The emotional experiences of people with major depressive disorder (MDD) are characterized by emotional disturbances. We examined whether these patterns characterize people with MDD in remission. Participants included individuals who had experienced at least two major depressive episodes (remitted-MDD group; n = 80), had current MDD (current-MDD group; n = 48), or were control participants (n = 87). Participants reported their momentary affect five times per day for 14 days, from which we computed the mean (i.e., intensity), standard deviation (i.e., variability), and autocorrelation (i.e., inertia). Negative affect (NA) intensity and variability, but not inertia, differed between groups; the current-MDD group had the highest levels, the control group had the lowest, and the remitted-MDD group fell in between. Differences in NA variability held after accounting for mean NA. The only significant group difference for positive affect (PA) was that PA intensity was lower in the current-MDD group compared with the other two groups. Emotional disturbances of participants with remitted MDD appear limited to NA.
AbelaJ. R. Z.HankinB. L. (2011). Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: A multiwave longitudinal study. Journal of Abnormal Psychology, 120(2), 259–271. https://doi.org/10.1037/a0022796
2.
AllenN.SheeberL. (2008). The importance of affective development for the emergence of depressive disorders during adolescence. In AllenN.SheeberL. (Eds.), Adolescent emotional development and the emergence of depressive disorders (pp. 1–10). Cambridge University Press.
ArceE.SimmonsA. N.LoveroK. L.SteinM. B.PaulusM. P. (2008). Escitalopram effects on insula and amygdala BOLD activation during emotional processing. Psychopharmacology, 196(4), 661–672. https://doi.org/10.1007/s00213-007-1004-8
5.
BailenN. H.KovalP.StrubeM.HollandE.HaslamN.ThompsonR. J. (2019). Negative affect and non-acceptance of emotion in daily life [Manuscript submitted for publication].
6.
BalsikciA.UzunO.ErdemM.DorukA.CanseverA.AtesM. A. (2014). Side effects that cause noncompliance to antidepressant medications in the course of outpatient treatment. Bulletin of Clinical Psychopharmacology, 24(1), 69–75. https://doi.org/10.5455/bcp.20120827114140
7.
Barge-SchaapveldD. Q. C. M.NicolsonN. A. (2002). Effects of antidepressant treatment on quality of daily life: An experience sampling study. Journal of Clinical Psychiatry, 63, 477–485. https://doi.org/10.4088/JCP.v63n0603
8.
BarrettL. F.RussellJ. A. (1999). The structure of current affect: Controversies and emerging consensus. Current Directions in Psychological Science, 8(1), 10–14. https://doi.org/10.1111/1467-8721.00003
9.
BredemeierK.SpielbergJ. M.SiltonR. L.BerenbaumH.HellerW.MillerG. A. (2010). Screening for depressive disorders using the Mood and Anxiety Symptoms Questionnaire Anhedonic Depression Scale: A receiver-operating characteristic analysis. Psychological Assessment, 22(3), 702–710. https://doi.org/10.1037/a0019915
10.
BuckbyJ. A.YungA. R.CosgraveE. M.KillackeyE. J. (2007). Clinical utility of the Mood and Anxiety Symptom Questionnaire (MASQ) in a sample of young help-seekers. BMC Psychiatry, 7(1), 1–7. https://doi.org/10.1186/1471-244X-7-50
11.
BylsmaL. M.Taylor-CliftA.RottenbergJ. (2011). Emotional reactivity to daily events in major and minor depression. Journal of Abnormal Psychology, 120(1), 155–167. https://doi.org/10.1037/a0021662
12.
Campbell-SillsL.BarlowD. H.BrownT. A.HofmannS. G. (2006). Acceptability and suppression of negative emotion in anxiety and mood disorders. Emotion, 6, 587–595. https://doi.org/10.1037/1528-3542.6.4.587
13.
