Depressive realism Does it exist and more
Depressive realism: Does it exist and more Health ConditionsHealth ConditionsAlzheimer's & DementiaAnxietyArthritisAsthma & AllergiesBreast CancerCancerCardiovascular HealthCOVID-19Dermatology & SkincareDiabetesEnvironment & SustainabilityExercise & FitnessEye HealthHeadache & MigraineHealth EquityHIV & AIDSHuman BiologyInflammatory Bowel DiseaseLeukemiaLGBTQIA+Men's HealthMental HealthMultiple Sclerosis (MS)NutritionParkinson's DiseasePsoriasisSexual HealthWomen's HealthDiscoverNewsLatest NewsOriginal SeriesMedical MythsHonest NutritionThrough My EyesNew Normal HealthPodcastsHow to understand chronic painWhat is behind vaccine hesitancy?The amazing story of hepatitis C, from discovery to cureNew directions in dementia researchCan psychedelics rewire a depressed, anxious brain?Why climate change matters for human healthToolsGeneral HealthDrugs A-ZHealth HubsHealth ToolsBMI Calculators and ChartsBlood Pressure Chart: Ranges and GuideBreast Cancer: Self-Examination GuideSleep CalculatorHealth ProductsAffordable Therapy OptionsBlood Pressure MonitorsDiabetic SuppliesFitness TrackersHome GymsGreen Cleaning ProductsHow to Shop for CBDQuizzesRA Myths vs FactsType 2 Diabetes: Managing Blood SugarAnkylosing Spondylitis Pain: Fact or FictionConnectAbout Medical News TodayWho We AreOur Editorial ProcessContent IntegrityConscious LanguageNewslettersSign UpFollow UsMedical News TodayHealth ConditionsDiscoverToolsConnectSubscribe Depressive realism Does it exist Medically reviewed by Kendra Kubala, PsyD, Psychology — By Nadia Zorzan on September 28, 2022Depressive realism is a hypothesis that people with depression are more likely to accurately assess certain situations than those without depression. Two professors of psychology, Lauren Alloy and Lyn Yvonne Abramson, developed the depressive realism hypothesis in the 1970s. The hypothesis claims that people with mild to moderate depression have a more realistic and accurate view of themselves and the world around them than people without depression. Alloy and Abramson based their theory on evidence from a contingency learning study. The study showed that participants who were mildly depressed were significantly more accurate in judging how much control they had over the appearance of a green light when they pushed a button than participants without depression. In this article, we will discuss the evidence for and against the theory of depressive realism and the limitations of the evidence and theory. Additionally, we will discuss the cognitive changes that can occur with depression and when it is necessary to seek help. Evidence supporting depressive realism Share on PinterestThomas Barwick/Getty ImagesA 2018 study investigated the link between situations people cannot control and mental well-being using a mobile phone app. Around half of the 106 participants had a diagnosis of mild depression, while the others did not. The researchers did not allow the participants to control a low or high frequency stimulus from the mobile app. The participants with depression were more accurate in determining they had no control over this stimulus than those without depression. Evidence against depressive realism A 2018 study tested Alloy and Abramson’s theory on a group of participants. 28 of the participants had a diagnosis of clinical depression and 38 did not. The researchers gave both groups either a rumination exercise or a distraction exercise. Later, the participants completed a task where there was no relationship between their responses and the outcome. When reporting how much control the participants believed they had over the outcome, neither of the groups showed signs of depressive realism. An older review highlights the possibility of a link between realism and level of cognitive activity rather than depression. Some older initial research supported Alloy and Abramson’s depressive realism theory. However, researchers concluded that some participants with depression were more passive, which may have affected the results. Limitations to the theory and evidence A 2016 analysis highlights the following limitations of the theory and evidence behind depressive realism:Findings: Studies on depressive realism have inconsistent results.Accuracy: Some studies have shown that people with depression are more accurate in their judgment than those without depression.Biases: Some people with depression may underestimate the positive feedback given to them by researchers. There is also a theory that people without depression may be biased by positivity in certain situations.Self-assessments: Some research sorts people into test groups based on self-reports, which can be inaccurate.Setting: Most of the experiments took place in clinical settings. Researchers may get different results in more true-to-life settings.Number of participants: Most of the studies focused on a small number of participants. Studying larger groups may lead to different results. Types of cognitive distortion that can occur with depression Cognitive distortions are negative or illogical patterns of thinking that can make a person’s perceptions less accurate or realistic. They can be a factor in depression. Some types of cognitive distortion include:Mindreading: This is when a person jumps to conclusions or makes assumptions about other people’s intentions and feelings.Catastrophizing: This is when a person makes negative predictions with little or no evidence. Polarized thinking: This is when a person sees people, events, and things as either wholly good or wholly bad, with no middle ground. Emotional reasoning: This refers to believing something is true based on emotional reasoning rather than objective evidence.Mental filtering: This involves focusing on negative information and ignoring positive information.Overgeneralization: This occurs when a person assumes that one negative event means that all similar experiences will be just as challenging, or that it is the start of a pattern.Personalization: This is when a person believes that everything people say or do is a direct and personal statement about themselves or a reaction to what they have done.