Cognitive and life stress predictors of relapse in remitted unipolar depressed patients: test of the congruency hypothesis.
Remitted depressed subjects (N = 59) were followed longitudinally to determine whether dependent or self-critical persons are more vulnerable to relapse after exposure to life events that have a bearing on interpersonal or achievement concerns. Regression analyses indicated that congruency effects, as measured by the occurrence of achievement-related adversity in the lives of self-critical subjects, accounted for a significant increment in relapse variance over each variable entered singly. When data from the 2 months just before relapse were analyzed, some evidence of congruency effects in dependent subjects experiencing interpersonal-related adversity was obtained. These findings highlight the dimensional qualities of life even impact and call for greater differentiation in modeling the activation of a diathesis and precipitation of depression after life stress.
Segal
Z V
ZV
Clarke Institute of Psychiatry, University of Toronto, Ontario, Canada.
Shaw
B F
BF
Vella
D D
DD
Katz
R
R
D000223:Adaptation, Psychological; D000328:Adult; D003131:Combined Modality Therapy; D003866:Depressive Disorder / Q000523:psychology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008016:Life Change Events; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010552:Personality Assessment; D010553:Personality Development; D011446:Prospective Studies; D012307:Risk Factors; D012649:Self Concept