A resilience framework for promoting stable remission from depression
Open accessAbstract
A significant proportion of people in remission from depression will experience a recurrence of depression. One theoretical mechanism for this recurrence is that with each additional episode of depression, people become more sensitive to the deleterious effects of less powerful stressors. We propose that research on resilience - the ability to adapt to and recover from stress - can inform interventions to prevent recurrence in people in remission. We conceptualize resilience as a dynamic process that may be deficient in people in remission from depression, rather than as a static personal quality that is unattainable to people who have experienced psychopathology. The three aspects of resilience that we suggest are the most important to target to prevent recurrence are (1) improving stress recovery from minor daily stressors that may aid remitted people in coping with major stressors, (2) increasing positivity, like promoting positive emotions during stress, and (3) and training flexibility-the ability to identify different demands in the environment and employ the appropriate coping strategy to meet those demands. We offer suggestions for the appropriate assessment of changes in resilience in remitted people and provide some examples of effective resilience interventions.
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Improving resilience has been shown to prevent the development and recurrence of depression and other adverse outcomes such as PTSD.
“while improving resilience has shown to prevent the development and recurrence of depression and other adverse outcomes such as PTSD [12, 27].”
From Effectiveness of a guided ACT-based self-help resilience training for depressive symptoms during pregnancy: Study protocol of a randomized controlled trial embedded in a prospective cohort. (2020) · cites this paper as [12]
The conclusion (Resilience in Remission, p. 29) proposes resilience training to reduce depression recurrence but says studies are still needed to test its effectiveness. The PTSD discussion (p. 9) reports improved resilience scores after treatment in patients who already had PTSD, not prevention of PTSD. The paper therefore does not establish the claimed prevention of depression onset or recurrence, or of PTSD. (LLM, conf=0.88)
Experimental — accuracy not yet measuredResilience is an important protective factor against the development of depression.
“An important protective factor against the development of depression is resilience: adapting to and recovering from stress [12].”
From Effectiveness of a guided ACT-based self-help resilience training for depressive symptoms during pregnancy: Study protocol of a randomized controlled trial embedded in a prospective cohort. (2020) · cites this paper as [12]
The Abstract defines resilience as adapting to and recovering from stress, and p. 7 links resilience to whether people develop psychopathology after a stressor. But the paper’s proposed protective role in depression specifically concerns preventing recurrence in people already in remission, not preventing its initial development. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIn non-pregnant populations, positive associations between resilience and psychological well-being have been observed.
“In non-pregnant populations, positive associations between resilience and psychological well-being have been observed [12].”
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- Authors
- Waugh, C. E., & Koster, E. H. W.
- Affiliations
- Wake Forest University (US)
- Ghent University (BE)
- Corresponding author
- Waugh, Christian E.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 41
- Pages
- 49-60
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2011590028
- Semantic Scholar
- 4979d0b7a68c9ad9a9f886ce3e453336830bdee1
- Cited by
- 202
- References
- 142
- Citations by year
- 2026: 14 · 2025: 15 · 2024: 15 · 2023: 19 · 2022: 31 · 2021: 13 · 2020: 22 · 2019: 27 · 2018: 15 · 2017: 9 · 2016: 10 · 2015: 12
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- green
- biblio.ugent.be
- Licence
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Funders
- Ghent University (BOF10/GOA/014)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- resilience, depression remission, depression recurrence prevention, stress recovery, daily hassles, positive emotions, coping flexibility, resilience interventions, resilience assessment, stress adaptation
- MeSH terms
- Depressive Disorder, Humans, Remission Induction, Stress, Psychological, Resilience, Psychological, Secondary Prevention
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