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Biomedical subjects

David C Zuroff

Publications and source records attributed to David C Zuroff.

11 recordsLinked to original sources

Excessive reassurance seeking, hassles, and depressive symptoms in children of affectively ill parents: a multiwave longitudinal study.

The current study examined whether excessive reassurance seeking serves as a vulnerability factor to depression in a sample of high-risk youth using a multiwave longitudinal design. At Time 1, 140 children (aged 6-14) of affectively disordered parents completed measures assessing reassurance seeking and depressive symptoms. In addition, every 6 weeks during the following year, children and parents completed measures assessing depressive symptoms and the occurrence of hassles. In line with hypotheses, the results of contemporaneous analyses indicated that children with high levels of reassurance seeking reported greater elevations in depressive symptoms following elevations in either hassles or parental depressive symptoms than children with low levels. At the same time, the results of time-lagged analyses indicated that both these relationships were moderated by age with excessive reassurance seeking being associated with greater elevations in depressive symptoms following elevations in either hassles or parental depressive symptoms in older but not younger children.

Adolescent↗

The therapeutic relationship in the brief treatment of depression: contributions to clinical improvement and enhanced adaptive capacities.

Using data from the National Institute of Mental Health Treatment for Depression Collaborative Research Program, the authors examined the impact on treatment outcome of the patient's perception of the quality of the therapeutic relationship and contribution to the therapeutic alliance. Shared variance with early clinical improvement was removed from these relationship measures. Multilevel modeling demonstrated that a perceived positive therapeutic relationship early in treatment predicted more rapid decline in maladjustment subsequent to the relationship assessment. This effect occurred equally across all 4 treatment conditions. A positive early therapeutic relationship also predicted better adjustment throughout the 18-month follow-up as well as development of greater enhanced adaptive capacities (EAC). Controlling a wide range of patient characteristics did not eliminate the effects of the therapeutic relationship on rate of improvement during treatment and on EAC. Thus, independent of type of treatment and early clinical improvement, the therapeutic relationship contributes directly to positive therapeutic outcome.

Adaptation, Psychological↗

Empirical evaluation of the assumptions in identifying evidence based treatments in mental health.

Extensive analyses of data from the remarkably comprehensive data set established by the Treatment of Depression Collaborative Research Program (TDCRP), initiated and conducted by the National Institute of Mental Health (NIMH), enabled us to examine the contributions of three dimensions of the treatment process (type of treatment, aspects of the therapeutic relationship, and patients' pretreatment personality characteristics) to three assessments of therapeutic change (symptom reduction, reduction of vulnerability, and development of adaptive capacities) evaluated at termination and extended follow-up. The most consistent factors predicting therapeutic gain were the quality of the therapeutic relationship and patients' pretreatment personality dimensions. The implications of these findings for clinical practice, training, and research are discussed.

Cognitive Behavioral Therapy↗

Assessing interpersonal perceptions using the interpersonal grid.

Three studies were conducted using the interpersonal grid, a method for assessing perceptions of agentic and communal behavior based on the interpersonal circumplex. The 1st examined consistency across perceivers and convergence between perceiver and the perceived person. The 2nd examined whether responses to the interpersonal grid were sensitive to an experimental manipulation of portrayed agency and communion. The 3rd used the interpersonal grid in an event-contingent recording study. The reliability and validity of the measure were supported by findings demonstrating generalizability across perceivers, generalizability across perceptions of events involving the same person, convergence between perceiver and perceived person, and sensitivity to changes in levels of agency and communion. Applications of the interpersonal grid to clinical practice and research are described.

Female↗

Flux, pulse, and spin: dynamic additions to the personality lexicon.

Personality constructs were proposed to describe intraindividual variability in interpersonal behavior. Flux refers to variability about an individual's mean score on an interpersonal dimension and was examined for the 4 poles of the interpersonal circumplex. Pulse and spin refer to variability about an individual's mean extremity and mean angular coordinate on the interpersonal circumplex. These constructs were measured using event-contingent recording. Latent state-trait analyses indicated high stability of flux in submissive, agreeable, and quarrelsome behaviors and some stability in the flux of dominance. Further analyses indicated moderate to high stability in pulse and spin. Neuroticism predicted greater pulse, spin, and submissive behavior flux. Extraversion predicted greater flux in agreeable behavior. In contrast, Agreeableness predicted reduced spin and quarrelsome behavior flux. Social environmental variables predicted greater flux in dominant behavior. Flux, pulse, and spin provide reliable and distinctive additions to the vocabulary for describing individual differences.

