Top

Gepubliceerd in:

01-06-2011 | Original Article

Positive Affect Stimulation and Sustainment (PASS) Module for Depressed Mood: A Preliminary Investigation of Treatment-Related Effects

Auteurs: Dana L. McMakin, Greg J. Siegle, Stephen R. Shirk

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2011

Abstract

Positive affective functioning (PAF) is critical to the development, course and treatment of depressive symptoms. Targeting key features of PAF during treatment may provide a new angle through which to improve affective functioning and reduce symptoms. The current study was a treatment development trial for the Positive Affect Stimulation and Sustainment (PASS) Module. PASS is conceptualized as a means of capitalizing on positive events (e.g., planned through behavioral activation) by enhancing and sustaining positive affective states through savoring, and establishing positive attributions and expectancies. Participants were 27 female college students with dysphoric symptoms. There was a moderate effect of PASS on depressive symptoms. There was also a significant within session increase in positive affect from pre to post session among the PASS group, relative to active control; and a significant decrease in positive affect from pre (baseline) to post (follow-up) treatment among the control group, relative to PASS. Results provide preliminary evidence for the efficacy of the treatment module among young adults with depressed mood, and lay the foundation for future research.

vorige artikel Social Rejection: How Best to Think About It?

volgende artikel Mastery Beliefs and Intraindividual Variability of Anxiety

Supplementary information including analyses using these scales is provided at: www.danamcmakin.com.

Allison, P. D. (Ed.). (2002). Missing data. Thousand Oaks: Sage Publications.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-second edition: Manual. San Antonio, TX: Psychological Corporation.

Beevers, C. G., & Meyer, B. (2002). Lack of positive experiences and positive expectancies mediate the relationship between BAS responsiveness and depression. Cognition & Emotion, 16(4), 549–564.CrossRef

Bergouignan, L., Lemogne, C., Foucher, A., Longin, E., Vistoli, D., Allilaire, J. -F., et al. (2008). Field perspective deficit for positive memories characterizes autobiographical memory in euthymic depressed patients. Behaviour Research and Therapy, 46(3), 322–333.PubMedCrossRef

Bradley, M. M., & Lang, P. J. (1994). Measuring emotion: The Self-Assessment Manikin and the semantic differential. Journal of Behavior Therapy and Experimental Psychiatry, 25, 49–59.PubMedCrossRef

Bryant, F. B., & Veroff, J. (2007). Savoring: A new model of positive experience. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.

Bylsma, L. M., Morris, B. H., & Rottenberg, J. (2008). A meta-analysis of emotional reactivity in major depressive disorder. Clinical Psychology Review, 28(4), 676–691.PubMedCrossRef

Cornwall, P., & Scott, J. (1997). Partial remission in depressive disorders. Acta Psychiatrica Scandinavica, 95(4), 265–271.PubMedCrossRef

Cropley, M., & MacLeod, A. K. (2003). Dysphoria, attributional reasoning and future event probability. Clinical Psychology & Psychotherapy, 10(4), 220–227.CrossRef

Dahl, R. E., & Spear, L. P. (2004). Adolescent brain development: Vulnerabilities and opportunities. New York, NY: New York Academy of Sciences.

Davey, C. G., Yucel, M., & Allen, N. B. (2008). The emergence of depression in adolescence: Development of the prefrontal cortex and the representation of reward. Neuroscience and Biobehavioral Reviews, 32(1), 1–19.PubMedCrossRef

Davidson, R. J. (1998). Affective style and affective disorders: Perspectives from affective neuroscience. Cognition and Emotion, 12(3), 307–330.CrossRef

Dichter, G. S., & Tomarken, A. J. (2008). The chronometry of affective startle modulation in unipolar depression. Journal of Abnormal Psychology, 117(1), 1–15.PubMedCrossRef

Dietz, L. J., Birmaher, B., Williamson, D. E., Silk, J. S., Dahl, R. E., Axelson, D. A., et al. (2008). Mother-child interactions in depressed children and children at high risk and low risk for future depression. Journal of the American Academy of Child & Adolescent Psychiatry, 47(5), 574–582.CrossRef

Fava, G. A., & Tomba, E. (2009). Increasing psychological well-being and resilience by psychotherapeutic methods. Journal of Personality, 77(6), 1903–1934.PubMedCrossRef

Feldman, G. C., Joormann, J., & Johnson, S. L. (2008). Responses to positive affect: A self-report measure of rumination and dampening. Cognitive Therapy and Research, 32(4), 507–525.PubMedCrossRef

Forbes, E. E., & Dahl, R. E. (2005). Neural systems of positive affect: Relevance to understanding child and adolescent depression? Development and Psychopathology, 17(3), 827–850.PubMedCrossRef

Forbes, E. E., Hariri, A. R., Martin, S. L., Silk, J. S., Moyles, D. L., Fisher, P. M., et al. (2009). Altered striatal activation predicting real-world positive affect in adolescent Major Depressive Disorder. American Journal of Psychiatry, 166(1), 64–73.PubMedCrossRef

