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Portions of these results were presented at the 2008 Annual Meeting of the Association for Behavioral and Cognitive Therapies in Orlando, FL.
The current research proposes that certain anxiety response styles (specifically, responding to anxiety symptoms with rumination or hopeless cognitions) may increase risk of depressive symptoms, contributing to anxiety-depression comorbidity. We delineate preliminary evidence for this model in three studies. In Study 1, controlling for anxiety response styles significantly reduced the association between anxiety and depressive symptoms in an undergraduate sample. In Study 2, these findings were replicated controlling for conceptually related variables, and anxiety interacted with anxiety response styles to predict greater depressive symptoms. In Study 3, anxiety response styles moderated the prospective association between anxiety and later depression in a generalized anxiety disorder sample. Results support a role for anxiety response styles in anxiety-depression co-occurrence, and show that hopeless/ruminative anxiety response styles can be measured with high reliability and convergent and divergent validity.
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Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review,96(2), 358–372. CrossRef
Alloy, L. B., Abramson, L. Y., Hogan, M. E., Whitehouse, W. G., Rose, D. T., Robinson, M. S., et al. (2000). The Temple-Wisconsin cognitive vulnerability to depression project: Lifetime history of axis I psychopathology in individuals at high and low cognitive risk for depression. Journal of Abnormal Psychology,109(3), 403–418. PubMedCrossRef
Alloy, L. B., Kelly, K. A., Mineka, S., & Clements, C. M. (1990). Comorbidity of anxiety and depressive disorders: A helplessness-hopelessness perspective. In J. D. Maser & C. R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders. Washington, D.C.: American Psychiatric Press.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: American Psychiatric Association.
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment,10(2), 176–181. CrossRef
Barlow, D. H. (1991). The nature of anxiety: Anxiety, depression, and emotional disorders. In D. H. Barlow & R. M. Rapee (Eds.), Chronic anxiety: Generalized anxiety disorder and mixed anxiety-depression (pp. 1–28). New York, NY, USA: Guilford Press.
Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York, NY: Guilford Press.
Borkovec, T. D., Ray, W. J., & Staber, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research,22(6), 561–576. CrossRef
Brown, G. W., & Harris, T. (1978). Social origins of depression. New York: Free Press.
Butler, L. D., & Nolen-Hoeksema, S. (1994). Gender differences in responses to depressed mood in a college sample. Sex Roles,30(5), 331–346. CrossRef
Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation,10(7), 1–9.
de Graaf, R., Bijl, R. V., Spijker, J., Beekman, A. T. F., & Vollebergh, W. A. M. (2003). Temporal sequencing of lifetime mood disorders in relation to comorbid anxiety and substance use disorders: Findings from the Netherlands mental health survey and incidence study. Social Psychiatry and Psychiatric Epidemiology,38(1), 1–11. PubMedCrossRef
Fabrigar, L., Wegener, D., MacCallum, R., & Strahan, E. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods,4, 272–299. CrossRef
Grant, D. M., Beck, J. G., Farrow, S. M., & Davila, J. (2007). Do interpersonal features of social anxiety influence the development of depressive symptoms? Cognition and Emotion,21, 646–663. CrossRef
Hankin, B. L. (2008). Rumination and depression in adolescence: Investigating symptom specificity in a multiwave prospective study. Journal of Clinical Child & Adolescent Psychology,37(4), 701–713. CrossRef
Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine,41(3), 209–218. PubMed
Joiner, T. E., Jr. (1996). A confirmatory factor-analytic investigation of the tripartite model of depression and anxiety in college students. Cognitive Therapy and Research,20(5), 521–539. CrossRef
Joiner, T. E., Jr, Wingate, L. R., & Otamendi, A. (2005). An interpersonal addendum to the hopelessness theory of depression: Hopelessness as a stress and depression generator. Journal of Social & Clinical Psychology,24(5), 649–664. CrossRef
Kessler, R. C., Merikangas, K. R., & Wang, P. S. (2007). Prevalence, comorbidity, and service utilization for mood disorders in the United States at the beginning of the twenty-first century. Annual Review of Clinical Psychology,3, 137–158. doi: 10.1146/annurev.clinpsy.3.022806.091444. PubMedCrossRef
Lang, P. (1968). Fear reduction and fear behavior: Problems in treating a construct. In J. M. Shlien (Ed.), Research in psychotherapy (Vol. 3, pp. 90–102). Washington, DC: American Psychological Association.
Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1995). Adolescent psychopathology: III. The clinical consequences of comorbidity. Journal of the American Academy of Child & Adolescent Psychiatry,34(4), 510–519. CrossRef
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.
