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Originalia

Kognitive Reaktivität und Stressbelastung als Prädiktoren eines Rezidivs bei remittiert depressiven Personen

Published Online:https://doi.org/10.1026/1616-3443/a000251

Theoretischer Hintergrund: Obwohl einige Studien zeigten, dass eine gesteigerte kognitive Reaktivität einen Risikofaktor für einen depressiven Rückfall darstellt, konnte dieser Befund von anderen Arbeitsgruppen nicht bestätigt werden. Fragestellung: Daher wollen wir mit einer Replikationsstudie zur Klärung der Frage beitragen, inwiefern kognitive Reaktivität und Stressbelastung ein depressives Rezidiv vorhersagen. Methode: Bei 39 remittierten Depressiven nach einer stationären Behandlung sowie 45 gesunden Kontrollpersonen wurde die kognitive Reaktivität gemessen. Die remittiert depressive Gruppe absolvierte darüber hinaus eine 16-monatige Katamnesephase. Ergebnisse: Am Ende der stationären Behandlung stellte sich bei der Patientengruppe eine signifikante Reduktion der dysfunktionalen Einstellungen heraus. Die kognitive Reaktivität erwies sich als bedeutsamer Prädiktor eines depressiven Rückfalls, insbesondere wenn die Anzahl negativer Lebensereignisse im Katamnesezeitraum berücksichtigt wurde. Schlussfolgerung: Kognitive Reaktivität wurde als wichtiger Prädiktor eines depressiven Rezidivs bestätigt.


Cognitive reactivity and stressful life events as predictors of relapse in remitted depressed persons

Theoretical Background: Although some studies have shown that increased cognitive reactivity (CR) is a risk factor for depressive relapse, this finding could not be confirmed by other research groups. Question: Therefore, this replication study aims to clarify the question of how CR and stress predict a depressive relapse. Methods: The CR of 39 remitted depressed persons after an inpatient treatment as well as 45 healthy controls was tested. The remitted depressed group undertook an additional 16 month follow-up. Results: At the end of inpatient treatment a significant reduction in dysfunctional attitudes in the patient group was observed. CR is a significant predictor of depressive relapse, especially when the number of negative life events in follow-up was considered. Conclusion: CR was confirmed as an important predictor of depressive relapse.

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