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01-08-2020 | Mood Disorders

Longitudinal associations between gratitude and depression 1 year later among adult cystic fibrosis patients

Authors: Allen C. Sherman, Stephanie Simonton-Atchley, Catherine E. O’Brien, Dianne Campbell, Raghu M. Reddy, Bethany Guinee, Laura D. Wagner, Paula J. Anderson

Published in: Journal of Behavioral Medicine | Issue 4/2020

Abstract

Individuals with cystic fibrosis (CF) are confronted by a range of difficult physical and psychosocial sequelae. Gratitude has drawn growing attention as a psychosocial resource, but it has yet to be examined among adults with CF. The current investigation evaluated longitudinal associations between trait gratitude and subsequent outcomes from depression screening 12 months later, adjusting for disease severity (FEV₁% predicted) and other significant clinical or demographic covariates. Participants were 69 adult CF patients recruited from a regional adult treatment center. They completed a validated measure of gratitude (Gratitude Questionnaire-6) at baseline and a screening measure of depression (Hospital Anxiety and Depression Scale) at 12-month follow-up. In a logistic regression analysis controlling for disease severity, higher levels of baseline gratitude were associated with reduced likelihood of depression caseness at 12 months (OR .83, 95% CI .73–.91, p = .001). Gratitude remained predictive after adjusting for other psychosocial resource variables (i.e., perceived social support and positive reframing coping). Findings offer an initial indication of the potential salutary role of dispositional gratitude in an understudied clinical population.

Aghababaei, N., Blanchnio, A., & Aminikhoo, M. (2018). The relations of gratitude to religiosity, well-being, and personality. Mental Health, Religion & Culture,21, 408–417.

Algoe, S. B. (2012). Find, remind, and bind: The functions of gratitude in everyday relationships. Social and Personality Psychology Compass,6, 455–469.

Algoe, S. B., & Stanton, A. L. (2012). Gratitude when it is needed: Social functions of gratitude in women with metastatic breast cancer. Emotion,12, 363–368.

Backström-Eriksson, L., Sorjonen, K., Bergsten-Brucefors, A., Hjelte, L., & Melin, B. (2015). Anxiety and depression in adults with cystic fibrosis: A comparison between patients and the general population in Sweden and three other European countries. BMC Pulmonary Medicine,15, 121.PubMedPubMedCentral

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research,52, 69–77.PubMed

Card, N. A. (2018). Meta-analyses of the reliabilities of four measures of gratitude. Journal of Positive Psychology. https://doi.org/10.1080/17439760.2018.1497690

Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology,56, 267–283.PubMed

Catastini, P., Di Marco, S., Furriolo, M., Genovese, C., Grande, A., Iacinti, E., et al. (2016). The prevalence of anxiety and depression in Italian patients with cystic fibrosis and their caregivers. Pediatric Pulmonology,51, 1311–1319.PubMed

Chun, S., & Lee, Y. (2013). “I am just thankful”: The experience of gratitude following traumatic spinal cord injury. Disability and Rehabilitation,35, 11–19.PubMed

Davis, D. E., Choe, E., Meyers, J., Wade, N., Varjas, K., Gifford, A., et al. (2016). Thankful for the little things: A meta-analysis of gratitude interventions. Journal of Counseling Psychology,63, 20–31.PubMed

Disabato, D. J., Kashdan, T. B., Short, L. J., & Larden, A. (2017). What predicts positive life events that influence the course of depression? A longitudinal examination of gratitude and meaning. Cognitive Therapy and Research,41, 444–458.

Duff, A. J., Abbott, J., Cowperthwaite, C., Sumner, C., Hurley, M. A., Quittner, A., et al. (2014). Depression and anxiety in adolescents and adults with cystic fibrosis in the UK: A cross-sectional study. Journal of Cystic Fibrosis,13, 745–753.PubMed

Eakin, M. N., Patel, Y., Mendez-Tellez, P., Dinglas, V. D., Needham, D. M., & Turnbull, A. E. (2017). Patients’ outcomes after acute respiratory failure: A qualitative study with the PROMIS framework. American Journal of Critical Care,26, 456–465.PubMedPubMedCentral

Eaton, R. J., Bradley, G., & Morrissey, S. (2014). Positive predispositions, quality of life and chronic illness. Psychology Health and Medicine,19, 473–489.

Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology,84, 377–389.PubMed

Fredrickson, B. L. (2004). Gratitude, like other positive emotions, broadens and builds. In R. A. Emmons & M. E. McCullough (Eds.), The psychology of gratitude (pp. 145–166). New York: Oxford University Press.

