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Does low coping efficacy mediate the association between negative life events and incident psychopathology? A prospective-longitudinal community study among adolescents and young adults

Published online by Cambridge University Press:  25 February 2015

E. Asselmann ,
H.-U. Wittchen ,
R. Lieb ,
M. Höfler  and
K. Beesdo-Baum
E. Asselmann*
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany Behavioral Epidemiology, Technische Universität Dresden, Dresden, Germany
H.-U. Wittchen
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany Max Planck Institute of Psychiatry, Munich, Germany
R. Lieb
Affiliation:
Max Planck Institute of Psychiatry, Munich, Germany Department of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland
M. Höfler
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany
K. Beesdo-Baum
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany Behavioral Epidemiology, Technische Universität Dresden, Dresden, Germany
*
*Address for correspondence: E. Asselmann, Institute of Clinical Psychology and Psychotherapy, Behavioral Epidemiology, Technische Universität Dresden, Chemnitzer Str. 46, 01187 Dresden, Germany. (Email: [email protected])
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Abstract

Aims.

To prospectively examine whether negative life events (NLE) and low perceived coping efficacy (CE) increase the risk for the onset of various forms of psychopathology and low CE mediates the associations between NLE and incident mental disorders.

Methods.

A representative community sample of adolescents and young adults (N = 3017, aged 14–24 at baseline) was prospectively followed up in up to three assessment waves over 10 years. Anxiety, depressive and substance use disorders were assessed at each wave using the DSM-IV/M-CIDI. NLE and CE were assessed at baseline with the Munich Event List and the Scale for Self-Control and Coping Skills. Associations (odds ratios, OR) of NLE and CE at baseline with incident mental disorders at follow-up were estimated using logistic regressions adjusted for sex and age.

Results.

NLE at baseline predicted the onset of any disorder, any anxiety disorder, panic disorder, agoraphobia, generalised anxiety disorder, any depression, major depressive episodes, dysthymia, any substance use disorder, nicotine dependence and abuse/dependence of illicit drugs at follow-up (OR 1.02–1.09 per one NLE more). When adjusting for any other lifetime disorder prior to baseline, merely the associations of NLE with any anxiety disorder, any depression, major depressive episodes, dysthymia and any substance use disorder remained significant (OR 1.02–1.07). Low CE at baseline predicted the onset of any disorder, any anxiety disorder, agoraphobia, generalised anxiety disorder, any depression, major depressive episodes, dysthymia, any substance use disorder, alcohol abuse/dependence, nicotine dependence and abuse/dependence of illicit drugs at follow-up (OR 1.16–1.72 per standard deviation). When adjusting for any other lifetime disorder prior to baseline, only the associations of low CE with any depression, major depressive episodes, dysthymia, any substance use disorder, alcohol abuse/dependence, nicotine dependence and abuse/dependence of illicit drugs remained significant (OR 1.15–1.64). Low CE explained 9.46, 13.39, 12.65 and 17.31% of the associations between NLE and any disorder, any depression, major depressive episodes and dysthymia, respectively. When adjusting for any other lifetime disorder prior to baseline, the reductions in associations for any depression (9.77%) and major depressive episodes (9.40%) remained significant, while the reduction in association for dysthymia was attenuated to non-significance (p-value > 0.05).

Conclusions.

Our findings suggest that NLE and low perceived CE elevate the risk for various incident mental disorders and that low CE partially mediates the association between NLE and incident depression. Subjects with NLE might thus profit from targeted early interventions strengthening CE to prevent the onset of depression.

Keywords

Anxietycoping efficacydepressionnegative life eventsprospective-longitudinalsubstance use
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 25 , Issue 2 , April 2016 , pp. 171 - 180
Copyright
Copyright © Cambridge University Press 2015 

