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Bulimic symptoms and the development of depressive symptoms: The moderating role of attributional style

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Abstract

Using a prospective design, we examined whether attributional style moderated the relationship between the presence of bulimic symptoms and subsequent increases in depressive symptoms. As predicted, the presence of bulimic symptoms in college females at one point in time (T1) was associated with increases in depressive symptoms from T1 to T2 (3 weeks after T1) for subjects who exhibited a negative attributional style, but not for subjects who exhibited a positive attributional style. Depressive symptoms at T1 were not associated with increases in bulimic symptoms from T1 to T2. Of importance to the hopelessness theory of depression (Abramson, Metalsky, & Alloy, 1989), the presence of bulimic symptoms alone did not predict onset of depressive symptoms; it was only when bulimic symptoms and the negative attributional style were combined that depressive symptoms emerged. The hypothesis that these effects would be mediated by hopelessness obtained marginal support, and effects were obtained for depressive and anhedonic symptoms but not for anxious symptoms. We discussed implications for future work, including the value of the hopelessness theory of depression in explaining the co-occurrence of depressive and bulimic symptoms.

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References

  • Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1988). The hopelessness theory of depression: Does the research test the theory? In L. Y. Abramson (Ed.),Social cognition and clinical psychology: A synthesis. New York: Guilford Press.

    Google Scholar 

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

    Google Scholar 

  • Alloy, L. B., & Clements, C. M. (1992). Illusion of control: Invulnerability to negative affect and depressive symptoms after laboratory and natural stressors.Journal of Abnormal Psychology, 101, 234–245.

    PubMed  Google Scholar 

  • Alloy, L. B., Hartlage, S., & Abramson, L. Y. (1988). Testing the cognitive diathesis-stress theories of depression: Issues of research design, conceptualization, and assessment. In L. B. Alloy (Ed.),Cognitive processes in depression. New York: Guilford Press.

    Google Scholar 

  • Alloy, L. B., Kelly, K. A., Mineka, S., & Clements, C. (1990). Comorbidity in anxiety and depressive disorders: A helplessness/hopelessness perspective. In J. D. Maser & C. R. Cloninger (Eds.),Comorbidity in anxiety and mood disorders. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology, 51, 1173–1182.

    PubMed  Google Scholar 

  • Beck, A. T., Epstein, N., Brown, G., & Steer, R. (1988). An inventory for measuring clinical anxiety: Psychometric properties.Journal of Consulting and Clinical Psychology, 56, 893–897.

    PubMed  Google Scholar 

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

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation.Clinical Psychology Reviews, 8, 77–100.

    Google Scholar 

  • Beck, A. T., 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 

  • Bruch, H. (1973).Eating disorders: Obesity, anorexia and the person within. New York: Basic Books.

    Google Scholar 

  • Clark, D. A., Feldman, J., & Channon, S. (1989). Dysfunctional thinking in anorexia and bulimia nervosa.Cognitive Therapy and Research, 13, 377–387.

    Google Scholar 

  • Clark, L. A., & Watson, D. (1991). Tripartate model of anxiety and depression: Psychometric evidence and taxonomic implications.Journal of Abnormal Psychology, 100, 316–336.

    PubMed  Google Scholar 

  • Cohen, J., & Cohen, P. (1983).Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • DeVellis, B. M., & Blalock, S. J. (1992). Illness attributions and hopelessness depression: The role of hopelessness expectancy.Journal of Abnormal Psychology, 101, 257–264.

    PubMed  Google Scholar 

  • Dixon, W. A., Heppner, P. P., Burnett, J. W., & Lips, B. J. (1993). Hopelessness and stress: Evidence for an interactive model of depression.Cognitive Therapy and Research, 17, 39–52.

    Google Scholar 

  • Fairburn, C. G., & Cooper, Z. (1987). Behavioral and cognitive approaches in the treatment of anorexia nervosa and bulimia nervosa. In P. J. V. Beumont, G. D. Burrows, & R. C. Casper (Eds.),Handbook of anorexia nervosa and bulimia. Amsterdam: Elsevier.