“Should” statements: This involves thinking that things must or should be a certain way.Minimizing or ignoring the positive: This is when someone views the positive things that have happened to them or that they have achieved as an anomaly, rather than giving themselves credit for it. When to seek help Depression is more than feeling unhappy. It can affect people in different ways and cause a variety of symptoms, such as:a general feeling of hopelessnesslosing interest in hobbies or activities a person once enjoyedfeeling tired all the timesleeping poorlychanges in appetite Severe depression may also lead to suicidal ideation. People who feel suicidal should immediately contact a mental health professional or a suicide helpline. Suicide prevention If you know someone at immediate risk of self-harm, suicide, or hurting another person:Ask the tough question: “Are you considering suicide?”Listen to the person without judgment.Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor.Stay with the person until professional help arrives.Try to remove any weapons, medications, or other potentially harmful objects. If you or someone you know is having thoughts of suicide, a prevention hotline can help. The 988 Suicide and Crisis Lifeline is available 24 hours a day at 988. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988. Click here for more links and local resources. Summary Depressive realism is a hypothesis that claims that people with depression have a more accurate assessment of certain situations than those who do not have depression. Researchers have conducted experiments to test this hypothesis, with mixed results. Depression may cause the person to experience a variety of or increase in cognitive distortions and physical symptoms. Treatment is available and may help relieve symptoms. Last medically reviewed on September 28, 2022DepressionMental HealthPsychology / Psychiatry 12 sourcescollapsedMedical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.Blanco, F., et al. (2012). Mediating role of activity level in the depressive realism effect. https://pubmed.ncbi.nlm.nih.gov/23029435/Bortolotti, L., et al. (2015). Costs and benefits of realism and optimism. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4323577/Buchwald, A. (1977). Depressive mood and estimates of reinforcement frequency. https://psycnet.apa.org/record/1978-20332-001Craighead, W., et al. (1979). Distortion of perception and recall of neutral feedback in depression. https://psycnet.apa.org/record/1980-32618-001Dobson. K., et al. (1989). A conceptual and empirical review of the depressive realism hypothesis. https://psycnet.apa.org/record/1990-09790-001Hussain, D. (2016). Depressive realism hypothesis: Reflections and critical analysis. https://www.researchgate.net/publication/281232600Moore, M. et al. (2012). Depressive realism: A meta-analytic review. https://pubmed.ncbi.nlm.nih.gov/22717337/Moses-Payne, M., et al. (2019). Post decision evidence integration and depressive symptoms. https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00639/fullMsetfi, R., et al. (2016). Enhanced attention to context: An intervention that increases perceived control in mild depression. https://pubmed.ncbi.nlm.nih.gov/26822778/Msetfi, R., et al. (2018). Using mobile phones to examine and enhance perceptions of control in mildly depressed and nondepressed volunteers: Intervention study. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251979/Rnic, K. et al. (2016). Cognitive distortions, humor styles, and depression. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991044/Venkatesh, S., et al. (2018). Testing for depressive realism in a clinically depressed sample.https://www.cambridge.org/core/journals/behaviour-change/article/testing-for-depressive-realism-in-a-clinically-depressed-sample/76A93E51397DFDFA9174665C5B871177FEEDBACK:Medically reviewed by Kendra Kubala, PsyD, Psychology — By Nadia Zorzan on September 28, 2022 Latest newsWhat sets 'SuperAgers' apart? Their unusually large neuronsOmega-3 may provide a brain boost for people in midlifeSeasonal affective disorder (SAD): How to beat it this fall and winterCDC: Monkeypox in the US 'unlikely to be eliminated in the near future'Why are more women prone to Alzheimer's? New clues arise Related CoverageRecognizing the hidden signs of depression People with depression can experience a variety of symptoms, some of which may be harder to recognize than others. Learn more.READ MORE16 strategies and treatments to fight depressionMedically reviewed by Timothy J. 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