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References

Abramson, LY, Seligman, ME, Teasdale, JD (1978). Learned helplessness in humans: critique and reformulation. Journal of Abnormal Psychology 87, 49–74.Google Scholar
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Author: Washington, DC.Google Scholar
Asselmann, E, Beesdo-Baum, K, Lieb, R, Wittchen, HU (2014). Danger and loss events and the incidence of anxiety and depressive disorders: a prospective-longitudinal community study of adolescents and young adults. Psychology Medicine 40, 1647–1658.Google Scholar
Baldwin, AR, Oei, TPS, Young, R (1993). To drink or not to drink – the differential role of alcohol expectancies and drinking refusal self-efficacy in quantity and frequency of alcohol-consumption. Cognitive Therapy and Research 17, 511–530.Google Scholar
Balk, E, Lynskey, MT, Agrawal, A (2009). The association between DSM-IV nicotine dependence and stressful life events in the National Epidemiologic Survey on Alcohol and Related Conditions. American Journal of Drug and Alcohol Abuse 35, 85–90.Google Scholar
Bandura, A, Pastorelli, C, Barbaranelli, C, Caprara, GV (1999). Self-efficacy pathways to childhood depression. Journal of Personality and Social Psychology 76, 258–269.Google Scholar
Beesdo-Baum, K, Winkel, S, Pine, DS, Hoyer, J, Höfler, M, Lieb, R, Wittchen, HU (2011). The diagnostic threshold of generalized anxiety disorder in the community: a developmental perspective. Journal of Psychiatric Research 45, 962–972.Google Scholar
Blomeyer, D, Treutlein, J, Esser, G, Schmidt, MH, Schumann, G, Laucht, M (2008). Interaction between CRHR1 gene and stressful life events predicts adolescent heavy alcohol use. Biological Psychiatry 63, 146–151.Google Scholar
Bögels, SM, Zigterman, D (2000). Dysfunctional cognitions in children with social phobia, separation anxiety disorder, and generalized anxiety disorder. Journal of Abnormal Child Psychology 28, 205–211.CrossRefGoogle ScholarPubMed
Brown, EJ, Juster, HR, Heimberg, RG, Winning, CD (1998). Stressful life events and personality styles: relation to impairment and treatment outcome in patients with social phobia. Journal of Anxiety Disorders 12, 233–251.Google Scholar
Caprara, GV, Steca, P, Gerbino, M, Paciello, M, Vecchio, GM (2006). Looking for adolescents' well-being: Self-efficacy beliefs as determinants of positive thinking and happiness. Epidemiologia e psichiatria sociale 15, 30–43.Google Scholar
Chartier, MJ, Walker, J, Stein, M (2001). Social phobia and potential childhood risk factors in a community sample. Psychological Medicine 31, 307–315.Google Scholar
Cole, G, Tucker, L, Friedman, GM (1990). Relationships among measures of alcohol drinking behavior, life-events and perceived stress. Psychological Reports 67, 587–591.Google Scholar
Connor, J, George, S, Gullo, M, Kelly, A, Young, RM (2011). A prospective study of alcohol expectancies and self-efficacy as predictors of young adolescent alcohol misuse. Alcohol and Alcoholism 46, 161–169.Google Scholar
Covault, J, Tennen, H, Armeli, S, Conner, TS, Herman, AI, Cillessen, AH, Kranzler, HR (2007). Interactive effects of the serotonin transporter 5-HTTLPR polymorphism and stressful life events on college student drinking and drug use. Biological Psychiatry 61, 609–616.Google Scholar
Ehrenberg, MF, Cox, DN, Koopman, RF (1991). The relationship between self-efficacy and depression in adolescents. Adolescence 26, 361–374.Google Scholar
Finlay-Jones, R, Brown, GW (1981). Types of stressful life event and the onset of anxiety and depressive disorders. Psychological Medicine 11, 803–815.Google Scholar
Friis, RH, Wittchen, HU, Pfister, H, Lieb, R (2002). Life events and changes in the course of depression in young adults. European Psychiatry 17, 241–253.Google Scholar
Gillespie, NA, Whitfield, JB, Williams, B, Heath, AC, Martin, NG (2005). The relationship between stressful life events, the serotonin transporter (5-HTTLPR) genotype and major depression. Psychological Medicine 35, 101–111.CrossRefGoogle ScholarPubMed
