Professional Documents
Culture Documents
Paul Kwon
Washington State University
Jean.Philippe Laurenceau
University ؛oj Miami
Tilts study was supported ill part by a grant from the College of Liberal Arts iit Washington State University
awarded to the first author and a James w. MeLamore Aw’ard from the Office of Researcfi Administration ؛It the
fJniversity of Miami awarded to the second author. We tliank Kirk Barney. Nathan Causey, Marsliall Clark.
Andrea Devereaux. Pamela Freske. Ryan Sillers. Elizabeth Tiimura, and Jennifer Williams for assistance witli
data collectitm and entry. We also thank Adele Hayes ؛ind Duncan Campbell for lielpful comments on a previous
draft of the article.
Correspondence concerning this article should be ؛iddressed to: Paul Kwon. Department of Psycliology. P.O.
Box 64482(). Washington State University. Pullman, Washington 99164-4820; e-m،؛il: kwonp@wsu.edu;
http://www.wsu.edu/-kwonp.
JOURNAL OF CLINICAL PSYCHOLOGY. Vol. 58(101. 1305-1321 (2002) © 2002 Wiley Periodicals. Inc.
Published online in Wiley InterScience (www.interscience.wiley.cofn). 001: 10 1002/jclp.10043
1.1١ Jt١i،r,٠ol of Clinical Psychology. October 2002
Tlie hopelessness theory of depression (Abramson. Metalsky. & Alloy. 1989: formerly
،lie learned helplessness theory of depression: Abramson, Seligman. & Teasdale. 1978)
posits that a negative attributions! style serves as a dittthesis for depression. Lfnder suf-
fieient levels of life stress, individuals with a tendeney to make global and stitble causal
attributions for negative events itre theoretically iit greater risk for depression. Tliis pro-
posal has generate،! mueli research over the liist severitl decades. Historically, the diatliesis-
stress component of the theory has proven، lifl’icult to test adequately (Abramson. Alloy,
& Metalsky, 1988: Robins & Hayes. 1995). A ،'ter many years ol' mixed ،'indings (.Persons
& Mirandit, 1992: Robins & Hayes, 1995). recent research lias y.ielded more convincing
support for tliis aspect of tlie theory (Alloy et al. ١1999: Alloy & Clements, 1998: Alloy.
Just, & Panzarella, 1997: Metalsky & .loiner, 1992, 1997').
Tlie first goal ،if the present study was to test l'urther the diathesis-stress aspect (i.e.,
differentii،) reactivity model) of tlie htipelessness theory. The secontl goal of this study
was to test a differential exposure to stress Iiitidel. an alternate niotlel that examitied
W'hether attributional style increases an individual's subsequent exposure to stressfirs. To
accomplish tliese goals witli methodological rigtir, we ctillected data using a prospective,
multiwave longitudinal design. A hierarcliiciil linear modeling approach was tlien Lisetl to
capitalize tipon tlie richness ol'tliese data. In examining the diatliesis-stress component of
tlie htipelessness theory, this statistical technique iillowetl US to (a) motlel tlie relatit-in
between stresstirs and depressive sympttmis for each study participant and (.b) investigate
the role til' attributional style as a between-subjects predicttir of tlie relation between
stress atid symptoms. Given that conventional study designs typically omit tlie ftirmer
step in data aiiitlysis, we believe tliat tlie present study design allows for a powerful and
novel test of the study hypotheses.
Figure /. Differential exposure and differential reaetivity models illustrating possible relations among :،ttri-
bution،؛. style, stress, and depressive symptoms.
/.?/٠ Journal of Clinical Psychology', October 201)2
making negative attributions may set themselves up lor failure. Evaluating both the
differential reaetivity and differential exposure models within tlie same study would
begi.1 addressing tliese important questions regarding the role of attributional style in
the stress-depression process.
