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11-07-2019 | Original Article

The Voice of Depression: Prevalence and Stability Across Time of Perception-Laden Intrusive Thoughts in Depression

Auteurs: Steffen Moritz, Jan Philipp Klein, Thomas Berger, Frank Larøi, Björn Meyer

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2019

Abstract

Intrusive depressive thoughts are typically defined in terms of their content, frequency, and pervasiveness. The extent to which they carry sensory properties is largely unexplored. In a pilot study, 56.5% of individuals with mild to moderate depressive symptoms experienced depressive thoughts with sensory features. The present study explored the prevalence of sensory thoughts in patients with severe depression and examined the stability of the sensory phenomena across time. A total of 163 participants with severe depression completed an online assessment at baseline and 3 months later. Diagnostic status was established at baseline over the telephone. The primary outcome was the Sensory Properties of Depressive Thoughts Questionnaire (SPD). The frequency of sensory properties of negative thoughts was similar (60.7% reported at least one sensory irritation; thus, 39.3% of the sample reported not a single, even mild sensory irritation) to the pilot study. The highest prevalence was observed for bodily sensations (41.1%; pilot: 39.6%) followed by auditory (37.4%; pilot: 30.6%) and visual (31.3%; pilot: 27.2%) perceptions. Prevalence remained essentially unchanged over time, but test–retest reliability was weak to moderate (r = .56). Unlike in the pilot study, no association emerged with quality of life and suicidality. Yet, those reporting sensory phenomena were prescribed more medication, had a similar number of prior hospitalizations despite their younger age, were more frequently in psychotherapy (statistical trend), and had more pain symptoms, which tentatively suggests a more complicated course of illness. Replication in independent samples is needed. Our findings support the notion that depressive thoughts are not “silent” but are commonly accompanied by sensory experiences.

vorige artikel Doubting the Diagnosis but Seeking a Talking Cure: An Experimental Investigation of Causal Explanations for Depression and Willingness to Accept Treatment

volgende artikel Executive Dysfunction and Emotion Dysregulation Explain the Effects of Insomnia Symptoms on Repetitive Negative Thinking

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For auditory hallucinations, these core properties are often referred to as the four A’s: acoustic, alien, authentic, autonomous.

American Psychiatry Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA, USA: American Psychiatric Association.CrossRef

Boyette, L., Swets, M., Meijer, C., Wouters, L., Kahna, R., Linszenb, D., … Myin-Germeysc, I. (2011). Factor structure of the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) in a large sample of patients with schizophrenia or related disorders and comorbid obsessive-compulsive symptoms. Psychiatry Research, 186(2–3), 409–413. http://doi.org/10.1016/j.psychres.2010.07.048.CrossRef

Cahoon, C. G. (2012). Depression in older adults. AJN, American Journal of Nursing, 112(11), 22–30. https://doi.org/10.1097/01.NAJ.0000422251.65212.4b.CrossRefPubMed

Donker, T., Van Straten, A., Marks, I., & Cuijpers, P. (2009). A brief web-based screening questionnaire for common mental disorders: Development and validation. Journal of Medical Internet Research, 11(3), e19. https://doi.org/10.2196/jmir.1134.CrossRefPubMedPubMedCentral

Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., … Sullivan, M. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1171–1178. http://doi.org/10.1016/S0895-4356(98)00109-7.CrossRef

Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., … Charney, D. S. (1989). The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Archives of General Psychiatry, 46(11), 1006–1011. http://doi.org/10.1001/archpsyc.1989.01810110048007.CrossRef

Gräfe, K., Zipfel, S., Herzog, W., & Löwe, B. (2004). Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)“. Diagnostica, 50(4), 171–181. https://doi.org/10.1026/0012-1924.50.4.171.CrossRef

Holmes, E. A., Blackwell, S. E., Burnett Heyes, S., Renner, F., & Raes, F. (2016). Mental imagery in depression: Phenomenology, potential mechanisms, and treatment implications. Annual Review of Clinical Psychology, 12(1), 249–280. https://doi.org/10.1146/annurev-clinpsy-021815-092925.CrossRefPubMed

Holmes, E. A., Crane, C., Fennell, M. J. V., & Williams, J. M. G. (2007). Imagery about suicide in depression—“Flash-forwards”? Journal of Behavior Therapy and Experimental Psychiatry, 38(4), 423–434. https://doi.org/10.1016/j.jbtep.2007.10.004.CrossRefPubMedPubMedCentral

Holmes, E. A., & Mathews, A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychology Review, 30(3), 349–362. https://doi.org/10.1016/j.cpr.2010.01.001.CrossRef

Holmes, E. A., Mathews, A., Dalgleish, T., & Mackintosh, B. (2006). Positive interpretation training: Effects of mental imagery versus verbal training on positive mood. Behavior Therapy, 37(3), 237–247. https://doi.org/10.1016/j.beth.2006.02.002.CrossRefPubMed

