The Curious Neglect of High Functioning After Psychopathology: The Case of Depression
Abstract
We address a key issue at the intersection of emotion, psychopathology, and public health—the startling lack of attention to people who experience benign outcomes, and even flourish, after recovering from depression. A rereading of the epidemiological literature suggests that the orthodox view of depression as chronic, recurrent, and lifelong is overstated. A significant subset of people recover and thrive after depression, yet research on such individuals has been rare. To facilitate work on this topic, we present a generative research framework. This framework includes (a) a proposed definition of healthy end-state functioning that goes beyond a reduction in clinical symptoms, (b) recommendations for specific measures to assess high functioning, and (c) a road map for a research agenda aimed at discovering how and why people flourish after emotional disturbance. Given that depression remains the most burdensome health condition worldwide, focus on what makes these excellent outcomes possible has enormous significance for the public health.
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Many studies have demonstrated the clinical importance of reducing residual depression symptoms because they have a large impact on long-term depression outcomes.
“Many studies have demonstrated the clinical importance of reducing residual depression symptoms, as they have a large impact on long-term depression outcomes (Rottenberg et al. 2018).”
From The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Real-World Healthcare Services (2020) · cites this paper as Rottenberg et al. 2018
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Major Depression and Its Recurrences: Life Course Matters
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- Authors
- Rottenberg, J., Devendorf, A. R., Kashdan, T. B., & Disabato, D. J.
- Affiliations
- University of South Florida (US)
- George Mason University (US)
- Corresponding author
- Rottenberg, Jonathan
- Venue
- Perspectives on Psychological Science
- Publisher
- SAGE Publications
- Published
- 2018-09
- Volume
- 13
- Issue
- 5
- Pages
- 549-566
- ISSN
- 1745-6916 (ISSN-L)
- 1745-6924
- OpenAlex
- W2889636334
- Cited by
- 40
- References
- 140
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 1 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 3 · 2019: 9 · 2018: 1 · 2013: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Perspectives on Psychological Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- depression, recovery from depression, eudaimonia, chronicity of depression, research framework, outcome measures
- MeSH terms
- Depression, Depressive Disorder, Humans, Personal Satisfaction
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