Psychological theories of depressive relapse and recurrence: A systematic review and meta-analysis of prospective studies

Marlies E. Brouwer; Alishia D. Williams; Mitzy Kennis; Zhongfang Fu; Nicola S. Klein; Pim Cuijpers; Claudi L.H. Bockting

doi:10.1016/j.cpr.2019.101773

Psychological theories of depressive relapse and recurrence: A systematic review and meta-analysis of prospective studies

Marlies E. Brouwer, Alishia D. Williams, Mitzy Kennis, Zhongfang Fu, Nicola S. Klein, Pim Cuijpers, Claudi L.H. Bockting^*

^*Corresponding author for this work

Research output: Contribution to Journal › Review article › Academic › peer-review

937 Downloads (Pure)

Abstract

Psychological factors hypothesized to account for relapse of major depressive disorder (MDD) roughly originate from five main theories: Cognitive, diathesis-stress, behavioural, psychodynamic, and personality-based. In a meta-analysis we investigated prospective, longitudinal evidence for these leading psychological theories and their factors in relation to depressive relapse. Included studies needed to establish history of MDD and prospective depressive relapse through a clinical interview, have a longitudinal and prospective design, and measure at least one theory-derived factor before relapse. We identified 66 eligible articles out of 43,586 records published up to November 2018. Pooled odds ratios (OR) indicated a significant relationship between the cognitive, behavioural, and personality-based theories and depressive relapse (cognitive: k = 17, OR = 1.24, 95% CI = 1.10–1.40; behavioural, k = 8, OR = 1.15, 95% CI = 1.05–1.25; personality: k = 12, OR = 1.26, 95% CI = 1.02–1.54), but not for the psychodynamic theories (k = 4, OR = 1.29, 95% CI = 0.83–1.99). Pooled hazard ratios of the theories were not significant. There were no articles identified for the diathesis-stress theories. To conclude, there is a restricted number of prospective studies, and some evidence that the cognitive, behavioural, and personality-based theories indeed partially account for depressive relapse.

Original language	English
Article number	101773
Pages (from-to)	1-16
Number of pages	16
Journal	Clinical Psychology Review
Volume	74
Early online date	13 Nov 2019
DOIs	https://doi.org/10.1016/j.cpr.2019.101773
Publication status	Published - Dec 2019

Funding

Funding for this study was partly provided by the Netherlands Institute for Advanced Study in the Humanities and Social Sciences (NIAS), to the project titled “M y Optimism Wears Heavy Boots: So much research, so few implications, towards ‘patient-proof’ empirical models and more effective interventions in mental health ” (awarded to Prof. C. Bockting, February–June 2017). NIAS had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.

Keywords

Major depressive disorder
Psychological theories
Recurrence
Relapse
Review
Vulnerability factors

Access to Document

10.1016/j.cpr.2019.101773

Psychological theories of depressive relapse and recurrenceFinal published version, 1.51 MBLicence: Article 25fa Dutch Copyright Act

Persistent URL (handle)

Persistent link

Cite this

@article{2ee63d8be6c44c03860d981255da21d9,

title = "Psychological theories of depressive relapse and recurrence: A systematic review and meta-analysis of prospective studies",

abstract = "Psychological factors hypothesized to account for relapse of major depressive disorder (MDD) roughly originate from five main theories: Cognitive, diathesis-stress, behavioural, psychodynamic, and personality-based. In a meta-analysis we investigated prospective, longitudinal evidence for these leading psychological theories and their factors in relation to depressive relapse. Included studies needed to establish history of MDD and prospective depressive relapse through a clinical interview, have a longitudinal and prospective design, and measure at least one theory-derived factor before relapse. We identified 66 eligible articles out of 43,586 records published up to November 2018. Pooled odds ratios (OR) indicated a significant relationship between the cognitive, behavioural, and personality-based theories and depressive relapse (cognitive: k = 17, OR = 1.24, 95% CI = 1.10–1.40; behavioural, k = 8, OR = 1.15, 95% CI = 1.05–1.25; personality: k = 12, OR = 1.26, 95% CI = 1.02–1.54), but not for the psychodynamic theories (k = 4, OR = 1.29, 95% CI = 0.83–1.99). Pooled hazard ratios of the theories were not significant. There were no articles identified for the diathesis-stress theories. To conclude, there is a restricted number of prospective studies, and some evidence that the cognitive, behavioural, and personality-based theories indeed partially account for depressive relapse.",