    Google Scholar 

  • Garner, D. M., & Bemis, K. (1984). Cognitive therapy for anorexia nervosa. In D. Garner & P. Garfinkel (Eds.),Handbook of psychotherapy for anorexia nervosa and bulimia. New York: Guilford Press.

    Google Scholar 

  • Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). The Eating Disorder Inventory: A measure of cognitive-behavioral dimensions of anorexia nervosa and bulimia. In P. L. Darby, P. E. Garfinkel, D. M. Garner, & D. V. Coscina (Eds.),Anorexia nervosa: Recent developments in research (pp. 173–184). New York: Alan R. Liss.

    Google Scholar 

  • Goebel, M., Spalthoff, G., Schulze, C., & Florin, I. (1989). Dysfunctional cognitions, attributional style, and depression in bulimia.Journal of Psychosomatic Research, 6, 747–752.

    Google Scholar 

  • Hinz, L. D., & Williamson, D. A. (1987). Bulimia and depression: A review of the affective variant hypothesis.Psychological Bulletin, 102, 150–158.

    PubMed  Google Scholar 

  • Hollon, S. D., Kendall, P. C., & Lumry, A. (1986). Specificity of depressotypic cognitions in clinical depression.Journal of Abnormal Psychology, 95, 52–59.

    PubMed  Google Scholar 

  • Hsu, L. K. G. (1990). The experiential aspects of bulimia nervosa: Implications for cognitive-behavioral therapy.Behavior Modification, 14, 50–65.

    PubMed  Google Scholar 

  • Hudson, J. I., Laffer, P. S., & Pope, Jr., H. G. (1982). Bulimia related to affective disorder by family history and response to the dexamethasone suppression test.American Journal of Psychiatry, 139, 685–687.

    PubMed  Google Scholar 

  • Johnson, J. G. (1992). Gender and mood as mediators of the relationship between attributional style, daily life events, depression symptoms, and hopelessness.Cognitive Therapy and Research, 16, 687–697.

    Google Scholar 

  • Joiner, T. E., Jr. (1994a). Contagious depression: Existence, specificity to depressed symptoms, and the role of reassurance-seeking.Journal of Personality and Social Psychology, 67, 287–296.

    PubMed  Google Scholar 

  • Joiner, T. E., Jr. (1994b). Covariance of baseline symptom scores in the prediction of future symptom scores: A methodological note.Cognitive Therapy and Research, 18, 497–504.

    Google Scholar 

  • Joiner, T. E., Jr., Alfano, M. S., & Metalsky, G. I. (1993). Caught in the crossfire: Depression, self-consistency, self-enhancement, and the response of others.Journal of Social and Clinical Psychology, 12, 113–134.

    Google Scholar 

  • Joiner, T. E., Jr., Schmidt, K. L., & Metalsky, G. I. (1994). Low-end specificity of the Beck Depression Inventory.Cognitive Therapy and Research, 18, 55–68.

    Google Scholar 

  • Joiner, T. E., Jr., Schmidt, N. B., & Singh, D. (1994). Waist-to-hip ratio and body dissatisfaction among college women and men: The moderating role of depressed symptoms and gender.International Journal of Eating Disorders, 16, 199–203.

    PubMed  Google Scholar 

  • Laessle, R. G., Kittl, S., Fichter, M. M., & Pirke, K. M. (1988). Cognitive correlates of depression in patients with eating disorders.International Journal of Eating Disorders, 7, 681–686.

    Google Scholar 

  • Metalsky, G. I., Halberstadt, L. J., & Abramson, L. Y. (1987). Vulnerability to depressive mood reactions: Toward a more powerful test of the diathesis-stress and causal mediation components of the reformulated theory of depression.Journal of Personality and Social Psychology, 52, 386–393.

    PubMed  Google Scholar 

  • Metalsky, G. I., & Joiner, T. E., Jr. (1992). Vulnerability to depressive symptomatology: A prospective test of the diathesis-stress and causal mediation components of the hopelessness theory of depression.Journal of Personality and Social Psychology, 63, 667–675.

    PubMed  Google Scholar 

  • Metalsky, G. I., Joiner, T. E. Jr., Hardin, T. S., & Abramson, L. Y. (1993). Depressive reactions to failure in a naturalistic setting: A test of the hopelessness and self-esteem theories of depression.Journal of Abnormal Psychology, 102, 101–109.

