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Perceived interpersonal risk factors of non-endogenous depression

Published online by Cambridge University Press:  09 July 2009

I. Hickie*
Affiliation:
Mood Disorders Unit, School of Psychiatry (University of New South Wales), Prince Henry Hospital and the Academic Department of Psychiatry, Royal North Shore Hospital, Sydney, Australia
G. Parker
Affiliation:
Mood Disorders Unit, School of Psychiatry (University of New South Wales), Prince Henry Hospital and the Academic Department of Psychiatry, Royal North Shore Hospital, Sydney, Australia
K. Wilhelm
Affiliation:
Mood Disorders Unit, School of Psychiatry (University of New South Wales), Prince Henry Hospital and the Academic Department of Psychiatry, Royal North Shore Hospital, Sydney, Australia
C. Tennant
Affiliation:
Mood Disorders Unit, School of Psychiatry (University of New South Wales), Prince Henry Hospital and the Academic Department of Psychiatry, Royal North Shore Hospital, Sydney, Australia
*
1Address for correspondence: Dr I. Hickie, Division of Psychiatry, Prince Henry Hospital, Sydney, NSW 2036, Australia.

Synopsis

In a case-control study, two potential interpersonal risk factors of non-endogenous depression, namely a patient's perception of their current intimate partner as dysfunctional and a patient's recall of exposure to previous deprivational parenting, were quantified. The interpersonal characteristics of the partner were assessed principally by a brief self-report questionnaire, the Intimate Bond Measure (IBM). By cross-sectional and longitudinal comparison of this instrument with other interview-derived and self-report measures, the convergent, discriminant and predictive validity of the IBM in depressed patients was established. Further, little evidence of any distorting effect of depressed mood or neuroticism was detected. The perception of the current intimate partner as dysfunctional imparted a risk to non-endogenous depression of at least five times, while reported exposure to parental ‘affectionless control’ was quantified as a four times' risk. Importantly, IBM care scores predicted the course of the depressive disorder over a six-month period.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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References

