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The Influence of Implicit Theories of Depression on Treatment-Relevant Attitudes

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Abstract

Background

Implicit theories (beliefs about the malleability of self-relevant traits) of emotion are associated with various motivational and emotional responses. Less is known about implicit theories of depression. The present study examined the effects of a manipulation of implicit theories of depression on depression symptom severity, engagement in a self-help task, and treatment-relevant attitudes.

Methods

Participants experiencing clinically significant levels of depression (N = 142) were randomly assigned to receive education about depression emphasizing either the malleability of depression (incremental condition) or depression as a chronic condition (entity condition). Participants subsequently completed a self-help task for depression. Symptom severity, stigma, prognostic pessimism, psychotherapy and antidepressant credibility, psychological flexibility, and time spent on the self-help task were assessed.

Results

Participants in the incremental condition endorsed a greater incremental theory of depression than did those in the entity condition. To the extent that the experimental condition was associated with the adoption of an incremental theory of depression, depression symptom severity and stigma decreased, and treatment-relevant attitudes were more favorable. The experimental condition had no effect on self-help task persistence.

Conclusions

Presenting depression as malleable may be associated with more positive attitudes towards treatment, although the impact on actual treatment engagement warrants future investigation.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

Authors

Contributions

Conceptualization: MZ, AP; Methodology: MZ, AP; Formal analysis and investigation: MZ and RH; Writing—original draft preparation: MZ, RH and BP; Writing—review and editing: MZ, BP, AP; Supervision: AP.

Corresponding author

Correspondence to Martha Zimmermann.

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Conflict of Interest

Martha Zimmermann, Reem Hmaidan, Brianna Preiser, and Anthony Papa declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Approval was granted by the Institutional Review Board of University of Nevada, Reno (07/18/2017/No. 1071564–3).

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Zimmermann, M., Hmaidan, R., Preiser, B. et al. The Influence of Implicit Theories of Depression on Treatment-Relevant Attitudes. Cogn Ther Res 44, 1002–1014 (2020). https://doi.org/10.1007/s10608-020-10120-5

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  • DOI: https://doi.org/10.1007/s10608-020-10120-5

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