Sociotropy, Autonomy and Emotional Symptoms in Patients with Major Depression or Generalized Anxiety: The Mediating Role of Rumination and Immature Defenses
| Autor: | José Fernández-Rey, Carmen Senra, Hipólito Merino, Ruth Martínez |
|---|---|
| Přispěvatelé: | Universidade de Santiago de Compostela. Departamento de Psicoloxía Clínica e Psicobioloxía |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 050103 clinical psychology Mediation (statistics) Generalized anxiety disorder Health Toxicology and Mutagenesis media_common.quotation_subject Dependency Psychological lcsh:Medicine Context (language use) immature defenses Anxiety Multiple mediation models Article Thinking 03 medical and health sciences 0302 clinical medicine Rumination medicine Personality Humans multiple mediation models 0501 psychology and cognitive sciences Affective Symptoms autonomy sociotropy Autonomy Emotional symptoms media_common Depressive Disorder Major emotional symptoms Depression Immature defenses 05 social sciences lcsh:R Public Health Environmental and Occupational Health rumination Sociotropy medicine.disease 030227 psychiatry Major depressive disorder Female medicine.symptom Psychology Clinical psychology |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 17, Iss 5716, p 5716 (2020) International Journal of Environmental Research and Public Health Volume 17 Issue 16 Minerva: Repositorio Institucional de la Universidad de Santiago de Compostela Universidad de Santiago de Compostela (USC) Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela instname |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | The relationships between dimensions of personality (sociotropy and autonomy), coping strategies (rumination: brooding and reflection subtypes, and immature defenses) and symptoms of depression and anxiety were explored in patients with Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD). A total of 279 patients completed questionnaires including measures of personality dimensions, rumination, immature defenses, depression and anxiety. Our findings suggested that sociotropy and autonomy may be associated with both depressive and anxious symptoms in patients with MDD and with GAD. Multiple mediation analyses indicated that brooding always acted as a mediating link between personality vulnerabilities (sociotropy and autonomy) and depressive and anxiety symptoms, independently of the patient group. In addition, in patients with MDD and those with GAD, brooding and immature defenses functioned together by linking sociotropy and autonomy, respectively, with depressive symptoms. Our results also showed that, in patients with GAD, both types of rumination explained the relationship between sociotropy and autonomy and anxiety symptoms. Overall, our findings provided evidence of the transdiagnostic role of the brooding, linking the vulnerability of personality dimensions and emotional symptoms. They also indicated that reflection and immature defenses can operate in conjunction with brooding, depending on the type of vulnerability and emotional context. |
| Databáze: | OpenAIRE |
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