Jenkinson, C., Layte, R., Jenkinson, D., Lawrence, K., Petersen, S., Paice, C., et al. (1997). A shorter form health survey: Can the SF-12 replicate results from the SF-36 in longitudinal studies? Journal of Public Health, 19(2), 179–186. https://doi.org/10.1093/oxfordjournals.pubmed.a024606.CrossRef

Ji, J. L., Holmes, E. A., & Blackwell, S. E. (2017). Seeing light at the end of the tunnel: Positive prospective mental imagery and optimism in depression. Psychiatry Research, 247, 155–162. https://doi.org/10.1016/j.psychres.2016.11.025.CrossRefPubMedPubMedCentral

Kim, S. W., Dysken, M. W., Pheley, A. M., & Hoover, K. M. (1994). The Yale-Brown Obsessive-Compulsive Scale: Measures of internal consistency. Psychiatry Research, 51(2), 203–211. https://doi.org/10.1016/0165-1781(94)90039-6.CrossRefPubMed

Klein, J. P., Berger, T., Schröder, J., Späth, C., Meyer, B., Caspar, F., … Hohagen, F. (2016). Effects of a psychological internet intervention in the treatment of mild to moderate depressive symptoms: Results of the evident study, a randomized controlled trial. Psychotherapy and Psychosomatics, 85(4), 218–228. http://doi.org/10.1159/000445355.CrossRef

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x.CrossRefPubMedPubMedCentral

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64(2), 258–266. https://doi.org/10.1097/00006842-200203000-00008.CrossRefPubMed

Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2010). The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: A systematic review. General Hospital Psychiatry, 32(4), 345–359. https://doi.org/10.1016/j.genhosppsych.2010.03.006.CrossRefPubMed

Löwe, B., Kroenke, K., Herzog, W., & Gräfe, K. (2004). Measuring depression outcome with a brief self-report instrument: Sensitivity to change of the Patient Health Questionnaire (PHQ-9). Journal of Affective Disorders, 81(1), 61–66. https://doi.org/10.1016/S0165-0327(03)00198-8.CrossRefPubMed

Maijer, K., Begemann, M. J. H., Palmen, S. J. M. C., Leucht, S., & Sommer, I. E. C. (2018). Auditory hallucinations across the lifespan: A systematic review and meta-analysis. Psychological Medicine, 48(6), 879–888. https://doi.org/10.1017/S0033291717002367.CrossRefPubMed

Martin, A., Rief, W., Klaiberg, A., & Braehler, E. (2006). Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. General Hospital Psychiatry, 28(1), 71–77. https://doi.org/10.1016/j.genhosppsych.2005.07.003.CrossRefPubMed

Meyer, B., Berger, T., Caspar, F., Beevers, C. G., Andersson, G., & Weiss, M. (2009). Effectiveness of a novel integrative online treatment for depression (Deprexis): Randomized controlled trial. Journal of Medical Internet Research, 11(2), e15. https://doi.org/10.2196/jmir.1151.CrossRefPubMedPubMedCentral

Meyer, B., Bierbrodt, J., Schröder, J., Berger, T., Beevers, C. G., Weiss, M., … Klein, J. P. (2015). Effects of an internet intervention (Deprexis) on severe depression symptoms: Randomized controlled trial. Internet Interventions, 2(1), 48–59. http://doi.org/10.1016/j.invent.2014.12.003.CrossRef

Miegel, F., Jelinek, L., & Moritz, S. (2019). Dysfunctional beliefs in patients with obsessive-compulsive disorder and depression as assessed with the Beliefs Questionnaire (BQ). Psychiatry Research, 272, 265–274.CrossRef

Moritz, S., Ahlf-Schumacher, J., Hottenrott, B., Peter, U., Franck, S., Schnell, T., … Jelinek, L. (2018a). We cannot change the past, but we can change its meaning. A randomized controlled trial on the effects of self-help imagery rescripting on depression. Behaviour Research and Therapy, 104, 74–83. http://doi.org/10.1016/j.brat.2018.02.007.CrossRef

Moritz, S., Claussen, M., Hauschildt, M., & Kellner, M. (2014a). Perceptual properties of obsessive thoughts are associated with low insight in obsessive-compulsive disorder. The Journal of Nervous and Mental Disease, 202(7), 562–565. https://doi.org/10.1097/NMD.0000000000000156.CrossRefPubMed

Moritz, S., Hörmann, C. C., Schröder, J., Berger, T., Jacob, G. A., Meyer, B., … Klein, J. P. (2014b). Beyond words: Sensory properties of depressive thoughts. Cognition and Emotion, 28(6), 1047–1056. http://doi.org/10.1080/02699931.2013.868342.CrossRef

