Depressive personality styles and bipolar spectrum disorders: prospective tests of the event congruency hypothesis

被引:90
作者
Francis-Raniere, Erika L.
Alloy, Lauren B.
Abramson, Lyn Y.
机构
[1] Temple Univ, Dept Psychol, Philadelphia, PA 19122 USA
[2] Univ Wisconsin, Dept Psychol, Madison, WI 53706 USA
关键词
bipolar spectrum disorder; depression; hypomania; life events; personality;
D O I
10.1111/j.1399-5618.2006.00337.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: Research on unipolar depression has found that life events that are congruent with an individual's personality style increase vulnerability to depression (event congruency hypothesis). We tested whether the interaction of personality style and congruent life events predicted prospective increases in depressive and hypomanic symptoms among bipolar spectrum individuals over a 4-month follow-up. Methods: We followed 106 bipolar II or cyclothymic individuals prospectively for 4 months. Participants completed three measures of personality style at time 1 and a life event scale and semi-structured life events and diagnostic interviews at follow-up. Life events were coded as congruent or non-congruent with the personality styles. Results: A personality style characterized by self-criticism and performance evaluation interacted with congruent negative and positive events, respectively, to predict increases in depressive and hypomanic symptoms, respectively, over the 4 months. In contrast, an attachment-oriented personality style buffered against depression following congruent negative events. Conclusion: Consistent with the event congruency hypothesis, a personality style focused on performance, high self-standards, and self-criticism may increase vulnerability to both depressive and hypomanic symptoms when bipolar individuals confront life events congruent with this style. In contrast, a personality style concerned with attachment to others may buffer against depression when bipolar individuals face congruent negative events.
引用
收藏
页码:382 / 399
页数:18
相关论文
共 85 条
[1]   Cognitive/personality subtypes of depression: Theories in search of disorders [J].
Abramson, LY ;
Alloy, LB ;
Hogan, ME .
COGNITIVE THERAPY AND RESEARCH, 1997, 21 (03) :247-265
[2]  
Alloy L.B., 1999, J COGN PSYCHOTHER, V13, P21, DOI [10.1891/0889-8391.13.1.21, DOI 10.1891/0889-8391.13.1.21]
[3]   The psychosocial context of bipolar disorder: Environmental, cognitive, and developmental risk factors [J].
Alloy, LB ;
Abramson, LY ;
Urosevic, S ;
Walshaw, PD ;
Nusslock, R ;
Neeren, AM .
CLINICAL PSYCHOLOGY REVIEW, 2005, 25 (08) :1043-1075
[4]   ILLUSION OF CONTROL - INVULNERABILITY TO NEGATIVE AFFECT AND DEPRESSIVE SYMPTOMS AFTER LABORATORY AND NATURAL STRESSORS [J].
ALLOY, LB ;
CLEMENTS, CM .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1992, 101 (02) :234-245
[5]   The temple-Wisconsin cognitive vulnerability to depression project: Lifetime history of axis I psychopathology in individuals at high and low cognitive risk for depression [J].
Alloy, LB ;
Abramson, LY ;
Hogan, ME ;
Whitehouse, WG ;
Rose, DT ;
Robinson, MS ;
Kim, RS ;
Lapkin, JB .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2000, 109 (03) :403-418
[6]  
ALLOY LB, 2004, SOC RES PSYCH
[7]  
ALLOY LB, IN PRESS J SOC CLIN
[8]  
American Psychiatric Association, 1994, DIAGN STAT MAN
[9]  
[Anonymous], 1978, Schedule for Affective Disorders and Schizophrenia-Change version
[10]  
[Anonymous], 1999, Journal of Cognitive Psychotherapy: An International Quarterly