Tripartite Model Of Depression Research Articles

Longitudinal mediation effect of hassles between neuroticism and dimensions of the tripartite model in college students.

This study addresses a gap in the literature by exploring the longitudinal effects of hassles in mediating the relationship between neuroticism and the tripartite model of depression and anxiety. The research investigates these associations in a large sample of university students, utilising baseline and 6-month follow-up data. Initial assessments involved participants completing measures for neuroticism, depression and anxiety symptoms, and the occurrence of stress, followed by monthly assessments of stress, anxiety symptom and mood symptoms over a 6-month period. Our results illuminate the mediating role of daily hassles in the relationship between neuroticism and various dimensions of anxiety and depression, including general distress, specific depression, and anxiety symptoms. These findings underscore the significant impact of neuroticism and hassles on a broad spectrum of mood symptoms, offering valuable insights for both research and clinical practice. Discussions around the implications of these findings are provided in the our paper, where we also outline potential directions for future research and clinical applications.

The Tripartite Model of Depression in Schizophrenia and Bipolar Disorder: A Secondary Analysis.

Models of affect, like the tripartite model, suggest that positive affect (PA) and negative affect (NA) are independent between subjects and negatively correlated within. Correlations may differ in bipolar disorder (BD) and schizophrenia. Using ecological momentary assessment (EMA) and clinical ratings, this secondary analysis evaluated the tripartite model by examining PA and NA. Two hundred eighty-one participants with BD or a psychotic disorder completed 30 days of EMA of PA and NA, and clinical raters assessed depression. PA and NA were more related between subjects and less related within subjects among participants with schizophrenia. In BD, lower momentary PA was positively associated with clinical ratings of depression, although greater momentary NA was not significantly associated with clinical ratings. In schizophrenia, the inverse was found. These results suggest that the tripartite model was not confirmed in people with schizophrenia or BD. However, PA and NA manifested associations in BD that were more congruent with population studies than in schizophrenia. These findings may have implications for clinical interventions targeting depression, PA, and NA in these populations.

Physiological reactivity during autobiographical narratives in older adults: the roles of depression and anxiety

Objectives: Physiological reactivity (PR) describes the change in physiological functioning (e.g., heart rate, blood pressure, pulse pressure) that occurs after the induction of a stressful task. This study aims to understand the influence of mental health symptoms on patterns of PR during autobiographical narratives in an older adult sample.Method: Eighty older adults completed self-report measures regarding their symptoms of depression and anxiety. Next, their blood pressure was recorded while they completed two verbal autobiographical narratives.Results: During the positive narrative, anxiety was positively associated with increased PR while depression was negatively associated with PR. During the negative narrative, a significant interaction occurred whereby anxiety was significantly positively associated with PR for those participants low in depression.Discussion: The above results are explained in the context of the Tripartite Model of Depression and Anxiety, which predicts different patterns of PR as a function of mental health symptoms. Limitations and future directions are also discussed.

Biases in Affective Forecasting and Recall in Individuals With Depression and Anxiety Symptoms

The authors used experience sampling to investigate biases in affective forecasting and recall in individuals with varying levels of depression and anxiety symptoms. Participants who were higher in depression symptoms demonstrated stronger (more pessimistic) negative mood prediction biases, marginally stronger negative mood recall biases, and weaker (less optimistic) positive mood prediction and recall biases. Participants who were higher in anxiety symptoms demonstrated stronger negative mood prediction biases, but positive mood prediction biases that were on par with those who were lower in anxiety. Anxiety symptoms were not associated with mood recall biases. Neither depression symptoms nor anxiety symptoms were associated with bias in event prediction. Their findings fit well with the tripartite model of depression and anxiety. Results are also consistent with the conceptualization of anxiety as a "forward-looking" disorder, and with theories that emphasize the importance of pessimism and general negative information processing in depressive functioning.

An Examination of the Tripartite Model of Depressive and Anxiety Symptoms in African American Youth: Stressors and Coping Strategies as Common and Specific Correlates

The purpose of the current study was to examine the tripartite model of depression and anxiety in a community-based sample of 278 African American adolescents (M age = 12.89) from low-income communities and to identify stressors and coping strategies that were associated with the specific features of each disorder. Participants reported on depression, anxiety, stressors, and coping strategies. As predicted, the three-factor structure of the tripartite model was a valid representation of anxiety and depression in African American youth. Further, stressors and coping strategies showed specific associations to features of depression and anxiety. The findings provide evidence of factors that may help to distinguish between internalizing symptoms in African American youth.

