UIUC PSYC 238 - Joiner (2000) - Depression’s Vicious Scree (16 pages)

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Joiner (2000) - Depression’s Vicious Scree



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Joiner (2000) - Depression’s Vicious Scree

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Pages:
16
School:
University of Illinois at Urbana, Champaign
Course:
Psyc 238 - Abnormal Psych

Unformatted text preview:

Depression s Vicious Scree Self Propagating and Erosive Processes in Depression Chronicity Thomas E Joiner Jr Florida State University Depression is remarkably persistent and recurrent Why Although several predictors of depression chronicity have been identi ed a conceptual framework regarding mechanisms whereby depression chronicity occurs is lacking The goal of this article is to explain depression chronicity at least in part with reference to processes mostly interpersonal in nature that serve to extend and reestablish depression Several such processes are described and available empirical evidence regarding each is reviewed Clinical and research implications of the present conceptualization are elucidated To the degree that these processes receive continued empirical support as mechanisms whereby depression persists they represent leverage points to combat the vexing problem of depression chronicity Key words depression chronicity interpersonal explanation self propagatory factors Clin Psychol Sci Prac 7 203 218 2000 Depression persists and recurs Average length of major depressive episodes is approximately 8 months in adults Shapiro Keller 1981 and 9 months in children Kovacs Obrosky Gatsonis Richards 1997 Incredibly mean length of dysthymic episodes may be as much as 30 years in adults Shelton Davidson Yonkers Koran 1997 the corresponding gure for children is 4 years Kovacs et al 1997 Emslie Rush Weinberg and Guillon 1997 found that 61 of depressed children experienced recurrence of depression within 2 years similar Address correspondence to Thomas E Joiner Department of Psychology Florida State University Tallahassee FL 323061270 Electronic mail may be sent to joiner psy fsu edu 2000 AMERICAN PSYCHOLOGICAL ASSOCIATION D12 2 year relapse rates have been reported among adults Belsher Costello 1988 Bothwell Scott 1997 In studies with follow ups of 10 years or more Coryell and Winokur 1992 found that 70 of people with one depressive episode subsequently



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