scholarly journals Are Perfectionistic Thoughts an Antecedent or a Consequence of Depressive Symptoms? A Cross-Lagged Analysis of the Perfectionism Cognitions Inventory

2019 ◽  
Vol 38 (1) ◽  
pp. 99-111 ◽  
Author(s):  
Avi Besser ◽  
Gordon L. Flett ◽  
Simon B. Sherry ◽  
Paul L. Hewitt
Keyword(s):  
Depressive Symptoms ◽  
Life Events ◽  
Structural Equation ◽  
Longitudinal Research ◽  
Depression Scale ◽  
Automatic Thoughts ◽  
Equation Modeling ◽  
Major Life Events ◽  
Major Life ◽  
Cross Sectional

Perfectionistic automatic thoughts have been linked with depressive symptoms in numerous cross-sectional studies, but this link has not been assessed in longitudinal research. An investigation with two timepoints was conducted to test whether perfectionistic automatic thoughts, as assessed by the Perfectionism Cognitions Inventory (PCI), are contributors to subsequent depression or vice versa. The possible role of a third factor (major life events stress) was also evaluated. A sample of 118 university students completed the PCI, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Life Experiences Survey on two occasions with a 5-month interval. A cross-lagged analysis using structural equation modeling showed that above and beyond within-time associations and across-time stability effects, perfectionism automatic thoughts contributed to subsequent depressive symptoms and not vice versa. Negative life events stress was correlated significantly with both depressive symptoms and perfectionism automatic thoughts but did not have an influence on Time 2 depressive symptoms or on perfectionistic automatic thoughts. Our discussion focuses on perfectionistic automatic thoughts as a contributor to depressive vulnerability according to the perfectionism cognition theory.

A new look at nursing home residents’ depressive symptoms: the role of basic versus expanded everyday competence

2016 ◽  
Vol 29 (1) ◽  
pp. 165-175 ◽  
Author(s):  
Mona Diegelmann ◽  
Hans-Werner Wahl ◽  
Oliver K. Schilling ◽  
Carl-Philipp Jansen ◽  
Katrin Classen ◽  
...  
Keyword(s):  
Nursing Home ◽  
Depressive Symptoms ◽  
Perceived Control ◽  
Structural Equation ◽  
Depression Scale ◽  
Nursing Home Residents ◽  
Equation Modeling ◽  
Future Research ◽  
Cross Sectional

ABSTRACTBackground:Depressive symptoms are highly prevalent in nursing home (NH) residents. The relationship between depressive symptoms and everyday competence in terms of basic (BaCo) and expanded everyday competence (ExCo; see Baltes et al., 2001) in the NH setting is, however, not clear. Applying Lewinsohn's depression model, we examined how residents’ BaCo and ExCo relate to their depressive symptoms. Furthermore, we investigated the mediating role of perceived control.Methods:Cross-sectional data from 196 residents (Mage = 83.7 years, SD = 9.4 years) of two German NHs were analyzed. Study variables were assessed by the Geriatric Depression Scale-Residential (GDS-12R), maximal gait speed (BaCo), proxy ratings of residents’ in-home activity participation, and self-initiated social contact done by staff (ExCo). Structural equation modeling (SEM) was used and a simulation study was included to determine power and potential estimation bias.Results:At the descriptive level, one quarter of the residents showed symptoms of depression according to the GDS-12R cut-off criterion. Residents’ BaCo and ExCo were independently and equally strongly associated with their depressive symptoms in the SEM analysis. These findings were affected neither by cognitive impairment, sex, nor age. Perceived control mediated between BaCo but not ExCo and depressive symptoms.Conclusion:Future research needs to follow the connection between residents’ everyday competence and their depressive symptoms longitudinally to better understand the underlying mechanisms.

