Cognitive conflicts in major depression: Between desired change and personal coherence
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/70204 |
Resumo: | ObjectivesThe notion of intrapsychic conflict has been present in psychopathology for more than a century within different theoretical orientations. However, internal conflicts have not received enough empirical attention, nor has their importance in depression been fully elaborated. This study is based on the notion of cognitive conflict, understood as implicative dilemma (ID), and on a new way of identifying these conflicts by means of the Repertory Grid Technique. Our aim was to explore the relevance of cognitive conflicts among depressive patients.DesignComparison between persons with a diagnosis of major depressive disorder and community controls.MethodsA total of 161 patients with major depression and 110 non-depressed participants were assessed for presence of IDs and level of symptom severity. The content of these cognitive conflicts was also analysed.ResultsRepertory grid analysis indicated conflict (presence of ID/s) in a greater proportion of depressive patients than in controls. Taking only those grids with conflict, the average number of IDs per person was higher in the depression group. In addition, participants with cognitive conflicts displayed higher symptom severity. Within the clinical sample, patients with IDs presented lower levels of global functioning and a more frequent history of suicide attempts.ConclusionsCognitive conflicts were more prevalent in depressive patients and were associated with clinical severity. Conflict assessment at pre-therapy could aid in treatment planning to fit patient characteristics. |
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Cognitive conflicts in major depression: Between desired change and personal coherenceCognitive conflictsMajor depressionImplicative dilemmasRepertory Grid TechniqueCiências Sociais::PsicologiaSocial SciencesSaúde de qualidadeObjectivesThe notion of intrapsychic conflict has been present in psychopathology for more than a century within different theoretical orientations. However, internal conflicts have not received enough empirical attention, nor has their importance in depression been fully elaborated. This study is based on the notion of cognitive conflict, understood as implicative dilemma (ID), and on a new way of identifying these conflicts by means of the Repertory Grid Technique. Our aim was to explore the relevance of cognitive conflicts among depressive patients.DesignComparison between persons with a diagnosis of major depressive disorder and community controls.MethodsA total of 161 patients with major depression and 110 non-depressed participants were assessed for presence of IDs and level of symptom severity. The content of these cognitive conflicts was also analysed.ResultsRepertory grid analysis indicated conflict (presence of ID/s) in a greater proportion of depressive patients than in controls. Taking only those grids with conflict, the average number of IDs per person was higher in the depression group. In addition, participants with cognitive conflicts displayed higher symptom severity. Within the clinical sample, patients with IDs presented lower levels of global functioning and a more frequent history of suicide attempts.ConclusionsCognitive conflicts were more prevalent in depressive patients and were associated with clinical severity. Conflict assessment at pre-therapy could aid in treatment planning to fit patient characteristics.info:eu-repo/semantics/publishedVersionWileyUniversidade do MinhoFeixas, GuillemMontesano, AdrianCompan, VictoriaSalla, MartaDada, GloriaPucurull, OlgaTrujillo, AdrianaPaz, ClaraMunoz, DamarisGasol, MiquelAngel Saul, LuisLana, FernandoBros, IgnasiRibeiro, EugéniaWinter, DavidJesus Carrera-Fernandez, MariaGuardia, Joan20142014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/70204engFeixas, G., Montesano, A., Compañ, V., Salla, M., Dada, G., Pucurull, O., Trujillo, A., Paz, C., Muñoz, D., Gasol, M., Saúl, L.Á., Lana, F., Bros, I., Ribeiro, E., Winter, D., Carrera‐Fernández, M.J. and Guàrdia, J. (2014), Cognitive conflicts in major depression: Between desired change and personal coherence. Br J Clin Psychol, 53: 369-385. https://doi.org/10.1111/bjc.120500144-66572044-826010.1111/bjc.1205024734969https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/bjc.12050info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:33:18Zoai:repositorium.sdum.uminho.pt:1822/70204Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:28:47.964407Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Cognitive conflicts in major depression: Between desired change and personal coherence |
