Publication

Understanding emotion and emotional scarring in recurrent depression

van Rijsbergen, G. D., Hollon, S. D., Elgersma, H. J., Kok, G. D., Dekker, J., Schene, A. H. & Bockting, C. L. H., May-2015, In : Comprehensive Psychiatry. 59, p. 54-61 8 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

van Rijsbergen, G. D., Hollon, S. D., Elgersma, H. J., Kok, G. D., Dekker, J., Schene, A. H., & Bockting, C. L. H. (2015). Understanding emotion and emotional scarring in recurrent depression. Comprehensive Psychiatry, 59, 54-61. https://doi.org/10.1016/j.comppsych.2015.02.010

Author

van Rijsbergen, Gerard D. ; Hollon, Steven D. ; Elgersma, Hermien J. ; Kok, Gemma D. ; Dekker, Jack ; Schene, Aart H. ; Bockting, Claudi L. H. / Understanding emotion and emotional scarring in recurrent depression. In: Comprehensive Psychiatry. 2015 ; Vol. 59. pp. 54-61.

Harvard

van Rijsbergen, GD, Hollon, SD, Elgersma, HJ, Kok, GD, Dekker, J, Schene, AH & Bockting, CLH 2015, 'Understanding emotion and emotional scarring in recurrent depression', Comprehensive Psychiatry, vol. 59, pp. 54-61. https://doi.org/10.1016/j.comppsych.2015.02.010

Standard

Understanding emotion and emotional scarring in recurrent depression. / van Rijsbergen, Gerard D.; Hollon, Steven D.; Elgersma, Hermien J.; Kok, Gemma D.; Dekker, Jack; Schene, Aart H.; Bockting, Claudi L. H.

In: Comprehensive Psychiatry, Vol. 59, 05.2015, p. 54-61.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

van Rijsbergen GD, Hollon SD, Elgersma HJ, Kok GD, Dekker J, Schene AH et al. Understanding emotion and emotional scarring in recurrent depression. Comprehensive Psychiatry. 2015 May;59:54-61. https://doi.org/10.1016/j.comppsych.2015.02.010


BibTeX

@article{a24ce176746f4ed6a657f3f20650f719,
title = "Understanding emotion and emotional scarring in recurrent depression",
abstract = "BACKGROUND: A single-item assessment of sad mood after remission from MDD is predictive of relapse, yet the mechanisms that play a role in depressive relapse remain poorly understood.METHODS: In 283 patients, remitted from recurrent depression (DSM-IV-TR criteria; HAM-D17 score ?10), we examined emotional scarring, that is, whether the number of previous depressive episodes was associated with higher levels of sad mood as assessed with a 1-item Visual Analogue Mood Scale (VAMS). We then fitted a cross-sectional multivariate regression model to predict sad mood levels, including the Dysfunctional Attitude Scale Version-A, cognitive reactivity (Leiden Index of Depression Sensitivity), Ruminative Response Scale, and Everyday Problem Checklist.RESULTS: Patients with greater numbers of prior episodes experienced higher levels of sad mood after remission. In multivariate regression, intensity of daily stress and dysfunctional beliefs were associated with the VAMS (Adj. R(2)=.091) although not over and above depressive symptomatology (Adj. R(2)=.114). Cognitive reactivity was not associated with sadness.CONCLUSIONS: Our finding that patients with more previous MDEs reported higher levels of sad mood while remitted could be indicative of emotional scarring. Dysfunctional beliefs and intensity of daily stress were associated with sad mood but not over and above residual symptoms. Thus, illness related characteristics especially are associated with sad mood after remission. More negative affect after remission could result in lower stress tolerance or more stress intensity could result in negative affect. Future studies should examine premorbid sadness in a longitudinal cohort, and should study the exact pathway from stress, affect, and cognition to relapse.",
keywords = "Emotion, Affect, scarring, relapse, depression, ETIOLOGY, emotion regulation, stress",
author = "{van Rijsbergen}, {Gerard D.} and Hollon, {Steven D.} and Elgersma, {Hermien J.} and Kok, {Gemma D.} and Jack Dekker and Schene, {Aart H.} and Bockting, {Claudi L. H.}",
note = "M1 - Article",
year = "2015",
month = "5",
doi = "10.1016/j.comppsych.2015.02.010",
language = "English",
volume = "59",
pages = "54--61",
journal = "Comprehensive Psychiatry",
issn = "0010-440X",
publisher = "W B SAUNDERS CO-ELSEVIER INC",

}

RIS

TY - JOUR

T1 - Understanding emotion and emotional scarring in recurrent depression

AU - van Rijsbergen, Gerard D.