    PubMed  Google Scholar 

  • Metalsky, G. I., & Wonderlich, S. A. (1995).Bulimia and psychosocial aspects of depression: An integration. Unpublished manuscript.

  • Needles, D. J., & Abramson, L. Y. (1990). Positive life events, attributional style, and hopelessness: Testing a model of recovery from depression.Journal of Abnormal Psychology, 99, 156–165.

    PubMed  Google Scholar 

  • Peterson, C. R., & Seligman, M. E. P. (1984). Causal explanations as a risk factor for depression: Theory and evidence.Psychological Review, 91, 347–374.

    PubMed  Google Scholar 

  • Peterson, C. R., 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, 287–300.

    Google Scholar 

  • Riskind, J. H., Rholes, W. S., Brannon, A. M., & Burdick, C. A. (1987). Attributions and expectations: A confluence of vulnerabilities in mild depression in a college student population.Journal of Personality and Social Psychology, 53, 349–354.

    PubMed  Google Scholar 

  • Ruderman, A. J. (1986). Restraint and irrational cognitions.Behaviour Research and Therapy, 27, 557–561.

    Google Scholar 

  • 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 

  • Strauss, J., & Ryan, R. M. (1988). Cognitive dysfunction in eating disorders.International Journal of Eating Disorders, 7, 19–28.

    Google Scholar 

  • Strober, M., & Katz, J. (1988). Depression in the eating disorders: A review and analysis of descriptive, family and biological factors. In D. M. Garner, & P. E. Garfinkel (Eds.),Diagnostic issues in anorexia nervosa and bulimia nervosa. New York: Brunner/Mazel.

    Google Scholar 

  • Sweeney, P. D., Anderson, K., & Bailey, S. (1986). Attributional style in depression: A meta-analytic review.Journal of Personality and Social Psychology, 50, 974–991.

    PubMed  Google Scholar 

  • Vredenburg, K., Flett, G. L., & Krames, L. (1993). Analogue versus clinical depression: A critical appraisal.Psychological Bulletin, 113, 327–344.

    PubMed  Google Scholar 

  • Watson, D. (1988). Intraindividual and interindividual analyses of positive and negative affect: Their relation to health complaints, perceived stress, and daily activities.Journal of Personality and Social Psychology, 54, 1020–1030.

    PubMed  Google Scholar 

  • Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders.Journal of Abnormal Psychology, 97, 346–353.

    PubMed  Google Scholar 

  • Watson, D., Clark, L. A., & Tellegen, A. (1984). Cross-cultural convergence in the structure of mood: A Japanese replication and a comparison with U.S. findings.Journal of Personality and Social Psychology, 47, 127–144.

    Google Scholar 

  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales.Journal of Personality and Social Psychology, 54, 1063–1070.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch at Galveston, 3.102 Graves Building, D-25, 77555-0425, Galveston, Texas

    Thomas E. Joiner Jr.

  2. Lawrence University, USA

    Gerald I. Metalsky

  3. University of North Dakota School of Medicine, USA

    Stephen A. Wonderlich

Authors
  1. Thomas E. Joiner Jr.
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  2. Gerald I. Metalsky
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  3. Stephen A. Wonderlich
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Additional information

Preparation of this article was supported, in part, by a Young Investigator Award to Thomas Joiner from the National Alliance for Research on Schizophrenia and Affective Disorders (NARSAD); by a research grant to Thomas Joiner from the University of Texas Medical Branch at Galveston, the funds of which derive from the Pearl and Aaron Forman Research Foundation and the John Sealy Memorial Endowment Fund; by a grant from the Hogg Foundation for Mental Health to G. I. Metalsky; and by a Public Health Service Biomedical Research Support Grant (2 S07 RR05407-28) to S. A. Wonderlich.

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Joiner, T.E., Metalsky, G.I. & Wonderlich, S.A. Bulimic symptoms and the development of depressive symptoms: The moderating role of attributional style. Cogn Ther Res 19, 651–666 (1995). https://doi.org/10.1007/BF02227859

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