Interpersonal problems, dependency, and self-criticism in major depressive disorder

J Clin Psychol. 2015 Jan;71(1):93-104. doi: 10.1002/jclp.22120. Epub 2014 Oct 3.

Abstract

Objectives: The goal of the present research was the examination of overlap between 2 research traditions on interpersonal personality traits in major depression. We hypothesized that Blatt's (2004) dimensions of depressive experiences around the dimensions of relatedness (i.e., dependency) and self-definition (i.e., self-criticism) are associated with specific interpersonal problems according to the interpersonal circumplex model (Leary, 1957). In addition, we examined correlations of interpersonal characteristics with depression severity.

Method: Analyses were conducted on 283 patients with major depressive disorder combined from 2 samples. Of the patients, 151 participated in a randomized controlled trial in the United States, and 132 patients were recruited in an inpatient unit in Germany. Patients completed measures of symptomatic distress, interpersonal problems, and depressive experiences.

Results: Dependency was associated with more interpersonal problems related to low dominance and high affiliation, while self-criticism was associated with more interpersonal problems related to low affiliation. These associations were independent of depression severity. Self-criticism showed high overlap with cognitive symptoms of depression.

Conclusion: The findings support the interpersonal nature of Blatt's dimensions of depressive experiences. Self-criticism is associated with being too distant or cold toward others as well as greater depression severity, but is not related to the dimension of dominance.

Keywords: interpersonal problems; major depressive disorder; personality.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Dependency, Psychological*
  • Depressive Disorder, Major / psychology*
  • Diagnosis, Dual (Psychiatry)
  • Female
  • Germany
  • Humans
  • Interpersonal Relations*
  • Male
  • Middle Aged
  • New England
  • Principal Component Analysis
  • Psychiatric Status Rating Scales
  • Self Efficacy
  • Self-Assessment*
  • Substance-Related Disorders / psychology
  • Universities