Fredrickson, B. L., & Losada, M. F. (2005). Positive affect and the complex dynamics of human flourishing. American Psychologist,60, 678–686.PubMed

Goldbeck, L., Besier, T., Hinz, A., Singer, S., Quittner, A. L., & TIDES Group. (2010). Prevalence of symptoms of anxiety and depression in German patients with cystic fibrosis. Chest,138, 929–936.PubMed

Hausmann, L. R. M., Youk, A., Kwoh, C. K., Gallagher, R. M., Weiner, D. K., Vina, E. R., et al. (2018). Effect of a positive psychological intervention on pain and functional difficulty among adults with osteoarthritis: A randomized clinical trial. JAMA Network Open,1, e182533.PubMedPubMedCentral

Havermans, T., Colpaert, K., & Dupont, L. J. (2008). Quality of life in patients with cystic fibrosis: Association with anxiety and depression. Journal of Cystic Fibrosis,7, 581–584.PubMed

Hernandez, R., Burrows, B., Wilund, K., Cohn, M., Xu, S., & Moskowitz, J. T. (2018). Feasibility of an internet-based positive psychology intervention for hemodialysis patients with symptoms of depression. Social Work in Health Care,57, 864–879.PubMedPubMedCentral

Hilliard, M. E., Eakin, M. N., Borrelli, B., Green, A. L., & Riekert, K. A. (2015). Medication beliefs mediate between depressive symptoms and medication adherence in cystic fibrosis. Health Psychology,34, 496–504.PubMed

Kashdan, T. B., Mishra, A., Breen, W. E., & Froh, J. J. (2009). Gender differences in gratitude: Examining appraisals, narratives, the willingness to express emotions, and changes in psychological needs. Journal of Personality,77, 3.

Knudsen, K. B., Pressler, T., Mortensen, L. H., Skov, M., Quittner, A. L., Katzenstein, T., et al. (2016). Associations between adherence, depressive symptoms and health-related quality of life among young adults with cystic fibrosis. SpringPlus,5, 1216.

Lambert, N. M., Fincham, F. D., & Stillman, T. F. (2012). Gratitude and depressive symptoms: The role of positive reframing and positive emotion. Cognition and Emotion,26, 615–633.PubMed

Lin, C. C. (2017). The effect of higher-order gratitude on mental well-being: Beyond personality and unifactorial gratitude. Current Psychology,26, 127–135.

Mc Hugh, R., Mc Feeters, D., Boyda, D., & O’Neil, S. (2016). Coping styles in adults with cystic fibrosis: Implications for emotional and social quality of life. Psychology of Health and Medicine,21, 102–112.

McCullough, M. E., Emmons, R. A., & Tsang, J.-A. (2002). The grateful disposition: A conceptual and empirical topography. Journal of Personality and Social Psychology,82, 112–127.PubMed

McCullogh, M. E., Tsang, J. A., & Emmons, R. A. (2004). Gratitude in intermediate affective terrain: Links of grateful moods to individual differences and daily emotional experience. Journal of Personality and Social Psychology,86, 295–309.

Mercon-Vargas, E. A., Poelker, K. E., & Trudge, J. R. H. (2018). The development of the virtue of gratitude: Theoretical foundations and cross-cultural issues. Cross-Cultural Research,52, 3–18.

Milbury, K., Engle, R., Tsao, A., Liao, Z., Owens, A., Chaoul, A., et al. (2018). Pilot testing of a brief couple-based mind-body intervention for patients with metastatic non-small cell lung cancer and their partners. Journal of Pain and Symptom Management,55, 953–961.PubMed

Mills, P. J., Redwine, L., Wilson, K., Pung, M. A., Chinh, K., Greenberg, B. H., et al. (2015). The role of gratitude in spiritual well-being in asymptomatic heart failure patients. Spirituality in Clinical Practice,2, 5–17.PubMedPubMedCentral

Millstein, R. A., Celano, C. M., Beale, E. E., Beach, S. R., Suarez, L., Belcher, A. M., et al. (2016). The effects of optimism and gratitude on adherence, functioning and mental health following an acute coronary syndrome. General Hospital Psychiatry,43, 17–22.PubMedPubMedCentral

Mitmansgruber, H., Smrekar, U., Rabanser, B., Beck, T., Eder, J., & Ellemunter, H. (2016). Psychological resilience and intolerance of uncertainty in coping with cystic fibrosis. Journal of Cystic Fibrosis,15, 689–695.PubMed

Ng, M. Y., & Wong, W. S. (2013). The differential effects of gratitude and sleep on psychological distress in patients with chronic pain. Journal of Health Psychology,18, 263–271.PubMed

O’Connell, B. H., O’Shea, D., & Gallagher, S. (2017). Feeling thanks and saying thanks: A randomized controlled trial examining if and how socially oriented gratitude journals work. Journal of Clinical Psychology,73, 1280–1300.PubMed

O’Connell, B. H., O’Shea, D. O., & Gallagher, S. (2018). Examining psychosocial pathways underlying gratitude interventions: A randomized controlled trial. Journal of Happiness Studies,19, 2421–2444.

Olveira, C., Sole, A., Girón, R. M., Quintana-Gallego, E., Mondejar, P., Baranda, F., et al. (2016). Depression and anxiety symptoms in Spanish adult patients with cystic fibrosis: Associations with health-related quality of life. General Hospital Psychiatry,40, 39–46.PubMed

Otto, A. K., Szczesny, E. C., Soriano, E. C., Laurenceau, J. P., & Siegel, S. D. (2016). Effects of a randomized gratitude intervention on death-related fear of recurrence in breast cancer survivors. Health Psycholology,35, 1320–1328.