AU - Hollon, Steven D.

AU - Elgersma, Hermien J.

AU - Kok, Gemma D.

AU - Dekker, Jack

AU - Schene, Aart H.

AU - Bockting, Claudi L. H.

N1 - M1 - Article

PY - 2015/5

Y1 - 2015/5

N2 - BACKGROUND: A single-item assessment of sad mood after remission from MDD is predictive of relapse, yet the mechanisms that play a role in depressive relapse remain poorly understood.METHODS: In 283 patients, remitted from recurrent depression (DSM-IV-TR criteria; HAM-D17 score ?10), we examined emotional scarring, that is, whether the number of previous depressive episodes was associated with higher levels of sad mood as assessed with a 1-item Visual Analogue Mood Scale (VAMS). We then fitted a cross-sectional multivariate regression model to predict sad mood levels, including the Dysfunctional Attitude Scale Version-A, cognitive reactivity (Leiden Index of Depression Sensitivity), Ruminative Response Scale, and Everyday Problem Checklist.RESULTS: Patients with greater numbers of prior episodes experienced higher levels of sad mood after remission. In multivariate regression, intensity of daily stress and dysfunctional beliefs were associated with the VAMS (Adj. R(2)=.091) although not over and above depressive symptomatology (Adj. R(2)=.114). Cognitive reactivity was not associated with sadness.CONCLUSIONS: Our finding that patients with more previous MDEs reported higher levels of sad mood while remitted could be indicative of emotional scarring. Dysfunctional beliefs and intensity of daily stress were associated with sad mood but not over and above residual symptoms. Thus, illness related characteristics especially are associated with sad mood after remission. More negative affect after remission could result in lower stress tolerance or more stress intensity could result in negative affect. Future studies should examine premorbid sadness in a longitudinal cohort, and should study the exact pathway from stress, affect, and cognition to relapse.

AB - BACKGROUND: A single-item assessment of sad mood after remission from MDD is predictive of relapse, yet the mechanisms that play a role in depressive relapse remain poorly understood.METHODS: In 283 patients, remitted from recurrent depression (DSM-IV-TR criteria; HAM-D17 score ?10), we examined emotional scarring, that is, whether the number of previous depressive episodes was associated with higher levels of sad mood as assessed with a 1-item Visual Analogue Mood Scale (VAMS). We then fitted a cross-sectional multivariate regression model to predict sad mood levels, including the Dysfunctional Attitude Scale Version-A, cognitive reactivity (Leiden Index of Depression Sensitivity), Ruminative Response Scale, and Everyday Problem Checklist.RESULTS: Patients with greater numbers of prior episodes experienced higher levels of sad mood after remission. In multivariate regression, intensity of daily stress and dysfunctional beliefs were associated with the VAMS (Adj. R(2)=.091) although not over and above depressive symptomatology (Adj. R(2)=.114). Cognitive reactivity was not associated with sadness.CONCLUSIONS: Our finding that patients with more previous MDEs reported higher levels of sad mood while remitted could be indicative of emotional scarring. Dysfunctional beliefs and intensity of daily stress were associated with sad mood but not over and above residual symptoms. Thus, illness related characteristics especially are associated with sad mood after remission. More negative affect after remission could result in lower stress tolerance or more stress intensity could result in negative affect. Future studies should examine premorbid sadness in a longitudinal cohort, and should study the exact pathway from stress, affect, and cognition to relapse.

KW - Emotion

KW - Affect

KW - scarring

KW - relapse

KW - depression

KW - ETIOLOGY

KW - emotion regulation

KW - stress

U2 - 10.1016/j.comppsych.2015.02.010

DO - 10.1016/j.comppsych.2015.02.010

M3 - Article

VL - 59

SP - 54

EP - 61

JO - Comprehensive Psychiatry

JF - Comprehensive Psychiatry

SN - 0010-440X

ER -

ID: 17553443