For women with depression, negative thinking is a difficult symptom to overcome and may maintain the depressed mood Not reflected in the literature are women's descriptions of negative thoughts that accompany the illness of depression or strategies to decrease negative thoughts.
Objectives
The purposes of this research were to describe negative thoughts experienced by women with major depression, examine their origins, and identify strategies to manage them.
Design
A descriptive and exploratory study guided by Peplau's process of practice-based theory development. Six women with a diagnosis of major depression who experienced negative thinking participated in a series of six audiotaped group interviews.
Results
Negative thoughts originated in childhood The women described interpersonal patterns that resulted from negative thinking and identified strategies to manage them.
Conclusions
Negative thinking has a tremendous impact on depressed women and contributes to interpersonal patterns that perpetuate depression.
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References
1.
AbramsonL. Y., SeligmanM. E. P., & TeasdaleJ. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: Author.
3.
BeckA. T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324–333.
4.
BeckA. T. (1967). Depression: Clinical experimental and theoretical aspects.New York: Harper & Row.
5.
BeckA. T. (1978). Depression: Courses and treatment.Philadelphia: University of Pennsylvania Press.
6.
BeeberL. S. (1989). Enacting corrective interpersonal experiences with the depressed client: An intervention model. Archives of Psychiatric Nursing, 3, 211–217.
7.
BeeberL. S. (1996). Pattern integrations in young depressed women: Part II. Archives of Psychiatric Nursing, 10, 157–164.
8.
BeeberL. S., & CaldwellC. L. (1996). Pattern integrations in young depressed women: Part II. Archives of Psychiatric Nursing, 10, 157–164.
9.
BlackburnI., EunsonK., & BishopS. (1986). A two-year naturalistic follow-up of depressed patients treated with cognitive therapy, pharmacotherapy, and a combination of both. Journal of Affective Disorders, 10, 67–75.
10.
CrandellC. J., & ChamblissD. L. (1986). The validation of an inventory for measuring depressive thoughts: The Crandell Cognitions Inventory. Behavioral Research and Therapy, 24, 403–411.
11.
DiekelmannN. L., LamS., & SchusterR. M. (1991). Martin, v. 2.0 user manual.Madison: University of Wisconsin-Madison, School of Nursing.
12.
DyerJ. G., & GilesD. E. (1994). Familial influence in unipolar depression: Effects of parental cognitions and social adjustment on adult offspring. Comprehensive Psychiatry, 35, 290–295.
13.
GilesD. E., & ShawB. F. (1987). Beck's cognitive theory of depression: Convergence of constructs. Comprehensive Psychiatry, 28, 416–427.
14.
GordonV. C., & TobinM. (1991). Insight: A cognitive enhancement program for women.Minneapolis: University of Minnesota.
15.
HaagaD. A., DyckM. J., & ErnstD. (1991). Empirical status of cognitive theory of depression. Psychological Bulletin, 110, 215–236.
16.
HollonS. D. & KendallP. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 4, 383–395.
17.
JackD. (1991). Silencing the self: Women and depression.New York: Harper Collins.
18.
KendallP. C., & KorgeskiG. P. (1979). Assessment and cognitive-behavioral interventions. Cognitive Therapy and Research, 3, 1–21.
19.
LizardiH., KleinD. N., OuimetteP. C., RisoL. P., AndersonR. L., and DonaldsonS. K. (1995). Reports of the childhood home environment in early-onset dysthymia and episodic major depression. Journal of Abnormal Psychology, 104, 132–139.
20.
MaynardC. (1993). Comparison of effectiveness of group interventions for depressed women. Archives of Psychiatric Nursing, 7, 277–283.
21.
MilesM. B., & HubermanA. M. (1984). Qualitative data analysis: A source book of new methods.Newbury Park, CA: Sage.
22.
MillerJ. (1986). Toward a new psychology of women. 2nd ed. Boston: Beacon Press.
23.
Oakley-BrowneM. A., JoyceP. R., WellsJ. E., BushnellJ. A., & HornblowA.R. (1995). Adverse parenting and other childhood experience as risk factors for depression in women aged 18–44 years. Journal of Affective Disorders, 34, 13–23.
24.
ParkerG. (1981). Parental reports of depressives. Journal of Affective Disorders, 3, 131–140.
25.
ParkerG., KilohL., & HaywardL. (1987). Parental representations of neurotic and endogenous depressives. Journal of Affective Disorders, 13, 75–82.
26.
PedenA. R., HallL. A., RayensM. K., & BeebeL. L. (in press). Reduction of negative thinking decreases risk of depressive symptoms in college women. Image: Journal of Nursing Scholarship.
27.
PedenA. R. (1993). Recovering in depressed women: Research with Peplau's theory. Nursing Science Quarterly, 6, 140–146.
28.
PeplauH. E. (1952). Interpersonal theory of nursing.New York: Putnam.
29.
PeplauH. E. (1989a). Investigative counseling. In O'TooleA. W. & WeltS. R. (Eds.), Interpersonal theory in nursing practice (pp.220–229). New York: Springer.
30.
PeplauH. E. (1989b). Theory: The professional dimension. In O'TooleA. W. & WeltS. R. (Eds.), Interpersonal theory in nursing practice (pp.21–30). New York: Springer.
31.
PeplauH. E. (1989c). Pattern interactions. In O'TooleA. W. & WeltS. R. (Eds.), Interpersonal theory in nursing practice (pp.108–119). New York: Springer.
32.
PeplauH. E. (1989d). Theoretical constructs: Anxiety, self and hallucinations. In O'TooleA. W. & WeltS. R. (Eds.), Interpersonal theory in nursing practice (pp.270–326). New York: Springer.
33.
RichmanR., & FlahertyJ. (1986). Childhood relationships, adult coping resources, and depression. Social Science and Medicine, 23, 709–716.
34.
SeligmanM. E. P., AbramsonL. Y., SemmelA., & von BaeyerL. (1979). Depressive attributional style. Journal of Abnormal Psychology, 88, 242–247.
35.
SpitzerR. L., WilliamsJ., GibbonM. & FirstM. B. (1990). Structured clinical interview for DSM-III-R-Patient Edition (SCID, Version 1.0). Washington, DC: American Psychiatric Association.
36.
TeasdaleJ. D., & RezinV. (1978). The effects of reducing frequency of negative thoughts on the mood of depressed patients: Test of a cognitive model of depression. Journal of Social and Clinical Psychology, 17, 65–74.
37.
TeasdaleJ. D., TaylorR., & FogartyS. (1980). Effects of induced elation-depression on the accessibility of memories of happy and unhappy experiences. Behavior Research and Therapy, 18, 339–346.
38.
WellsK. B., StewardA., HaysR. D., BurnamM. A., RogersW., DanielsM. B., BerryS., GreenfieldS., & WareJ. (1989). The functioning and well-being of depressed patients: Research from the medical outcomes study. Journal of the American Medical Association, 262, 914–919.
39.
WoodsN. F., LentzM., MitchellE., & OakleyL. D. (1994). Depressed mood and self-esteem in young Asian, Black, and White females in America. Health Care for Female International, 15, 243–262.
40.
WoodsN. F., & CatanzaroM. (1988). Nursing research: Theory and practice.St. Louis: Mosby.