Maser, J. D., & Cloninger, C. R. (1990). Comorbidity of mood and anxiety disorders. Washington, D.C.: American Psychiatric Association.
Meng, X.-L., Rosenthal, R., & Rubin, D. B. (1992). Comparing correlated correlation coefficients. Psychological Bulletin,111(1), 172–175. CrossRef
Merikangas, K. R. (1990). Comorbidity for anxiety and depression: Review of family and genetic studies. In J. D. Maser & C. R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders. (pp. 331–348). Washington, DC: American Psychiatric Association.
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behavior Research and Therapy,28, 487–495. CrossRef
Moffitt, T. E., Harrington, H., Caspi, A., Kim-Cohen, J., Goldberg, D., Gregory, A. M., et al. (2007). Depression and generalized anxiety disorder: Cumulative and sequential comorbidity in a birth cohort followed prospectively to age 32 years. Archives of General Psychiatry,64(6), 651–660. doi: 10.1001/archpsyc.64.6.651. PubMedCrossRef
Muris, P., Roelofs, J., Meesters, C., & Boomsma, P. (2004). Rumination and worry in nonclinical adolescents. Cognitive Therapy and Research,28(4), 539–554. CrossRef
Ollendick, T. H., Seligman, L. D., Goza, A. B., Byrd, D. A., & Singh, K. (2003). Anxiety and depression in children and adolescents: A factor-analytic examination of the tripartite model. Journal of Child and Family Studies,12(2), 157–170. CrossRef
Peterson, C. (1991). The meaning and measurement of explanatory style. Psychological Inquiry,2(1), 1–10. CrossRef
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(3), 287–299. CrossRef
Rector, N. A., Antony, M. M., Laposa, J. M., Kocovski, N. L., & Swinson, R. P. (2008). Assessing content domains of repetitive thought in the anxiety spectrum: Rumination and worry in nonclinical and clinically anxious samples. International Journal of Cognitive Therapy,1(4), 352–377. doi: 10.1521/ijct.2008.1.4.352. CrossRef
Regier, D. A., Burke, J. D., & Burke, K. C. (1990). Comorbidity of affective and anxiety disorders in the NIMH epidemiologic catchment area program. In J. D. Maser & R. C. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 113–122). Washington, D.C.: American Psychiatric Press.
Reidy, J., & Keogh, E. (1997). Testing the discriminant and convergent validity of the Mood and Anxiety Symptoms Questionnaire using a British sample. Personality and Individual Differences,23(2), 337–344. CrossRef
Rholes, W. S., Riskind, J. H., & Neville, B. (1985). The relationship of cognitions and hopelessness to depression and anxiety. Social Cognition,3(1), 36–50. CrossRef
Sarin, S., Abela, J. R. Z., & Auerbach, R. P. (2005). The response styles theory of depression: A test of specificity and causal mediation. Cognition & Emotion,19(5), 751–761. CrossRef
Sheehan, D. V., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33; quiz 34–57.
Siegle, G. J., Moore, P. M., & Thase, M. E. (2004). Rumination: One construct, many features in healthy individuals, depressed individuals, and individuals with lupus. Cognitive Therapy and Research,28(5), 645–668. CrossRef
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology. San Francisco: Jossey-Bass.
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. (1995). Structured clinical interview for DSM-IV (SCID-IV). Washington, D.C.: American Psychiatric Association.
Starr, L. R. (2010). Mechanisms of Depression-Anxiety Co-occurrence. Ph.D. dissertation, State University of New York at Stony Brook, Stony Brook, NY.
Tellegen, A., Tuma, A. H., & Maser, J. D. (1985). Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report anxiety and the anxiety disorders (pp. 681–706). Hillsdale, NJ, England: Lawrence Erlbaum Associates, Inc.
Velting, D. M. (1999). Personality and negative expectations: Trait structure of the Beck Hopelessness Scale. Personality and Individual Differences,26(5), 913–921. CrossRef
Wittchen, H.-U., Kessler, R. C., Pfister, H., & Lieb, M. (2000). Why do people with anxiety disorders become depressed? A prospective-longitudinal community study. Acta Psychiatrica Scandinavica,102, 14–23. CrossRef
Young, J. F., Mufson, L., & Davies, M. (2006). Impact of comorbid anxiety in an effectiveness study of interpersonal psychotherapy for depressed adolescents. Journal of the American Academy of Child & Adolescent Psychiatry,45(8), 904–912. CrossRef
- Responding to Anxiety with Rumination and Hopelessness: Mechanism of Anxiety-Depression Symptom Co-Occurrence?
Lisa R. Starr
- Springer US