Abstract

BackgroundCognitive theories of depression suggest that beliefs of low self-worth and the tendency to attribute negative events to causes that are global (widespread rather than specific) and stable (will persist rather than change in the future) are associated with the development of depressed mood. Such theories are supported by evidence from prospective studies and have guided the development of successful treatment and prevention strategies such as CBT. However, the relative importance of different psychological constructs within cognitive theories is unknown. This is important to refine cognitive theories and develop more efficient prevention strategies. MethodWe used prospective data from over 3500 young adults from the Avon Longitudinal Study for Parents and Children (ALSPAC) cohort in the UK to investigate the association between cognitive style, measured by short forms of the Dysfunctional Attitudes Scale (DAS) and Cognitive Styles Questionnaire-Short Form (CSQ-SF) at age 18, and future depressed mood at age 19. Structural equation modelling techniques were used to separate cognitive style constructs. ResultsCognitive styles were associated with future depressed mood, independently of baseline mood, both as measured by the DAS-SF and the CSQ-SF. Of the different CSQ-SF constructs, only global attributions were associated with both baseline and future mood independently of other constructs. LimitationsThe study was subject to attrition and the follow-up was relatively short (10 months). ConclusionThe findings suggest that the tendency to attribute negative events specifically to global causes could be particularly important for depression. Reducing global attributions is potentially important in the prevention and treatment of depression.

Highlights

  • Depression during adulthood is one of the leading causes of disabilities worldwide

  • There was little evidence that the association with Dysfunctional Attitudes Scale (DAS)-SF was independent of Cognitive Styles QuestionnaireShort Form (CSQ-SF), while the association with the Cognitive Style Questionnaire (CSQ)-SF was relatively unaffected by adjusting for the Dysfunctional Attitudes Scale-Short Form (DAS-SF)

  • Including all CSQ-SF subscale summed-scores in the same mutually adjusted regression model resulted in no evidence for independent associations between depressed mood at 19 and any of the CSQ-SF construct summed scores

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Summary

Introduction

Depression during adulthood is one of the leading causes of disabilities worldwide. It is associated with substantial disruption to social, educational and occupational functioning (Thapar et al, 2012). Cognitive theories of depression suggest that beliefs of low self-worth and the tendency to attribute negative events to causes that are global (widespread rather than specific) and stable (will persist rather than change in the future) are associated with the development of depressed mood. Such theories are supported by evidence from prospective studies and have guided the development of successful treatment and prevention strategies such as CBT. The relative importance of different psychological constructs within cognitive theories is unknown This is important to refine cognitive theories and develop more efficient prevention strategies. Reducing global attributions is potentially important in the prevention and treatment of depression

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