Article (Scientific journals)
The Voice of Depression: Prevalence and Stability Across Time of Perception-Laden Intrusive Thoughts in Depression
Moritz, Steffen; Klein, Jan Philipp; Berger, Thomas et al.
2019In Cognitive Therapy and Research, 43 (6), p. 986 - 994
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Keywords :
Depression; Hallucinations; Intrusions; Sensory irritations; Experimental and Cognitive Psychology; Clinical Psychology
Abstract :
[en] Intrusive depressive thoughts are typically defined in terms of their content, frequency, and pervasiveness. The extent to which they carry sensory properties is largely unexplored. In a pilot study, 56.5% of individuals with mild to moderate depressive symptoms experienced depressive thoughts with sensory features. The present study explored the prevalence of sensory thoughts in patients with severe depression and examined the stability of the sensory phenomena across time. A total of 163 participants with severe depression completed an online assessment at baseline and 3 months later. Diagnostic status was established at baseline over the telephone. The primary outcome was the Sensory Properties of Depressive Thoughts Questionnaire (SPD). The frequency of sensory properties of negative thoughts was similar (60.7% reported at least one sensory irritation; thus, 39.3% of the sample reported not a single, even mild sensory irritation) to the pilot study. The highest prevalence was observed for bodily sensations (41.1%; pilot: 39.6%) followed by auditory (37.4%; pilot: 30.6%) and visual (31.3%; pilot: 27.2%) perceptions. Prevalence remained essentially unchanged over time, but test–retest reliability was weak to moderate (r =.56). Unlike in the pilot study, no association emerged with quality of life and suicidality. Yet, those reporting sensory phenomena were prescribed more medication, had a similar number of prior hospitalizations despite their younger age, were more frequently in psychotherapy (statistical trend), and had more pain symptoms, which tentatively suggests a more complicated course of illness. Replication in independent samples is needed. Our findings support the notion that depressive thoughts are not “silent” but are commonly accompanied by sensory experiences.
Disciplines :
Neurosciences & behavior
Author, co-author :
Moritz, Steffen ;  Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Klein, Jan Philipp;  Department of Psychiatry and Psychotherapy, University of Luebeck, Lübeck, Germany
Berger, Thomas;  Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland
Laroi, Frank  ;  Université de Liège - ULiège > Département de Psychologie ; Department of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway ; NORMENT – Norwegian Center of Excellence for Mental Disorders Research, University of Oslo, Oslo, Norway
Meyer, Björn;  Research Department, Gaia, Hamburg, Germany ; Department of Psychology, City University of London, London, United Kingdom
Language :
English
Title :
The Voice of Depression: Prevalence and Stability Across Time of Perception-Laden Intrusive Thoughts in Depression
Publication date :
December 2019
Journal title :
Cognitive Therapy and Research
ISSN :
0147-5916
eISSN :
1573-2819
Publisher :
Springer
Volume :
43
Issue :
6
Pages :
986 - 994
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
Bundesministerium für Gesundheit
Available on ORBi :
since 31 May 2022

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