The role of stressful life events appraisal in major depressive disorder
| Autor: | Eugenio Ferro, Yvonne Gómez Maquet, Catalina Cañizares, José David Ángel, Álvaro Arenas, Diana María Agudelo, María Claudia Lattig |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Adolescent Population Vulnerability Logistic regression Life Change Events Young Adult medicine Humans education Depression (differential diagnoses) Aged General Environmental Science Depressive Disorder Major education.field_of_study Cognition Middle Aged Models Theoretical medicine.disease Logistic Models Case-Control Studies Predictive power General Earth and Planetary Sciences Major depressive disorder Female Perception Attribution Psychology Stress Psychological Clinical psychology |
| Zdroj: | Revista Colombiana de Psiquiatría (English ed.). 49:67-74 |
| ISSN: | 2530-3120 |
| DOI: | 10.1016/j.rcpeng.2018.07.003 |
| Popis: | Introduction Major depressive disorder (MDD) is a multifactorial disease in which, due to the interaction of several variables, the vulnerability of suffering from it increases. Several models, such as the diathesis–stress model, have explained these interactions. However, experiencing stressful events does not always lead to the development of MDD, and the attribution and appraisal of stressful events contributing to further development of depression symptoms has been considered as a possible explanation. Objective To determinate the association and the predictive power of the frequency and appraisal of stressful life events to predict MDD symptomatology. Methods Case–control study with 120 psychiatric patients and 120 people from the general population. A structured clinical interview and the life events questionnaire (Sandin and Chorcot) were used to evaluate the sample. The data were analysed with non-parametric tests and binary logistic regression. Results The psychiatric patients reported significantly higher levels of negative affect, frequency of stressful life events, perceived stress, negative appraisal of the situation and lack of perceived control. The binary logistic regression model indicated that poor perception of control of the stressful event is the most determining factor, followed by negative evaluation of the situation. Conclusions The attributions that are made regarding a stressful event are variables that predict MDD, specifically the assessment of the perceived control over the situation. These results concur with the aetiological models of MDD, such as the cognitive diathesis–stress model. |
| Databáze: | OpenAIRE |
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