Table 2.
Extracted data from included studies about other depressive symptoms (Loneliness, Shame, Guilt, Embarrassment, Interpersonal intimacy, Self-punitiveness, Anhedonia, Hopelessness, Anger, Insomnia, Suicidality)
| Reference | Country | Sample | Symptoms | Measures of self-criticism and dependency | Measures of psychopathology | Analysis | Results |
|---|---|---|---|---|---|---|---|
| Schachter and Zlotogorski [74] | Israel |
58 volunteers 35 males 35 females |
Loneliness | DEQ | SRULS |
Regression analysis Inter-correlational analysis |
Self- criticism (β = 0.63, t = 6.761, p < 0.05) Dependency (β = 0.29, t = 2.888, p < 0.05) Dependency (r = 0.34, p < 0.01) Self-criticism (r = 0.67, p < 0.01) |
| Burke and Haslam, [19] | USA |
74 depressed patients 39 females (53%) 35 males (47%) Age range: 19- 61 years Mean age = 39.0 |
Self-punitiveness (guilt, feelings of failure), Anhedonic symptoms (loss of interest, fatigue), Hopelessness (pessimism, suicidal ideation) |
SAS, PSI-R, DEQ, DABS |
BDI, IDD |
Principal components analysis, Correlation analyses |
Correlation analyses: - Self-direction and freedom from attachments component of autonomy (core autonomy) and anhedonic symptoms: r = 30, p < 0.01 - Concern with others’ disapproval component of dependency and self-punitive symptoms: r = 34, p < 0.01 - Self-criticism/perfectionism component of autonomy and self-punitive symptoms: r = 57, p < 0.001 - Self-criticism/perfectionism component of autonomy and hopelessness: r = 32, p < 0.01 |
| Besser et al. [11] | Canada |
167 volunteers 86 males 81 females Mean age = 21.61 SD = 4.07 |
Loneliness | DEQ (McGill revision) |
CES-D UCLA Loneliness Scale-Revised |
Zero-order correlations Regression analysis |
Self-criticism (r = 0.43, p < 0.0001 and r = 0.62, p < 0.0001 for intimate and non-intimate relationships, respectively) Dependency (r = 0.22, p < 0.05 and r = 0.13, p = 0.22 for intimate and non-intimate relationships, respectively) CES-D (ß = 0.44, t = 3.94, p < 0.0001 and ß = 0.24, t = 2.18, p < 0.03 for relationship and no relationship subsamples, respectively) Self-criticism (ß = 0.22, t = 2.05, p < 0.04 and ß = 0.46, t = 4.28, p < 0.0001 for the relationship and no relationship subsamples, respectively) The low effect of dependency on loneliness found in the zero-order correlations for the romantic relationships group was no longer evident when controlling for participants’ levels of depressive symptoms (ß = 0.04, t = 0.43, p = 0.18 and ß = 0.05, t = 0.65, p = 0.5\2 for relationship and no relationship subsamples, respectively) |
| Fazaa and Page [36] | Canada |
807 university students Caucasian (76%); the remaining 24% came from the Middle East, Africa, the Caribbean, or Asia Mean age: 20 years |
Suicidality |
DEQ (66 items) |
BDI-II Risk Rescue Rating Scale (lethality of attempts) |
Correlations Standard multiple regressions |
Self-criticism-risk (r = 0.53), Self-criticism-risk rescue (r = 0.55) Self-criticism subjective lethality (r = 0.42) Self-criticism-intent score (r = 0.49) Self-criticism-rescue (r = − 0.50) Self-criticism- subjective lethality (β = 0.50) Self-criticism-intensity of wish to die (β = 0.76) Dependency-subjective lethality (β = − 1.57) Dependency-intensity of wish to die (β = − 1.83) |
| Vanhuele et al. [80] | Belgium |
134 adult outpatients (DMS-IV mild-severe Depression) |
Suicidality |
DEQ (66 items) |
BDI-II | Latent class analysis |
Self-directed aggression: self-mutilation -suicide attempts self-critical |
| Fazaa and Page [37] | Canada |