Abstract MP87: Major Life Events and Social Strain are Associated with Incident Coronary Heart Disease: Results from the Women’s Health Initiative (WHI)

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Kiarri N Kershaw ◽  
Gretchen Brenes ◽  
Luenda E Charles ◽  
Mace Coday ◽  
Martha L Daviglus ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Behaviors ◽  
Life Events ◽  
Structural Equation ◽  
Equation Modeling ◽  
Major Life Events ◽  
Major Life ◽  
Current Smoking ◽  
Social Strain ◽  
Poor Diet

Background: Despite the longstanding notion that psychosocial stressors are associated with higher CHD risk, findings from epidemiologic studies are mixed. Recent research suggests positive associations may be driven by angina pectoris, a condition more susceptible to reporting bias, rather than MI. We assessed associations of major life events (MLE) and social strain with incident CHD defined as the first occurrence of clinical MI, definite silent MI, or death due to definite or possible CHD. We also examined whether these relationships were mediated by several health behaviors. Methods: WHI participants (baseline ages 50-79) with complete data on all covariates were included. Baseline MLE scores were calculated and broken into quartiles based on the occurrence of 11 different life events in the past year and the extent to which each event upset them. Baseline social strain was assessed with four questions and divided into tertiles. Mean follow-up time was 11.2 years. Cox proportional hazard models were used to separately estimate associations of MLE and social strain with incident CHD. Structural equation modeling was used to quantify mediation by health behaviors (current smoking, heavy alcohol use, poor diet, and physical activity) measured at baseline and Year 3. Results: Greater MLE and social strain were positively associated with incident CHD. Health behaviors accounted for 30.1% of the association between highest (vs. lowest) MLE category and incident CHD and 23.0% of the high (vs. low) strain-CHD relationship. Current smoking was the strongest mediator for both MLE (23.6%) and strain (16.3%), followed by physical activity (4.6% each) and poor diet (2.1% and 2.6%, respectively). Conclusions: We found MLE and social strain were both associated with incident CHD, and that these relationships were mediated by the same set of health behaviors. However, a substantial proportion of these associations were not explained by health behaviors alone, suggesting alternative pathways need to be explored.

scholarly journals SOCIAL ENGAGEMENT AND DEPRESSIVE SYMPTOMS IN OLDER AFRICAN AMERICANS: A 6-YEAR CROSS-LAGGED PANEL ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S754-S755
Author(s):  
James Muruthi ◽  
J Tina Savla
Keyword(s):  
Depressive Symptoms ◽  
African Americans ◽  
Social Engagement ◽  
Structural Equation ◽  
Equation Modeling ◽  
Panel Analysis ◽  
Cross Sectional ◽  
Group Activities ◽  
Religious Services ◽  
Older African Americans

Abstract Although previous studies have extensively investigated the cross-sectional relationship between social engagement and depressive symptoms in late life, longitudinal studies have produced mixed results. Furthermore, studies on the associations between these two concepts among aging African Americans are few. Using a sample of 1688 older African Americans adults from waves 1 and 7 of the National Health and Aging Trends Study (60% women; Average age = 77 years), the present study investigates the longitudinal associations between social engagement (an index from scores on visiting friends and family, attending religious services, attending religious services, participating in group activities, and going out for enjoyment) and depressive symptoms across seven years. Structural equation modeling was used to test cross-lagged relationships between the variables. Findings suggest that social engagement at baseline significantly predicted subsequent depressive symptoms and social engagement. Depressive symptoms at baseline, however, were not significantly associated with subsequent social engagement. These findings suggest that low social engagement in older African Americans is directly associated with increased depressive symptoms over time, but not vice versa. The implications of these findings are discussed in relation to the barriers of social engagement for older African Americans and its effects on their mental health.

