The association between partners' expressed emotion and depression : mediated by patients' dysfunctional attitudes?

Abstract

The respective roles of expressed emotion and dysfunctional cognitive processes are well documented in depression, but their interplay has seldom been given attention. We examined the patients' and partners' expressed emotion (EE) and dysfunctional attitudes in predicting depressive symptoms in a sample of N = 63 couples with one clinically-depressed partner (37 females and 26 males). Partners' EE played a more important role for patients' dysfunctional attitudes and their depressive symptoms; nondepressed partners' dysfunctional attitudes and depressive symptoms were unaffected by patients' EE. In contrasting two models that predict self-reported and clinician-rated depression, we found more support for dysfunctional attitudes serving as a mediator rather than a moderator for the association between partners' EE and patients' depressive symptoms. Partners' criticism may play a role worthy of more attention in depressed patients' dysfunctional attitudes and maintenance of their depress