Please use this identifier to cite or link to this item: doi:10.22028/D291-36392
Title: Self-directed passive-aggressive behaviour as an essential component of depression: findings from two cross-sectional observational studies
Author(s): Schanz, C. G.
Equit, M.
Schäfer, S. K.
Michael, T.
Language: English
Title: BMC Psychiatry
Volume: 22
Issue: 1
Publisher/Platform: BMC
Year of Publication: 2022
DDC notations: 150 Psychology
Publikation type: Journal Article
Abstract: Background: The self-control model of depression suggests depressive symptoms to derive from distorted self-monitoring, dysfunctional self-evaluation and reduced self-reward as well as increased self-punishment. Building on this model a relationship between self-directed passive-aggressive behaviour, that is, harmful inactivity, and depression has been assumed. This association has been supported by a recent study in an inpatient sample. However, it remains unclear if patients with depressive disorders report more self-directed passive-aggressive behaviour than patients without depressive disorders and if self-directed passive aggression mediates the associations between distorted selfmonitoring and dysfunctional self-evaluation with depressive symptoms. Methods: Study 1 compared self-directed passive-aggressive behaviour levels between 220 psychotherapy outpatients with (n=140; 67.9% female; Mage=40.0) and without (n=80; 65.0% female; Mage=36.2) depressive disorders. Diagnoses were made based on the Structured Clinical Interview for DSM-IV. Study 2 examined self-directed passiveaggressive behaviour as a mediator of the relationship between distorted self-monitoring and dysfunctional selfevaluation and self-reported depressive symptoms in 200 undergraduate Psychology students. Results: Compared to outpatients without depressive disorders, outpatients with depressive disorder reported signifcantly more self-directed passive aggression (d=0.51). Furthermore, Study 2 verifed self-directed passiveaggressive behaviour as a partial mediator of the relationship between dysfunctional attitudes (abcs=.22, 95%-CI: .14, .31), attributional style (abcs=.20, 95%-CI: .13, .27), ruminative response style (abcs=.15, 95%-CI: .09, .21) and depressive symptoms. Conclusion: Self-directed passive-aggressive behaviour partially mediates the association between distorted selfmonitoring and dysfunctional self-evaluation with depressive symptoms. Future longitudinal studies need to examine a potential causal relationship that would form a base to include interventions targeting self-directed passive-aggressive behaviour in prevention and treatment of depression. Trial registration: Both studies were preregistered at the German Clinical Trials Register (DRKS00014005 and DRKS00019020).
DOI of the first publication: 10.1186/s12888-022-03850-1
URL of the first publication:
Link to this record: urn:nbn:de:bsz:291--ds-363925
ISSN: 1471-244X
Date of registration: 8-Jun-2022
Faculty: HW - Fakultät für Empirische Humanwissenschaften und Wirtschaftswissenschaft
Department: HW - Psychologie
Professorship: HW - Prof. Dr. Tanja Michael
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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