Metliod
Participants
l 30 niiile) untlergraduate stutlents enrolled in iin،Piirticipants were 146(116 female an
iurse credit،introductory psychology course at a large university. Participants received c
' the piirticipants was 20.1 yeiirs (SI) = 2.8). A،!،'or tlieir participatitin. Tlie mean age ،
' tlie participants identil'ied themselves as Caucasian،!،majority )81؟،(. 'rtini par-،Data
! in the analyses if they completed،ticipiints were include ؛1 ؛least seven o.'the ten weekly
' an initial pool (if 167 participants who completed tlie initial ques-،juestionnaires. 0،
)t differ sign،litl not meet tliis requirement. Excluded participants did n،lionnilire, 21 ؛،'-
'rom tlie rest ol' tlie Siimple on eitlier tlie Measure of Attributional Style (MAS،icantly :
I312 2002 Clinical Psychology, October آال1اال،اا١،ا
Kwon & Whisnian. 1.65( = 165(, /)992ا, I1.S. ١or the Beck Repression Inventory-!
(BR1-IL Beck, Steer, & Brown, 1996).11( = .165 )ر. n.s. Among tlie llnnl sample of 146
participants, the vast majority (125.) completed all questionnaires. Tilirteen participants
missed one of the weekly, questionnaires, 5 missed two questionnaires, and 3 missed
three questionnaires.
Measures
The MAS (Kwon & w'hisman. 1992) presents piirticipants witli 26 hypothetical negative
life events (e.g., "You liave been looking for a job unsuccessfully for several weeks"). For
each situation, tlie participant is asked to vividly itiiagine the scetiario and tlien choose
the most likely cause of tlie situation atuong four alternatives, W'liicli are crossed 2x2 oti
dimensions of internality and generality. To illustrate, tlie clioice “You tlo not have much
to offer as a job applicant" would be high on botli dimensions whereas tlie clioice "Btisi-
fiess lias beeti unusually slow in your town tlie past few weeks” would be lo ١١on botli
dimensions. Tlie generality dimension incorporates both globalily and stability, which
both appear tti be measures of catastrophizing (Peterson & Seligman, 1985), iire liighly
correlated (Peterson & Villanova. 1988), itnd have been grouped together in tlie hope-
lessness theory (Abramson et al. ١1989.). A score for the generality' dimension is derived
by counting tlie number tif selected items tliitt incorporate the dimension (range = 0-26).ا
A previous study has indicated tliilt the MAS Iiiity be nitire predictive of longitudiiiiil
changes in depressive symptoms thill! the Expanded Attributional Style Questionnaire
(EASQ: Peterson & Villanova, 1988). Kwtin atid Whisnian (1992) ctinducted a prospcc-
tive three-month stutly of. 80 students using botli the MAS and EASQ. The EASQ failed
to predict longitudinal clianges in depressive symptoms tiver tlie course of tlie sttidy
eitlier as a main el'fect or interaction with life stress. In contrast, the MAS significantly
interiicted witli life stress to predict chitnges in depressive symptoms. Tlie MAS ،؛Iso has
been successfully tisetl in two other studies involving attributional style (Kwon. ؛1999
Kwon & Lemon, 2000). Kwon anti Whisnian (1992) found a tliree-tiiontli test-retest reli-
ability of .82 for tlie MAS generality dimension, ،؛ldicating excellent stability over time.
In tlie present study, coef'ficient alpli ،؛was .67.
Tlie BDI II (Beck. Steer. & Brown, 1996) is a 21-itetu, self-report instrument tif
depressive symptomatology. Each item is sctired 1'rtim 0 to 3, with a liiglier score intli-
eating greater sytuptotu severity. Given thilt assesstnents took pl ،٤ce on ،؛weekly basis,
the instructions were tuodified so that participants reported <١n their synipto.us during the
past week rather tlian two weeks. Tliis second edition ol' the instrument provides com-
preliensive coverage of DSM-IV (American Psychiatric Association, 1994) diagnostic
criteria. The BD1-11 inclutles new items iissessing incretises in iippetite, weiglit, and sleep؛
the first edition (Beck. Ward, Mendelsoji. Mtick. & Erbaugh, 1961) assessed (Itily decreases
in these symptoms. The BDI-I1 lias been shown to be a reliable and valid nietisure ol.
depressive symptomatology (Rozois, Rtibson. & Alinberg, 1998). 1.1 tlie present study,
coefficient alph ،؛was calculated ،؛t each titue period, with values ranging from .84 to .90.