Hasking, P, Oei, T (2002). The differential role of alcohol expectancies, drinking refusal self-efficacy and coping resources in predicting alcohol consumption in community and clinical samples. Addiction Research and Theory 10, 465–494.Google Scholar
Horesh, N, Klomek, AB, Apter, A (2008). Stressful life events and major depressive disorders. Psychiatry Research 160, 192–199.CrossRefGoogle ScholarPubMed
Kendler, KS, Karkowski, LM, Prescott, CA (1998). Stressful life events and major depression: risk period, long-term contextual threat, and diagnostic specificity. Journal of Nervous and Mental Disease 186, 661–669.Google Scholar
Kendler, KS, Karkowski, LM, Prescott, CA (1999). Causal relationship between stressful life events and the onset of major depression. American Journal of Psychiatry 156, 837–841.Google Scholar
Kendler, KS, Hettema, JM, Butera, F, Gardner, CO, Prescott, CA (2003). Life event dimensions of loss, humiliation, entrapment, and danger in the prediction of onsets of major depression and generalized anxiety. Archives of General Psychiatry 60, 789–796.CrossRefGoogle ScholarPubMed
Kessler, RC (1997). The effects of stressful life events on depression. Annual Review of Psychology 48, 191–214.Google Scholar
Kessler, RC, Davis, CG, Kendler, KS (1997). Childhood adversity and adult psychiatric disorder in the US National Comorbidity Survey. Psychological Medicine 27, 1101–1119.Google Scholar
Klauke, B, Deckert, J, Reif, A, Pauli, P, Domschke, K (2010). Life events in panic disorder-an update on “Candidate Stressors”. Depression and Anxiety 27, 716–730.Google Scholar
Lee, NK, Oei, TP (1993). The importance of alcohol expectancies and drinking refusal self-efficacy in the quantity and frequency of alcohol consumption. Journal of Substance Abuse 5, 379–390.Google Scholar
Lieb, R, Isensee, B, von Sydow, K, Wittchen, HU (2000). The early developmental stages of psychopathology study (EDSP): a methodological update. European Addiction Research 6, 170–182.Google Scholar
Maciejewski, PK, Prigerson, HG, Mazure, CM (2000). Self-efficacy as a mediator between stressful life events and depressive symptoms differences based on history of prior depression. British Journal of Psychiatry 176, 373–378.CrossRefGoogle ScholarPubMed
Magee, W (1999). Effects of negative life experiences on phobia onset. Social Psychiatry and Psychiatric Epidemiology 34, 343–351.CrossRefGoogle ScholarPubMed
Maier-Diewald, W, Wittchen, HU, Hecht, H, Werner-Eilert, K (1983). Die Münchner Ereignisliste (MEL) – Anwendungsmanual. Max-Planck-Institut für Psychiatrie. Eigendruck: München.Google Scholar
Meng, XH, Tao, FB, Wan, YH, Hu, Y, Wang, RX (2011). Coping as a mechanism linking stressful life events and mental health problems in adolescents. Biomedical and Environmental Sciences 24, 649–655.Google Scholar
Muris, P (2002). Relationships between self-efficacy and symptoms of anxiety disorders and depression in a normal adolescent sample. Personality and Individual Differences 32, 337–348.CrossRefGoogle Scholar
Oei, TP, Burrow, T (2000). Alcohol expectancy and drinking refusal self-efficacy: a test of specificity theory. Addictive Behaviors 25, 499–507.Google Scholar
Oei, TP, Jardim, CL (2007). Alcohol expectancies, drinking refusal self-efficacy and drinking behaviour in Asian and Australian students. Drug and Alcohol Dependence 87, 281–287.Google Scholar
Patten, S, Wilkes, T, Williams, J, Lavorato, D, El-Guebaly, N, Schopflocher, D, Wild, C, Colman, I, Bulloch, A (2014). Retrospective and prospectively assessed childhood adversity in association with major depression, alcohol consumption and painful conditions. Epidemiology and Psychiatric Sciences, 1–8.Google Scholar
Perkonigg, A, Wittchen, HU (1995). Skala zur Erfassung von Problembewältigungskompetenzen. Forschungsversion. Max-Planck-Institut für Psychiatrie. Eigendruck: München.Google Scholar
