Drawing from the field of cognitive vulnerability to depression, we hypothesized that in persistent psychosis, perception of the self as ill interacts with illness-related stress to predict depressive symptoms. Fifty-five patients with dual diagnosis (i.e., psychosis and substance abuse disorder) participating in a community-based intervention were assessed as to their depressive symptoms, perception of the self as ill, and illness-related stress focusing on stigmatization and exposure to community violence. As expected, illness-related stress predicted depressive symptoms under high, but not low, levels of the experience of the self as ill. These effects were obtained when both hopelessness depression symptoms and " regular" depressive symptoms were examined. Findings encourage further application of the field of cognitive vulnerability to depression in psychosis research and treatment.
ASJC Scopus subject areas
- Experimental and Cognitive Psychology