CarstensenL. L.TuranB.ScheibeS.RamN.Ersner-HershfieldH.Samanez-LarkinG. R.BrooksK. P.NesselroadeJ. R. (2011). Emotional experience improves with age: Evidence based on over 10 years of experience sampling. Psychology and Aging, 26(1), 21–33. https://doi.org/10.1037/a0021285
14.
ChunC. A.CronkiteR. C.MoosR. H. (2004). Stress generation in depressed patients and community controls. Journal of Social and Clinical Psychology, 23, 390–412. https://doi.org/10.1521/jscp.23.3.390.35453
15.
DejonckheereE.MestdaghM.HoubenM.RuttenI.SelsL.KuppensP.TuerlinckxF. (2019). Complex affect dynamics add limited information to the prediction of psychological well-being. Nature Human Behaviour, 3, 478–491. https://doi.org/10.1038/s41562-019-0555-0
16.
EldesoukyL.ThompsonR. J.OltmannsT. F.EnglishT. (2018). Affective instability predicts the course of depression in late middle-age and older adulthood. Journal of Affective Disorders, 239, 72–78. https://doi.org/10.1016/j.jad.2018.06.038
17.
FerrariA. J.CharlsonF. J.NormanR. E.PattenS. B.FreedmanG.MurrayC. J.VosT.WhitefordH. A. (2013). Burden of depressive disorders by country, sex, age, and year: Findings from the global burden of disease study 2010. PLOS Medicine, 10, Article e1001547. https://doi.org/10.1371/journal.pmed.1001547
18.
FigueroaC. A.MockingR. J.MahmoudG. A.KoeterM. W.BocktingC. L.van der DoesW.RuheH. G.ScheneA. H. (2018). The measurement of cognitive reactivity to sad mood in patients remitted from major depressive disorder. British Journal of Clinical Psychology, 57(3), 313–327. https://doi.org/10.1111/bjc.12175
19.
FirstM. B.WilliamsJ. B. W.KargR. S.SpitzerR. L. (2015). Structured clinical interview for DSM-5–Research Version (SCID-5-RV, Version 1.0.0). American Psychiatric Association.
GuJ.StraussC.BondR.CavanaghK. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006
HammenC.BrennanP. A. (2002). Interpersonal dysfunction in depressed women: Impairments independent of depressive symptoms. Journal of Affective Disorders, 72, 145–156. https://doi.org/10.1016/S0165-0327(01)00455-4
24.
HardeveldF.SpijkerJ.De GraafR.NolenW. A.BeekmanA. T. (2010). Prevalence and predictors of recurrence of major depressive disorder in the adult population. Acta Psychiatrica Scandinavica, 122(3), 184–191. https://doi.org/10.1111/j.1600-0447.2009.01519.x
25.
HasinD. S.SarvetA. L.MeyersJ. L.SahaT. D.RuanW. J.StohlM.GrantB. F. (2018). Epidemiology of adult DSM-5 major depressive disorder and its specifiers in the United States. JAMA Psychiatry, 75(4), 336–346. https://doi.org/10.1001/jamapsychiatry.2017.4602
26.
HavermansR.NicolsonN. A.BerkhofJ.deVriesM. W. (2010). Mood reactivity to daily events in patients with remitted bipolar disorder. Psychiatry Research, 179(1), 47–52. https://doi.org/10.1016/j.psychres.2009.10.020
27.
HeppJ.LaneS. P.CarpenterR. W.NiedtfeldI.BrownW. C.TrullT. J. (2017). Interpersonal problems and negative affect in borderline personality and depressive disorders in daily life. Clinical Psychological Science, 5(3), 470–484. https://doi.org/10.1177/2167702616677312
28.
HillC. L.UpdegraffJ. A. (2012). Mindfulness and its relationship to emotional regulation. Emotion, 12(1), 81–90. https://doi.org/10.1037/a0026355
29.
