SYMPTOM AND FUNCTIONAL TRAITS OF BRIEF MAJOR DEPRESSIVE EPISODES AND DISCRIMINATION OF BEREAVEMENT

Bereavement is different: A multinational bereavement symptom model validation

Clinicians need to rule out an appropriate grief reaction when diagnosing major depression. This study identifies symptom differences by bereavement status and validates a symptom model of bereavement. Symptom features from six national cross-sectional epidemiological samples were analyzed and estimates pooled. Crying often, thinking of death, appetite loss, waking up early, trouble sleeping, and depending on others were significantly more likely in the bereaved. Symptoms of thinking of or attempting suicide, feeling one would be better off dead or wanting to die, worthlessness, social conflict, worthlessness with difficulty making decisions, being discouraged, feeling less than others, being troubled, not coping, feeling hopeless, sleeping more, being upset and history of an anxiety disorder were all significantly less likely among the bereaved. Moderate to good model discrimination effect sizes were found. Good model performance was found when narrowly defined complicated bereavement cases were excluded. On the whole the bereaved are more likely to report symptoms consistent with a normal grief reaction. As depression screening becomes the norm in primary care, normal grief that meets Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (DSM-5) symptom criteria for a MDE likely has a high risk of being diagnosed inappropriately as pathological depression.

Meaning in life accounts for the association between long-term ostracism and depressive symptoms: The moderating role of self-compassion

According to the temporal need-threat model, ostracism results in three stages of responses. Research on the responses to ostracism has predominantly focused on the first two stages, and the literature needs further empirical evidence on responses to long-term ostracism. We conducted two studies to better understand the association between long-term ostracism and depressive symptoms. Study 1 found a positive association between long-term ostracism and depressive symptoms. More importantly, Study 1 found the threatened sense of meaning in life partially mediates the relationship. Study 2 further found that self-compassion, a positive and healthy trait, weakens the relationship between long-term ostracism and depressive symptoms. More specifically, self-compassion moderates the relationship between the threatened sense of meaning in life and depressive symptoms. Our findings not only further our understanding about the negative consequences of long-term ostracism but also suggest a possible way to mitigate depressive symptoms associated with long-term ostracism.