Pathogenic beliefs among patients with depressive disorders

Adam Neelapaijit,1 Tinakon Wongpakaran,1 Nahathai Wongpakaran,1 Kulvadee Thongpibul2 1Department of Psychiatry, Faculty of Medicine, 2Department of Psychology, Faculty of Humanities, Chiang Mai University, Thailand Introduction: Pathogenic belief is a central construct within control-mastery theor...

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Autores principales:	Neelapaijit A, Wongpakaran T, Wongpakaran N, Thongpibul K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Pathogenic Beliefs Control-mastery therapy Depressive Disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/785dbd8e7f334a9d8f4b7aa6f6ad7215
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spelling	oai:doaj.org-article:785dbd8e7f334a9d8f4b7aa6f6ad72152021-12-02T06:28:31ZPathogenic beliefs among patients with depressive disorders1178-2021https://doaj.org/article/785dbd8e7f334a9d8f4b7aa6f6ad72152017-04-01T00:00:00Zhttps://www.dovepress.com/pathogenic-beliefs-among-patients-with-depressive-disorders-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Adam Neelapaijit,1 Tinakon Wongpakaran,1 Nahathai Wongpakaran,1 Kulvadee Thongpibul2 1Department of Psychiatry, Faculty of Medicine, 2Department of Psychology, Faculty of Humanities, Chiang Mai University, Thailand Introduction: Pathogenic belief is a central construct within control-mastery theory, which is an integrated dynamic-cognitive-relational approach in psychotherapy. Pathogenic beliefs result from traumatic life experiences and are considered the root of any psychological disorders presented clinically. Nevertheless, how and what type of pathogenic beliefs are attributed to clinical depressive disorder is unknown. The present study aimed to examine this issue.Patients and methods: Thirty patients with depressive disorder, who came for psychotherapy at a psychotherapy clinic, were matched based on age and gender with healthy controls who were medical students. The 54-item pathogenic belief scale (PBS) was administered and compared between depressive and control groups using odds ratio (OR).Results: The depressed group’s PBS mean score was significantly higher than the healthy controls (t=3.78, P<0.001). Thirteen of 54 items significantly differed between the two groups with ORs ranging from 3.76 to 16.79. The content of pathogenic beliefs centered on the issues of negative sense of self, lack of self-efficacy and control, and relational difficulties related to feelings of fear and humiliation. Influences of culture and gender differences on pathogenic beliefs were discussed.Conclusion: Pathogenic beliefs relate to depression such that the higher the number of pathogenic beliefs one has, the more the likelihood of having depression. Since the PBS was developed based on clinical data (rather than theory based), cultural issues as well as age and gender may influence the development of pathogenic beliefs. Further study should be warranted and implications for clinical practice are discussed. Keywords: pathogenic beliefs, control-mastery therapy, depressive disorders, CMT, pathogenic belief scaleNeelapaijit AWongpakaran TWongpakaran NThongpibul KDove Medical PressarticlePathogenic BeliefsControl-mastery therapyDepressive DisordersNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1047-1055 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pathogenic Beliefs Control-mastery therapy Depressive Disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Pathogenic Beliefs Control-mastery therapy Depressive Disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Neelapaijit A Wongpakaran T Wongpakaran N Thongpibul K Pathogenic beliefs among patients with depressive disorders
description	Adam Neelapaijit,1 Tinakon Wongpakaran,1 Nahathai Wongpakaran,1 Kulvadee Thongpibul2 1Department of Psychiatry, Faculty of Medicine, 2Department of Psychology, Faculty of Humanities, Chiang Mai University, Thailand Introduction: Pathogenic belief is a central construct within control-mastery theory, which is an integrated dynamic-cognitive-relational approach in psychotherapy. Pathogenic beliefs result from traumatic life experiences and are considered the root of any psychological disorders presented clinically. Nevertheless, how and what type of pathogenic beliefs are attributed to clinical depressive disorder is unknown. The present study aimed to examine this issue.Patients and methods: Thirty patients with depressive disorder, who came for psychotherapy at a psychotherapy clinic, were matched based on age and gender with healthy controls who were medical students. The 54-item pathogenic belief scale (PBS) was administered and compared between depressive and control groups using odds ratio (OR).Results: The depressed group’s PBS mean score was significantly higher than the healthy controls (t=3.78, P<0.001). Thirteen of 54 items significantly differed between the two groups with ORs ranging from 3.76 to 16.79. The content of pathogenic beliefs centered on the issues of negative sense of self, lack of self-efficacy and control, and relational difficulties related to feelings of fear and humiliation. Influences of culture and gender differences on pathogenic beliefs were discussed.Conclusion: Pathogenic beliefs relate to depression such that the higher the number of pathogenic beliefs one has, the more the likelihood of having depression. Since the PBS was developed based on clinical data (rather than theory based), cultural issues as well as age and gender may influence the development of pathogenic beliefs. Further study should be warranted and implications for clinical practice are discussed. Keywords: pathogenic beliefs, control-mastery therapy, depressive disorders, CMT, pathogenic belief scale
format	article
author	Neelapaijit A Wongpakaran T Wongpakaran N Thongpibul K
author_facet	Neelapaijit A Wongpakaran T Wongpakaran N Thongpibul K
author_sort	Neelapaijit A
title	Pathogenic beliefs among patients with depressive disorders
title_short	Pathogenic beliefs among patients with depressive disorders
title_full	Pathogenic beliefs among patients with depressive disorders
title_fullStr	Pathogenic beliefs among patients with depressive disorders
title_full_unstemmed	Pathogenic beliefs among patients with depressive disorders
title_sort	pathogenic beliefs among patients with depressive disorders
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/785dbd8e7f334a9d8f4b7aa6f6ad7215
work_keys_str_mv	AT neelapaijita pathogenicbeliefsamongpatientswithdepressivedisorders AT wongpakarant pathogenicbeliefsamongpatientswithdepressivedisorders AT wongpakarann pathogenicbeliefsamongpatientswithdepressivedisorders AT thongpibulk pathogenicbeliefsamongpatientswithdepressivedisorders
_version_	1718399877908529152

Pathogenic beliefs among patients with depressive disorders

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