HoubenM.KuppensP. (2020). Emotion dynamics and the association with depressive features and borderline personality disorder traits: Unique, specific and prospective relationships. Clinical Psychological Science, 8, 226–239. https://doi.org/10.1177/2167702619871962
30.
HoubenM.Van Den NoortgateW.KuppensP. (2015). The relation between short-term emotion dynamics and psychological well-being: A meta-analysis. Psychological Bulletin, 141(4), 901–930. https://doi.org/10.1037/a0038822
31.
JahngS.WoodP. K.TrullT. J. (2008). Analysis of affective instability in ecological momentary assessment: Indices using successive difference and group comparison via multilevel modeling. Psychological Methods, 13, 354–375. https://doi.org/10.1037/a0014173
32.
JormA. F.PattenS. B.BrughaT. S.MojtabaiR. (2017). Has increased provision of treatment reduced the prevalence of common mental disorders? Review of the evidence from four countries. World Psychiatry, 16(1), 90–99. https://doi.org/10.1002/wps.20388
33.
KendlerK. S.GatzM.GardnerC. O.PedersenN. L. (2006). Personality and major depression: A Swedish longitudinal, population-based twin study. Archives of General Psychiatry, 63(10), 1113–1120. https://doi.org/10.1001/archpsyc.63.10.1113
34.
KerestesR.BhagwagarZ.NathanP. J.MedaS. A.LadouceurC. D.MaloneyK.MatuskeyD.RufB.SaricicekA.WangF.PearlsonG. D.PhillipsM. L.BlumbergH. P. (2012). Prefrontal cortical response to emotional faces in individuals with major depressive disorder in remission. Psychiatry Research: Neuroimaging, 202(1), 30–37. https://doi.org/10.1016/j.pscychresns.2011.11.004
35.
KnowlesR.TaiS.JonesS. H.HighfieldJ.MorrissR.BentallR. P. (2007). Stability of self-esteem in bipolar disorder: Comparisons among remitted bipolar patients, remitted unipolar patients, and healthy controls. Bipolar Disorders, 9, 490–495. https://doi.org/10.1111/j.1399-5618.2007.00457.x
36.
KovalP.BroseA.PeM. L.HoubenM.ErbasY.ChampagneD.KuppensP. (2015). Emotional inertia and external events: The roles of exposure, reactivity, and recovery. Emotion, 15(5), 625–636. https://doi.org/10.1037/emo0000059
37.
KovalP.KuppensP. (2012). Changing emotion dynamics: Individual differences in the effect of anticipatory social stress on emotional inertia. Emotion, 12(2), 256–267. https://doi.org/10.1037/a0024756
38.
KovalP.KuppensP.AllenN. B.SheeberL. (2012). Getting stuck in depression: The roles of rumination and emotional inertia. Cognition & Emotion, 26(8), 1412–1427. https://doi.org/10.1080/02699931.2012.667392
39.
KovalP.SütterlinS.KuppensP. (2016). Emotional inertia is associated with lower well-being when controlling for differences in emotional context. Frontiers in Psychology, 6, Article 1997. https://doi.org/10.3389/fpsyg.2015.01997
40.
KrullJ. L.MacKinnonD. P. (2001). Multilevel modeling of individual and group level mediated effects. Multivariate Behavioral Research, 36, 249–277. https://doi.org/10.1207/S15327906MBR3602_06
KuppensP.SheeberL. B.YapM. B. H.WhittleS.SimmonsJ. G.AllenN. B. (2012). Emotional inertia prospectively predicts the onset of depressive disorder in adolescence. Emotion, 12(2), 283–289. https://doi.org/10.1037/a0025046
43.
LiuD. Y.ThompsonR. J. (2017). Selection and implementation of emotion regulation strategies in major depressive disorder: An integrative review. Clinical Psychology Review, 57, 183–194. https://doi.org/10.1016/j.cpr.2017.07.004
44.