Pine, DS, Cohen, P, Johnson, JG, Brook, JS (2002). Adolescent life events as predictors of adult depression. Journal of Affective Disorders 68, 49–57 Google Scholar
Reed, V, Gander, F, Pfister, H, Steiger, A, Sonntag, H, Trenkwalder, C, Sonntag, A, Hundt, W, Wittchen, HU (1998). To what degree does the Composite International Diagnostic Interview (CIDI) correctly identify DSM-IV disorders? Testing validity issues in a clinical sample. International Journal of Methods in Psychiatric Research 7, 142–155.Google Scholar
Sawatzky, RG, Ratner, PA, Richardson, CG, Washburn, C, Sudmant, W, Mirwaldt, P (2012). Stress and depression in students: the mediating role of stress management self-efficacy. Nursing research 61, 13–21.Google Scholar
Schwarzer, R (1994). Optimism, vulnerability, and self-beliefs as health-related cognitions: a systematic overview. Psychology and Health 9, 161–180.Google Scholar
StataCorp. (2011). Stata Statistical Software: Release 12.Google Scholar
Taneichi, H, Asakura, M, Sairenchi, T, Haruyama, Y, Wada, K, Muto, T (2013). Low self-efficacy is a risk factor for depression among male Japanese workers: a cohort study. Industrial Health 51, 452–458.Google Scholar
Thorne, KJ, Andrews, JJ, Nordstokke, D (2013). Relations among children's' coping strategies and anxiety: the mediating role of coping efficacy. Journal of General Psychology 140, 204–223.Google Scholar
Vitiello, B (2011). Prevention and treatment of child and adolescent depression: challenges and opportunities. Epidemiology and Psychiatric Sciences 20, 37–43.Google Scholar
Wittchen, HU, Pfister, H (1997). DIA-X-Interviews: Manual für Screening-Verfahren und Interview; Interviewheft Längsschnittuntersuchung (DIA-X-Lifetime); Ergänzungsheft (DIA-X-Lifetime); Interviewheft Querschnittuntersuchung (DIA-X-12 Monate); Ergänzungsheft (DIA-X-12Monate); PC-Programm zur Durchführung des Interviews (Längs- und Querschnittuntersuchung); Auswertungsprogramm. Swets & Zeitlinger: Frankfurt.Google Scholar
Wittchen, HU, Essau, CA, Hecht, H, Teder, W, Pfister, H (1989). Reliability of life event assessments – test retest reliability and fall-off effects of the munich interview for the assessment of life events and conditions. Journal of Affective Disorders 16, 77–91.Google Scholar
Wittchen, HU, Lachner, G, Wunderlich, U, Pfister, H (1998 a). Test-retest reliability of the computerized DSM-IV version of the Munich Composite International Diagnostic Interview (M-CIDI). Social Psychiatry and Psychiatric Epidemiology 33, 568–578.CrossRefGoogle ScholarPubMed
Wittchen, HU, Perkonigg, A, Lachner, G, Nelson, CB (1998 b). Early developmental stages of psychopathology study (EDSP): objectives and design. European Addiction Research 4, 18–27.Google Scholar
Wittchen, HU, Lieb, R, Schuster, P, Oldehinkel, AJ (1999). When is onset? Investigations into early developmental stages of anxiety and depressive disorders. In Childhood Onset of “Adult” Psychopathology. Clinical and Research Advances (ed. Rapoport, J), pp. 259–302. American Psychiatric Press Inc: Washington, DC.Google Scholar
World Health Organization (1990). Composite International Diagnostic Interview (CIDI): (a) CIDI-interview (version 1.0), (b) CIDI-user manual, (c) CIDI-training manual (d) CIDI-computer programs.Google Scholar
World Health Organization (1991). ICD-10. Mental and Behavioral Disorders (including disorders of psychopathological development): Diagnostic Guidelines, Diagnostic Criteria for Research.Google Scholar
Young, RM, Connor, JP, Ricciardelli, L, Saunders, JB (2006). The role of alcohol expectancy and drinking refusal self-efficacy beliefs in university student drinking. Alcohol and Alcoholism 41, 70–75.Google Scholar
Zimmermann, P, Brückl, T, Lieb, R, Nocon, A, Ising, M, Beesdo, K, Wittchen, HU (2008). The interplay of familial depression liability and adverse events in predicting the first onset of depression during a 10-year follow-up. Biological Psychiatry 63, 406–414.Google Scholar