Depression Clinical Trial
Official title:
Trait Versus State: The Differential Impact of Personality Traits, Coping Behaviors and Cognitions on Depression and Anxiety
The present study aims to investigate the differential impact of different types of variables
on depression and anxiety. In particular, the impact of trait-variables (i.e., personality
measured with the brief Big Five Inventory (BFI-10)) are contrasted against state-variables,
including unhelpful coping behavior (measured with CAS-1) and cognitions including positive
metacognitions and negative metacognitions (both measured with CAS-1).
Personality is defined as a set of traits that is relatively consistent over time and
situation, and is subsequently less susceptible as a target mechanisms for therapy. Still,
researchers have devoted great efforts toward describing personality traits as related to
different psychopathological disorders. Consequently, the present study aims to investigate
the differential associations of traits (i.e., personality) versus state variables
(metacognitions and coping behaviors) on depression and anxiety.
The findings of the present study will provide important insights in finding important
associations between trait and state variables in relation to psychopathology, providing an
important foundation for further directional investigations with temporal data
Hypothesis 1: Neuroticism measured with (BFI-10), positive metacognitions, negative
metacognitions, and unhelpful coping strategies (the latter three measured with CAS-1), will
predict higher levels of depression and anxiety.
Research Question 1: How and to what extent are different traits related measured with BFI-10
related to depression and anxiety in the present pandemic sample?
Research Question 2: Are the trait or state variables most strongly associated with
depressive and anxiety symptoms? This question will be investigated using part correlations
in the multiple regression analyses.
Hypothesis 1: Neuroticism measured with (BFI-10), positive metacognitions, negative
metacognitions, and unhelpful coping strategies (the latter three measured with CAS-1), will
predict higher levels of depression and anxiety.
Research Question 1: How and to what extent are different traits related measured with BFI-10
related to depression and anxiety in the present pandemic sample?
Research Question 2: Are the trait or state variables most strongly associated with
depressive and anxiety symptoms? This question will be investigated using part correlations
in the multiple regression analyses.
Statistical analysis:
Two hierarchical regression analyses will be conducted. 1) with PHQ-9 as the dependent
variable; and 2) the second with GAD-7 at as the dependent variable. Both analyses will
include the following variables and the following steps: In step 1, the demographic variables
age, gender, and education will be included in the model. In step 2 two, the trait-variables
(i.e., all five personality traits measured with BFI-10) will be included. In the final step,
the three state-variables positive metacognitions, negative metacognitions (CAS-1), and
unhelpful coping strategies (CAS-1) will be included.
Part correlations will be reported for each regression analysis, presenting the effect size
of the hypothesized predictors on depression and anxiety. A part (semi-partial) correlation
gives the least biased and easiest interpretable estimate of the strength of a predictive
relationship (Dudgeon, 2016). It is the correlation between the outcome and the aspects of
the predictor unique from all the other predictors. As a type of correlation, its size can be
evaluated according to Cohen's (1988) criteria: small >=0.10, medium >=0.30, large >=0.50.
Both analysis include the following 5 trait-predictor variables: Neuroticism (BFI-10),
Openness (BFI-10), Conscientiousness (BFI-10), Extroversion-Introversion (BFI-10), and
Agreeableness (BFI-10).
The state-predictor variables are as mentioned: positive metacognitions (CAS-1 subscale);
negative metacognitions (CAS-1 subscale); unhelpful coping behaviors (CAS-1 subscale).
Multicollinearity and other statistical assumptions will be checked using examined.
Multicollinearity will be assessed with common guidelines (VIF < 5 and Tolerance > 0.2;
Hocking, 2003; O`Brian, 2007).
If any further analyses or questions are addressed in the forthcoming paper that are not
pre-specified in this pre-registered protocol, they will be explicitly defined as
exploratory.
Sensitivity analyses and random subsample replications of the main findings will be conducted
following selection of a random sample of participants that ensure a proportionate ratio
between the collected sample and the adult population of Norway.
Sample size and power calculation:
The present study is part of a larger project with the first part aiming to investigate
information source predictors of mental health through regression analyses, and the second
part aiming to examine directional relations amongst specific sources of information and
their centrality through complex systems approaches (i.e., network analysis). Consequently,
power calculations are based on power required for network analyses. Following power analysis
guidelines by Fried & Cramer (2017), it is recommended that the number of participants are
three times larger than the number of estimated parameters. However, more conservative
recommendations by Roscoe (1975) for multivariate research, recommends sample size that is
ten times larger than the number of estimated parameters. Thus, following these two
approaches respectively, between 1305 to 4350 participants are required. Data will be
collected for three weeks, and participants are based on a representative and random sample
of Norwegian adults, randomly selected and provided equal opportunity to partake in the
study, providing digital consent.
Missing data:
The TSD system (Services for Sensitive Data), a platform used in Norway to store
person-sensitive data verifies participants officially through a kind of national ID number
to give them full right to withdraw their data at any time, following the European GDPR
(General Data Protection Regulation) laws. Accordingly, participants are allowed to withdraw
their own data at any time. The survey includes mandatory fields of response. Participation
is voluntarily, and withdrawal of provided data is possible at any moment. The investigators
do not expect participants to withdraw their data and thus expect no missing data. However,
if participants do withdraw their data, the investigators will conduct state-of-art missing
data analyses and investigate whether data is missing at random.
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