Pessimistic attributional style for positive life events as a predictor of low mental health in russian sample

T Gordeeva,O Sychev

doi:10.1192/j.eurpsy.2021.900

Abstract

IntroductionAttributional style (AS) indicates cognitive dispositions for explaining positive and negative events. People with pessimistic АS explain failure with stable and global causes. Previous studies and meta-analyses (Hu et al., 2015; Peterson et al., 1985; Zhang et al., 2014) showed that pessimistic AS for failures is a reliable predictor of depression and ill-being, but the possible mediators of such relations are understudied.ObjectivesOur main objective was to analyse relations of pessimistic AS for success and failure with mental health. We hypothesized that pessimistic AS would be a predictor of low mental health mediated by self-esteem, dispositional optimism, and gratitude.MethodsA cross-sectional study was conducted on a sample of 261 adults (MA=32.09, SD=12.53, 13% male) using a 24-item attributional style questionnaire (SFASQ, Gordeeva et al., 2009), mental well-being scale (Tennant et al., 2007), self-esteem scale (Rosenberg, 1965), gratitude questionnaire (McCullough et al., 2002), and LOT (Scheier, Carver, 1985).ResultsA path model of effects of pessimistic AS in positive and negative situations on mental ill-being was developed. The model with three mediators fits the data very well: CFI=0.990; RMSEA=0.048. The pessimistic attributional style for positive events was a significant predictor of mental ill-being mediated by self-esteem, dispositional optimism, and gratitude while the indirect effect of pessimistic AS for failures on mental ill-being (controlling for age) was not significant.ConclusionsOnly the pessimistic AS for successes but not for failures was a significant predictor of mental ill-being which underline the importance of stable and global attributions of positive life events for mental health.

Highlights

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Summary

Introduction

Psychiatric symptoms associated with Primary hyperparathyroidism (PHPT) involved several presentations; the most characteristic is depression. PHPT remains often overlooked by physicians when making differential diagnosis for patients with psychiatric disorders, in the elderly. Methods: We report a case of PHPT revealed by depression. Results: A 73-year-old man presented with a 3-month history of depressed mood, loss of interest, clinophilia, poor concentration, and weight loss. These symptoms were associated with epigastralgia and constipation not responding to symptomatic treatment. The diagnosis of major depression was established, and the patient was treated with Sertraline (25 mg/day). Conclusions: This case highlighted the importance of considering a primary psychiatric disorder as a diagnosis of exclusion, especially