Tlie Hassles and Uplifts Scale (.ReLojigis, Folkinan, & Lazarus. 1988) is a tjuestion-
Iiaire of. daily stressors. Subjects were given ،؛list of 53 aspects ol. living (e.g., meeting
'The hopelessness theory of depression no longer ineorporates tlie intern ، !؛dimension in Its conceptualization
ofa depressogenic attributional style (Abramson el 1989؛،!.. ), consistent witli studies intlicaling tliat an internal
attribution to negative events can at limes increase, rather than decrease, one's coping ability (e.g.. Dwcck &
l.icht. 1980: Janoff Butman, 1979.). Tlius. the internal dimension of attributional style will not be discussed in
this article.
Hopelessness Theory of Depression 1313
deadlines or goals on tlie job) and were asked lo indicate whether eaeli item was a hassle
during tlie previous week, and if so, to what degree using a rati.ig of () (none or not
applicable), I (somewhat), 2 (quite a bit), or ٠١(a great deal). Tlie uplif'ts section oftfie
questionnaire was not administered. A Jiieasure tifthe number of daily liassles (DHS) was
derived by counting tlie number of items intlicated as a liiissle (rated 1 or higher). Sub-
.jects’ weights of the items, wliich may be confounded witli depressive symptoms, were
not incorporated in the L)H score 1(1 reduce subjectivity in tliis measure. Itejiis indicating
symptotiis of' psychological or physical disorders were excluded by tlie scale authors
(DeLongis et al. ١1988). In tlie present study, coefficient alplia was calctilated iit eacli
time period, with values riinging from .81 to .91.
Means and standard deviations r١f study questionnaires iire presented in Table I.
Procedure
Participants came in for iin initial session in groups of five to eiglit. A reseitrcli assistiint
administered an initial questionnaire tliat included demographic questions iind the MAS.
Tlie particijnants also were given a weekly questionnaire and ten ؛uiswer sheets. Tlie
weekly questionnaire consisted of the B 1)1-11 anti the DHS. Tlie research assistant instructed
fable I
Means and Standard Deviations
0.1 Study Questionnaires
Variable Mean o Range
MAS
Baseline 606 3.51
BD.-II
Week ا 1(1.70 7.46 0-28
Week 2 8.43 6.91 0-42
Week 2 10.07 8.57 0-44
Week .1 ٦.2.٦ 6.98 0-30
Week 4 7.24 7.01 0-37
Week 5 7.18 6.52 0-30
Week 6 0.26 6 42 0-32
Week 7 0.30 5.83 (1-25
Week 8 5.83 6.80 (.1-58
Week 9 5.35 4.98 0-24
Week 10 4.97 5.44 0-28
DHS
Week 1 18.95 (1.78 1-40
Week و 13.61 8.36 0-40
Week 4 12.79 8.31 0-39
Week 5 12.02 8.35 0-38
Week 6 12.02 8.06 1-39
Week 7 11.57 8.07 0-37
Week 8 11.37 8.42 0-40
Week 9 10.55 7.75 0-31
Week It) 10.63 8.47 0-37
the participants to complete the weekly questionnaire for tlie next ten weeks oil tlie same
weeknight. For example, if it participant Ciime in for an initial session on a Tuesday, the
weekly questionnaires were to he completed every Tuesday night for the next ten weeks.
Participants were asked to keep tlieir questionnaire and record all answ-ers on tlie answer
sheets. Answer sheets were returned to the experimenter's office the day at'ter cotnple-
lion. Receipt ،)..extra credit was contitigent on timely return of questionnaires. Ill addi-
tion, participants received one lottery ticket for the timc-ly return of each weekly answer
sheet, and received ten bonus lottery tickets for tlie timely return ol.all teti answer slieets.
