Differential causal roles of Dysfunctional Attitudes and Automatic Thoughts in depression

Kwon, SeokMan; Oei, Tian P. S.

doi:10.1007/bf01183284

Cited by 155 publications

(133 citation statements)

References 34 publications

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“…Once they are activated, depressogenic schemas are thought to skew the information processing system, leading to the production of a high frequency of negative automatic thoughts, which are seen as the most proximal cause of depressive symptoms. In other words, the cognitive model of depression suggests that the relationship between depressogenic schemas and depressive symptoms is mediated by negative automatic thoughts, with most studies supporting this hypothesis (e.g., Cui et al, 2013;Estévez & Calvete, 2009;Kitamura & Tanaka, 2012;Kwon & Oei, 1992). Previous research related to ACT (Cristea et al, 2013;Ruiz & Odriozola-González, 2015) has shown that psychological inflexibility might play a relevant role in the CT model of depression.…”

Section: Discussionmentioning

confidence: 93%

“…Although not always (e.g., Barnett & Gotlib, 1990), most studies have supported the mediational role of negative automatic thoughts in the relationship between dysfunctional schemas and depressive symptoms (e.g., Cui, Shi, & Oei, 2013;Estévez & Calvete, 2009;Kitamura & Tanaka, 2012;Kwon & Oei, 1992). However, it remains relatively uninvestigated whether dysfunctional schemas lead directly to increases in the frequency of negative automatic thoughts in response to negative life events, or whether there are some psychological constructs that mediate or moderate this effect (for alternative mediators and moderators between depressogenic schemas and depression, see Ruiz & Odriozola-González, 2015;Şenormanci et al, 2014;Vanderhasselt et al, 2014).…”

Section: * Introductionmentioning

confidence: 99%

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The role of psychological inflexibility in Beck’s cognitive model of depression

Ruiz¹,

Odriozola-González²

2016

AN PSICOL-SPAIN

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Título: El papel de la inflexibilidad psicológica en el modelo cognitivo de la depresión de Beck en una muestra de universitarios. Resumen: El modelo cognitivo de depresión de Beck propone que los esquemas depresógenos dan lugar a síntomas depresivos al incrementar la frecuencia de pensamientos automáticos negativos en respuesta a eventos vitales negativos. Nuestro objetivo fue evaluar un modelo serial de mediación moderada en el que la inflexibilidad psicológica, concepto central del modelo de psicopatología de la Terapia de Aceptación y Compromiso (ACT), media y modera la relación entre los esquemas depresógenos y la frecuencia de pensamientos automáticos negativos. Se utilizó un diseño transversal donde 210 estudiantes universitarios respondieron cuestionarios que evaluaban los constructos de interés. Los resultados apoyaron el modelo de mediación moderada propuesto. Tanto la inflexibilidad psicológica como los pensamientos automáticos negativos fueron mediadores significativos de la relación entre esquemas depresógenos y síntomas depresivos, y la inflexibilidad psicológica también medió el efecto de los esquemas depresógenos en los pensamientos automáticos negativos. Se concluye seña-lando que el papel de la inflexibilidad psicológica en el modelo cognitivo merece mayor atención. Palabras clave: terapia cognitiva; terapia de aceptación y compromiso; inflexibilidad psicológica, evitación experiencial; esquemas depresógenos. Abstract:Beck's cognitive model of depression proposes that depressogenic schemas have an effect on depressive symptoms by increasing the frequency of negative automatic thoughts in response to negative life events. We aimed to test a moderated, serial mediation model where psychological inflexibility, a core concept of the Acceptance and Commitment Therapy (ACT) model of psychopathology, both mediates and moderates the relationship between depressogenic schemas and the frequency of negative automatic thoughts. A cross-sectional design was used in which 210 undergraduates responded to questionnaires assessing the constructs of interest. Results supported the proposed moderated mediation model. Both psychological inflexibility and negative automatic thoughts were significant mediators of the relationship between depressogenic schemas and depressive symptoms, and psychological inflexibility also moderated the effect of depressogenic schemas on negative automatic thoughts. We conclude that the role of psychological inflexibility in the cognitive model of depression deserves more attention.

