Cognitive reactivity compared to other risk factors in the prediction of depressive episodes over two and nine years: a longitudinal cohort study.

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Tác giả: Ingrid V E Carlier, Brenda W J H Penninx, Robert A Schoevers, Ericka C Solis, A J Willem van der Does, Albert M van Hemert

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: England : International journal of psychiatry in clinical practice , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 714700

OBJECTIVE: Cognitive Reactivity (CR) is the (re-)activation of negative cognitions by dysphoric mood. We examined whether CR predicts depressive episodes across 2 and 9 years, beyond subclinical depressive symptoms, neuroticism, and previous depressive episodes. METHODS: Participants ( RESULTS: CR was a statistically-significant predictor of two-year depressive episodes, with an odds ratio of 1.04, 95% CI (1.02-1.06), and over nine years, with an adjusted hazard ratio of 1.01, 95% CI (1.01-1.02). The influence of CR and subclinical depressive symptoms decreased as the number of episodes increased, especially in ≥ 3 past episodes. Calculated weight-points correctly predicted 33.5% of participants who developed 2-year depression, compared to a 17.8% base rate (sensitivity = .81, specificity = .66). CONCLUSIONS: CR is a moderately strong predictor of depressive episodes across 2 and 9 years. In participants with ≥ 3 prior episodes, depression history is such a strong predictor that a ceiling effect occurs, removing any added value of other predictors.
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