96 students (13 male, 83 female) 75% Caucasian, remaining sample from Middle Eastern, African, Asian, and Hispanic individuals |
Suicidality (Impulsivity, intent, and lethality) |
DEQ (66 items) |
SIS (Suicide intent with previous attempt) (2 items) Dickman’s Impulsivity Inventory (23 items self-report) Likert type item (Suicide item) Risk Rescue Rating Scale (Lethality of attempts) (10 items) |
Discriminant Function Analysis (DFA) Receiver Operating characteristics curve (ROC) analysis |
Correlation Dependency-State impulsivity r = 0.40, n = 96, p < 0.01) Correlation Self- criticism- State Impulsivity (r = 0.35, n = 96, p < 0.01) |
| O’ Riley and Fiske [57] | USA |
636 adults (70.9% women; 92.2% European American) Age range: 18–24 years |
Suicidality | PSI-II |
SBQ-14 (propensity for suicidal behaviour) (14 items) |
Pearson’s correlation (relationship between autonomy and propensity for suicidality) Two multiple linear regressions (association between propensity for suicidality and autonomy subscales) |
Young sample: Autonomy- suicidality (r = 0.27) Older sample: Need for Control-suicidality (r = 0.26) Defensive Separation (β = 0.11, SE = 0.03, p < 0.01, 95% CI = 0.05, 0.16), Perfectionism (β = 0.38, SE = 0.06, P < 0.01, 95% CI = 0.25, 0.50), Need for Control (β = − 0.05, SE = 0.04, p > 0.05, 95% CI = − 0.01, 0.04) and suicidality in younger sample; Need for Control (β = 0.21, SE = 0.08, p < 0.01, 95% CI = 0.05, 0.37), Defensive Separation (β − 0.04, SE = 0.06, p > 0.013, 95% CI = − 0.14, 0.07), Perfectionism (β = − 0.10, SE = 0.14, p > 0.013, 95% CI = − 0.38, 0.19) and suicidality in older sample |
| Campos et al. [23] | Portugal |
105 volunteers adults (51 male, 54 female) Age range: 19–64 years M: 36.3 SD: 11.5 |
Suicidality Through distress |
DEQ (66 items) |
BSI (53 items self-report) Sociodemographic Questionnaires (2 items on suicidality) |
Structural equation modelling (SEM) |
Direct association model: Self-criticism-Suicidality: (β = 0.40, t = 2.394, p < 0.017) Dependency-Suicidality: (β = 0.10, t = 0.712, ns) Mediational structural equation modelling: Self-criticism-Suicidality through distress: (β = 0.54, t = 6.452, p < 0.0001) Dependency-Distress: (β = 0.36, t = 4.459, p < 0.0001) Distress-Suicidality: (β = 0.51, t = 2.284, p < 0.022) |
| Dorahy and Hanna [32] | New Zealand and Northern Ireland |
315 students 17.1% males (n = 54) 82.9% females (n = 261) Age range = 18–64 years Mean age = 22.54 SD = 7.24 |
Shame, guilt, embarrassment Interpersonal intimacy |
DEQ-SF | DES-IV, shame, guilt, and hostility-inward subscales (SG&HI-DES-IV) | Path analysis |
Standardized Regression Coefficients for Each of the Model Paths (p = < 0.01): Introjective orientation - Embarrassment: β = 0.281 - Shame: β = 0.381 - Guilt: β = 0.232 - Interpersonal Intimacy: β = − 0.426 Anaclitic orientation: - Embarrassment: β = 0.359 - Guilt: β = 0.215 - Interpersonal Intimacy: β = 0.266 |
| Abi-Habib and Luyten [1] | Belgium |
253 community adults 58.33% females Mean age = 32.21 SD = 5.40 |
Anger | DEQ |
BDI STAXI |
Zero-order correlations |
Self-criticism (p < 0.01) - State anger: r = 0.177 - Trait anger: r = 0.393 - Anger-control: r = − 0.220 - Anger-in: r = 0.455 - Anger-out: r = 0.319 Dependency - State anger: r = 0.045 - Trait anger: r = 0.060 - Anger-control: r = 0.070 - Anger-in: r = 0.119 - Anger-out: r = − 0.117 |
| Campos and Holden [21] | Portugal |
810 non-clinical adults Age range: 19–67 years M: 36.34 SD: 12.46 |
Suicidality | DEQ (66 items) |
CES-D (20 items) SBQ-R (4 items) |
