Skip to main content
Log in

Dimensions of depression: A comparative longitudinal study

  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

A study was conducted to examine the factor structure of a set of commonly employed depression-related measures and to determine whether higher-order composite variables based on factor loadings would be differentially related to changes in depression status. Five cognitive and two behaviorally oriented measures were administered to 66 hospitalized depressives at pretreatment, 4 to 8 weeks later at the end of an initial phase of pharmacological treatment, and at 2- to 4-month intervals during an 8-month follow-up period. A principal-components analysis performed on nine variables produced three interpretable factors that differed systematically with respect to amount of differentiation between responders and nonresponders, as well as magnitude of change associated with successful treatment. Analyses performed on individual measures to track maintainers versus relapsers across three time points likewise yielded results consistent with predictions based on factor membership.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abramson, L. Y., Seligman, M. E. P., & Teasdale, J. (1978). Learned helplessness in humans: Critique and reformulation.Journal of Abnormal Psychology, 87 49–74.

    Google Scholar 

  • Beck, A. T. (1976).Cognitive therapy and the emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression.Archives of General Psychiatry, 4 561–571.

    Google Scholar 

  • Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale.Journal of Consulting and Clinical Psychology, 42 861–865.

    Google Scholar 

  • Blaney, P. H., Behar, V., & Head, R. (1980). Two measures of depressive cognitions: Their association with depression and with each other.Journal of Abnormal Psychology, 89 678–682.

    Google Scholar 

  • Carroll, B. J., Feinberg, M., Smouse, P. E., Rawson, S. G., & Greden, J. F. (1981). The Carroll Rating Scale for Depression. I. Development, reliability and validation.British Journal of Psychiatry, 138 194–200.

    Google Scholar 

  • Coyne, J. C. (1976). Toward an interactional description of depression.Psychiatry, 39 28–40.

    Google Scholar 

  • Coyne, J. C., & Gotlib, I. H. (1983). The role of cognition in depression: A critical appraisal.Psychological Bulletin, 94 472–505.

    Google Scholar 

  • Dobson, K. S., & Shaw, B. F. (1986). Cognitive assessment with major depressive disorders.Cognitive Therapy and Research, 10 13–29.

    Google Scholar 

  • Eaves, G., & Rush, A. H. (1984). Cognitive patterns in symptomatic and remitted unipolar major depression.Journal of Abnormal Psychology, 93 31–40.

    Google Scholar 

  • Endicott, J., & Spitzer, R. L. (1978). A diagnostic interview: The schedule for affective disorders and schizophrenia.Archives of General Psychiatry, 35 837–844.

    Google Scholar 

  • Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance.Archives of General Psychiatry, 33 766–771.

    Google Scholar 

  • Golin, S., Sweeney, P. D., & Shaeffer, D. E. (1981). The causality of causal attributions in depression: A cross-lagged panel correlational analysis.Journal of Abnormal Psychology, 90 14–22.

    Google Scholar 

  • Gorsuch, R. L. (1983).Factor analysis. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Grosscup, S. J., & Lewinsohn, P. M. (1980). Unpleasant and pleasant events, and mood.Journal of Clinical Psychology, 36 252–259.

    Google Scholar 

  • Halaris, A. (1985). Biological predictors of outcome in the treatment of depression.Proceedings of the 40th Annual Convention of the Society of Biological Psychiatry (p. 172). (Abstract)

  • Hamilton, E. W., & Abramson, L. Y. (1983). Cognitive patterns and major depressive disorders: A longitudinal study in a hospital setting.Journal of Abnormal Psychology, 92 173–184.

    Google Scholar 

  • Hamilton, M. (1960). A rating scale for depression.Journal of Neurology, Neurosurgery, and Psychiatry, 23 56–62.

    Google Scholar 

  • Hollingshead, A. B. (1957).Two-factor index of social position. Unpublished manuscript, Department of Sociology, Yale University.

  • Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire.Cognitive Therapy and Research, 4 383–397.

    Google Scholar 

  • Hollon, S. D., Kendall, P. C., & Lumry, A. (1986). Specificity of depressotypic cognitions in clinical depression.Journal of Abnormal Psychology, 95 52–59.

