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Cited by 94Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and DisordersChild and Adolescent Psychosocial and Emotional Development

An examination of avoidance in major depression in comparison to social anxiety disorder

Ottenbreit, Nicole D., Dobson, Keith S., Quigley, Leanne·2014·Behaviour Research and Therapy
DOI 10.1016/j.brat.2014.03.005
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Abstract

The construct of avoidance has begun to receive attention in theoretical models and empirical investigations of depression. However, little is known about relative levels of avoidance across diagnostic categories or about the relationships between avoidance and other correlates of depression. The present study compared levels of avoidance across groups of depressed women without social anxiety disorder (MDD without SAD), depressed women with social anxiety disorder (MDD with SAD), women with social anxiety disorder (SAD), and nonclinical women, and investigated the relationships among avoidance, and sociotropy and autonomy, rumination, and negative and positive problem orientations within the clinically depressed group. Avoidance was found to be significantly higher in all clinical groups relative to the nonclinical group of women, and highest in the comorbid MDD with SAD group. Avoidance showed significant positive relationships with sociotropy, autonomy, rumination, and negative problem orientation, and a significant negative relationship with positive problem orientation within the overall sample of depressed women. These results suggest that avoidance should be given greater consideration in psychosocial models of depression and point to several important directions for future research.

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  • Frequent avoidance of perceived unpleasant conditions by depressed individuals results in limited exposure to positively-reinforced behaviors and social activities, increasing the risk of recurrence.

    “Ferster (1973) suggested that avoidance plays a role in which frequent avoidance of perceived unpleasant conditions by depressed individuals results in limited exposure to positively-reinforced behaviors and social activities [52, 53] hence increasing the risk of recurrence.”

    From Predictors of recurrence of major depressive disorder (2020) · cites this paper as [53]

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Authors
Ottenbreit, N. D., Dobson, K. S., & Quigley, L.
Affiliations
  • Alberta Health Services (CA)
  • University of Calgary (CA)
Corresponding author
Dobson, Keith S.
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2014-05
Volume
56
Pages
82-90
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2014.03.005
OpenAlex
W2030372995
Cited by
94
References
56
Citations by year
2026: 7 · 2025: 7 · 2024: 11 · 2023: 9 · 2022: 6 · 2021: 7 · 2020: 13 · 2019: 6 · 2018: 6 · 2017: 9 · 2016: 7 · 2015: 5 · 2014: 1
FWCI
10.20
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
avoidance, major depressive disorder, social anxiety disorder, comorbidities, women, sociotropy, autonomy, rumination, problem orientation
MeSH terms
Adult, Anxiety Disorders, Avoidance Learning, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Interpersonal Relations, Problem Solving, Thinking, Case-Control Studies, Personal Autonomy, Young Adult

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