Attachment, dysfunctional attitudes, self-esteem, and association to depressive symptoms in patients with mood disorders
| Autor: | Kristina Fuhr, Jan Kraemer, Thomas Meyer, Martin Hautzinger, Ivanina Reitenbach |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Bipolar Disorder Dysfunctional family Affect (psychology) behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine Cognition mental disorders medicine Attachment theory Humans 0501 psychology and cognitive sciences Bipolar disorder Psychiatry Psychiatric Status Rating Scales Cognitive vulnerability Depressive Disorder Mood Disorders 05 social sciences Middle Aged medicine.disease Object Attachment Cognitive bias Self Concept 030227 psychiatry Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Mood disorders Attitude Case-Control Studies Female Psychology Clinical psychology |
| Zdroj: | Journal of affective disorders. 212 |
| ISSN: | 1573-2517 |
| Popis: | Background Cognitive factors might be the link between early attachment experiences and later depression. Similar cognitive vulnerability factors are discussed as relevant for both unipolar and bipolar disorders. The goals of the study were to test if there are any differences concerning attachment style and cognitive factors between remitted unipolar and bipolar patients compared to controls, and to test if the association between attachment style and depressive symptoms is mediated by cognitive factors. Methods A path model was tested in 182 participants (61 with remitted unipolar and 61 with remitted bipolar disorder, and 60 healthy subjects) in which adult attachment insecurity was hypothesized to affect subsyndromal depressive symptoms through the partial mediation of dysfunctional attitudes and self-esteem. Results No differences between patients with remitted unipolar and bipolar disorders concerning attachment style, dysfunctional attitudes, self-esteem, and subsyndromal depressive symptoms were found, but both groups reported a more dysfunctional pattern than healthy controls. The path models confirmed that the relationship between attachment style and depressive symptoms was mediated by the cognitive variables ‘dysfunctional attitudes’ and ‘self-esteem’. Limitations With the cross-sectional nature of the study, results cannot explain causal development over time. Conclusions The results emphasize the relevance of a more elaborate understanding of cognitive and interpersonal factors in mood disorders. It is important to address cognitive biases and interpersonal experiences in treatment of mood disorders. |
| Databáze: | OpenAIRE |
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