    Google Scholar 

  • Krantz, S., & Hammen, C. (1979). Assessment of cognitive bias in depression.Journal of Abnormal Psychology, 88 611–619.

    Google Scholar 

  • Lewinsohn, P. M. (1974). A behavioral approach to depression. In R. J. Friedman & M. M. Katz (Eds.),The psychology of depression: Contemporary theory and research (pp. 157–178). Washington, DC: V. H. Winston.

    Google Scholar 

  • MacPhillamy, D. J., & Lewinsohn, P. M. (1974). Depression as a function of levels of desired and obtained pleasure.Journal of Abnormal Psychology, 83 651–657.

    Google Scholar 

  • MacPhillamy, D. J., & Lewinsohn, P. M. (1976).Manual for the Pleasant Events Schedule. Unpublished manuscript, Department of Psychology, University of Oregon.

  • Miller, I. W., & Norman, W. H. (1986). Persistence of depressive cognitions within a subgroup of depressed inpatients.Cognitive Therapy and Research, 10 211–224.

    Google Scholar 

  • Mullen, B., & Rosenthal, R. (1985).BASIC meta-analysis: Procedures and programs. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Norman, W. H., Miller, I. W., & Dow, M. G. (1988). Characteristics of depressed patients with elevated levels of dysfunctional cognitions.Cognitive Therapy and Research, 12 39–52.

    Google Scholar 

  • Peterson, C., Semmel, A., von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. P. (1982). The Attributional Style Questionnaire.Cognitive Therapy and Research, 6 287–300.

    Google Scholar 

  • Raskin, A., Schulterbrandt, J., Reatig, N., & McKeon, J. J. (1969). Replication of factors of psychopathology in interview, ward behavior, and self-report ratings of hospitalized depressives.Journal of Nervous and Mental Disease, 148 87–98.

    Google Scholar 

  • Rehm, L. P. (1977). A self-control model of depression.Behavior Therapy, 8 787–804.

    Google Scholar 

  • Rehm, L. P., Fuchs, C. Z., Roth, D. M., Kornblith, S. J., & Romano, J. M. (1979). A comparison of self-control and social skills treatments of depression.Behavior Therapy, 10 429–442.

    Google Scholar 

  • Segal, Z. V., & Shaw, B. F. (1986). Cognition in depression: A reappraisal of Coyne and Gotlib's critique.Cognitive Therapy and Research, 10 671–693.

    Google Scholar 

  • Spitzer, R. L., Endicott, J., & Robins, E. (1978). Research Diagnostic Criteria: Rationale and reliability.Archives of General Psychiatry, 35 773–782.

    Google Scholar 

  • Turner, R. W., Ward, M. F., & Turner, D. J. (1979). Behavioral treatment for depression: An evaluation of therapeutic components.Journal of Clinical Psychology, 35 165–175.

    Google Scholar 

  • Weissman, A. N. (1980, April).Assessing depressogenic attitudes: A validation study. Paper presented at the 51st annual meeting of the Eastern Psychological Association, Hartford, CT.

  • Weissman, M. M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report.Archives of General Psychiatry, 33 1111–1115.

    Google Scholar 

  • Weissman, M. M., Klerman, G. L., Prusoff, B. A., Sholomskas, D., & Padian, N. (1981). Results one year after treatment with drugs and/or interpersonal psychotherapy.Archives of General Psychiatry, 38 51–55.

    Google Scholar 

  • Weissman, M. M., & Paykel, E. S. (1974).The depressed woman: A study of social relationships. Chicago: University of Chicago Press.

    Google Scholar 

  • Wilkinson, I. M., & Blackburn, I. M. (1981). Cognitive style in depressed and recovered depressed patients.British Journal of Clinical Psychology, 20 283–292.

    Google Scholar 

  • Wilkinson, L. (1984).SYSTAT: The system for statistics (Computer program manual). Evanston, IL: SYSTAT.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This research was supported in part by National Institute of Mental Health Grant MH37664. The authors would gratefully like to acknowledge Margo Hurwitz, Donna Richard, Michelle Thrush, and Abe Wolf for assistance in data preparation.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reno, R.M., Halaris, A.E. Dimensions of depression: A comparative longitudinal study. Cogn Ther Res 13, 549–563 (1989). https://doi.org/10.1007/BF01176067

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01176067

Key words

Navigation