LiuR. T.AlloyL. B. (2010). Stress generation in depression: A systematic review of the empirical literature and recommendations for future study. Clinical Psychology Review, 30(5), 582–593. https://doi.org/10.1016/j.cpr.2010.04.010
45.
MartelC.DimidjianS.Herman-DunnR. (2010). Behavioral activation for depression: A clinician’s guide. Guildford Press.
46.
MataJ.ThompsonR. J.JaeggiS. M.BuschkuehlM.JonidesJ.GotlibI. H. (2012). Walk on the bright side: Physical activity and affect in major depressive disorder. Journal of Abnormal Psychology, 121, 297–308. https://doi.org/10.1037/a0023533
MestdaghM.PeM.PestmanW.VerdonckS.KuppensP.TuerlinckxF. (2018). Sidelining the mean: The relative variability index as a generic mean-corrected variability measure for bounded variables. Psychological Methods, 23(4), 690–707. https://doi.org/10.1037/met0000153
49.
MoberlyN. J.WatkinsE. R. (2008). Ruminative self-focus and negative affect: An experience sampling study. Journal of Abnormal Psychology, 117(2), 314–323. https://doi.org/10.1037/0021-843X.117.2.314
50.
MojtabaiR.JormA. F. (2015). Trends in psychological distress, depressive episodes and mental health treatment-seeking in the United States: 2001–2012. Journal of Affective Disorders, 174, 556–561. https://doi.org/10.1016/j.jad.2014.12.039
51.
MonroeS. M.HarknessK. L. (2011). Recurrence in major depression: A conceptual analysis. Psychological Review, 118, 655–674. https://doi.org/10.1037/a0025190
52.
Myin-GermeysI.PeetersF.HavermansR.NicolsonN. A.DeVriesM. W.DelespaulP.Van OsJ. (2003). Emotional reactivity to daily life stress in psychosis and affective disorder: An experience sampling study. Acta Psychiatrica Scandinavica, 107(2), 124–131. https://doi.org/10.1034/j.1600-0447.2003.02025.x
53.
NelsonJ.KlumparendtA.DoeblerP.EhringT. (2020). Everyday emotional dynamics in major depression. Emotion, 20, 179–191. https://doi.org/10.1037/emo0000541
54.
NezlekJ. B. (2017). A practical guide to understanding reliability in studies of within-person variability. Journal of Research in Personality, 69, 149–155. https://doi.org/10.1016/j.jrp.2016.06.020
55.
NitschkeJ. B.HellerW.ImigJ. C.McDonaldR. P.MillerG. A. (2001). Distinguishing dimensions of anxiety and depression. Cognitive Therapy and Research, 25, 1–22. https://doi.org/10.1023/A:1026485530405
56.
Nolen-HoeksemaS. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109(3), 504–511. https://doi.org/10.1037/0021-843X.109.3.504
57.
OrmelJ.OldehinkelA. J.BrilmanE. I. (2001). The interplay and etiological continuity of neuroticism, difficulties, and life events in the etiology of major and subsyndromal, first and recurrent depressive episodes in later life. American Journal of Psychiatry, 158(6), 885–888. https://doi.org/10.1176/appi.ajp.158.6.885
58.
PeetersF.BerkhofJ.DelespaulP.RottenbergJ.NicolsonN. A. (2006). Diurnal mood variation in major depressive disorder. Emotion, 6(3), 383–391. https://doi.org/10.1037/1528-3542.6.3.383
59.
RaudenbushS. W.BrykA. S.CheongY. F.CongdonR. (2011). HLM 7 for Windows [Computer software]. Scientific Software International, Inc.
60.
RobinsonM. D.CloreG. L. (2002). Episodic and semantic knowledge in emotional self-report: Evidence for two judgment processes. Journal of Personality and Social Psychology, 83, 198–215. https://doi.org/10.1037/0022-3514.83.1.198
61.
RussellJ. J.MoskowitzD. S.ZuroffD. C.SookmanD.ParisJ. (2007). Stability and variability of affective experience and interpersonal behavior in borderline personality disorder. Journal of Abnormal Psychology, 116, 578–588. https://doi.org/10.1037/0021-843X.116.3.578
62.
SchoeversR. A.van BorkuloC. D.LamersF.ServaasM. N.BastiaansenJ. A.BeekmanA. T. F.van HemertA. M.SmitJ. H.PenninxB. W. J. H.RieseH. (2020). Affect fluctuations examined with ecological momentary assessment in patients with current or remitted depression and anxiety disorders. Psychological Medicine. Advance online publication. https://doi.org/10.1017/S0033291720000689
63.
SelbyE. A.WonderlichS. A.CrosbyR. D.EngelS. G.PanzaE.MitchellJ. E.CrowS. J.PetersonC. B.Le GrangeD. (2014). Nothing tastes as good as thin feels: Low positive emotion differentiation and weight-loss activities in anorexia nervosa. Clinical Psychological Science, 2(4), 514–531. https://doi.org/10.1177/2167702613512794
64.
SnijdersT. A. B.BoskerR. J. (2011). Multilevel analysis: An introduction to basic and advanced multilevel modeling (2nd ed.). SAGE.
65.
SteppS. D.EplerA. J.JahngS.TrullT. J. (2008). The effect of dialectical behavior therapy skills use on borderline personality disorder features. Journal of Personality Disorders, 22(6), 549–563. https://doi.org/10.1521/pedi.2008.22.6.549
66.
SulsJ.GreenP.HillisS. (1998). Emotional reactivity to everyday problems, affective inertia, and neuroticism. Personality and Social Psychology Bulletin, 24, 127–136. https://doi.org/10.1177/0146167298242002
67.
ThompsonR. J.BerenbaumH.BredemeierK. (2011). Cross-sectional and longitudinal relations between affective instability and depression. Journal of Affective Disorders, 130, 53–59. https://doi.org/10.1016/j.jad.2010.09.021
68.
ThompsonR. J.MataJ.JaeggiS. M.BuschkuehlM.JonidesJ.GotlibI. H. (2012). The everyday emotional experiences of adults with major depressive disorder: Examining emotional instability, inertia, and reactivity. Journal of Abnormal Psychology, 121, 819–829. https://doi.org/10.1037/a0027978
69.
van RoekelE.VerhagenM.EngelsR. C. M. E.KuppensP. (2018). Variation in the serotonin transporter polymorphism (5-HTTLPR) and inertia of negative and positive emotions in daily life. Emotion, 18(2), 229–236. https://doi.org/10.1037/emo0000336
70.
VistedE.VøllestadJ.NielsenM. B.SchancheE. (2018). Emotion regulation in current and remitted depression: A systematic review and meta-analysis. Frontiers in Psychology, 9, Article 756. https://doi.org/10.3389/fpsyg.2018.00756
71.
WatsonD.ClarkL. A.CareyG. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97(3), 346–353. https://doi.org/10.1037/0021-843X.97.3.346
72.
WatsonD.WeberK.AssenheimerJ. S.ClarkL. A.StraussM. E.McCormickR. A. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptoms scales. Journal of Abnormal Psychology, 104, 3–14. https://doi.org/10.1037/0021-843X.104.1.3
73.
WeinbergerA. H.GbedemahM.MartinezA. M.NashD.GaleaS.GoodwinR. D. (2018). Trends in depression prevalence in the USA from 2005 to 2015: Widening disparities in vulnerable groups. Psychological Medicine, 48(08), 1308–1315. https://doi.org/10.1017/S0033291717002781
74.
WichersM.PeetersF.RuttenB. P.JacobsN.DeromC.ThieryE.DelespaulP.van OsJ. (2012). A time-lagged momentary assessment study on daily life physical activity and affect. Health Psychology, 31(2), 135–144. https://doi.org/10.1037/a0025688
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