BACKGROUND AND OBJECTIVES: Identifying risk factors early in the course of depression has important implications for prevention, given that the likelihood of recurrence increases with each successive episode. DESIGN: This study examined relations among coping, executive functioning, and depressive symptom trajectories in a sample of remitted-depressed (n = 32) and never-depressed (ND; n = 36) young adults (aged 18-31). METHODS: Participants completed a clinical interview, a measure of coping, and tasks assessing two components of executive function - inhibition and cognitive flexibility. Participants were reassessed regarding the timing and severity of depressive symptoms that had occurred during the interval period (mean = 35.16 weeks, SD = 9.03). RESULTS: Among ND individuals, less primary control coping (e.g., problem-solving) and greater disengagement coping (e.g., avoidance) predicted increases in depressive symptoms. Greater secondary control coping (e.g., acceptance) predicted decreases in depressive symptoms and was unrelated to depression history. Higher inhibition scores predicted less increase in depressive symptoms for individuals reporting less primary control coping or more disengagement coping. Higher cognitive flexibility scores predicted less increase in depressive symptoms among individuals reporting less secondary control coping. CONCLUSIONS: Interventions aiming to enhance either coping strategies or executive functions may reduce risk of depression recurrence.
BACKGROUND AND OBJECTIVES: Identifying risk factors early in the course of depression has important implications for prevention, given that the likelihood of recurrence increases with each successive episode. DESIGN: This study examined relations among coping, executive functioning, and depressive symptom trajectories in a sample of remitted-depressed (n = 32) and never-depressed (ND; n = 36) young adults (aged 18-31). METHODS:Participants completed a clinical interview, a measure of coping, and tasks assessing two components of executive function - inhibition and cognitive flexibility. Participants were reassessed regarding the timing and severity of depressive symptoms that had occurred during the interval period (mean = 35.16 weeks, SD = 9.03). RESULTS: Among ND individuals, less primary control coping (e.g., problem-solving) and greater disengagement coping (e.g., avoidance) predicted increases in depressive symptoms. Greater secondary control coping (e.g., acceptance) predicted decreases in depressive symptoms and was unrelated to depression history. Higher inhibition scores predicted less increase in depressive symptoms for individuals reporting less primary control coping or more disengagement coping. Higher cognitive flexibility scores predicted less increase in depressive symptoms among individuals reporting less secondary control coping. CONCLUSIONS: Interventions aiming to enhance either coping strategies or executive functions may reduce risk of depression recurrence.
Authors: D A Solomon; M B Keller; A C Leon; T I Mueller; P W Lavori; M T Shea; W Coryell; M Warshaw; C Turvey; J D Maser; J Endicott Journal: Am J Psychiatry Date: 2000-02 Impact factor: 18.112
Authors: Matthew C Morris; Francisco Sanchez-Sáez; Brooklynn Bailey; Natalie Hellman; Amber Williams; Julie A Schumacher; Uma Rao Journal: J Interpers Violence Date: 2020-11-30
Authors: Qingyu Zhao; Kevin Wang; Orsolya Kiss; Dilara Yuksel; Massimiliano de Zambotti; Duncan B Clark; David B Goldston; Kate B Nooner; Sandra A Brown; Susan F Tapert; Wesley K Thompson; Bonnie J Nagel; Adolf Pfefferbaum; Edith V Sullivan; Kilian M Pohl; Fiona C Baker Journal: Int J Environ Res Public Health Date: 2022-08-18 Impact factor: 4.614
Authors: Julija Gecaite-Stonciene; Naomi A Fineberg; Aurelija Podlipskyte; Julius Neverauskas; Alicja Juskiene; Narseta Mickuviene; Julius Burkauskas Journal: Int J Environ Res Public Health Date: 2020-11-03 Impact factor: 3.390