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Parental representations of melancholic and non-melancholic depressives: examining for specificity to depressive type and for evidence of additive effects

Published online by Cambridge University Press:  09 July 2009

Gordon Parker*
Affiliation:
Mood Disorders Unit, Prince Henry Hospital; School of Psychiatry, University of New South Wales, Sydney, Australia
Dusan Hadzi-Pavlovic
Affiliation:
Mood Disorders Unit, Prince Henry Hospital; School of Psychiatry, University of New South Wales, Sydney, Australia
*
1 Address for correspondence: Professor Gordon Parker, Psychiatry Unit, Prince of Wales Hospital, Randwick, NSW 2031, Australia.

Synopsis

Several studies have suggested that ‘anomalous parenting’, as measured by the Parental Bonding Instrument (PBI), may be a differential risk factor to subsequent depression in adulthood – being irrelevant to melancholia but over-represented in non-melancholic depressive disorders. Such a ‘specificity’ effect is confirmed in our current sample of 65 melancholic and 84 non-melancholic depressed patients. Secondly, we examine the risk to depression effected by exposure to one parent with an anomalous parental style, and the extent to which that risk is modified by characteristics of the other parent. We find clear evidence of additive effects with the risk to non-melancholic depression being raised by exposure to ‘anomalous parenting’ from two parents. Of the varying parental styles measured by the PBI, low parental care from both parents provided the highest risk to non-melancholic depression (being 4–7 time higher in one sample and 13–27 times higher in the other).

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

Adena, M. A. & Wilson, S. R. (1982). Generalized Linear Models in Epidemiological Research: Case–Control Studies. The INSTAT Foundation: Sydney.Google Scholar
Brodaty, H., Boyce, P., Wilhelm, K., Mitchell, P. & Parker, G. (1987). The establishment of a mood disorders unit. Australian and New Zealand Journal of Psychiatry 21, 375381.CrossRefGoogle ScholarPubMed
Hickie, I., Wilhelm, K., Parker, G., Boyce, P., Hadzi-Pavlovic, D., Brodaty, H. & Mitchell, P. (1990). Perceived dysfunctional intimate relationships: a specific association with non-melancholic depressive sub-type. Journal of Affective Disorders 19, 99107.CrossRefGoogle Scholar
Hosmer, D. W. & Lemeshow, S. (1989). Applied Logistic Regression. John Wiley & Sons: New York.Google Scholar
Joyce, P. R. (1984). Parental bonding in bipolar affective disorder. Journal of Affective Disorders 7, 319324.CrossRefGoogle ScholarPubMed
Numerical Algorithms Group (1987). The Generalized Linear Interactive Modelling System. Release 3·77 Manual. Numerical Algorithms Group. Available from Mayfield House, Banbury Road, Oxford.Google Scholar
Parker, G. (1979). Parental characteristics in relation to depressive disorders. British Journal of Psychiatry 134, 138147.CrossRefGoogle ScholarPubMed
Parker, G. (1983). Parental ‘affectionless control’ as an antecedent to adult depression: a risk factor delineated. Archives of General Psychiatry 40, 956960.CrossRefGoogle ScholarPubMed
Parker, G. (1989). The parental bonding instrument: psychometric properties reviewed. Psychiatric Developments 4, 317335.Google Scholar
Parker, G., Tupling, H. & Brown, L. B. (1979). A parental bonding instrument. British Journal of Medical Psychology 52, 110.CrossRefGoogle Scholar
Parker, G., Kiloh, L. & Hayward, L. (1987). Parental representations of neurotic and endogenous depressives. Journal of Affective Disorders 13, 7582.CrossRefGoogle ScholarPubMed
Plantes, M. M., Prusoff, B. A., Brennan, J. & Parker, G. (1988). Parental representations of depressed outpatients from a U.S. sample. Journal of Affective Disorders 15, 149155.CrossRefGoogle Scholar