  • Maurizio Fava
    • 1
  • Susan J. Penava
    • 1
  • Elizabeth Bless
    • 1
  • Robert T. Muller
    • 1
  • Jerrold F. Rosenbaum
    • 1
  1. 1.Massachusetts General Hospital and Harvard Medical SchoolBoston

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