The relationship between dysfunctional attitudes, rumination response styles and depression

Abstract

The relationship between dysfunctional attitudes, rumination response styles and depressionObjective: In our study we aimed to investigate the relationship between rumination response styles, dysfunctional attitudes and depression. Methods: 60 patients diagnosed with depression according to the DSM-IV-TR diagnostic criteria in the Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery outpatient clinics are involved in our study. All participants were administered a sociodemographic questionnaire, the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Beck Depression Inventory (BDI), Dysfunctional Attitude Scale (DAS) and Ruminative Responses Scale (RRS-short version). Results: In our study, there was mild-moderate negative correlation between depression and the perfectionist attitudes, need for approval, independent attitudes subscores. The RRS-short version brooding subscore was highly positively correlated with depression. Depression and RRS-short version reflecting score was moderately and positively correlated. As predictors of depression, high subscores of RRS-short version brooding and RRS-short version reflected increased risk for depression, whereas high subscores of DAS perfectionist attitudes are evaluated to be protective for depression. Conclusions: In our study, in contrast to the literature, it was shown that dysfunctional attitudes are not positively correlated with depression nor are they predictors of depression. However, it may not be appropriate to make such comment based on a single study. Factors that can lead to this conclusion are discussed in the study. On the other hand, our study emphasizes the key role of rumination in depression. In practice of cognitive behavioral therapy of which efficacy in treatment of patients with depression has been know, assessment of ruminative responses, treatment techniques for reducing ruminative responses should be targeted. Key words: Brooding, depression, dysfunctional attitudes, reflecting, rumination ÖZET Ruminatif yanıt biçimi ve fonksiyonel olmayan tutumların majör depresyonla ilişkisiAmaç: Araştırmamızda, majör depresyon (M.depresyon) hastalarında depresyon ile ruminatif yanıt biçimi ve fonksiyonel olmayan tutumların ilişkisinin araştırılması amaçlandı. Yöntem: Araştırmaya, Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi ayakta tedavi birimlerine başvuran, DSM-IV-TR ölçütlerine göre unipolar depresyon tanısı konulan 60 hasta dahil edildi. Katılımcılar sosyodemografik veri formu, DSM-IV Eksen Bir Tanıları İçin Yapılandırılmış Klinik Görüşme (SCID-I), Beck Depresyon Envanteri (BDE), Fonksiyonel Olmayan Tutumlar Ölçeği (FOTÖ-A), Kısa Form-Ruminasyon Ölçeği (KF-RÖ) ile değerlendirildi. Bulgular: Araştırmamızda, depresyon ile FOTÖ-A mükemmelci tutum puanı, onay görme ihtiyacı, bağımsız tutum puanları arasında negatif yönde, zayıf-orta düzeyde, anlamlı bir ilişki vardı. Depresyon ile KF-RÖ saplantılı düşünme (brooding) puanları arasında pozitif yönde, iy...

The effect of a solution‐oriented approach in depressive patients on social functioning levels and suicide probability

“…Yağcı et al 54 stated that individuals with depressive symptoms had higher rates of suicide and psychiatric consultation. Increased depressive symptoms and rumination are closely related to suicide 55,56 . The solution‐focused approach applied to depressive individuals significantly reduced depressive symptoms, anxiety and ruminative thought, and increased hope 29,30,49,57‐59 …”

“…These benefits can be interpreted as the long-term effect of the SOAI on negative self, devotion to life, and pressive symptoms and rumination are closely related to suicide. 55,56 The solution-focused approach applied to depressive individuals significantly reduced depressive symptoms, anxiety and ruminative thought, and increased hope. 29,30,49,[57][58][59] Studies conducted in nursing to determine the effect of a solution-oriented approach on suicide in depressive individuals are not common.…”