An Exploratory Study of Pathways from White Matter Hyperintensities to Cognitive Impairment through Depressive Symptoms Using Structural Equation Modeling: A Cross Sectional Study in Patients with Dementia

2020 ◽  
Vol 26 (7) ◽  
pp. 679-689
Author(s):  
Chang Hyun Lee ◽  
Do Hoon Kim
Keyword(s):  
Cognitive Impairment ◽  
Structural Equation Modeling ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
White Matter ◽  
Structural Equation ◽  
White Matter Hyperintensities ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Cross Sectional

AbstractObjective:The aim of this study was to model the relationships among white matter hyperintensities (WMHs), depressive symptoms, and cognitive function and to examine the mediating effect of depressive symptoms on the relationship between WMHs and cognitive impairment.Methods:We performed structural equation modeling using cross-sectional data from 1158 patients from the Clinical Research for Dementia of South Korea (CREDOS) registry who were diagnosed with mild-to-moderate dementia. Periventricular white matter hyperintensities (PWMHs) and deep white matter hyperintensities (DWMHs) were obtained separately on the protocol of magnetic resonance imaging (MRI). Depression and cognitive function were assessed using the Korean Form of the Geriatric Depression Scale (KGDS) and the Seoul Neuropsychological Screening Battery (SNSB), respectively.Results:The model that best reflected the relationships among the variables was the model in which DWMHs affected cognitive function directly and indirectly through the depressive symptoms; on the other hand, PWMHs only directly affected cognitive function.Conclusions:This study presents the mediation model including the developmental pathway from DWMHs to cognitive impairment through depressive symptoms and suggests that the two types of WMHs may affect cognitive impairment through different pathways.

Pathways Between Acculturation and Health

2011 ◽  
Vol 33 (4) ◽  
pp. 524-539 ◽  
Author(s):  
Patricia Y. Miranda ◽  
Hector M. González ◽  
Wassim Tarraf
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Function ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Depression Scale ◽  
The Elderly ◽  
Population Based ◽  
Epidemiologic Studies ◽  
Functional Health ◽  
Cross Sectional

The purpose of this study was to assess the association between acculturation and functional health using multiple proxies of acculturation to examine explanatory pathways to clarify disparate health findings. A population-based cross-sectional, multistage probability sample from the Hispanic Established Populations for the Epidemiologic Studies of the Elderly ( N = 3,050) was used. The dependent variables of neuropsychiatric function were depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D]) and cognitive function (mini-mental state examination [MMSE]) examined in separate multivariable regression and structural equation models to examine the pathways between acculturation proxies and neuropsychiatric function. Findings indicated that three acculturation proxies were associated with cognitive function but none were associated with depressive symptoms. English proficiency fully mediated the associations between other acculturation proxies and cognitive function. The findings suggest that language plays a central role in the pathway between acculturation and health among Mexican-origin populations.

scholarly journals MOTERS DEPRESIŠKUMĄ LAIKOTARPIU PO GIMDYMO PROGNOZUOJANTYS VEIKSNIAI

Psichologija ◽  
2010 ◽  
Vol 42 ◽  
pp. 59-73
Author(s):  
O. Zamalijeva ◽  
R. Jusienė
Keyword(s):  
Depressive Symptoms ◽  
Postpartum Depression ◽  
Life Events ◽  
Postpartum Period ◽  
Structural Equation ◽  
Stressful Life Events ◽  
Well Being ◽  
Stressful Life ◽  
Equation Modeling

