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Rejection sensitivity as a vulnerability marker for depressive symptom deterioration in men

De Rubeis, Jannika; Lugo, Ricardo; Witthöft, Michael; Sütterlin, Stefan; Pawelzik, Markus R.; Vögele, Claus
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/2476220
Date
2017
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  • Artikkel - fagfellevurdert vitenskapelig / Articles - peer-reviewed [3068]
  • Publikasjoner fra Cristin - INN [2537]
Original version
PLoS ONE. 2017, 12 (10), 1-11.   10.1371/journal.pone.0185802
Abstract
Consistent across time and cultures, men and male adolescents older than 14 years of age

appear underrepresented in mood disorders, and are far less likely than women to seek psychological

help. The much higher rate of suicide amongst males suggests that depression in

men might be underreported. One of the core human motives is to seek acceptance by others

and avoid rejection. Rejection Sensitivity (RS) has been conceptualized as the cognitive-

affective processing disposition to anxiously expect, readily perceive, and intensely

respond to cues of rejection in the behavior of others. RS has been previously linked with

the onset and course of depression, butÐas yetÐhas not been investigated longitudinally

in a clinical population. We investigated the predictive role of RS to symptom deterioration 6

months after end-of- treatment in 72 male inpatients with depressive spectrum disorder.

The BDI was administered at intake, end-of-treatment and 6 month follow-up. RS scores

were obtained at intake. Rejection Sensitivity had additional predictive power on BDI scores

at 6 months follow-up controlling for BDI scores at end-of-treatment (ΔR2 = .095). The

results are discussed in terms of the importance of targeting RS during treatment, and highlight

the fact that therapeutic follow-up care is paramount. Future research should investigate

possible mediators of the RS±relapse-to-depression association, such as self-blame,

rumination, neuroticism, pessimism, emotion dysregulation, and low self-esteem.
Journal
PLoS ONE

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