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Representations of the Future in Depression—A Qualitative Study

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DOI: 10.4236/psych.2013.44059    3,377 Downloads   5,565 Views   Citations

ABSTRACT

Previous studies indicate that the ability to imagine negative or positive future events affects psychological well-being and is a characteristic feature of depression. The aim of this study was to investigate how depressed individuals view their future during different time periods. A total of 15 individuals with a diagnosis of major depression were recruited from a psychiatry clinic and completed a semi-structured qualitative interview. Questions were asked about the situation right now, before becoming depressed, and the future (nearest time, within a year and the upcoming 5 - 10 years). Data were collected and analysed using a qualitative approach inspired by grounded theory. The results showed that depressed individuals experienced a state of “ambivalence”, with negative cognitive, emotional, physical and socioeconomic consequences when they were asked to think about the nearest future. Ambivalence and its negative emotional and cognitive effects were substantially reduced in strength when they were asked about their more distant future. We conclude that the concept of ambivalence in depression and/or anxiety in the present may be an important feature of depression which deserves more attention from both a theoretical and clinical perspective. The use of qualitative approaches in the study of depression is encouraged.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Sarkohi, A. , Frykedal, K. , Forsyth, H. , Larsson, S. & Andersson, G. (2013). Representations of the Future in Depression—A Qualitative Study. Psychology, 4, 420-426. doi: 10.4236/psych.2013.44059.

References

[1] Abrahamson, L. Y., Alloy, L. B., & Metalsky, G. I. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358-372. doi:10.1037/0033-295X.96.2.358
[2] American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: American Psychiatric Press.
[3] Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
[4] Bjarehed, J., Sarkohi, A., & Andersson, G. (2010). Less positive or more negative? Future directed thinking in mild to moderate depression. Cognitive Behaviour Therapy, 39, 37-45. doi:10.1080/16506070902966926
[5] Busch, F., Rudden, M., & Shapiro, D. (2004). Psychodynamic treatment of depression. Washington DC: American Psychiatric Publishing, Inc.
[6] Charmaz, K. (2006). Constructing grounded theory. London: Safe Publications.
[7] Conaghan, S., & Davidson, K. M. (2002). Hopelessness and the anticipation of positive and negative future experiences in older parasuicidal adults. British Journal of Clinical Psychology, 41, 233-242. doi:10.1348/014466502760379208
[8] Dey, I. (1999). Grounding grounded theory: Guidelines for qualitative inquiry. San Diego: Academic Press.
[9] Festinger, L. (1957). A theory of cognitive dissonance. Evanston, IL: Row, Peterson.
[10] Glaser, B. G., & Strauss, A. (1967). The discovery of grounded theory: Strategies for qualitative research. New York: Aldine de Gruyter.
[11] Glaser, B. G. (1978). Theoretical sensitivity. Mill Valley: The Sociology Press.
[12] Hirschfeld, R. M. (2001). The comorbidity of major depression and anxiety disorders: Recognition and management in primary care. Primary Care Companion to the Journal of Clinical Psychiatry, 3, 244-254. doi:10.4088/PCC.v03n0609
[13] Klinger, E. (1993). Loss of interest. In C. G. Costello (Ed.), Symptoms of depression (pp. 43-62). New York: Wiley.
[14] Lezak, M. (1995). Neuropsychological assessment (3rd ed.). New York: Oxford University Press.
[15] MacLeod, A., Rose, G. S., & Williams, J. M. G. (1993). Components of hopelessness about the future in parasuicide. Cognitive Therapy and Research, 17, 441-455. doi:10.1007/BF01173056
[16] MacLeod, A. K., & Byrne, A. (1996). Anxiety, depression and the anticipation of future positive and negative experiences. Journal of Abnormal Psychology, 105, 286-289. doi:10.1037/0021-843X.105.2.286
[17] MacLeod, A., Pankhania, B., Lee, M., & Mitchell, D. (1997). Parasuicide, depression and the anticipation of positive and negative future experiences. Psychological Medicine, 27, 973-977. doi:10.1017/S003329179600459X
[18] MacLeod, A. K., Tata, P., Kentish, J., & Jacobsen, H. (1997). Retrospective and prospective cognitions in anxiety and depression. Cognition and Emotion, 11, 467-479. doi:10.1080/026999397379881
[19] MacLeod, C., & Moore, R. (2000). Positive thinking revisited: Positive cognitions, well-being and mental health. Clinical Psychology and Psychotherapy, 7, 1-10. doi:10.1002/(SICI)1099-0879(200002)7:1<1::AID-CPP228>3.0.CO;2-S
[20] Melges, F. T., & Bowlby, J. (1969). Type of hopelessness in psychopathological process. Archives of General Psychiatry, 20, 690-699. doi:10.1001/archpsyc.1969.01740180074007
[21] Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: Routledge.
[22] Stern, S. L. (2007). On solid ground: Essential properties for growing grounding theory. In A. Bryant, & K. Charmaz (Eds.), The SAGE handbook of grounded theory (pp. 114-126). Los Angeles, CA: Sage Publication.
[23] Strauss, A., & Corbin, J. (1998). Basics of qualitative research (2nd ed.). Thousand Oak: Sage Publications.

  
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