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn.APA: Washington, DC.Google Scholar
Birtchnell, J. (1980). Women whose mothers died in childhood: an outcome study. Psychological Medicine 10, 699713.CrossRefGoogle ScholarPubMed
Birtchnell, J. (1988). Depression and family relationships: a study of young, married women on a London housing estate. British Journal of Psychiatry 153, 758769.CrossRefGoogle ScholarPubMed
Birtchnell, J. & Kennard, J. (1983). Does marital maladjustment lead to mental illness? Social Psychiatry 18, 7988.CrossRefGoogle ScholarPubMed
Birtchnell, J., Evans, C. & Kennard, J. (1988). Life history factors associated with neurotic symptomatology in a rural community sample of 40–49-year-old women. Journal of Affective Disorders 14, 271285.CrossRefGoogle Scholar
Blumenthal, M. D. & Dielman, T. E. (1975). Depressive symptomatology and role function in a general population. Archives of General Psychiatry 32, 985991.CrossRefGoogle ScholarPubMed
Bowlby, J. (1988). Developmental psychiatry comes of age. American Journal of Psychiatry 145, 110.Google ScholarPubMed
Brown, G. W. & Harris, T. (1978). The Social Origins of Depression. Tavistock: London.Google ScholarPubMed
Bullock, R. C., Siegel, R., Weissman, M. & Paykel, E. S. (1972). The weeping wife: marital relations of depressed women. Journal of Marriage and the Family 34, 488495.CrossRefGoogle Scholar
Carney, M. W. P., Roth, M. & Garside, R. F. (1965). The diagnosis of depressive symptoms and the prediction of ECT response. British Journal of Psychiatry 111, 659674.CrossRefGoogle Scholar
Coleman, R. E. & Miller, A. G. (1975). The relationship between depression and marital maladjustment in a clinic population: a multitrait-multimethod study. Journal of Consulting and Clinical Psychology 43, 647651.CrossRefGoogle Scholar
Congalton, A. A. (1969). Status and Prestige in Australia. F. W. Cheshire Publishing: Melbourne.Google Scholar
Coyne, J. C. (1976 a). Toward an interactional description of depression. Psychiatry 39, 1427.CrossRefGoogle ScholarPubMed
Coyne, J. C. (1976 b). Depression and the response of others. Journal of Abnormal Psychology 85, 186193.CrossRefGoogle ScholarPubMed
Eysenck, H. J. & Eysenck, S. B. (1964). Manual of the Eysenck Personality Inventory. Hodder & Stoughton: London.Google Scholar
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery & Psychiatry 23, 5662.CrossRefGoogle ScholarPubMed
Harris, T. O. (1988). Psychosocial vulnerability to depression: the biographical perspective of the Bedford College studies. In Handbook of Social Psychiatry (ed. Henderson, A. S. and Burrows, G. D.), pp. 5567. Elsevier: Amsterdam.Google Scholar
Harris, T. O., Brown, G. W. & Bifulco, A. (1986). Loss of parent in childhood and adult psychiatric disorder: the role of lack of adequate parental care. Psychological Medicine 16, 641659.CrossRefGoogle ScholarPubMed
Harris, T. O., Brown, G. W. & Bifulco, A. (1987). Loss of parent in childhood and adult psychiatric disorder: the role of social class position and premarital pregnancy. Psychological Medicine 17, 163183.CrossRefGoogle ScholarPubMed
Henderson, A. S. (1974). Care-eliciting behavior in man. Journal of Nervous and Mental Disease 159, 172181.CrossRefGoogle ScholarPubMed
Henderson, A. S. (1984). Interpreting the evidence on social support. Social Psychiatry 19 4952.CrossRefGoogle ScholarPubMed
Henderson, A. S., Byrne, D. G. & Duncan-Jones, P. (1981). Neurosis and the Social Environment. Academic Press: Sydney.Google Scholar
Hickie, I., Wilhelm, K., Parker, G., Boyce, P., Hadzi-Pavlovic, D., Brodaty, H. & Mitchell, P. (1990). Perceived dysfunctional intimate relationships: a specific association with the non-melancholic depressive sub-type. Journal of Affective Disorders 19, 99107.CrossRefGoogle Scholar
Hinchliffe, M., Hooper, D., Roberts, F. J. & Vaughan, P. W. (1975). A study of the interaction between depressed patients and their spouses. British Journal of Psychiatry 126, 164172.CrossRefGoogle ScholarPubMed
Merikangas, K. R., Prusoff, B. A., Kupfer, D. J. & Frank, E. (1985). Marital adjustment in major depression. Journal of Affective Disorders 9, 511.CrossRefGoogle ScholarPubMed
Parker, G. (1982). Parental representations and affective symptoms: examination for an hereditary link. British Journal of Psychiatry 55, 5761.Google ScholarPubMed
Parker, G. (1983 a). Parental ‘affectionless control’ as an antecedent to adult depression. Archives of General Psychiatry 40, 956960.CrossRefGoogle ScholarPubMed
Parker, G. (1983 b). Parental Overprotection: A Risk Factor for Psychosocial Development. Grune and Stratton: New York.Google Scholar
Parker, G. & Hadzi-Pavlovic, D. (1984). Modification of levels of depression in mother-bereaved women by parental and marital relationships. Psychological Medicine 14, 125135.CrossRefGoogle ScholarPubMed
Parker, G., Kiloh, L. G. & Hayward, L. (1987). Parental representations of neurotic and endogenous depressives. Journal of Affective Disorders 13, 7582.CrossRefGoogle ScholarPubMed
Parker, G., Tupling, H. & Brown, L. B. (1979). A parental bonding instrument. British Journal of Medical Psychology 52, 110.CrossRefGoogle Scholar
Plantes, M. M., Prusoff, B. A., Brennan, J. & Parker, G. (1988). Parental representations of depressed outpatients from a USA sample. Journal of Affective Disorders 15, 149155.CrossRefGoogle Scholar
Quinton, D., Rutter, M. & Liddle, C. (1984). Institutional rearing, parenting difficulties and marital support. Psychological Medicine 14, 107124.CrossRefGoogle ScholarPubMed
Quinton, D., Rutter, M. & Rowlands, O. (1976). An evaluation of an interview assessment of marriage. Psychological Medicine 6, 577586.CrossRefGoogle ScholarPubMed
Ruestow, P., Dunner, D. L., Bleecker, B. & Fieve, R. R. (1978). Marital adjustment in primary affective disorder. Comprehensive Psychiatry 19, 565571.CrossRefGoogle ScholarPubMed
Spanier, G. B. (1976). Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family 38, 1528.CrossRefGoogle Scholar
Tennant, C., Bebbington, P. & Hurry, J. (1982). Social experiences in childhood and adult psychiatric morbidity: a multiple regression analysis. Psychological Medicine 12, 321327.CrossRefGoogle ScholarPubMed
Vaillant, G. E. (1978). Natural history of male psychological health: VI. Correlates of successful marriage and fatherhood. American Journal of Psychiatry 135, 653659.Google ScholarPubMed
Waring, E. M. (1985). Measurement of intimacy: conceptual and methodological issues of studying close relationships. Psychological Medicine 15, 914.CrossRefGoogle ScholarPubMed
Wilhelm, K. & Parker, G. (1988). The development of a measure of intimate bonds. Psychological Medicine 18, 225234.CrossRefGoogle ScholarPubMed
Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry 12, 6370.CrossRefGoogle ScholarPubMed