Cognitive conflicts in major depression: Between desired change and personal coherence.
Objectives The notion of intrapsychic conflict has been present in psychopathology for more than a century within different theoretical orientations. However, internal conflicts have not received enough empirical attention, nor has their importance in depression been fully elaborated. This study is...
| Publicado en: | British Journal of Clinical Psychology Vol. 53; no. 4; pp. 369 - 386 |
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| Autores principales: | , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103902524&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103902524 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01446657 99B jtl: British Journal of Clinical Psychology issn: 01446657 maglogo: Y pubinfo: dt: Nov2014 vid: 53 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 103902524 98698459 10.1111/bjc.12050 NLM24734969 103902524 ppf: 369 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Cognitive conflicts in major depression: Between desired change and personal coherence. aug: au: Feixas, Guillem Montesano, Adrián Compañ, Victoria Salla, Marta Dada, Gloria Pucurull, Olga Trujillo, Adriana Paz, Clara Muñoz, Dámaris Gasol, Miquel Saúl, Luis Ángel Lana, Fernando Bros, Ignasi Ribeiro, Eugenia Winter, David Carrera-Fernández, María Jesús Guàrdia, Joan affil: Department of Personality, Assessment and Psychological Treatments, University of Barcelona; Institute for Brain Cognition and Behaviour University of Barcelona sug: subj: Depression Complications Human Cross Sectional Studies Male Female Adult Middle Age Aged Questionnaires Summated Rating Scaling Chi Square Test Descriptive Statistics Data Analysis Software Mann-Whitney U Test Spearman's Rank Correlation Coefficient Content Analysis Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objectives The notion of intrapsychic conflict has been present in psychopathology for more than a century within different theoretical orientations. However, internal conflicts have not received enough empirical attention, nor has their importance in depression been fully elaborated. This study is based on the notion of cognitive conflict, understood as implicative dilemma ( ID), and on a new way of identifying these conflicts by means of the Repertory Grid Technique. Our aim was to explore the relevance of cognitive conflicts among depressive patients. Design Comparison between persons with a diagnosis of major depressive disorder and community controls. Methods A total of 161 patients with major depression and 110 non-depressed participants were assessed for presence of IDs and level of symptom severity. The content of these cognitive conflicts was also analysed. Results Repertory grid analysis indicated conflict (presence of ID/s) in a greater proportion of depressive patients than in controls. Taking only those grids with conflict, the average number of IDs per person was higher in the depression group. In addition, participants with cognitive conflicts displayed higher symptom severity. Within the clinical sample, patients with IDs presented lower levels of global functioning and a more frequent history of suicide attempts. Conclusions Cognitive conflicts were more prevalent in depressive patients and were associated with clinical severity. Conflict assessment at pre-therapy could aid in treatment planning to fit patient characteristics. Practitioner points Internal conflicts have been postulated in clinical psychology for a long time but there is little evidence about its relevance due to the lack of methods to measure them., We developed a method for identifying conflicts using the Repertory Grid Technique., Depressive patients have higher presence and number of conflicts than controls., Conflicts (implicative dilemmas) can be a new target for intervention in depression., Cautions/Limitations A cross-sectional design precluded causal conclusions., The role of implicative dilemmas in the causation or maintenance of depression cannot be ascertained from this study. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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