Rost, F;
Luyten, P;
Fonagy, P;
(2018)
The Anaclitic–Introjective Depression Assessment: Development and preliminary validity of an observer‐rated measure.
Clinical Psychology and Psychotherapy
, 25
(2)
pp. 195-209.
10.1002/cpp.2153.
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Abstract
Background: The two-configurations model developed by Blatt and colleagues offers a comprehensive conceptual and empirical framework for understanding depression. This model suggests that depressed patients struggle, at different developmental levels, with issues related to dependency (anaclitic issues) or self-definition (introjective issues), or a combination of both. Aims: This paper reports three studies on the development and preliminary validation of the Anaclitic–Introjective Depression Assessment, an observer-rated assessment tool of impairments in relatedness and self-definition in clinical depression based on the item pool of the Shedler–Westen Assessment Procedure. Method: Study 1 describes the development of the measure using expert consensus rating and Q‐methodology. Studies 2 and 3 report the assessment of its psychometric properties, preliminary reliability, and validity in a sample of 128 patients diagnosed with treatment‐resistant depression. Results: Four naturally occurring clusters of depressed patients were identified using Q-factor analysis, which, overall, showed meaningful and theoretically expected relationships with anaclitic/introjective prototypes as formulated by experts, as well as with clinical, social, occupational, global, and relational functioning. Conclusion: Taken together, findings reported in this paper provide preliminary evidence for the reliability and validity of the Anaclitic–Introjective Depression Assessment, an observer-rated measure that allows the detection of important nuanced differentiations between and within anaclitic and introjective depression.
| Type: | Article |
|---|---|
| Title: | The Anaclitic–Introjective Depression Assessment: Development and preliminary validity of an observer‐rated measure |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1002/cpp.2153 |
| Publisher version: | https://dx.doi.org/10.1002/cpp.2153 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Anaclitic, introjective, levels of functioning, Q-factor analysis, Q-methodology, Severe depression |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10025887 |
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