Vidutiniškai penktadalis moterų po gimdymo patiria įvairių psichologinių ir emocinių sunkumų, o tai savo ruožtu neigiamai veikia pačios moters savijautą, vaiko raidą bei santykius su vaiku ir šeima. Iki šiol nebuvo prieita prie vienodos nuomonės, kokie rizikos veiksniai reikšmingai nulemia moters depresiškumą laikotarpiu po gimdymo. Tyrėjų išvadose apie demografinių veiksnių, socialinės paramos, gimdymo ypatumų, patiriamo streso, emocinės ir fizinės būsenos bei kitų kintamųjų sąsajas su moters depresiškumu laikotarpiu po gimdymo yra prieštaravimų. Šio tyrimo tikslas – išsiaiškinti, kokie demografiniai, socialiniai, psichologiniai ir sveikatos veiksniai reikšmingai prognozuotų moters depresiškumą laikotarpiu po gimdymo. Tyrimas yra prospektyvus ir ilgalaikis – tiriamosios apklaustos nėštumo metu, pirmą mėnesį ir pusė metų po gimdymo. Tyrime analizuojami 66 savanoriškai sutikusių dalyvauti visuose trijuose tyrimo etapuose moterų duomenys. Tyrimo rezultatai, apskaičiuoti taikant struktūrinių lygčių modeliavimo metodą, leidžia teigti, kad vienintelis moters depresiškumą laikotarpiu po gimdymo prognozuojantis veiksnys, turintis tiesioginę reikšmę, yra moters depresiškumo vertinimas nėštumo metu. Taip pat daugiau depresijos simptomų laikotarpiu po gimdymo turi moterys, kurios prasčiau vertina savo pasiruošimą motinystei, jaučia stipresnį nerimą dėl gimdymo, mažiau patenkintos savo santykių su vyru kokybe, patyrė daugiau stresą keliančių gyvenimo įvykių ar laukiasi pirmo vaiko, tačiau prognostinis šių veiksnių ir moters depresiškumo laikotarpiu po gimdymo ryšys yra netiesioginis, o pasireiškia šių veiksnių įtaka depresiškumui nėštumo metu.Pagrindiniai žodžiai: depresiškumas po gimdymo, Edinburgo pogimdyminės depresijos skalė (EPDS), pasiruošimas motinystei.Predictors of women’s depression during postpartumperiod Zamalijeva O., Jusienė R. SummaryApproximately 20 percent of women suffer from postpartum depression after childbirth, which, in turn, negatively affects women’s well-being, child’s development and interactions with the child and family. Risk factors, which most significantly influence postpartum depression, have been analyzed by numerous researchers, seeking to make it possible to predict and identify women at risk before the onset of symptoms. Nevertheless, the data obtained is inconclusive and research results are contradictory. The most inconclusive results are those related to demographic and socioeconomic characteristics and their impact on depressive symptoms during postpartum period. Moreover, there are inconsistencies in conclusions concerning social support, pregnancy and delivery-related factors, stressful life events, emotional and physical health and their influence on postpartum depression. The goal of this research is to identify demographic, social, psychological and health related variables that could reliably predict women’s depression half year after delivery. This research is prospective and longitudinal, participants were interviewed at several assessment points – during pregnancy, the first month and half a year postpartum. The complete data about 66 women are analyzed in this article. The results of structural equation modeling (SEM), indicate that the only significant predictor of women’s depressive symptoms during postpartum period, having direct effect, is depression during pregnancy, i.e. women who report more depressive symptoms during pregnancy are significantly more likely to be depressed during postpartum period. Women who rated their subjective readiness for motherhood as lower, also with high anxiety concerning delivery, poor quality of relationship with a partner, and who reported more stressful life events, as well as primiparous women are at greater risk postpartum depression; however these variables and depressive symptoms during postpartum period are not directly related. The readiness for motherhood and anxiety concerning delivery predicts depression during pregnancy. The quality of relationships with partner, in turn, predicts both readiness for motherhood and anxiety concerning delivery. Finally, the readiness for motherhood could also be predicted by stressful life events and primiparity. The results of our study support the necessity of psychological interventions during the pregnancy in order to prevent postpartum depression.Keywords: perinatal depression, EPDS, readiness for motherhood.

scholarly journals Factors Influencing Depression and Mental Distress Related to COVID-19 Among University Students in China: Online Cross-sectional Mediation Study (Preprint)

2020 ◽  
Author(s):  
Yanqiu Yu ◽  
Rui She ◽  
Sitong Luo ◽  
Meiqi Xin ◽  
Lijuan Li ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
University Students ◽  
Psychosocial Factors ◽  
Structural Equation ◽  
Large Scale ◽  
Mental Distress ◽  
Severe Depression ◽  
Cognitive Behavioral ◽  
Equation Modeling ◽  
Cross Sectional

