November 1984

Do Maladaptive Attitudes 'Cause' Depression: Misconception of Cognitive Theory-Reply

Author Affiliations

Julia Ann Silverman David A. Eardley, Ded 501 Howard Ave Altoona, PA 16601

Arch Gen Psychiatry. 1984;41(11):1112. doi:10.1001/archpsyc.1983.01790220102019

In Reply.—  Until recently, data were lacking as to whether attitudes that are characteristic of actively depressed persons—perfectionistic, absolutistic, external-control oriented, etc—persist after recovery. Such data are now available. In all studies, including those cited by Riskind and Steer, these data have showed a considerable decline in dysfunctional beliefs as recovery ensues. Our depressive patients, when fully asymptomatic, did not differ significantly from a control group in their performance on the DAS. In close agreement with our findings, Simons et al1 simultaneously but independently reported that the DAS scores of their depressed patients dropped with recovery from 154.3 to 97.5; the latter score is well within the normal range. Lewinsohn et al2 summarized additional evidence in support of our position. Although the reports of Eaves and Rush3 and of Reda4 revealed a "maladaptive attitudes gap" between treated depressives and control subjects, we deduced that symptoms in neither group

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