Moritz, S., & Larøi, F. (2008). Differences and similarities in the sensory and cognitive signatures of voice-hearing, intrusions and thoughts. Schizophrenia Research, 102(1–3), 96–107. https://doi.org/10.1016/j.schres.2008.04.007.CrossRefPubMed

Moritz, S., Meier, B., Kloss, M., Jacobsen, D., Wein, C., Fricke, S., et al. (2002). Dimensional structure of the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Psychiatry Research, 109(2), 193–199. https://doi.org/10.1016/S0165-1781(02)00012-4.CrossRefPubMed

Moritz, S., Purdon, C., Jelinek, L., Chiang, B., & Hauschildt, M. (2018b). If it is absurd, then why do you do it? The richer the obsessional experience, the more compelling the compulsion. Clinical Psychology & Psychotherapy, 25(2), 210–216. https://doi.org/10.1002/cpp.2155.CrossRef

Newby, J. M., & Moulds, M. L. (2012). A comparison of the content, themes, and features of intrusive memories and rumination in major depressive disorder. British Journal of Clinical Psychology, 51(2), 197–205. https://doi.org/10.1111/j.2044-8260.2011.02020.x.CrossRefPubMed

Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. A., Kopper, B. A., & Barrios, F. X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8(4), 443–454. https://doi.org/10.1177/107319110100800409.CrossRefPubMed

Patel, T., Brewin, C. R., Wheatley, J., Wells, A., Fisher, P., & Myers, S. (2007). Intrusive images and memories in major depression. Behaviour Research and Therapy, 45(11), 2573–2580. https://doi.org/10.1016/j.brat.2007.06.004.CrossRefPubMed

Pearson, M., Brewin, C. R., Rhodes, J., & McCarron, G. (2008). Frequency and nature of rumination in chronic depression: A preliminary study. Cognitive Behaviour Therapy, 37(3), 160–168. https://doi.org/10.1080/16506070801919224.CrossRefPubMed

Röhlinger, J., Wulf, F., Fieker, M., & Moritz, S. (2015). Sensory properties of obsessive thoughts in OCD and the relationship to psychopathology. Psychiatry Research, 230(2), 592–596. https://doi.org/10.1016/j.psychres.2015.10.009.CrossRefPubMed

Rush, A. J., Trivedi, M. H., Ibrahim, H. M., Carmody, T. J., Arnow, B., Klein, D. N., … Keller, M. B. (2003). The 16-Item quick inventory of depressive symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54(5), 573–583. http://doi.org/10.1016/S0006-3223(02)01866-8.CrossRef

Sheehan, D. V, Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., … Dunbar, G. (1998). The MINI International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview. Journal of Clinical Psychiatry, 59(suppl. 20), 22–33.

Smucker, M. R., Dancu, C., Foa, E. B., & Niederee, J. L. (1995). Imagery rescripting: A new treatment for survivors of childhood sexual abuse suffering from posttraumatic stress. Journal of Cognitive Psychotherapy, 9(1), 3–17.CrossRef

Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Lo, B. (2006). A brief measure for assessing generalized anxiety disorder. Archives of Internal Medicine, 166, 1092–1097. https://doi.org/10.1001/archinte.166.10.1092.CrossRefPubMed

Twomey, C., O’Reilly, G., & Meyer, B. (2017). Effectiveness of an individually-tailored computerised CBT programme (Deprexis) for depression: A meta-analysis. Psychiatry Research, 256, 371–377. https://doi.org/10.1016/j.psychres.2017.06.081.CrossRefPubMed

Ware, J., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233. https://doi.org/10.1097/00005650-199603000-00003.CrossRefPubMed

Williams, A. D., & Moulds, M. L. (2008). Negative appraisals and cognitive avoidance of intrusive memories in depression: A replication and extension. Depression and Anxiety, 25(7), 26–33. https://doi.org/10.1002/da.20409.CrossRef

Woods, A., Jones, N., Alderson-Day, B., Callard, F., & Fernyhough, C. (2015). Experiences of hearing voices: Analysis of a novel phenomenological survey. The Lancet Psychiatry, 2(4), 323–331. https://doi.org/10.1016/S2215-0366(15)00006-1.CrossRefPubMedPubMedCentral

Xu, Z., Mayer, B., Müller, M., Heekeren, K., Theodoridou, A., Dvorsky, D., … Rüsch, N. (2016). Stigma and suicidal ideation among young people at risk of psychosis after one year. Psychiatry Research, 243, 219–224. http://doi.org/10.1016/j.psychres.2016.06.041.CrossRef

Titel: The Voice of Depression: Prevalence and Stability Across Time of Perception-Laden Intrusive Thoughts in Depression
Auteurs: Steffen Moritz
Jan Philipp Klein
Thomas Berger
Frank Larøi
Björn Meyer
Publicatiedatum: 11-07-2019
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-019-10030-1

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