Depression recurrence after recovery: prognostic value of implicit and explicit self-depressed associations
Open accessAbstract
Identifying predictors of depression recurrence may highlight targets for relapse prevention. This study tested the hypothesis that strength of implicit and explicit self-depressed associations (SDA) following recovery would lower the threshold for the recurrence of depression. Two main analyses were conducted to test: (i) predictive validity of SDA for recurrence in individuals with a history of depression (at least six months depression free; n = 616, six-year follow-up); (ii) predictive validity of both post-depression SDA and the extent of change in SDA following recovery for recurrence in individuals who recovered in the first two years of the study (n = 220, four-year follow-up). Further exploratory analysis tested the scar model of SDA in participants without a history of depression at baseline. Recurrence rate was 49% in both the first and second analysis. In the first analysis, implicit SDA and explicit SDA were related to recurrence in the unadjusted models, but not when controlling for baseline symptoms. In the second analysis, post-depression explicit SDA predicted recurrence over and above baseline residual depressive symptomatology. There was no support that implicit SDA following depression related to recurrence. However, there was support that stronger explicit SDA following a recent depression increased risk for recurrence.
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- Authors
- van Tuijl, L. A., Glashouwer, K. A., Elgersma, H. J., Bockting, C. L. H., Penninx, B. W. J. H., & de Jong, P. J.
- Affiliations
- University of Groningen (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- ORCID
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 107
- Pages
- 76-82
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2806386341
- Cited by
- 11
- References
- 31
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 1
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, cc-by-nc-nd)
- Pure Amsterdam UMC (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek
- ZonMw (10-000-1002, 451-15-026)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- depression recurrence, implicit associations, explicit associations, relapse prevention, recovery from depression, predictive validity, residual depressive symptoms
- MeSH terms
- Adolescent, Adult, Aged, Depression, Depressive Disorder, Female, Humans, Longitudinal Studies, Male, Middle Aged, Prognosis, Recurrence, Self Concept, Secondary Prevention, Young Adult
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