Everyday Social Behavior During a Major Depressive Episode

Although social functioning deficits are believed to characterize major depressive disorder (MDD), few studies have examined the social behavior of individuals with MDD in everyday life. The current study's aim is to assess the everyday social behavior of individuals in a current major depressive episode. Participants with current MDD (n = 29) and healthy controls (n = 28) wore the electronically activated recorder (EAR), an ambulatory assessment device, for 3-4 days. The EAR recorded 90-second sound clips from participants' immediate environments. Participants' conversations were transcribed and locations and activities coded. Indicators of social isolation and negative emotional expression were examined. Individuals with and without MDD spent similar amounts of time talking, laughing, and with another person. However, depressed people spent less time in groups and used more negative emotion words, particularly in reference to the self, and particularly around romantic partners. Findings suggest depressed people's social interactions suffer in quality but not quantity.