Negative attributional style in seasonal and nonseasonal depression.
OBJECTIVE
There is a substantial relationship between dysfunctional cognitions and the clinical course of major depression. This study examined whether this association extends to patients with seasonal affective disorder.


METHODS
A revised version of the Attributional Style Questionnaire was used to assess negative attributional style and predict response to treatment in a group of depressed outpatients, 26 with seasonal depression and 30 with nonseasonal, unipolar major depression.


RESULTS
Pretreatment scores on negative attributional style did not differ between the patients with seasonal affective disorder and those with nonseasonal depression. Negative attributional style predicted poor response to pharmacotherapy in the nonseasonal depression group but did not predict response to light therapy in the group with seasonal affective disorder.


CONCLUSIONS
Dysfunctional cognitions may play a lesser role in seasonal affective disorder than in nonseasonal depression.
Levitan
R D
RD
Depression Clinic, Cognitive Behavioral Therapy Unit, Clarke Institute of Psychiatry, Toronto, Ont., Canada.
Rector
N A
NA
Bagby
R M
RM
D000328:Adult; D000553:Ambulatory Care; D000928:Antidepressive Agents / Q000627:therapeutic use; D003072:Cognition Disorders / Q000175:diagnosis*; D003866:Depressive Disorder / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D010789:Phototherapy; D011336:Probability; D016574:Seasonal Affective Disorder / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D016896:Treatment Outcome
D000928:Antidepressive Agents