Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents.
Diathesis-stress predictions regarding the onset of adolescent major depression and nonmood disorders were tested. Adolescents (N = 1,507) were assessed for dysfunctional attitudes and negative attributional style, as well as current depressive symptoms, current depressive and nondepressive diagnoses, and past and family histories of psychopathology. Approximately 1 year later, participants were reassessed on all measures. Analyses supported A. T. Beck's (1976) theory of depression (at the level of a trend) but not the hopelessness theory of depression. Findings were suggestive of a threshold view of vulnerability to depression; for those who experienced negative life events, depressive onset was related to dysfunctional attitudes but only when dysfunctional attitudes exceeded a certain level (low = intermediate < high). For participants who scored either very high or very low on both dysfunctional attitudes and negative attributional style, nonsignificant findings were obtained.
Lewinsohn
P M
PM
Oregon Research Institute, Eugene 97403-1983, USA. pete@ori.org
Joiner
T E
TE
Rohde
P
P
D000293:Adolescent; D003072:Cognition Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D003865:Major Depressive Disorder / Q000523:psychology*; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009483:Neuropsychological Tests; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires