X hits on this document

40 views

0 shares

0 downloads

0 comments

1 / 13

Arch Gen Psychiatry -- Life Event Dimensions of Loss, Humiliation, Entrapment, and Danger in the Prediction of Onsets of Major Depression and Generalized Anxiety, A…

1/27/07 10:12 AM

Select Journal or Resource

Vol. 60 No. 8, August 2003

Featured Link

Original Article

E-mail Alerts

Article Options

Life Event Dimensions of Loss, Humiliation, Entrapment, and Danger in the Prediction of Onsets of Major Depression and Generalized Anxiety

Abstract PDF Send to a Friend Readers Reply

Submit a reply Related articles in this

Kenneth S. Kendler, MD; John M. Hettema, MD, PhD; Frank Butera, MA; Charles O. Gardner, PhD; Carol A. Prescott, PhD

issue Similar articles in this journal

Access via PURCHASE ARTICLE

Arch Gen Psychiatry. 2003;60:789-796.

ABSTRACT

Background Although substantial evidence suggests that stressful life events predispose to the onset of episodes of depression and anxiety, the essential features of these events that are depressogenic and anxiogenic remain uncertain.

Methods High contextual threat stressful life events, assessed in 98 592 person- months from 7322 male and female adult twins ascertained from a population-based registry, were blindly rated on the dimensions of humiliation, entrapment, loss, and danger and their categories. Onsets of pure major depression (MD), pure generalized anxiety syndrome (GAS) (defined as generalized anxiety disorder with a 2-week

minimum duration), and mixed MD-GAS episodes were examined using logistic regression.

Literature Track

  • Add to File Drawer

  • Download to Citation Manager

  • PubMed citation

  • Articles in PubMed by

    • Kendler KS

    • Prescott CA

  • Articles that cite this article

  • ISI Web of Science (4)

  • Contact me when this article is cited

Topic Collections

  • Anxiety Disorders

  • Depression

  • Stress

  • Collection E-mail Alerts

Results Onsets of pure MD and mixed MD-GAS were predicted by higher ratings of loss and humiliation. Onsets of pure GAS were predicted by higher ratings of loss and danger. High ratings of entrapment predicted only onsets of mixed episodes. The loss categories of death and respondent-initiated separation predicted pure MD but not pure GAS episodes. Events with a combination of humiliation (especially other-initiated separation) and loss were more depressogenic than pure loss events, including death. No sex differences were seen in the prediction of episodes of illness by event categories.

Conclusions In addition to loss, humiliating events that directly devalue an individual in a core role were strongly linked to risk for depressive episodes. Event dimensions and categories that predispose to pure MD vs pure GAS episodes can be distinguished with moderate specificity. The event dimensions that

preceded mixed MD-GAS episodes were largely the sum of those that preceded pure MD and pure GAS episodes.

INTRODUCTION

http://archpsyc.ama-assn.org/cgi/content/full/60/8/789?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=Humiliation&searchid=1098816550

...

Page 1 of 13

Document info
Document views40
Page views40
Page last viewedSat Dec 03 22:44:49 UTC 2016
Pages13
Paragraphs526
Words6881

Comments