MARRIAGE, DEPRESSION, AND COGNITION: UNRAVELING THE GORDIAN KNOT-REPLY TO ETTINGER ET AL.

Heim and Snyder (1991) explicitly applied a multidimensional assessment and data-analytic strategy to predict husbands' and wives' depressive symptoms from measures of marital disaffection, overt marital conflict, appraisals of relationship prognosis, characterizations of the spouse, and causal attributions. For both genders, the best single predictor of depression was a measure of marital disaffection—accounting by itself for approximately one third of the variance in subjects' depressive symptoms. Additional attributional predictors of depression for married women indicated the need for therapists to support wives' assertive expression of relationship concerns and confrontation of husbands' behaviors contributing to their distress. We reiterate the complex and recursive relationships among marital difficulties, depression, congnitive processes, and their antecedents and consequences and encourage focused research on components of this intricate puzzle.