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Fear of depression recurrence among individuals with remitted depression: a qualitative interview study

Stephanie T Gumuchian1, Ariel Boyle2, Lori H Hazel2

  • 1Department of Psychology, Concordia University, 7141 Sherbrooke Street West, H4B 1R6, Montréal, Québec, Canada. stephanie.gumuchian@mail.concordia.ca.

BMC Psychiatry
|February 21, 2024
PubMed
Abstract

Insights

Fear of depression recurrence (FoDR) affects many individuals in remission from Major Depressive Disorder (MDD). This fear can impact daily functioning, highlighting a need for further research and measurement development.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Major Depressive Disorder (MDD) is a leading cause of global disability and is highly recurrent.
  • Mechanisms underlying MDD recurrence after a Major Depressive Episode (MDE) remain poorly understood.
  • Fear of depression recurrence (FoDR) is explored as a factor influencing remission and potential relapse.

Purpose of the Study:

  • To investigate the concept of fear of depression recurrence (FoDR) in individuals with MDD in remission.
  • To understand the impact of FoDR on daily functioning and identify associated coping strategies.

Main Methods:

  • Qualitative study involving 30 participants (83% female) in remission from MDD.
  • Semi-structured interviews explored experiences of FoDR: frequency, severity, content, triggers, and coping.
  • Content analysis was used to analyze interview transcriptions.

Main Results:

  • 73% of participants reported experiencing FoDR with varied intensity and duration.
  • Triggers and content of FoDR often mirrored past MDE symptoms and consequences.
  • FoDR had a mixed impact on daily functioning, ranging from minimal to positive (personal growth) or negative (anxiety).

Conclusions:

  • FoDR may offer insights into cognitive and behavioral changes post-MDD remission that contribute to recurrence.
  • Further research is needed to identify individual differences influencing FoDR.
  • Development of a standardized FoDR measure is recommended to study its association with recurrence risk and functioning.
Keywords:
Content analysisFear of depression recurrenceMajor depressive disorderQualitative inquiry

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