Coping behaviors as predictors of the course of clinical depression.
We assessed a large sample of nonmelancholic, depressed subjects, using a self-report measure we developed, to determine behavioral coping dimensions and the predictive validity of the measure. A principal-components analysis of measure scores suggested dimensions of distraction, support seeking, self-consolation, recklessness, affect reduction, and help seeking, largely replicating findings in nonclinical groups. Factor scores on each dimension were calculated for the subsample of depressive subjects consulting a psychiatrist. Those baseline scores were examined against subsequent improvement in depression levels at six and 20 weeks. A significant and consistent predictor of a poor outcome was a higher initial score on the self-consolation dimension. A better outcome was weakly associated at six and 20 weeks with higher scores on affect reduction, whereas higher distraction scores were weakly associated with a poorer outcome at 20 weeks. The study thus confirmed the relevance of coping behaviors in a clinically depressed group and demonstrated the predictive strength of the measure.
Parker
G
G
Brown
L
L
Blignault
I
I
D000223:Adaptation, Psychological; D000328:Adult; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010555:Personality Inventory; D011336:Probability; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy