Relación entre afecto negativo y dominios de esquemas maladaptativos tempranos como variables de personalidad en el Trastorno Depresivo Mayor: un estudio de casos y controles

Diana María Agudelo Vélez; Yvonne Gómez-Maquet; Catalina Uribe Castro; Ileana Manzanilla Africano

doi:10.17533/udea.rp.v12n2a03

Authors

Diana María Agudelo Vélez University of the Andes https://orcid.org/0000-0001-6658-449X
Yvonne Gómez-Maquet University of the Andes https://orcid.org/0000-0001-8629-3542
Catalina Uribe Castro University of the Andes https://orcid.org/0000-0003-0518-6687
Ileana Manzanilla Africano University of the Andes https://orcid.org/0000-0003-3776-6109

DOI:

https://doi.org/10.17533/udea.rp.v12n2a03

Keywords:

negative affectivity, early maladaptive schemas, depressive disorder, personality disorders

Abstract

The current case-control study used a quasi-experimental design to explore the role that negative affectivity (as a trait) and the five domains of early maladaptive schemas have as personality variables related to depressive disorders. A secondary analysis of data was carried out in a case-control sample conformed by 238 psychiatric patients diagnosed with Major Depressive Disorder and 236 individuals without this diagnosis. Patients showed significantly greater levels of negative affectivity as a trait for both anxiety and depression, along with significantly higher scores in the five domains of early maladaptive schemas compared to healthy individuals. A binary logistic regression analysis showed that a negative affectivity model explains 59% of the variance of depression, while a model of early maladaptive schema domains explains 48%. These findings favor the dimensional approach of the dsm-5 alternate classification model of personality disorders, as well as the possibility of reconsidering a depressive personality disorder diagnosis.

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Author Biographies

Diana María Agudelo Vélez, University of the Andes

Doctor in Clinical and Health Psychology. Professor, Department of Psychology, University of the Andes.

Yvonne Gómez-Maquet, University of the Andes

Doctor in Psychology. Professor, Department of Psychology, University of the Andes.

Catalina Uribe Castro, University of the Andes

Master in Clinical and Health Psychology. Psychologist.

Ileana Manzanilla Africano, University of the Andes

Master in Clinical and Health Psychology. Psychologist.

References

Achenbach, T. y Edelbrock, C. (1978). The classification of child psychopathology: A review and analysis of empirical efforts. Psychological Bulletin, 85(6), 1275-1301. doi: 10.1037/0033-2909.85.6.1275

Agudelo, D., Buela-Casal, G., y Spielberger, D. (2007a). Ansiedad y depresión: el problema de la diferenciación a través de los síntomas. Salud Mental, 30(2), 33-41.

Agudelo, D., Spielberger, D., y Buela-Casal, G. (2007b). La depresión: ¿un trastorno dimensional o categorial? Salud Mental, 30(3), 20-28.

Agudelo, D., Gómez, Y. y López, P. (2014). Propiedades Psicométricas del Inventario de Depresión Estado/Rasgo (IDER) con una muestra de población general colombiana. Avances en Psicología Latinoamericana, 32(1), 71-84.

Alba, J. y Calvete, E. (2019). Relaciones entre depresión, estrés y esquemas disfuncionales tempranos en adolescentes. Psicología Conductual, 27(2), 183-198.

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, dsm-5 (5ta. Edición). Washington, D.C.

Bermúdez J. (1978). Análisis Funcional de la Ansiedad. Revista de Psicología General y Aplicada, 153, 617-34.

Besenek, M. (2020). Differences in Dimensional Personality Features in Depressive and Anxious Adolescents. Anatolian Journal of Psychiatry, 21(0), 1. doi: 10.5455/apd.94853

Calvete, E. (2014). Emotional Abuse as a Predictor of Early Maladaptive Schemas in Adolescents: Contributions to the Development of Depressive and Social Anxiety Symptoms. Child Abuse & Neglect, 38, 735-746.

Cámara, M. y Calvete, E. (2012). Early Maladaptive Schemas as Moderators of the Impact of Stressful Events on Anxiety and Depression in University Students. Journal Psychopathology Behaviour Assessment 34(1) 58-68.

Chen, K., Tam, W. y Chang, K. (2019). Early Maladaptive Schemas, Depression Severity, and Risk Factors for Persistent Depressive Disorder: A Cross-sectional Study. East Asian Archives of Psychiatry, 29(4), 112-117.

Clark, L. y Watson, D. (1991). Tripartite Model of Anxiety and Depression: Psychometric Evidence and Taxonomic Implications. Journal of Abnormal Psychology, 100(3), 316-336. doi: http://dx.doi.org/10.1037/0021-843X.100.3.316.

Clark, L. y Watson, D. (2003). Constructing Validity: Basic Issues in Objective Scale Development. En: Kazdin, A. (Ed.). Methodological issues & strategies in clinical research (3rd ed., pp. 207-231). New York: American Psychological Association.

Davoodi, E., Wen, A., Dobson, K., Noorbala, A., Mohammadi, A. y Farahmand, Z. (2018). Early Maladaptive Schemas in Depression and Somatization Disorder. Journal of Affective Disorders, 235, 82-89.

Eaton, N.R., South, S.C. y Krueger, R.F. (2010). The meaning of comorbidity among common mental disorders. En Millon, T., Krueger R.F. y Simonsen, E. (Ed.). Contemporary directions ins psychopathology: Scientific foundations of the dsm-v and icd-11. New York: The Guilford Press.

Ferrando, L., Bobes, J., Gibert, J., Soto, M. y Soto, O. (2000). MINI. Entrevista Neuropsiquiátrica Internacional. Versión en español 5.0.0. dsm-iv. Traducida por L. Franco-Alfonso, L. Franco.

Flink, N., Honkalampi, K., Lehto, S., Viinamäki, H., Koivumaa‐Honkanen, H., Valkonen‐Korhonen, M. y Lindeman, S. (2019), Early Maladaptive Schemas in Chronically Depressed Patients: A Preliminary Investigation. Clinical Psychology, 23, 15-25. doi: 10.1111/cp.12151

Gotlib, I. y Hammen, C. (2015). Handbook of Depression. Nueva York: Guilford.

Halvorsen, M., Wang, C., Eisemann, M. y Waterloo, K. (2010) Dysfunctional Attitudes and Early Maladaptive Schemas as Predictors of Depression: A 9 Year Follow up Study. Cognitive Therapy Research, 34, 368-379.

Hidalgo, R. y Sheehan, D. (2012). Generalized Anxiety Disorder. In Handbook of Clinical Neurology, 106, 343-362.

Hong, R. y Tan, Y. (2020). dsm-5 Personality Traits and Cognitive Risks for Depression, Anxiety, and Obsessive-Compulsive Symptoms. Personality and Individual Differences, 169, 110041.

Huprich, S. (1998). Depressive Personality Disorder: Theoretical Issues, Clinical Findings, and Future Research Questions. Clinical Psychology Review, 18, 477-500.

Huprich, S. (2012). Considering the Evidence and Making the Most Empirically Informed Decision About Depressive Personality Disorder in dsm-5. Personality disorders: Theory, Research, and Treatment, 3(4), 470-482.

Huprich, S. (2013). New Directions for an Old Donstruct: Depressive Personality Research in the dsm‐5 Era. Personality and Mental Health, 7(3), 213-222.

Huprich, S., Porcerelli, J., Keaschuk, R., Binienda, J. y Engle, B. (2008). Depressive Personality Disorder, Dysthymia, and Their Relationship to Perfectionism. Depression and Anxiety, 25(3), 207-217.

Klein, D., Schwartz, J., Rose, S. y Leader, J.(2000). Five-year Course and Outcome of Dysthymic Disorder: A Prospective, Naturalistic Follow-up Study. American Journal of Psychiatry, 157(6), 931-939.

Londoño, C. y González-Rodríguez, M. (2016). Prevalencia de depresión y factores asociados en hombres. Acta Colombiana de Psicología, 19(2), 315-329.

Londoño, N., Calvete, E., Ferrer, A., Chaves, L. Castrillón, D., Schnitter, M. Marín, C. y Maestre, K. (2012). Young Schema Questionnaire-Short Form: validación en Colombia. Universitas Psychologica, 11(1), 147-164.

Mateos-Pérez, E. y Calvete, E. (2019). Interacción entre diferentes factores cognitivos en la predicción de los síntomas de depresión. Behavioral Psychology, 27, 21-39.

Mineka, S., Watson, D. y Clark, L. (1998). Comorbidity of Anxiety and Unipolar Mood Disorders. Annual Review of Psychology, 49, 377-412.

Nia, M., Sovani, A. y Forooshani, G. (2014). Exploring Correlation Between Perceived Parenting Styles, Early Maladaptive Schemas, and Depression Among Women With Depressive Symptoms in Iran and India Role of Early Maladaptive Schemas as Mediators and Moderatos. Iranian Red Crescent Medical Journal 16(12), e17492.

Nicol, A., Mak, A., Murray, K., Walker, I. y Buckmaster, D. (2020). The Relationships Between Early Maladaptive Schemas and Youth Mental Health: A Systematic Review. Cognitive Therapy and Research, 44, 715-751.

Örstavik, R., Kendler, K.., Czajkowski, N., Tambs, K. y Reichborn-Kjennerud, T. (2007). The Relationship Between Depressive Personality Disorder and Major Depressive Disorder: A Population-based Twin Study. The American Journal of Psychiatry, 164, 1866-1872.

Rafi, M., Adibsereshki, N. y Aval, M. (2017). The Mediating Role of Early Maladaptive Schemas in the Relationships of Emotional Maltreatment and Emotional Disorders. European Journal of Mental Health, 12(1), 104-115. doi: 10.5708/ejmh.12.2017.1.7.

Renner, F., Lobbestael, J., Peeters, F., Arntz, A. y Huibers, M. (2012). Early Maladaptive Schemas in Depressed Patients: Stability and Relation with Depressive Symptoms Over the Course of Treatment. Journal of Affective Disorders, 136(3), 581-590. doi: 10.1016/j.jad. 2011.10.027.

Rhebergen, D. y Graham, R. (2014). The Re-Labelling of Dysthymic Disorder to Persistent Depressive Disorder in dsm-5: Old Wine in New Bottles? Current Opinion in Psychiatry, 27(1), 27-31.

Ritterband, L. y Spielberger, C. (1996). Construct Validity of the Beck Depression Inventory as a Measure of State and Trait Depression in Nonclinical Populations. Depression and Stress, 2, 123-145.

RStudio Team. (2020). RStudio: Integrated development for R. RStudio, Inc., Boston MA. RStudio

Sheehan, D., Lecrubier, Y., Sheehan, K., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R. y Dunbar, G. (1998). The Mini-International Neuropsychiatric Interview (m.i.n.i): The Development and Validation of a Structured Diagnostic Psychiatric Interview for dsm-iv and icd-10. The Journal of Clinical Psychiatry, 59(20), 22-33.

Spielberger C., Buela-Casal, G. y Agudelo, D. (2008). Inventario de depresión estado-rasgo: Manual. Madrid: tea ediciones.

Spielberger, C., Gorsuch, R. y Lushene, R. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, California: Consulting Psychologist Press.

Spielberger, C. (1983). Manual for the State-Trait Anxiety Inventory: stai (Form Y). Palo Alto, CA: Consulting Psychologists Press.

Spielberger, C. (1988). Manual for the State-Trait Anger Expression Inventory (staxi). Florida: Psychological Assessment Resources, Inc.

Spielberger, C., Agudelo, D., Carretero-Dios, H., De los Santos-Roig, M. y Buela-Casal, G. (2004). Análisis de ítems de la versión experimental castellana del Cuestionario de Depresión Estado-Rasgo (st-dep). Análisis y Modificación de Conducta, 30, 495-535.

Spielberger, C., Jacobs, G., Russell, S. y Crane, R. (1983). Assessment of Anger: The State-Trait Anger Scale. En: Butcher, J. y Spielberger, C. (Ed). Advances in Personality Assessment, 2, 161-189.

Spielberger, C., Ritterband, L., Reheiser, E. y Brunner, T. (2003). The Nature and Measurement of Depression. Revista Internacional de Psicología Clínica y de la Salud/International Journal of Clinical and Health Psychology, 3, 209-234.

Spielberger, C., Ritterband, L., Sydeman, S., Reheiser, E. y Unger, K. (1995). Assessment of Emotional States and Personality Traits: Psychological Vital Signs. En: Butener, J. (Ed.). Clinical Personality Assessment: Practical Approach (pp. 42-58).New York: Oxford University Press.

Testal, J., Calderón, C. y Garcelán, S. (2014). Del dsm-iv-tr al dsm-5: análisis de algunos cambios. International Journal of Clinical and Health Psychology, 14(3), 221-231.

Tyrer, P., Seivewright, H. y Johnson, T. (2004). The Nottingham Study of Neurotic Disorder: Predictors of 12-year Outcome of Dysthymic, Panic and Generalized Anxiety. Psychological Medicine, 34(8), 1385-1394.

Watson, D., Clark, L. y Carey, G. (1988). Positive and Negative Affectivity and Their Relation to Anxiety and Depressive Disorders. Journal of abnormal psychology, 97(3), 346-353.

Willner, C., Gatzke-Kopp, L. y Bray, B. (2016). The Dynamics of Internalizing and Externalizing Comorbidity Across the Early School Years. Development and Psychopathology, 28(4-1), 1033-1052.

Young, J., Klosko, J. y Weishaar, M. (2003). Schema Therapy: A Practitioner’s Guide. Guilford Press.

Yu, H., Gu, S., Yao, F., Wang, Z. y Fu, W. (2019). Electrophysiological Characteristics in Depressive Personality Disorder: An Event-Related Potential Study. Frontiers in Psychology, 9, 2711.