Background

: The risk of depressive relapse and recurrence is associated with social risk factors that may be amplified by a submissive socio-cognitive profile.

Methods

: In Study 1 we aimed to identify perceptions of low social status in a community sample (N = 613) with a self-reported history of mental health difficulties (n = 232) and, more specifically in Study 2 (N = 122), in individuals in clinical remission from depression (n = 18), relative to a never-depressed control group (n = 64), and relative to a group experiencing a current depressive episode (n = 40).

Results

: In Study 1, a total of 225 of the 232 participants in the self-reported mental health difficulties group opted to provide further information regarding their mental health history, of whom 153 (68%) reported a history of anxiety, 168 (74.7%) reported a history of depression, and 13 (5.8%) reported an unspecified mental health history. Elevated depressive symptoms were associated with perceptions of low social status which significantly differed between individuals with and without a self-reported history of mental health difficulties. In Study 2 we found enduring perceptions of low social status in remitted depressed individuals.

Limitations

: We were unable to discern between historical or current clinical diagnosis in the community sample of Study 1, as we were reliant on self-report. We were unable to explore the effects of medication or causal relationships between depressive symptoms and social status as the studies were cross-sectional in nature.

Conclusions

: These findings suggest that evolutionarily rooted socio-cognitive profiles could impact affiliative processes and may confer increased vulnerability to future depressive episodes.

中文翻译：

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综合证据表明抑郁症缓解期个体对低社会地位的持久看法

背景

: 抑郁症复发和复发的风险与社会风险因素有关，而这些社会风险因素可能会被顺从的社会认知特征放大。

方法

：在研究 1 中，我们旨在确定社区样本 ( N = 613)中社会地位低下的看法，这些样本 具有自我报告的心理健康困难病史 ( n  = 232)，更具体地说，在研究 2 ( N  = 122) 中，在抑郁症临床缓解的个体中（n  = 18），相对于从未抑郁的对照组（n  = 64），相对于正在经历抑郁发作的组（n  = 40）。

结果

：在研究 1 中，在自我报告的心理健康困难组的 232 名参与者中，共有 225 人选择提供有关其心理健康史的更多信息，其中 153 人（68%）报告有焦虑史，168 人（74.7%） ) 报告有抑郁症史，13 人 (5.8%) 报告了未指明的心理健康史。抑郁症状升高与社会地位低下的看法有关，这在有和没有自我报告的心理健康困难病史的个体之间存在显着差异。在研究 2 中，我们发现被缓解的抑郁症患者长期存在社会地位低下的看法。

限制

：我们无法区分研究 1 的社区样本中的历史或当前临床诊断，因为我们依赖于自我报告。我们无法探索药物的影响或抑郁症状与社会地位之间的因果关系，因为这些研究本质上是横断面的。

结论

：这些研究结果表明，植根于进化的社会认知特征可能会影响从属过程，并可能增加对未来抑郁发作的脆弱性。