Subjective Well-Being Mediates the Effects of Resilience and Mastery on Depression and Anxiety in a Large Community Sample of Young and Middle-Aged Adults

The tripartite model of depression and anxiety hypothesizes that positive and negative affect is related to depression and anxiety. However, the specific role of cognitive or psychological well-being constructs like resilience and mastery within a tripartite context and throughout adulthood is unclear. Data was drawn from two longitudinal population-based cohorts, aged 20-24 and 40-44 based in Canberra, Australia (N = 3989). We sought to determine the interrelatedness of two affective measures of subjective well-being, positive and negative affect, with two cognitive measures of psychological well-being, resilience and mastery. We then tested their independent effects on depression and anxiety, and hypothesized, following the tripartite model, that subjective well-being would mediate the effects of the psychological well-being variables on mental health and that the psychological well-being variables would be more strongly related to positive subjective well-being. Principal axis factoring delineated four affective and cognitive dimensions of well-being comprising positive and negative affect, resilience and mastery. Structural equation models identified the psychological well-being variables as significantly related to subjective well-being, which fully mediated the effects of resilience and partially mediated the effect of mastery on depression and anxiety. These findings were consistent throughout both young and middle adulthood. Psychological well-being components are significant predictors of subjective well-being affect states that increase vulnerability to depression and anxiety.

The Relationship of Cognitive Style and Attachment Style to Depression and Anxiety in Young Adults

This study examined the associations between attachment style and cognitive style and depression and anxiety symptomatology. Using a college sample of 167 participants, the tripartite model of depression and anxiety (Clark & Watson, 1991) was employed to examine whether the construct of negative affectivity could account for the previously reported relationships between insecure attachment style and negative cognitive style and both depression and anxiety. Negative cognitive style and insecure attachment were found to be significantly associated with both depression and anxiety symptomatology. Although negative affectivity effectively accounted for the relationships between negative cognitive style and both depression and anxiety and could explain the relationship between insecure attachment and anxiety, it failed to account for the association between insecure attachment and depression. In addition, negative cognitive style and insecure attachment appeared to be independently and uniquely associated with negative affect, rather than forming a mediational relationship.

A test of the tripartite model's prediction of anhedonia's specificity to depression: patients with major depression versus patients with schizophrenia

The tripartite model of depression and anxiety suggests that anhedonia represents a relatively specific marker of depression. A strong version of this view is that anhedonic symptoms would particularly characterize depressed patients, even when compared to another diagnostic group-schizophrenic patients-for whom anhedonic symptoms represent a well-studied feature. This prediction was tested among 102 VA psychiatric inpatients (95 men), ages 21-72 (M=43.56; S.D.=8.47), all of whom received diagnoses of either major depression (n=50) or schizophrenia (n=52) based on structured diagnostic interviews. As predicted, patients with major depression scored significantly higher on the anhedonic symptoms scale of the Beck Depression Inventory (BDI) than did patients with schizophrenia. However, there was no difference between the two groups on the BDI total score or the BDI non-anhedonic symptoms score. Consistent with the tripartite model, anhedonic symptoms were more related to depressive vs. schizophrenic diagnostic status, whereas non-anhedonic depressive symptoms were not. Within the study's limitations, results were interpreted as relatively strong support for the validity and extension of the tripartite model.

Unique Effects of Depressive and Anxious Symptomatology on Daily Stress and Coping

Abstract We used a 14-day diary design to evaluate the unique effects of college students' depressive and anxious symptomatology on the occurrence of specific types of daily events, primary and secondary appraisals, use of specific coping strategies, and end-of-day mood. Initial depression was associated with more negative secondary appraisals, less frequent use of social support coping, muted positive affective reactions to low stress ratings and high coping efficacy ratings, and stronger reductions in positive affect in response to emotion expression coping. In contrast, initial anxiety was associated with less frequent reporting of academic stressors and less effective use of problem-focused coping. These findings suggest that depression and anxiety have unique effects on the daily stress and coping process, and they support the construct validity of Clark and Watson's (1991) tripartite model of depression and anxiety.

Information processing and cognitive organization in unipolar depression: specificity and comorbidity issues.