At the completion of tlie study, five $10() prizes were itwartled based on a random draw-
ing of lottery tickets.
Results
Overview of Data Analytic Strategy
Hierarchic؛،! Linear Modeling (HLM: Bryk & Raudenbush. 1992 ؛Bryk. Riiudenbusli. &
Congdon. 1990.) w؛،! to analyze these dat،s use؛،. HL.M is an ideal clioice for tlie atiiilysis
ol.tliese data because it estimates within-subject (lower level or Level 1 data) and between-
sub.ject (upper level or Level 2 datii) variation simultaneously, thus allowing for the
if variatitin while considering the stiitistical characteristics of،if eacli source ،tnodeling
the other. The HLM strategy als،١ accommodates missing data (e.g.. Empiric؛،! Biiycs
estimates of Level 1 coefficients), an appealitig characteristic given tlie multiwave meth-
odology used in this stLitly. Tlie hierarchical linear models used in tlie current study
)t،t Level 1, but n،permitted missing data i ؛،t Level 2.
//// are between-subjects residua! terms. Results continued a significant lineal, decrease in
BDI-11 scores over time. 0ل00,لم,>.9,86( = -145, ،)45 — = را..This finding is c.nsistent
with Ollier research that lias shown tliat participants in diary studies demonstrate a liabit-
uation effect in reporting mood symptoms (Gleason, Bolger. & Shrout. 2()()1).
To test tlie diathesis-stress liypotliesis. we first included daily hassles as a Level I lime-
varying covariate (Bryk & Raudenbush, 1992), resulting in tlie following Level I model:
BDI,, = (3„; + ($]j(Weekj) + pij(DHij) + r٧ (4)
wliere 02/ represents tlie change in depressive symptomatology for participant 7 for a
corresponding cliiinge in daily liiissles, DHjj is tlie number (if reported daily hassles for
occasion and participant 7. anti rn is tlie resitlual term associated witli observation /' for
personر. Results ol'tflis l.,eve! 1 model and a corresponditig null Level 2 model ؛.idicated
that, in ildditioti tti significant intercept and linear chiinge coel'ficients. daily hassles emerged
as it significant predictor. 0٦, - .27. ،(145) = 9.56, p < .0()1. This result intliciited a
positive covariation between daily liitssles and depressive symptomatology above the
ef'fects of a significant lineiir trend over time. Ill addititm. variance components indicated
significttnl individual variation ،؛round tliese estiniiited average Level 1 coefficients, sug-
gesting tliilt predictors may be inclttded in tlie Level 2 model.
To examine tlie role ol. negative attribulional style ،؛s a cognitive diatlnesis ،.or depres-
sive reiictivity. tine following level 2 model was estiniiited:
00, = 7)<0 ب70اسا5١ (ر+ ،،><; ).(؟
where y٠)| is tine cross-level interactio،! term representing the effect of negiitive attribu-
tional style on initiill levels of depressive symptomatology. Til is the cross-level inter-
action term representing the effect of negiitive attributional style on linear clnange in
depressive symptomatology tnver time, )21 is tlie cross-level interaction term representing
tlie effects of negative attributioiiiil style on the link between daily liassles and depressive
symptomatology, and ردء،،, ،،,;. iind ،،_,' iire between-subjects residuill terms. Tine effect of
MAS on initial 1319.-11 levels showed a trend towiird significance, y,)| = 0.25. ،(144) =
1.93, p = .053, suggesting that tlnose with greater levels ol. negative attributional style
tended to liiive higlnet- initial levels of depressive symptomatology. The effect of MAS on
lineat. decrease in BDI-11 across the ten weekly occasions was not signil'iciint, yii = 0.02.