Forbes, E. E., Shaw, D. S., & Dahl, R. E. (2007). Alterations in reward-related decision making in boys with recent and future depression. Biological Psychiatry, 61(5), 633–639.PubMedCrossRef

Frattaroli, J. (2006). Experimental disclosure and its moderators: A meta-analysis. Psychological Bulletin, 132(6), 823–865.PubMedCrossRef

Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300–319.CrossRef

Fredrickson, B. L. (2000). The undoing effect of positive emotions. Motivation and Emotion, 24(4), 237–258.CrossRef

Garber, J., Clarke, G. N., Weersing, V., Brent, D. A., DeBar, L. L., D’Angelo, E., et al. (2009). Prevention of depression in at-risk adolescents: A randomized controlled trial. JAMA: Journal of the American Medical Association, 301(21), 2215–2224.PubMedCrossRef

Georgiades, K., Lewinsohn, P. M., Monroe, S. M., & Seeley, J. R. (2006). Major depressive disorder in adolescence: The role of subthreshold symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 45(8), 936–944.CrossRef

Gotlib, I. H., Lewinsohn, P. M., & Seeley, J. R. (1995). Symptoms versus a diagnosis of depression: Differences in psychosocial functioning. Journal of Consulting and Clinical Psychology, 63(1), 90–100.PubMedCrossRef

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362.PubMedCrossRef

Heller, A. S., Johnstone, T., Shackman, A. J., Light, S. N., Peterson, M. J., Kolden, G. G., et al. (2009). Reduced capacity to sustain positive emotion in major depression reflects diminished maintenance of fronto-striatal brain activation. Proceedings of the National Academy of Sciences, 106(52), 22445–22450. doi:10.1073/pnas.0910651106.CrossRef

Henriques, J. B., & Davidson, R. J. (2000). Decreased responsiveness to reward in depression. Cognition & Emotion, 14, 711–724.CrossRef

Horner, M. S., Siegle, G. J., & Friedman, E. S. (submitted). How long do you go? Affective reactivity to positive stimuli in depression.

Isen, A. M. (1999). Positive affect. In T. Dalgleish & M. J. Power (Eds.), Handbook of cognition and emotion (pp. 521–539). Chichester: Wiley.

Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8(3), 255–270.CrossRef

Johnson, J. G., Han, Y.-S., Douglas, C. J., Johannet, C. M., & Russell, T. (1998). Attributions for positive life events predict recovery from depression among psychiatric inpatients: An investigation of the Needles and Abramson model of recovery from depression. Journal of Consulting and Clinical Psychology, 66(2), 369–376.PubMedCrossRef

Joormann, J., Siemer, M., & Gotlib, I. H. (2007). Mood regulation in depression: Differential effects of distraction and recall of happy memories on sad mood. Journal of Abnormal Psychology, 116(3), 484–490.PubMedCrossRef

Joreskog, K. G., & Sorbom, D. (2006). Lisrel for Windows 8.8. Lincolnwood, Illinois: Scientific Software International, Inc.

Kasch, K. L., Rottenberg, J., Arnow, B. A., & Gotlib, I. H. (2002). Behavioral activation and inhibition systems and the severity and course of depression. Journal of Abnormal Psychology, 111(4), 589–597.PubMedCrossRef

Kashdan, T. B., Rose, P., & Fincham, F. D. (2004). Curiosity and exploration: Facilitating positive subjective experiences and personal growth opportunities. Journal of Personality Assessment, 82(3), 291–305.PubMedCrossRef

Kellough, J. L., Beevers, C. G., Ellis, A. J., & Wells, T. T. (2008). Time course of selective attention in clinically depressed young adults: An eye tracking study. Behaviour Research and Therapy, 46(11), 1238–1243.PubMed

Kennard, B., Silva, S., Vitiello, B., Curry, J., Kratochvil, C., Simons, A., et al. (2006). Remission and residual symptoms after short-term treatment in the Treatment of Adolescents with Depression Study (TADS). Journal of the American Academy of Child & Adolescent Psychiatry, 45(12), 1404–1411.CrossRef

Langston, C. A. (1994). Capitalizing on and coping with daily-life events: Expressive responses to positive events. Journal of Personality and Social Psychology, 67(6), 1112–1125.CrossRef

Layden, M. A. (1982). Attributional therapy. In C. Antaki & C. Brewin (Eds.), Attributions and psychological change: Applications of attributional theories to clinical and educational practice (pp. 63–82). San Diego: Academic Press.

Lewinsohn, P. M., & Graf, M. (1973). Pleasant activities and depression. Journal of Consulting and Clinical Psychology, 41, 261–268.PubMedCrossRef

Lewinsohn, P. M., Rohde, P., Klein, D. N., & Seeley, J. R. (1999). Natural course of adolescent Major Depressive Disorder: I. Continuity into young adulthood. Journal of the American Academy of Child & Adolescent Psychiatry, 38(1), 56–63.CrossRef

Lyubomirsky, S., Caldwell, N. D., & Nolen-Hoeksema, S. (1998). Effects of ruminative and distracting responses to depressed mood on retrieval of autobiographical memories. Journal of Personality and Social Psychology, 75(1), 166–177.PubMedCrossRef

Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology, 1(1), 167–195.PubMedCrossRef

McMakin, D. L., Santiago, C. D., & Shirk, S. R. (2009). The time course of positive and negative emotion in dysphoria. The Journal of Positive Psychology, 4(2), 182–192.PubMedCrossRef

McMakin, D. L., & Shirk, S. R. (2004). Validation of the savoring scale. Paper presented at the Association for Advancement of Behavior Therapy, New Orleans, Louisiana.

Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8(3), 162–166.CrossRef

Pennebaker, J. W., Francis, M. E., & Booth, R. J. (2001). Linguistic inquiry and word count: LIWC (2nd ed.). Mahwah, NJ: Erlbaum.

Pine, D. S., Cohen, E., Cohen, P., & Brook, J. (1999). Adolescent depressive symptoms as predictors of adult depression: Moodiness or mood disorder? American Journal of Psychiatry, 156(1), 133–135.PubMed

Rottenberg, J., Kasch, K. L., Gross, J. J., & Gotlib, I. H. (2002). Sadness and amusement reactivity differentially predict concurrent and prospective functioning in major depressive disorder. Emotion, 2(2), 135–146.PubMedCrossRef

Salovey, P., Detweiler, J. B., Steward, W. T., & Bedell, B. T. (2001). Affect and health-relevant cognition. In J. P. Forgas (Ed.), Handbook of affect and social cognition (pp. 344–368). Mahwah: Lawrence Erlbaum Associates, Inc.

Schlaepfer, T. E., Cohen, M. X., Frick, C., Kosel, M., Brodesser, D., Axmacher, N., et al. (2008). Deep brain stimulation to reward circuitry alleviates anhedonia in refractory major depression. Neuropsychopharmacology, 33(2), 368–377.PubMedCrossRef

Seligman, M. E., Rashid, T., & Parks, A. C. (2006). Positive psychotherapy. American Psychologist, 61(8), 774–788.PubMedCrossRef

Sloan, D. M., Bradley, M. M., Dimoulas, E., & Lang, P. J. (2002). Looking at facial expressions: Dysphoria and facial EMG. Biological Psychology, 60(2–3), 79–90.PubMedCrossRef

Sloan, D. M., Strauss, M. E., Quirk, S. W., & Sajatovic, M. (1997). Subjective and expressive emotional responses in depression. Journal of Affective Disorders, 46, 135–141.PubMedCrossRef

Sloan, D. M., Strauss, M. E., & Wisner, K. L. (2001). Diminished response to pleasant stimuli by depressed women. Journal of Abnormal Psychology, 110(3), 488–493.PubMedCrossRef

Sprinkle, S. D., Lurie, D., Insko, S. L., Atkinson, G., Jones, G. L., Logan, A. R., et al. (2002). Criterion validity, severity cut scores, and test-retest reliability of the Beck Depression Inventory-II in a university counseling center sample. Journal of Counseling Psychology, 49(3), 381–385.CrossRef

Tabachnik, B., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Allyn and Bacon.

Tomba, E., & Fava, G. A. (2009). The sequential combination of pharmacotherapy and psychotherapy in mood disorders. Journal of Contemporary Psychotherapy, 39(2), 101–109.CrossRef

Tugade, M. M., & Fredrickson, B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86(2), 320–333.PubMedCrossRef

Tugade, M. M., & Fredrickson, B. L. (2007). Regulation of positive emotions: Emotion regulation strategies that promote resilience. Journal of Happiness Studies, 8(3), 311–333.CrossRef

Walker, W. R., Skowronski, J. J., Gibbons, J. A., Vogl, R. J., & Thompson, C. P. (2003). On the emotions that accompany autobiographical memories: Dysphoria disrupts the fading affect bias. Cognition & Emotion, 17(5), 703–723.CrossRef

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.PubMedCrossRef

Wood, J. V., Heimpel, S. A., & Michela, J. L. (2003). Savoring versus dampening: Self-esteem differences in regulating positive affect. Journal of Personality and Social Psychology, 85(3), 566–580.PubMedCrossRef

Titel: Positive Affect Stimulation and Sustainment (PASS) Module for Depressed Mood: A Preliminary Investigation of Treatment-Related Effects
Auteurs: Dana L. McMakin
Greg J. Siegle
Stephen R. Shirk
Publicatiedatum: 01-06-2011
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2011
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-010-9311-5

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2011

Understanding Anxiety Sensitivity in the Development of Anxious and Depressive Symptoms

Anger, Aggression, and Irrational Beliefs in Adolescents

Mastery Beliefs and Intraindividual Variability of Anxiety

Erratum to: Schematic Processing: A Comparison of Clinically Depressed, Dysphoric, and Nondepressed College Students

Selective Attention and Health Anxiety: Ill-Health Stimuli are Distracting for Everyone

Appraisals of Spouse Affiliation and Control during Marital Conflict: Common and Specific Cognitive Correlates Among Facets of Negative Affectivity