keywords = "Major depressive disorder, Psychological theories, Recurrence, Relapse, Review, Vulnerability factors",

author = "Brouwer, {Marlies E.} and Williams, {Alishia D.} and Mitzy Kennis and Zhongfang Fu and Klein, {Nicola S.} and Pim Cuijpers and Bockting, {Claudi L.H.}",

year = "2019",

month = dec,

doi = "10.1016/j.cpr.2019.101773",

language = "English",

volume = "74",

pages = "1--16",

journal = "Clinical Psychology Review",

issn = "0272-7358",

publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Psychological theories of depressive relapse and recurrence

T2 - A systematic review and meta-analysis of prospective studies

AU - Brouwer, Marlies E.

AU - Williams, Alishia D.

AU - Kennis, Mitzy

AU - Fu, Zhongfang

AU - Klein, Nicola S.

AU - Cuijpers, Pim

AU - Bockting, Claudi L.H.

PY - 2019/12

Y1 - 2019/12

N2 - Psychological factors hypothesized to account for relapse of major depressive disorder (MDD) roughly originate from five main theories: Cognitive, diathesis-stress, behavioural, psychodynamic, and personality-based. In a meta-analysis we investigated prospective, longitudinal evidence for these leading psychological theories and their factors in relation to depressive relapse. Included studies needed to establish history of MDD and prospective depressive relapse through a clinical interview, have a longitudinal and prospective design, and measure at least one theory-derived factor before relapse. We identified 66 eligible articles out of 43,586 records published up to November 2018. Pooled odds ratios (OR) indicated a significant relationship between the cognitive, behavioural, and personality-based theories and depressive relapse (cognitive: k = 17, OR = 1.24, 95% CI = 1.10–1.40; behavioural, k = 8, OR = 1.15, 95% CI = 1.05–1.25; personality: k = 12, OR = 1.26, 95% CI = 1.02–1.54), but not for the psychodynamic theories (k = 4, OR = 1.29, 95% CI = 0.83–1.99). Pooled hazard ratios of the theories were not significant. There were no articles identified for the diathesis-stress theories. To conclude, there is a restricted number of prospective studies, and some evidence that the cognitive, behavioural, and personality-based theories indeed partially account for depressive relapse.

AB - Psychological factors hypothesized to account for relapse of major depressive disorder (MDD) roughly originate from five main theories: Cognitive, diathesis-stress, behavioural, psychodynamic, and personality-based. In a meta-analysis we investigated prospective, longitudinal evidence for these leading psychological theories and their factors in relation to depressive relapse. Included studies needed to establish history of MDD and prospective depressive relapse through a clinical interview, have a longitudinal and prospective design, and measure at least one theory-derived factor before relapse. We identified 66 eligible articles out of 43,586 records published up to November 2018. Pooled odds ratios (OR) indicated a significant relationship between the cognitive, behavioural, and personality-based theories and depressive relapse (cognitive: k = 17, OR = 1.24, 95% CI = 1.10–1.40; behavioural, k = 8, OR = 1.15, 95% CI = 1.05–1.25; personality: k = 12, OR = 1.26, 95% CI = 1.02–1.54), but not for the psychodynamic theories (k = 4, OR = 1.29, 95% CI = 0.83–1.99). Pooled hazard ratios of the theories were not significant. There were no articles identified for the diathesis-stress theories. To conclude, there is a restricted number of prospective studies, and some evidence that the cognitive, behavioural, and personality-based theories indeed partially account for depressive relapse.

KW - Major depressive disorder

KW - Psychological theories

KW - Recurrence

KW - Relapse

KW - Review

KW - Vulnerability factors

UR - http://www.scopus.com/inward/record.url?scp=85075020920&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85075020920&partnerID=8YFLogxK

U2 - 10.1016/j.cpr.2019.101773

DO - 10.1016/j.cpr.2019.101773

M3 - Review article

C2 - 31756681

AN - SCOPUS:85075020920

SN - 0272-7358

VL - 74

SP - 1

EP - 16

JO - Clinical Psychology Review

JF - Clinical Psychology Review

M1 - 101773

ER -

Psychological theories of depressive relapse and recurrence: A systematic review and meta-analysis of prospective studies

Abstract

Funding

Keywords

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Cite this