title |
Cognitive conflicts in major depression: Between desired change and personal coherence |
spellingShingle |
Cognitive conflicts in major depression: Between desired change and personal coherence Feixas, Guillem Cognitive conflicts Major depression Implicative dilemmas Repertory Grid Technique Ciências Sociais::Psicologia Social Sciences Saúde de qualidade |
title_short |
Cognitive conflicts in major depression: Between desired change and personal coherence |
title_full |
Cognitive conflicts in major depression: Between desired change and personal coherence |
title_fullStr |
Cognitive conflicts in major depression: Between desired change and personal coherence |
title_full_unstemmed |
Cognitive conflicts in major depression: Between desired change and personal coherence |
title_sort |
Cognitive conflicts in major depression: Between desired change and personal coherence |
author |
Feixas, Guillem |
author_facet |
Feixas, Guillem Montesano, Adrian Compan, Victoria Salla, Marta Dada, Gloria Pucurull, Olga Trujillo, Adriana Paz, Clara Munoz, Damaris Gasol, Miquel Angel Saul, Luis Lana, Fernando Bros, Ignasi Ribeiro, Eugénia Winter, David Jesus Carrera-Fernandez, Maria Guardia, Joan |
author_role |
author |
author2 |
Montesano, Adrian Compan, Victoria Salla, Marta Dada, Gloria Pucurull, Olga Trujillo, Adriana Paz, Clara Munoz, Damaris Gasol, Miquel Angel Saul, Luis Lana, Fernando Bros, Ignasi Ribeiro, Eugénia Winter, David Jesus Carrera-Fernandez, Maria Guardia, Joan |
author2_role |
author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Feixas, Guillem Montesano, Adrian Compan, Victoria Salla, Marta Dada, Gloria Pucurull, Olga Trujillo, Adriana Paz, Clara Munoz, Damaris Gasol, Miquel Angel Saul, Luis Lana, Fernando Bros, Ignasi Ribeiro, Eugénia Winter, David Jesus Carrera-Fernandez, Maria Guardia, Joan |
dc.subject.por.fl_str_mv |
Cognitive conflicts Major depression Implicative dilemmas Repertory Grid Technique Ciências Sociais::Psicologia Social Sciences Saúde de qualidade |
topic |
Cognitive conflicts Major depression Implicative dilemmas Repertory Grid Technique Ciências Sociais::Psicologia Social Sciences Saúde de qualidade |
description |
ObjectivesThe notion of intrapsychic conflict has been present in psychopathology for more than a century within different theoretical orientations. However, internal conflicts have not received enough empirical attention, nor has their importance in depression been fully elaborated. This study is based on the notion of cognitive conflict, understood as implicative dilemma (ID), and on a new way of identifying these conflicts by means of the Repertory Grid Technique. Our aim was to explore the relevance of cognitive conflicts among depressive patients.DesignComparison between persons with a diagnosis of major depressive disorder and community controls.MethodsA total of 161 patients with major depression and 110 non-depressed participants were assessed for presence of IDs and level of symptom severity. The content of these cognitive conflicts was also analysed.ResultsRepertory grid analysis indicated conflict (presence of ID/s) in a greater proportion of depressive patients than in controls. Taking only those grids with conflict, the average number of IDs per person was higher in the depression group. In addition, participants with cognitive conflicts displayed higher symptom severity. Within the clinical sample, patients with IDs presented lower levels of global functioning and a more frequent history of suicide attempts.ConclusionsCognitive conflicts were more prevalent in depressive patients and were associated with clinical severity. Conflict assessment at pre-therapy could aid in treatment planning to fit patient characteristics. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014 2014-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/70204 |
url |
http://hdl.handle.net/1822/70204 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Feixas, G., Montesano, A., Compañ, V., Salla, M., Dada, G., Pucurull, O., Trujillo, A., Paz, C., Muñoz, D., Gasol, M., Saúl, L.Á., Lana, F., Bros, I., Ribeiro, E., Winter, D., Carrera‐Fernández, M.J. and Guàrdia, J. (2014), Cognitive conflicts in major depression: Between desired change and personal coherence. Br J Clin Psychol, 53: 369-385. https://doi.org/10.1111/bjc.12050 0144-6657 2044-8260 10.1111/bjc.12050 24734969 https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/bjc.12050 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Wiley |
publisher.none.fl_str_mv |
Wiley |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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