Relapse was defined in this study as a return,
within six months of symptom improvement, of
depressive symptoms required for a diagnosis of a MDD.
In addition, relapse was operationally defined as an
individual experiencing one or both of the following
criteria within six months of discharge after
hospitalization for a MDD: a depressive symptom score
of seven or more on the Nine-Question Assessment
for Depressive Disorders(9Q)35 and/or readmission
to a hospital due to the severity of depressive
symptoms. To explain factors contributing to relapse
among individuals with a MDD, four potential
psychosocial factors (cognitive vulnerability, selfefficacy
for coping with depression, stressful life
events, and expressed emotion of family members)
were proposed as being uniquely related to relapse of a
MDD. Thus, based upon review of literature and prior
research, the research question for this study was: How
much of the variability of relapse in persons with a
MDD could be explained by the psychosocial factors
of cognitive vulnerability, stressful life events, selfefficacy
for coping with depression, and expressed
emotion of family members?
Relapse was defined in this study as a return,within six months of symptom improvement, ofdepressive symptoms required for a diagnosis of a MDD.In addition, relapse was operationally defined as anindividual experiencing one or both of the followingcriteria within six months of discharge afterhospitalization for a MDD: a depressive symptom scoreof seven or more on the Nine-Question Assessmentfor Depressive Disorders(9Q)35 and/or readmissionto a hospital due to the severity of depressivesymptoms. To explain factors contributing to relapseamong individuals with a MDD, four potentialpsychosocial factors (cognitive vulnerability, selfefficacyfor coping with depression, stressful lifeevents, and expressed emotion of family members)were proposed as being uniquely related to relapse of aMDD. Thus, based upon review of literature and priorresearch, the research question for this study was: Howmuch of the variability of relapse in persons with aMDD could be explained by the psychosocial factorsof cognitive vulnerability, stressful life events, selfefficacyfor coping with depression, and expressedemotion of family members?
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