BACKGROUND The COVID-19 epidemic may elevate mental distress and depressive symptoms in various populations in China. OBJECTIVE This study investigates the levels of depression and mental distress due to COVID-19, and the associations between cognitive, behavioral, and psychosocial factors, and depression and mental distress due to COVID-19 among university students in China. METHODS A large-scale online cross-sectional study (16 cities in 13 provinces) was conducted among university students from February 1 to 10, 2020, in China; 23,863 valid questionnaires were returned. The Patient Health Questionnaire-9 was used to assess depression. Structural equation modeling was performed to test mediation and suppression effects. RESULTS Of the 23,863 participants, 47.1% (n=11,235) reported high or very high levels of one or more types of mental distress due to COVID-19; 39.1% (n=9326) showed mild to severe depression. Mental distress due to COVID-19 was positively associated with depression. All but one factor (perceived infection risks, perceived chance of controlling the epidemic, staying at home, contacted people from Wuhan, and perceived discrimination) were significantly associated with mental distress due to COVID-19 and depression. Mental distress due to COVID-19 partially mediated and suppressed the associations between some of the studied factors and depression (effect size of 6.0%-79.5%). CONCLUSIONS Both mental distress due to COVID-19 and depression were prevalent among university students in China; the former may have increased the prevalence of the latter. The studied cognitive, behavioral, and psychosocial factors related to COVID-19 may directly or indirectly (via mental distress due to COVID-19) affect depression. Interventions to modify such factors may reduce mental distress and depressive symptoms during the COVID-19 epidemic.

scholarly journals Factors Influencing Depression and Mental Distress Related to COVID-19 Among University Students in China: Online Cross-sectional Mediation Study

10.2196/22705 ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. e22705
Author(s):  
Yanqiu Yu ◽  
Rui She ◽  
Sitong Luo ◽  
Meiqi Xin ◽  
Lijuan Li ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
University Students ◽  
Psychosocial Factors ◽  
Structural Equation ◽  
Large Scale ◽  
Mental Distress ◽  
Severe Depression ◽  
Cognitive Behavioral ◽  
Equation Modeling ◽  
Cross Sectional

Background The COVID-19 epidemic may elevate mental distress and depressive symptoms in various populations in China. Objective This study investigates the levels of depression and mental distress due to COVID-19, and the associations between cognitive, behavioral, and psychosocial factors, and depression and mental distress due to COVID-19 among university students in China. Methods A large-scale online cross-sectional study (16 cities in 13 provinces) was conducted among university students from February 1 to 10, 2020, in China; 23,863 valid questionnaires were returned. The Patient Health Questionnaire-9 was used to assess depression. Structural equation modeling was performed to test mediation and suppression effects. Results Of the 23,863 participants, 47.1% (n=11,235) reported high or very high levels of one or more types of mental distress due to COVID-19; 39.1% (n=9326) showed mild to severe depression. Mental distress due to COVID-19 was positively associated with depression. All but one factor (perceived infection risks, perceived chance of controlling the epidemic, staying at home, contacted people from Wuhan, and perceived discrimination) were significantly associated with mental distress due to COVID-19 and depression. Mental distress due to COVID-19 partially mediated and suppressed the associations between some of the studied factors and depression (effect size of 6.0%-79.5%). Conclusions Both mental distress due to COVID-19 and depression were prevalent among university students in China; the former may have increased the prevalence of the latter. The studied cognitive, behavioral, and psychosocial factors related to COVID-19 may directly or indirectly (via mental distress due to COVID-19) affect depression. Interventions to modify such factors may reduce mental distress and depressive symptoms during the COVID-19 epidemic.

scholarly journals The Canadian 24-Hour Movement Guidelines and Psychological Distress among Adolescents: Les Directives canadiennes en matière de mouvement sur 24 heures et la détresse psychologique chez les adolescents

