Weßlau C, Cloos M, Höfling V, Steil R. BMC Psychiatry 2015; 15(1): e308.
Affiliation
Department of Clinical Psychology and Intervention, Institute of Psychology, Goethe University Frankfurt, P.O. Box 11 19 32-120, 60054, Frankfurt Main, Germany. steil@psych.uni-frankfurt.de.
BACKGROUND: Mental imagery may influence the onset and maintenance of depression, but specific mechanisms have not yet been determined.
METHODS: Nine hundred twelve participants completed questionnaires on positive and negative mental images, as well as images of injury and death that lead to positive emotions ("ID-images"), and depressive symptomatology. The assessment was carried out online to reduce effects of social desirability.
RESULTS: Positive images were reported by 87 % of the sample, negative images by 77 %. ID-images were present in one-third of the sample. A connection with depression severity was found for the absence of positive mental images and the presence of negative images as well as ID-images. Higher depression scores were associated with more frequent and vivid negative images, greater imagery distress, and a higher proportion of negative relative to positive images.
CONCLUSIONS: Mental images are clearly related to depression. Future research should focus on ID-images and their connection to suicide-risk in depressed patients.