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Section: Discussionmentioning

confidence: 93%

Section: * Introductionmentioning

confidence: 99%

The role of psychological inflexibility in Beck’s cognitive model of depression

Ruiz¹,

Odriozola-González²

2016

AN PSICOL-SPAIN

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“…In addition, this study supports the effectiveness of ICBT, which is associated with a reduction in scores on the BDI (De Rubeis and Crits-Christoph, 1998; Oei and Dingle, 2007) and GCBT (De Rubeis and Crits-Christoph, 1998;Dobson,1989;Kwon and Oei, 1992;Mukthar et al, 2011). The findings above were consistent with Kwon and Oei (2003) and in GCBT whereby reductions in scores were noted in the initial stage and non-significant changes were reported between the eighth and final session.…”

Section: Measures Of Depressive Symptomsmentioning

confidence: 57%

Positive effects of Individual Cognitive Behavior Therapy for patients with unipolar mood disorders with suicidal ideation in Malaysia: A randomised controlled trial

Sinniah

Oei

Maniam

et al. 2017

Psychiatry Research

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The aim of this study was to investigate the effectiveness of Individual Cognitive Behavior Therapy (ICBT) in treating patients with mood disorders with suicidal ideation. A total of 69 patients (48 females, 21 males) with the diagnoses above were randomly allocated to either the group of Treatment As Usual (TAU) + ICBT (n=33) or the TAU group (n=36). All participants completed the Beck Depression Inventory (BDI), Beck Scale for Suicide Ideation (BSS), Positive and Negative Suicide Ideation Inventory (PANSI), Beck Hopelessness Scale (BHS), and Depression Anxiety Stress Scale-21 (DASS-21).These questionnaires were administered at pretreatment, midway through treatment (week 4), post-treatment (week 8), and at follow-ups after three months (week 20) and six months (week 32). Factorial ANOVA results showed that the TAU+ICBT patients improved significantly and at faster rate as compared to the TAU group, which showed improvement only from pre to mid treatment on DASS-D and BHS-T measures. The effect size (Cohen's d), for the TAU+ICBT group showed large effect (1.47) for depressive symptoms and suicidal ideation (1.00). These findings suggest that ICBT used in addition to the TAU, was effective in enhancing treatment outcome of patients with unipolar mood disorders as well as, reducing risk for suicide behavior.

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“…Validation studies of Beck's diathesis-stress component in a student population have indicated that the interaction of dysfunctional attitudes and negative life events was related to subsequent depressive symptoms [12][13][14][15][16]19,24]. However, other researchers have failed to observe the interaction [17,[25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

“…Based on the aforementioned assumptions, depressogenic schemas can be regarded as a cognitive vulnerability factor or diathesis-stress component of depression. In the past 30 years, empirical studies have used self-reported dysfunctional attitudes as a method for assessing depressogenic schemas [12][13][14][15][16][17][18][19][20][21][22]. Our study adopted the method used by the past studies and employed dysfunctional attitude as the operationalization of depressogenic schemas.…”

Section: Introductionmentioning

confidence: 99%

A Moderated Mediation Model of Negative Life Events, Dysfunctional Attitudes, the Cognitive Triad and Depressive Symptoms

Ku¹

2017

J Depress Anxiety

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Differential causal roles of Dysfunctional Attitudes and Automatic Thoughts in depression

Cited by 155 publications

References 34 publications

The role of psychological inflexibility in Beck’s cognitive model of depression

The role of psychological inflexibility in Beck’s cognitive model of depression

Positive effects of Individual Cognitive Behavior Therapy for patients with unipolar mood disorders with suicidal ideation in Malaysia: A randomised controlled trial

A Moderated Mediation Model of Negative Life Events, Dysfunctional Attitudes, the Cognitive Triad and Depressive Symptoms

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