،( 144) = 1.07, n.s. The effect o،. MAS on the relation between daily hassles iind BDI-11
was significiint. 72.07( = 144, ،)0.02 = ات, p < .05, intlicating that greater levels 0،.
negative attributional style were associated witli greiiter levels of depressive reactivity in
response to dilily liassles across tine ten weekly measurement occasions. Using a riltio of
the standard deviations for the MAS and riintlonn effect of (S2j. tlnis association translates
into ii standardized effect size of .39, ،'ailing in tlie range of a moderate effect. It should be
empliasizetl tliilt the decrease in BDI-11 scores over lime does not affect the interpretiition
ol' these ،.؛ndings. Tine effect of week numbei" on B191-11 scores was already accounted for
in the model. Moreover, tlnis pilttern of results remained when controlling ،'or the signif-
icant effects of the previous week's BDI-11 scores, suggesting that carryover effects in
depressive symptomatology from week to week did not affect tliese ،.؛ndings. Fiiiiilly. sex
ol' piirticipant and an interaction term ol. Sex X MAS also were entered in tine Level 2
nundels, but W'ere not significiint predictors of variability in Level 1 components.
1M6 Journal آذClinical Psychology, October 2002
Tlte differential exposure model predicts that individuals with greater negative attribu-
tional style would report more daily hassles. To evaluate this prediction, we first esti-
milled a model W'liere an individuitl’s frequency of daily ltassles on a particular occasion
is determined by iin average frequency of daily hassles iind i'،n individual deviation from
tlte group average. The Level I model is represented by tlie following equation:
+ ( 8)
where l)H,, is participant الرnuniber of daily hassles for tlte /th fjccasion. Poj is partici-
pant ,’s av'erage number of daily ltassles across all ten occasions, and is the residual
term associated with observation زfor person .'ر.
Tlte Level 2. or between-sub.jects, model evaluates whether tlte number of daily
hassles is a function ol' negative attributional style. At tliis level of analysis, the average
number of daily ltassles. 0(),, is hypothesized to be a ،'unction of atlributiitnal style. To
examine tliis hypotliesis, there must be intlividual variability in the average number ol'
daily hassles across all participants in the sample. Thus, we first determined whether
tltere was significant variability in average daily ltassles across the ten occasions ،'or each
participant by testing the magnitude of ،lie variance citmponent associated witli 0Oj using
the ،-'ollowittg Level 2 equation:
where 7(H) represents the grand ntean 0،'eaclt participant’s average daily hassles across the
te.n occasions when the V'alue 0،' MAS is 0, 7( ١اrepresents tlte predictive effect of tlte MAS
on tlte average nuniber of daily hassles ،'or each participant; and u,,j is a between-subjects
residual term.
Results indicated tliat tlte MAS was not a signil'icant determinant of the dentitn-
strated individual variability in average daily ltassles. ■yoi = 0.14, t(144) = .80, n.s. Tliis
represents an e،'،'ect size o،' .08 and falls in the range of a small eft'ect siz.e. Moreover, sex
of participant and an interaction term of Sex X NJAS also were entered in the Level 2
model, but were not significatit predictors 0،' variability in Level 1 components. Thus,
tliese results are nitt supportive of the liypothesis tliat particijtants with negative attribu-
tional styles are expitsed to greater numbers of daily hassles.?
Based ؛in alpha of .05. ؛1 medium effeet size, ؛ind 145 parlieipanls. a conservative estimate of power given
;
on
the use of a repeateil Itteasures design is above .90. Moreover, tlte zero-order correlation between the MAS
and
-II is،initial BD .26)/ >ل.001). suggesting that there is sufficient ritnge of scores in the MAS to determine
Hopelessness Theory of Depression ISIS
Discussion
The findings from this study support tlte diathesis-stress component of the hopelessness
theory of depression: attributions ،style moderates tlie impact of stressors on depressive
symptomatology. A major contribution of tlte present study is that tlie findings shed
insight into a specit.ic mechitnism through which tlte ltopelessness the-ory Ittity operate.
