Cognitive reactivity among high-risk individuals at the first and recurrent episode of depression symptomology: A structural equation modelling analysis.
Fei Fei Huang, Wei-Ti Chen, Yu An Lin and 2 others
PMID 32969568WHAT IT FOUND
Stronger negative thinking triggered by low mood was associated with poorer sleep, higher neuroticism and negative emotion, and less social support, resilience and self-compassion in people at high risk of first or recurrent depression.
Key findings
01In people at high risk for first-episode depression, stronger cognitive reactivity was associated with lower social support, resilience and self-compassion, and with higher neuroticism, poorer sleep and more negative emotion.
02In people at high risk for recurrent depression, stronger cognitive reactivity was associated with higher neuroticism, more negative emotion and poorer sleep, and with lower social support, resilience, self-compassion and positive life events.
03The fitted models estimated that cognitive reactivity accounted for 45% of variance in depressive symptoms in the first-episode high-risk group and 52% in the recurrent high-risk group.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional, so it cannot show that any factor caused depression or that changing it would help. Convenience sampling and recruitment of nonclinical young adults may limit how well the findings apply to other patients. All key measures were self-reported questionnaires, so responses may be subjective and were not confirmed by clinician assessment. The models did not explain most variance in depression, so other important factors were not included. The models showed acceptable fit but still need testing in larger samples.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that changing social support, resilience, self-compassion, sleep, negative emotion or neuroticism will prevent depression. This was a cross-sectional questionnaire study, so it shows associations, not cause and effect or tested treatment effects.