Petrocchi, N., & Couyoumdjian, A. (2016). The impact of gratitude on depression and anxiety: The mediating role of criticizing, attacking, and reassuring the self. Self and Identity,15, 191–205.

Quittner, A. L., Abbott, J., Georgiopoulos, A. M., Goldbeck, L., Smith, B., Hempstead, S. E., et al. (2016). International Committee on Mental Health in Cystic Fibrosis: Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus statements for screening and treating depression and anxiety. Thorax,71, 26–34.PubMed

Quittner, A. L., Goldbeck, L., Abbott, J., Duff, A., Lambrecht, P., Solé, A., et al. (2014). Prevalence of depression and anxiety in patients with cystic fibrosis and parent caregivers: Results of The International Depression Epidemiological Study across nine countries. Thorax,69, 1090–1097.PubMed

Quon, B. S., Bentham, W. D., Unutzer, J., Chan, Y. F., Goss, C. H., & Aitken, M. L. (2015). Prevalence of symptoms of depression and anxiety in adults with cystic fibrosis based on the PHQ-9 and GAD-7 screening questionnaires. Psychosomatics,56, 345–353.PubMed

Riekert, K. A., Bartlett, S. J., Boyle, M. P., Krishnan, J. A., & Rand, C. S. (2007). The association between depression, lung function, and health-related quality of life among adults with cystic fibrosis. Chest,132, 231–237.PubMed

Rosmarin, D. H., Pirutinsky, S., Greer, D., & Korbman, M. (2016). Maintaining a grateful disposition in the face of distress: The role of religious coping. Psychology of Religion and Spirituality,8, 134–140.

Ruini, C., & Vescovelli, F. (2013). The role of gratitude in breast cancer: Its relationships with post-traumatic growth, psychological well-being and distress. Journal of Happiness Studies,14, 263–274.

Sacco, S. J., Park, C. L., Suresh, D. P., & Bliss, D. (2014). Living with heart failure: Psychosocial resources, meaning, gratitude and well-being. Heart and Lung,43, 213–218.PubMed

Sherman, A. C., Simonton-Atchley, S., Campbell, D., Reddy, R. M., O’Brien, C. E., Guinee, B., et al. (2019). Persistent adherence to airway clearance therapy in adults with cystic fibrosis. Respiratory Care, 64, 778–785.PubMed

Sirois, F. M., & Wood, A. M. (2017). Gratitude uniquely predicts lower depression in chronic illness populations: A longitudinal study of inflammatory bowel disease and arthritis. Health Psychology,36, 122–132.PubMed

Snell, C., Fernandes, S., Bujoreanu, I. S., & Garcia, G. (2014). Depression, illness severity, and healthcare utilization in cystic fibrosis. Pediatric Pulmonology,49, 1177–1181.PubMed

Tulbure, B. T. (2015). Appreciating the positive protects us from negative emotion: The relationship between gratitude, depression and religiosity. Procedia-Social and Behavioral Sciences,187, 475–480.

Watkins, P. C., Woodward, K., Stone, T., & Kolts, R. L. (2003). Gratitude and happiness: Development of a measure of gratitude, and relationships with subjective well-being. Social Behavior and Personality,31, 431–452.

Wood, A. M., Frohm, J. J., & Geraghty, A. W. (2010). Gratitude and well-being: A review and theoretical integration. Clinical Psychology Review,30, 890–905.PubMed

Wood, A. M., Joseph, S., & Linley, P. A. (2007). Coping style as a psychological resource of grateful people. Journal of Social and Clinical Psychology,26, 1076–1093.

Wood, A. M., Joseph, S., & Maltby, J. (2009). Gratitude predicts psychological well-being above the Big Five facets. Personality and Individual Differences,46, 443–447.

Wood, A. M., Maltby, J., Gillett, R., Linley, P. A., & Joseph, S. (2008). The role of gratitude in the development of social support, stress, and depression: Two longitudinal studies. Journal of Research in Personality,42, 854–871.

Yohannes, A. M., Willgoss, T. G., Fatoye, F. A., Dipp, M. D., & Webb, K. (2012). Relationship between anxiety, depression, and quality of life in adult patients with cystic fibrosis. Respiratory Care,57, 550–556.PubMed

Title: Longitudinal associations between gratitude and depression 1 year later among adult cystic fibrosis patients
Authors: Allen C. Sherman
Stephanie Simonton-Atchley
Catherine E. O’Brien
Dianne Campbell
Raghu M. Reddy
Bethany Guinee
Laura D. Wagner
Paula J. Anderson
Publication date: 01-08-2020
Publisher: Springer US
Keywords: Mood Disorders
Cystic Fibrosis
Cystic Fibrosis
Affective Disorder
Published in: Journal of Behavioral Medicine / Issue 4/2020
Print ISSN: 0160-7715
Electronic ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-019-00071-y

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Longitudinal associations between gratitude and depression 1 year later among adult cystic fibrosis patients

Abstract

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Abstract

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