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Gepubliceerd in:

01-11-2013

A Direct Method of Assessing Underlying Cognitive Risk for Adolescent Depression

Auteurs: Adhip Rawal, Stephan Collishaw, Anita Thapar, Frances Rice

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 8/2013

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Abstract

An enduring tendency towards negative thinking is thought to increase vulnerability for future depression. However, it has not been possible to assess this tendency in non-depressed mood states. We examined if response latency to endorse dysfunctional attitudes is associated with depressive outcomes in a longitudinal study. A sample of young people at familial risk of depression (N = 252, aged 10–19, 56.3 % female) completed a computer-administered dysfunctional attitude scale. The main outcome measure was the difference in reaction time to agree versus disagree with dysfunctional attitudes. Cross-sectional differences between current and previous depression and no psychiatric disorder groups as well as longitudinal associations with depressive symptoms were examined. Young people with current and previous depression were quicker to agree with dysfunctional attitudes than those without disorder. In young people free from depressive disorder, faster agreements with dysfunctional attitudes were specifically associated with increased depressive symptoms over time. Self-reported dysfunctional attitudes did not differentiate the formerly depressed and no disorder groups and showed a longitudinal association with depressive symptoms for older adolescents only. Reaction time to endorse dysfunctional attitudes may indicate changes in affective processing that represent an early risk for future depression that is not indexed by self-report measures of negative thought.
Voetnoten
1
The interaction between group and response type was maintained when analysis focussed specifically on MDD, F(2,137) = 4.58, p = 0.01.
 
2
We also analysed reaction time differences on the basis of diagnoses derived from the child interview only, as biases due to parental depression history may influence parental reports of child health (although a previous analysis of this cohort did not find evidence to support this interpretation, see Lewis et al. 2012, and our approach is consistent with clinical practice where information from parents would be important for diagnostic purposes). The pattern of means for the DAS-C latency difference score was highly similar: No disorder: M = 1608.55 (3621.84); Current depression: M = 81.98 (926.78); Previous depression: M = 306.00 (820.01), and the effect of group on reaction time difference scores was significant at trend-level, F(2,163) = 2.68, p = 0.07, despite the reduction in sample size in the current (N = 14) and previous depression (N = 8) groups.
 
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Metagegevens
Titel
A Direct Method of Assessing Underlying Cognitive Risk for Adolescent Depression
Auteurs
Adhip Rawal
Stephan Collishaw
Anita Thapar
Frances Rice
Publicatiedatum
01-11-2013
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 8/2013
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-013-9760-x