2020 ◽  
pp. 070674372097086
Author(s):  
Hugues Sampasa-Kanyinga ◽  
Jean-Philippe Chaput ◽  
Gary S. Goldfield ◽  
Ian Janssen ◽  
JianLi Wang ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Depressive Symptoms ◽  
Sleep Duration ◽  
Screen Time ◽  
Structural Equation ◽  
Factor Model ◽  
Movement Behavior ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Subjective Socioeconomic Status

Objective: The Canadian 24-Hour Movement Guidelines for Children and Youth recommend at least 60 minutes of physical activity per day, 2 hours or less of recreational screen time per day, and 9 to 11 hours of sleep per night for 5 to 13 years old and 8 to 10 hours per night for 14 to 17 years old. This study examined the association between meeting these guidelines and psychological distress among adolescents. Methods: The present cross-sectional sample included 6,364 students aged 11 to 20 years from the 2017 Ontario Student Drug Use and Health Survey. This provincially representative school-based survey is based on a 2-stage cluster design. A confirmatory factor analysis (CFA) was first conducted to confirm the factor structure of the K6, and structural equation modeling adjusted for age, sex, ethnoracial background, subjective socioeconomic status, and body mass index z-score was used to investigate the association between meeting the 24-Hour Movement Guidelines and K6 factors among adolescents. Results: The CFA demonstrated that a 2-factor model (representing anxiety and depressive symptoms) of the K6 fit the data well. The anxiety and depression items demonstrated a composite reliability (Cronbach’s α) of 0.86 and 0.83, respectively, indicating a high level of internal consistency. Compared to meeting none of the recommendations, meeting all 3 movement behavior recommendations was associated with lower anxiety (β = −0.076; P = 0.028) and depressive symptoms (β = −0.067; P = 0.028). Meeting the screen time + sleep duration recommendations had the strongest association with anxiety (β = −0.157; P < 0.001) and depressive symptoms (β = −0.139; P < 0.001), followed by meeting the sleep duration recommendation only for both anxiety (β = −0.135; P < 0.001) and depressive symptoms (β = −0.106; P < 0.001). Conclusions: Meeting the 24-Hour Movement Guidelines was associated with lower anxiety and depressive symptoms among adolescents, and these associations appear mainly driven by meeting the sleep duration recommendation.

Service innovativeness and tourism customer outcomes

2019 ◽  
Vol 31 (11) ◽  
pp. 4227-4246 ◽  
Author(s):  
Linda Hollebeek ◽  
Raouf Ahmad Rather
Keyword(s):  
Structural Equation ◽  
Longitudinal Research ◽  
Equation Modeling ◽  
Travel Agency ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Content Type ◽  
Behavioral Loyalty ◽  
Body Of Knowledge ◽  
Confirmatory Factor

Purpose This study aims to develop/test a model that examines the effect of service innovativeness on customer cocreation, satisfaction, advocacy and behavioral loyalty intent in the travel agency context. Design/methodology/approach To explore these issues, the authors deploy a convenience sample of 340 travel agency customers. Data analysis centered on confirmatory factor analysis and structural equation modeling (SEM). Findings The results identify service innovativeness as a key driver of customer cocreation, satisfaction, advocacy and behavioral loyalty intent. The authors also identified customer cocreation to mediate the association between service innovativeness and customer advocacy, satisfaction and behavioral loyalty intent, respectively, and exerted a further direct effect on these variables. Research limitations/implications Given the cross-sectional data, further research may wish to explore the generalizability of the findings (e.g. in other sectors, cultures or by adopting a longitudinal research design that tracks the theorized relationships over time). Practical implications The findings suggest service innovativeness as an important driver of customers’ intra- (within) and extra-or trans-(across) interaction outcomes, thereby impacting the customer experience and highlighting the significance of service innovativeness for the travel sector. Originality/value While service innovativeness and cocreation are of significant interest, their integrative investigation in tourism has remained scant. Thus, by quantifying the influence of service innovativeness on customer-based cocreation, satisfaction, advocacy and loyalty intent, the paper adds to the emerging body of knowledge on service innovativeness in tourism.

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