A novel examination of atypical major depressive disorder based on attachment theory.

Objective: While a large body of descriptive work has thoroughly investigated the clinical correlates of atypical depression, little is known about its fundamental origins. This study examined atypical depression from an attachment theory framework. Our hypothesis was that, compared to adults with melancholic depression, those with atypical depression would report more anxious-ambivalent attachment and less secure attachment.

Locked out and still knocking: predictors of excessive demands for postoperative intravenous patient-controlled analgesia.

Background: Psychosocial factors governing the use of postoperative, intravenous patient-controlled analgesia (PCA) have received little attention in spite of the fact that PCA is the most common modality for managing pain after surgery. The motivation behind requests for analgesia during lockout periods is not known. Unrelieved pain and need for pain medication are obvious reasons but other factors may be involved.

Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression.

Z. V. Segal et al.

The Toronto Mindfulness Scale: development and validation.

In this study, the authors both developed and validated a self-report mindfulness measure, the Toronto Mindfulness Scale (TMS). In Study 1, participants were individuals with and without meditation experience. Results showed good internal consistency and two factors, Curiosity and Decentering.

Cognitive reactivity to sad mood provocation and the prediction of depressive relapse.

Context: Episode remission in unipolar major depression, while distinguished by minimal symptom burden, can also be a period of marked sensitivity to emotional stress as well as an increased risk of relapse.

Objective: To examine whether mood-linked changes in dysfunctional thinking predict relapse in recovered patients who were depressed.

Design: In phase 1 of this study, patients with major depressive disorder were randomly assigned to receive either antidepressant medication or cognitive behavior therapy.