Cognitive and life stress predictors of relapse in remitted unipolar depressed patients: test of the congruency hypothesis

J Abnorm Psychol. 1992 Feb;101(1):26-36. doi: 10.1037//0021-843x.101.1.26.

Abstract

Remitted depressed subjects (N = 59) were followed longitudinally to determine whether dependent or self-critical persons are more vulnerable to relapse after exposure to life events that have a bearing on interpersonal or achievement concerns. Regression analyses indicated that congruency effects, as measured by the occurrence of achievement-related adversity in the lives of self-critical subjects, accounted for a significant increment in relapse variance over each variable entered singly. When data from the 2 months just before relapse were analyzed, some evidence of congruency effects in dependent subjects experiencing interpersonal-related adversity was obtained. These findings highlight the dimensional qualities of life even impact and call for greater differentiation in modeling the activation of a diathesis and precipitation of depression after life stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Combined Modality Therapy
  • Depressive Disorder / psychology*
  • Depressive Disorder / therapy
  • Female
  • Follow-Up Studies
  • Hospitalization*
  • Humans
  • Life Change Events*
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Personality Assessment
  • Personality Development*
  • Prospective Studies
  • Risk Factors
  • Self Concept*