Hostile interpretation bias in depression.

BACKGROUND Research suggests an important relationship between interpretation bias, hostility and Major Depressive Disorder (MDD). Extant literature has yet to examine hostile interpretation bias in clinically depressed samples; the current studies sought to fill this gap. METHOD Study 1 participants included undergraduates who met criteria for MDD (n=36) or no anxiety or mood diagnosis (n=35). Each participant completed a structured clinical interview along with measures of depression, hostile interpretation bias, and trait hostility. In Study 2, a sample of treatment-seeking individuals with elevated trait anger completed measures of depression, hostile interpretation bias, and trait anger. RESULTS Study 1 demonstrated that, relative to the non-depressed group, individuals with depression displayed greater hostile interpretation bias but comparable levels of trait hostility. In Study 2, greater hostile interpretation bias was associated with greater depressive symptoms, and this relationship was independent of co-occurring trait anger. LIMITATIONS The correlational nature of these studies precludes interpretation of causal relationships between constructs. Additionally, replication of these results should be sought in a larger, more diverse sample. CONCLUSION Overall, the findings suggest hostile interpretation bias may play a unique role in depression and could be a treatable feature of interpersonal mechanisms maintaining MDD.

[1]  K. Dodge,et al.  Biased decision-making processes in aggressive boys. , 1981, Journal of abnormal psychology.

[2]  M. Eysenck,et al.  Bias in interpretation of ambiguous sentences related to threat in anxiety. , 1991, Journal of abnormal psychology.

[3]  H. Akiskal,et al.  Irritable-hostile depression: further validation as a bipolar depressive mixed state. , 2005, Journal of affective disorders.

[4]  T. Hergueta,et al.  The mini international neuropsychiatric interview , 1998, European Psychiatry.

[5]  C. Beard,et al.  Combined cognitive bias modification treatment for social anxiety disorder: a pilot trial , 2011, Depression and anxiety.

[6]  A. Bond,et al.  Angry cognitive bias, trait aggression and impulsivity in substance users , 2004, Psychopharmacology.

[7]  K. Mogg,et al.  Interpretation of ambiguous information in clinical depression. , 2006, Behaviour research and therapy.

[8]  E. Rafaeli,et al.  Interpersonal perception as a mediator of the depression–interpersonal difficulties link: A review , 2015 .

[9]  Kirsten H. Dillon,et al.  Measuring Hostile Interpretation Bias , 2016, Assessment.

[10]  R. Kellner A symptom questionnaire. , 1987, The Journal of clinical psychiatry.

[11]  G. Metalsky,et al.  A prospective test of an integrative interpersonal theory of depression: a naturalistic study of college roommates. , 1995, Journal of personality and social psychology.

[12]  M. Fava,et al.  Hostility changes following antidepressant treatment: relationship to stress and negative thinking. , 1996, Journal of psychiatric research.

[13]  M. Fava,et al.  Irritability is associated with anxiety and greater severity, but not bipolar spectrum features, in major depressive disorder , 2009, Acta psychiatrica Scandinavica.

[14]  A. Day,et al.  Cognitive appraisals associated with high trait anger , 2001 .

[15]  R. Kessler,et al.  The Importance of Irritability as a Symptom of Major Depressive Disorder: Results from the National Comorbidity Survey Replication , 2009, Molecular Psychiatry.

[16]  A. Mathews,et al.  Induced emotional interpretation bias and anxiety. , 2000, Journal of abnormal psychology.

[17]  W. Riley,et al.  Anger and Hostility in Depression , 1989, The Journal of nervous and mental disease.

[18]  Walter W. Cook,et al.  Proposed hostility and Pharisaic-virtue scales for the MMPI. , 1954 .

[19]  A. Wenzel,et al.  Interpretation biases in angry and anxious individuals. , 2005, Behaviour research and therapy.

[20]  E. Holmes,et al.  Prospective and positive mental imagery deficits in dysphoria. , 2008, Behaviour research and therapy.

[21]  A. Richards,et al.  An Anxiety-Related Bias in Semantic Activation When Processing Threat/Neutral Homographs , 1992, The Quarterly journal of experimental psychology. A, Human experimental psychology.

[22]  G. Fava,et al.  Rating depression in normals and depressives: observer versus self-rating scales. , 1986, Journal of affective disorders.

[23]  Philip C. Kendall,et al.  Hostile attributional bias in adults , 1995, Cognitive Therapy and Research.

[24]  G. Hammond,et al.  Interpretation revealed in the blink of an eye: depressive bias in the resolution of ambiguity. , 2002, Journal of abnormal psychology.

[25]  M. Selby,et al.  Measurement of hostility, anger, and depression in depressed and nondepressed subjects. , 1993, Journal of personality assessment.

[26]  J. Cougle,et al.  Effects of interpretation training on hostile attribution bias and reactivity to interpersonal insult. , 2013, Behavior therapy.

[27]  Dysphoria, attributional reasoning and future event probability , 2003 .

[28]  David A. F. Haaga,et al.  The specificity of attributional style and expectations to positive and negative affectivity, depression, and anxiety , 1993, Cognitive Therapy and Research.

[29]  L. Judd,et al.  Overt irritability/anger in unipolar major depressive episodes: past and current characteristics and implications for long-term course. , 2013, JAMA psychiatry.

[30]  John M. Reardon,et al.  The specificity of cognitive vulnerabilities to emotional disorders: anxiety sensitivity, looming vulnerability and explanatory style. , 2007, Journal of anxiety disorders.

[31]  J. Coyne Depression and the response of others. , 1976, Journal of abnormal psychology.

[32]  A. Beck Cognitive therapy and the emotional disorders: A. T. Beck , 1987, British Journal of Psychiatry.

[33]  S. Nolen-Hoeksema,et al.  Interpretation bias and depressive symptoms: The role of self-relevance. , 2010, Behaviour research and therapy.

[34]  N. Anderson,et al.  Hostility patterns and health implications: correlates of Cook-Medley Hostility Scale scores in a national survey. , 1991, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.