The l'indings suggest tltat negative attributions ،style leads to greater depressive reactiv-
ity to stressttrs over little. For individuals with a negative attributions, style, tltcre is ،؛
greater correspondence between levels of depressive symptoms and tlie severity' of stress-
ors experienced at a particular ptiint in lime. Tltis fintling stood even itfter controlling for
tlie previous week's level of depressive symptoms, indiciiling that the result was not due
to carryover effects in depressive symptomatology. In addition, tliere was no evidence for
a model ol' differential exposure to stressors as a patli toward increasetl depressive
symptomatology.
predict greater increases in depressive reactivity. Although our findings point in this
direction, it is an open empirical question whether tlie utility of the differential reactivity
model will lioltl in samples containing more cliniciilly iicute forms of depression.
A replication with a clinical sample wotild he important in addressing tliis issue.
However, it should he noted that re.search with an analogue population can be potentially
informative i.1 developing testable hypotheses regarding clinical disorders (e.g.. Tennen.
Eberhardt, & Affleck, 1999). It also should be noted tliat tlie curre.it study assessed stress
in terms of daily liassles. Daily hassles are iin importiint stress variable in considering
variations in miltl tlepression over short intervals of. time (DeLongis et al., 1988). How'-
ever, clinically significant depression is ol'ten triggered by major life eve.nts. Future inves-
ligations using a prospective, multiwiive approach in tliis area could assess ma.jor life
events thougli the use of. interviews. It slitiuld be noted, however, that given tlie low'
frequency of major events, tlie time interval usetl in such studies may need to be longer
(e.g.. one-montli intervals). 1.1 addition, it may lielp to preselect high-risk and low-risk
individuiils biised till tliei.- attributiojiiil sty'le, using a prospective behiivioral high-risk
tlesign. Tliis design, i،!ong with tlie use of ،؛large sample, would increase the odds that
participants in tlie study would experience clinically significant lev.els of depression in
response to .najor life events. In addition, sucli a design would allow a ،'urther test ol'tlie
differential exposure model.
In I'uture studies, incltiditig tlitise involving clinical depression, it may be lielpful to
test both tlie traditional titration model itnd tlie differential reactivity model presented
liere. It may be that botli meclianisnis are possible in producing clinical depression or it
may be that one Jiiodel is more accurate in capturing the mechiinism of action in the
hopelessness theory.
It also would be informative to replicate tlie currefit findings with Ollier measures ()،-
attributional style, sucli as tlie EASQ. The MAS has not been as widely used as the EASQ
i.1 invesligatitms of tlie liopelessness tlieory of depression.
It is possible that a differential exposure el'fect was present in our study, hut was too
sniiill to be detected with our sa.nple size. In addition, the low-scale reliability ol' the
MAS in tlie curretit study (a = .67) reduced the power in tlie current study to detect such
an effect. Finally, the use (if life-stress interviews, rather tlian a self-report questionnaire,
may liave bee.1 a .more powerful test ol.the differential exposure model. Continued work
1-uli.ig out tlie dit'ferential exposure model regarding attributiojiiil style would be useful.
To furtlier explore tlie role of attributional style in therapy for depression, l.uture
investigations could incorporiite a prospective niultiwave longitudinal design investigat-
ing responses to therapy among depressed clients. One could investigate W'hether attri-
liutiojial style .ueasured at tlie onset of tlie study is predictive o،' clianges in depressive
symptomatology during psychotherapy. Such ii study could investigate not only an Attri-
liulional Style X Stress interaction in predicting increases in depressive symptoms but
also an Attributional Style X Tlierapy Intervention interaction in pretlicting decreases in
depressive symptoms. 1.1 addition, stutlying cliniciil populatiojis i.1 future st'utlies would
extend the generalizability of the current ،'indings.
Conducting tests of. alternative hypotheses regarding tlie ..elation between attribu-
tional style and depression also would be beneficial. For instance, support for tlie liope-
lessness tlieory of depression would be strengthened it. research coultl show that attributional
style does not cov-ary with tlie ticcurrence of stress or in response to clianges in depres-
sion. Such fintlings would rule out tlie possibility that attributio.ial style is a consequence
of depression anti would strengthen its status as a vulnerability factor to depression. To do
this, future longitudinal studies could assess attributiontil style iis a repealed measure
along witli stress anti depression.
Hopelessness Theory of Depression /.?/y
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