This study investigated information processing and cognitive organization in clinical depression. The specificity of various cognitive mechanisms to depression was also examined. Twenty-six depressed/anxious individuals, 24 pure depressives, 25 never-depressed anxious controls, and 25 nonpsychiatric controls completed a modified Stroop task, the Self-Referent Encoding Task, and two tasks designed to assess cognitive structure. Comorbid depressed/anxious, depressed, and anxious groups performed similarly to one another but differed significantly from nonpsychiatric controls, on the processing and organization of negative content. Specificity to depression was also obtained, as both depressed groups endorsed and recalled less positive information and organized positive self-relevant information with less interconnectedness than anxious individuals and nonpsychiatric controls. These results suggest that depressed individuals have an interconnected negative self-representational system and lack a well-organized positive template of self. These findings are discussed in terms of cognitive models of depression and the tripartite model of depression and anxiety.

Physiological hyperarousal: construct validity of a central aspect of the tripartite model of depression and anxiety.

Physiological hyperarousal (PH) is an understudied component of the tripartite model of depression and anxiety. This study contributes to the literature on PH, the tripartite model, and anxiety and its disorders, using data from psychotherapy outpatients (n = 2,448), air force cadets (n = 1,335), and undergraduates (n = 284). Psychometrics and exploratory and confirmatory factor analyses showed that PH is a reliable, cohesive, discriminable, and valid construct. Compared with subjective anxiety, PH was more associated to panic versus mood disordered status, and to panic versus generalized anxiety disordered status. As hypothesized, an aspect of anxiety sensitivity (i.e., fear of body sensations) was particularly related to subjective anxiety in the presence of PH. Results support the PH construct as replicable, valid, and clinically important and support the utility of the tripartite and related models for understanding the relation of depressive and anxious syndromes.

A Confirmatory Factor-Analytic Validation of the Tripartite Model of Depression and Anxiety Among Undergraduates in Spain

The tripartite model of depression and anxiety proposes that low positive affect is a specific indicator of depression, whereas high physiological hyperarousal is a specific marker of anxiety. High negative affect, while common to both syndromes, is specific to neither. To test the validity of the tripartite model, we administered self-report scales on positive affect, negative affect, and physiological hyperarousal to 388 undergraduates in Spain. LISREL confirmatory factor analytic techniques were used. Consistent with the predictions of the tripartite view and with previous work on North American samples (e.g., Joiner, 1996), a three-factor model with Positive Affect, Physiological Hyperarousal, and Negative Affect as factors, provided the best fit for the observed data. These findings contribute to an emerging literature on the validity of the tripartite model, and, furthermore, are the first to indicate that the model and its implications may be applied cross-culturally.

Relation between symptoms of anxiety and depression in children: a multitrait-multimethod-multigroup assessment.

Teacher, parent, peer, and self-ratings of depression and anxiety symptoms were obtained from 280 3rd-grade and 211 6th-grade children. Confirmatory factor analysis of these multitrait-multimethod data for 3rd graders revealed low but statistically significant levels of convergent validity, high levels of method variance, and an extremely high correlation between the depression and anxiety factors, even after controlling for shared method variance. Similar analyses of 6th graders revealed slightly higher levels of convergent validity and a somewhat smaller correlation between the depression and anxiety factors. The data support a unified construct model for younger children and are consistent with either a dual factor or a tripartite model of depression and anxiety in older children.

Tripartite structure of positive and negative affect, depression, and anxiety in child and adolescent psychiatric inpatients.

The tripartite model of depression and anxiety suggests that depression and anxiety have shared (generalized negative affect) and specific (anhedonia and physiological hyperarousal) components. In one of the 1st studies to examine the structure of mood-related symptoms in youngsters, this model was tested among 116 child and adolescent psychiatric inpatients, ages 8-16 (M = 12.46; SD = 2.33). Consistent with the tripartite model, a 3-factor (Depression, Anxiety, and Negative Affect) model represented the observed data well. Follow-up analyses suggested that a nonhierarchical arrangement of the 3 factors may be preferable to a hierarchical one.

Gender differences in depression: The role of anxiety and generalized negative affect

This study used the tripartite model of depression and anxiety to examine whether gender differences in depression may be accounted for, in part, by the overlap of depression with anxiety and negative affectivity. The tripartite model distinguishes between pure forms of depression and anxiety, co-morbid depression and anxiety, and mixed anxiety-depression. One hundred-six college students completed questionnaires that measured depression, anxiety, and negative and positive affectivity. Results were moderately consistent with hypotheses. Specifically, the proportion of women versus men was significantly higher in the categories of co-morbid depression and anxiety and mixed anxiety-depression, but not in the categories of “specific” (i.e., “pure”) depression or anxiety. It is argued that “specific” depression may be equally prevalent in men and women, but that other depression-related syndromes may be more common among women than men.