Adult↗

Conceptualizing and measuring personality vulnerability to depression: comment on Coyne and Whiffen (1995).

J. C. Coyne and V. E. Whiffen (1995) reviewed research on personality vulnerability to depression, focusing on S. J. Blatt's (1974, 1990) concepts of dependency and self-criticism and A. T. Beck's (1983) concepts of sociotropy and autonomy. The authors discuss 6 issues raised in that review: (a) the typological or dimensional nature of vulnerability, (b) the theoretical implications of "mixed" vulnerability, (c) the relations of vulnerability to Neuroticism. (d) the potential confounding of vulnerability with concurrent depression, (e) the potential confounding of vulnerability with social context, and (f) the differentiation of dependency from relatedness. The authors conclude that Blatt's and Beck's concepts are continuous, nearly orthogonal dimensions that can be identified and measured independently from Neuroticism, depression, and social context.

Adult↗

Tryptophan, serotonin and human social behavior.

Animals research suggests that increasing serotonin can decrease aggression, increase affiliative behaviors and increase dominant behaviors. We tested the relevance of these data to humans by giving 100 healthy people tryptophan (1 g after each meal) and placebo, each for 12 days in a double-blind cross-over study. Social behaviors were studied using an event sampling method in which subjects filled in a one page questionnaire about their behaviors after each social interaction lasting at least 5 minutes. Tryptophan caused a significant decrease in quarrelsome behaviors and a significant increase in dominant behaviors.

Adolescent↗

Role of perfectionism and personality disorder features in response to brief treatment for depression.

Using data from the Treatment of Depression Collaborative Research Program (TDCRP), the authors compared the role of patients' perfectionism and features of personality disorder (PD) in the outcome of brief treatment for depression. Data were extracted as to patients' intake levels of symptoms; perfectionism; and PD features, measured as continuous variables, as well as their symptoms at termination; their contribution to the therapeutic alliance; and their satisfaction with social relations. Poorer therapeutic outcome was demonstrated for patients with elevated levels of perfectionism and odd-eccentric and depressive PD features. Patients' contribution to therapeutic alliance and satisfaction with social relations were predicted by perfectionism but not by PD features. Results highlight the central role played by patients' personality in the course of brief treatment for depression.

Depression↗

Self-critical perfectionism and daily affect: dispositional and situational influences on stress and coping.

This study of university students (64 men and 99 women) examined both dispositional and situational influences of self-critical (SC) perfectionism on stress and coping, which explain its association with high negative affect and low positive affect. Participants completed questionnaires at the end of the day for 7 consecutive days. Structural equation modeling indicated that the relation between SC perfectionism and daily affect could be explained by several maladaptive tendencies associated with SC perfectionism (e.g., hassles, avoidant coping, low perceived social support). Multilevel modeling indicated that SC perfectionists were emotionally reactive to stressors that imply possible failure, loss of control, and criticism from others. As well, certain coping strategies (e.g., problem-focused coping) were ineffective for high-SC perfectionists relative to low-SC perfectionists.

Adaptation, Psychological↗

Social rank strategies in hierarchical relationships.

Social rank theorists propose that threat appraisals evoke escalation behavior toward subordinates and de-escalation behavior toward superiors. These hypotheses were examined among records of behavior sampled ecologically from the work environments of 90 individuals. At the level of the event, situated threat appraisals (feeling criticized) predicted different kinds of behavior across status situations. Individuals tended to quarrel when criticized by subordinates and to submit when criticized by superiors. At the level of the person, aggregated rank appraisals (feeling inferior) predicted different kinds of behavior across status situations. Individuals who typically felt more inferior tended to quarrel more frequently with subordinates and to submit more frequently with superiors. Findings implicated inferiority and threat as fundamental dimensions underlying the behavior of the social rank system.

Aggression↗

Children and affect: strategies for self-regulation and sex differences in sadness.

Thirty-two children, aged 6 to 11, were interviewed concerning their responses to distressing situations. Results indicate that the children possessed expectancies for coping with both sadness and anger. Coping strategies were predominantly behavioral, verbalized, and self-oriented; the most common was to engage in a distracting activity. Strategies employed with parents differed from those used with peers, and girls reported higher proportions of sadness-inducing events than did boys.

Adaptation, Psychological↗