Effects of the Experience of Depression: Application of Focus Group and Survey Methodologies
Abstract
The popularity of cognitive theories of depression has not appreciably increased attention to the effects of depression on how its sufferers subsequently think about themselves and structure their lives. As a first step in a program of systematic research, we recruited recent and former depressed psychiatric patients to participate in focus group discussions of their experience of depression and how it has affected them. Statements elicited in two focus groups were classified into eight categories: lack of energy and the loss of self-efficacy, fear of recurrence, fear of taking risks, inability to trust oneself, self-presentation and concealment, concern about being a burden to others, secondary guilt about having been depressed, and reduced involvement in interpersonal relationships. These results were then used as the basis for the construction of a survey instrument, the Self-Appraisal Questionnaire (SAQ), and strong differences were found between recently recovered depressed women and a sample of women without a history of depression. Taken together, results of the focus groups and the survey study support the utility of a limited "sick role" for recovering depressed persons.
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Fear surrounding experiencing another MDE influenced participants' decision making and willingness to take risks.
“Others have reported that the fear surrounding experiencing another MDE influenced participant’s decision making and willingness to take risks [11].”
From Fear of depression recurrence among individuals with remitted depression: a qualitative interview study (2024) · cites this paper as [11]
Individuals may behave differently following an MDE out of fear of future relapse, such as reducing risk-taking and being hypervigilant to symptom changes.
“Individuals may behave differently following an MDE out of fear of future relapse, such as reducing risk-taking and being hypervigilant to symptom changes [11].”
From Fear of depression recurrence among individuals with remitted depression: a qualitative interview study (2024) · cites this paper as [11]
Similar impacts of FoDR on functioning and self-perceptions were described by Coyne et al. [11] who found that living through an MDE provided some participants with a renewed sense of strength, whereas others felt pressured to continuously manage their mental health and reduce risk taking.
“Similar impacts of FoDR on functioning and self-perceptions were described by Coyne et al. [11] who found that living through an MDE provided some participants with a renewed sense of strength, whereas others felt pressured to continuously manage their mental health and reduce risk taking.”
From Fear of depression recurrence among individuals with remitted depression: a qualitative interview study (2024) · cites this paper as [11]
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“Similar impacts of FoDR on functioning and self-perceptions were described by Coyne et al. [11] who found that living through an MDE provided some participants with a renewed sense of strength, whereas others felt pres-sured to continuously manage their mental health and reduce risk taking.”
BackgroundInfluential
- Authors
- Coyne, J. C., & Calarco, M. M.
- Affiliations
- University of Michigan (US)
- ORCID
- Calarco, Margaret M.
- Venue
- Psychiatry
- Publisher
- Informa UK Limited
- Published
- 1995-05
- Volume
- 58
- Issue
- 2
- Pages
- 149-163
- ISSN
- 0033-2747 (ISSN-L)
- 1943-281X
- OpenAlex
- W2397277600
- Cited by
- 66
- References
- 31
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 1 · 2020: 1 · 2015: 1 · 2013: 2 · 2012: 2
- FWCI
- 5.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (1f31nr006161-01, 5r01mh043796-06)
- National Institute of Mental Health (R01MH43796)
- National Institute of Nursing Research (F31-NR06161)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- depression, lived experience of depression, self-efficacy, fear of recurrence, self-presentation, guilt, interpersonal relationships, sick role, recovery from depression, women with depression, cognitive theories of depression
- MeSH terms
- Adaptation, Psychological, Adult, Depressive Disorder, Female, Humans, Interpersonal Relations, Male, Middle Aged, Personality Assessment, Psychotherapy, Group, Self Concept, Sick Role
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