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      Developing a measure of interpretation bias for depressed mood: An ambiguous scenarios test

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          Abstract

          The tendency to interpret ambiguous everyday situations in a relatively negative manner (negative interpretation bias) is central to cognitive models of depression. Limited tools are available to measure this bias, either experimentally or in the clinic. This study aimed to develop a pragmatic interpretation bias measure using an ambiguous scenarios test relevant to depressed mood (the AST-D). 1 In Study 1, after a pilot phase ( N = 53), the AST-D was presented via a web-based survey ( N = 208). Participants imagined and rated each AST-D ambiguous scenario. As predicted, higher dysphoric mood was associated with lower pleasantness ratings (more negative bias), independent of mental imagery measures. In Study 2, self-report ratings were compared with objective ratings of participants’ imagined outcomes of the ambiguous scenarios ( N = 41). Data were collected in the experimental context of a functional Magnetic Resonance Imaging scanner. Consistent with subjective bias scores, independent judges rated more sentences as negatively valenced for the high versus low dysphoric group. Overall, results suggest the potential utility of the AST-D in assessing interpretation bias associated with depressed mood.

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          Induced emotional interpretation bias and anxiety.

          Five experiments are reported showing that the interpretation of personally relevant emotional information can be modified by systematic exposure to congruent exemplars. Participants were induced to interpret ambiguous information in a relatively threatening or a benign way. Comparison with a baseline condition suggested that negative and positive induction had similar but opposing effects. Induction of an interpretative bias did not require active generation of personally relevant meanings, but such active processing was necessary before state anxiety changed in parallel with the induced interpretative bias. These findings provide evidence consistent with a causal link between the deployment of interpretative bias and anxiety and reveal something of the processes underlying this association.
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            Mental imagery and emotion: a special relationship?

            A special association between imagery and emotion is often assumed, despite little supporting evidence. In Experiment 1, participants imagined unpleasant events or listened to the same descriptions while thinking about their verbal meaning. Those in the imagery condition reported more anxiety and rated new descriptions as more emotional than did those in the verbal condition. In Experiment 2, 4 groups listened to either benign or unpleasant descriptions, again with imagery or verbal processing instructions. Anxiety again increased more after unpleasant (but not benign) imagery; however, emotionality ratings did not differ after a 10-min filler task. Results support the hypothesis of a special link between imagery and anxiety but leave open the question of whether this also applies to other emotions. Copyright (c) 2005 APA, all rights reserved.
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              Prevention of relapse following cognitive therapy vs medications in moderate to severe depression.

              Antidepressant medication prevents the return of depressive symptoms, but only as long as treatment is continued. To determine whether cognitive therapy (CT) has an enduring effect and to compare this effect against the effect produced by continued antidepressant medication. Patients who responded to CT in a randomized controlled trial were withdrawn from treatment and compared during a 12-month period with medication responders who had been randomly assigned to either continuation medication or placebo withdrawal. Patients who survived the continuation phase without relapse were withdrawn from all treatment and observed across a subsequent 12-month naturalistic follow-up. Outpatient clinics at the University of Pennsylvania and Vanderbilt University. A total of 104 patients responded to treatment (57.8% of those initially assigned) and were enrolled in the subsequent continuation phase; patients were initially selected to represent those with moderate to severe depression. Patients withdrawn from CT were allowed no more than 3 booster sessions during continuation; patients assigned to continuation medication were kept at full dosage levels. Relapse was defined as a return, for at least 2 weeks, of symptoms sufficient to meet the criteria for major depression or Hamilton Depression Rating Scale scores of 14 or higher during the continuation phase. Recurrence was defined in a comparable fashion during the subsequent naturalistic follow-up. Patients withdrawn from CT were significantly less likely to relapse during continuation than patients withdrawn from medications (30.8% vs 76.2%; P = .004), and no more likely to relapse than patients who kept taking continuation medication (30.8% vs 47.2%; P = .20). There were also indications that the effect of CT extends to the prevention of recurrence. Cognitive therapy has an enduring effect that extends beyond the end of treatment. It seems to be as effective as keeping patients on medication.
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                Author and article information

                Journal
                Pers Individ Dif
                Pers Individ Dif
                Personality and Individual Differences
                Pergamon Press
                0191-8869
                August 2011
                August 2011
                : 51
                : 3
                : 349-354
                Affiliations
                Department of Psychiatry, University of Oxford, UK
                Author notes
                [* ]Corresponding author. Address: EPACT Group, Department of Psychiatry, Warneford Hospital, Oxford, OX3 7JX, United Kingdom, Tel.: +44 01865 226 487; fax: +44 01865 793101. cberna@ 123456fmrib.ox.ac.uk
                Article
                PAID5036
                10.1016/j.paid.2011.04.005
                3149299
                21822348
                c81c8127-a970-4f7f-9998-7773b165d493
                © 2011 Elsevier Ltd.

                This document may be redistributed and reused, subject to certain conditions.

                History
                : 4 October 2010
                : 23 March 2011
                : 5 April 2011
                Categories
                Article

                Clinical Psychology & Psychiatry
                interpretation bias,cognitive bias modification,mental imagery,dysphoria,depressed mood,cognitive bias

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