Discriminant Function Analysis (DFA) Receiver Operating characteristics curve (ROC) analysis |
Standardized discriminant function coefficient (0.46 (95% CI (0.13, 0.66)) for self-criticism |
| Campos and Holden [22] | Portugal |
200 adults (102 men, 98 women) Age range: 19–67 years M: 36,7 years D: 12,8 |
Suicidality (ideation and attempt, recent ideation, intention and future probability) | DEQ (66 items) |
CES-D (20 items) The Psychache Scale (13 items self-report) INQ (TB-PB) (15 items self-report) Suicide Behaviours Questionnaire-Revised (4 items) |
Structural Equation Modelling (SEM) |
Indirect effects Self-criticism-suicidality: (β = 0.20, t = 4.17, p < 0.001; SE = 0.029, 95% CI [0.11, 0.30], p < 0.001) Neediness-suicidality: (β = 0.21, t = 4.71, p < 0.001; SE = 0.028, 95% CI [0.14, 0.30], p < 0.001) |
| O’ Keefe et al. [56] | USA |
113 Under-graduated students (75,3% women; 93,4% Caucasian, 5,7% African Americans, 0,9% Asian Americans) M: 19.43 DS: 2.28 |
Suicidality |
PSI.II (48 items) |
CES-D (20 items) INQ (TB-PB) |
Structural Equation Modelling |
Time 1 autonomy predicted Time 2 depression symptoms (β = 0.137, p = 0.002) Time 2 depression symptoms predicted Time 3 perceived burdensomeness (β = 0.251, p = 0.002) and Time 3 thwarted belongingness (β = 0.283, p = 0.005) |
| Silva et al. [76] | Chile |
177 undergraduate students (Normal: 52 introjective: 38 anaclitic: 38 mixed AI: 49) 71 males; 106 females Mean age = 21.1 SD = 1.65 |
Anhedonia | DEQ | BDI (anhedonia and melancholia subscales) |
One-way ANOVA post-hoc comparisons |
Anhedonia: group effect [F (3, 176) = 5.64, p < 0.01, η2 = 0.08] normal vs. introjective (ΔM = − 1.20, SE = 0.32, p < 0.01 Bonferroni) normal vs. mixed AI (ΔM = –0.98, SE = 0.30, p < 0.01 Bonferroni) |
| Park and Kim [60, 61] | South Korea |
334 students (113 male, 200 female) Age range: 19–27 years M: 21.51 DS: 1.95 |
Suicidality |
Personal Style Inventory-II (Korean version; 18–19 items |
K-INQ14) (14 items) (DSI-SS) (4 items) K-DBI-II (21 items) |
Correlations Hierarchical regression |
Sociotropy—BDI-II: r (311) = 0.23, p < 0.001 Autonomy-BDI-II: r (311) = 0.25, p < 0.00 Autonomy-Suicide ideation: r (311) = 0.16, p < 0.01 Model 2: PB (β = 0.24, t (298) = 0.42, p < 0.001) and sociotropic personality, β = − 0.11, t (298) = − 2.26, p < 0.05 predicted suicide Model 3: Significance TB and sociotropy (β = − 0.11, t (294) = − 2.01, p < 0.05) and PB and autonomy (β = 0.19, t (294) = 2.94, p < 0.01) |
| Bar et al. [4] | Israel |
161 young adults 36 males 125 females Age range = 20–30 years Mean age = 25 SD = 1.4 |
Insomnia | DEQ-SC6 |
BDI-II PSQI ISI |
Regression analysis |
Association between self-criticism (Time 1) and insomnia (Time 2) evidenced a trend (β = 0.12, SE = 0.07, p = 0.09, 95% CI [− 0.02, 0.26]) Two-wave interaction: the self-criticism by depressive symptoms interaction predicted time 2 insomnia (β = 0.19, SE = 0.07, p = 0.007, 95% CI [0.05, 0.33]) The positive association between time 1 self-criticism and time 2 insomnia was marginally significant for individuals with high (1SD above the mean) levels of depressive symptoms (B = 0.03, SE = 0.02, p = 0.07, 95% CI [− 0.00, 0.08]), but not for individuals with mean (B = 0.01, SE = 0.01, p = 0.40, 95% CI [− 0.02, 0.05]) and below mean (1SD below the mean) levels of depressive symptoms (B = − 0.00, SE = 0.02, p = 0.68, 95% CI [− 0.05, 0.03]) At 2SDs above the mean of depressive symptoms, the positive association between time 1 self-criticism and time 2 insomnia was statistically significant (B = 0.06, SE = 0.03, p = 0.04, 95% CI [0.00, 0.12]) |