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Factors of Depression in the Elderly: Assessment and Implications for DiagnosisKunsak, Nancy Elizabeth 12 1900 (has links)
The problem of assessment and diagnosis of depression in the elderly begins with the definition of depression being indefinite. In this study, the theory of learned helplessness was chosen because of its value in organizing research within a learning theory framework. The Beck Depression Inventory, measures of fluid and crystallized intellectual ability, locus of control, and attribution of success and failure were chosen as variables for an exploratory factor analysis. The purpose of selecting these variables was to assess the cognitive, motivational, and affective components of learned helplessness as they affected the responses of elderly subjects to depression items. Self report measures of income, education, and health, were included to assess the relationship of these variables to depression. A somatic factor was predicted to correlate with an affective factor of depression.
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Psychological antecedents of suicidal behaviorCameron, Shri January 2013 (has links)
While research highlights a number of risk factors for suicide, not all individuals displaying these characteristics will go on to attempt suicide. Depressed mood is a proximal indicator of suicide, with deterioration in already depressed mood increasing the likelihood of a suicide attempt. The overall aim of this thesis was to empirically test the Cognitive Model of Suicide by Wenzel and Beck (2008). This model proposes that each of the three components, dispositional vulnerabilities, mood disturbance and suicide related cognitions, may influence each other to enhance the propensity for a suicidal crisis. The thesis starts by examining the relationship between two personality characteristics (neuroticism and trait aggression) and current depressed mood, and then focuses on the relationship between suicidality and current depressed mood. Although autobiographical memories have been implied as a possible risk factor for suicidality, meta-analytical studies have highlighted discrepancies between sampling techniques which may limit interpretablity. Therefore, the first series of studies aimed to establish a protocol for assessing autobiographical memories. The second and third series of studies aimed to investigate whether the relationships between current depressed mood and specific personality factors (neuroticism and trait aggression) were indirectly influenced by other known risk factors that may affect cognitive processing of information (rumination, overgenerality, impulsivity). Moreover, these studies aimed to determine whether the same cognitive processing factors effected current depressed mood in non-suicidal and suicide attempt groups. The final series of studies aimed to determine whether these risk factors (neuroticism, trait aggression, brooding, impulsivity, and overgenerality) mediated the relationship between suicidality and current depressed mood. Findings indicated that compared to the non-suicidal group, individuals in the suicide attempt group was more likely to be influenced by the effects of trait aggression and brooding, and that the combination of these factors were positively associated with current depressed mood. In contrast, neuroticism and impulsivity appeared to influence individuals who had experienced suicidal ideation more than individuals who report never having suicidal thoughts or attempting suicide. Compared to the non-suicidal group, however, neuroticism and impulsivity did not show a significant association for current depressed mood in the suicidal ideation group. Findings supported the Interacting Sub-Systems model and are discussed in relation to the Cognitive Model of Suicide model.
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