Exploring protective factors in a high-risk subsample: the pivotal role of paternal support in preventing depression in a cohort of young adults.

Autor:	Tietbohl-Santos B; Graduate Program in Psychiatry and Behavioral Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. Molecular Psychiatry Laboratory, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada. Alliance Group, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil., Montezano BB; Graduate Program in Psychiatry and Behavioral Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. Molecular Psychiatry Laboratory, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil., Cardoso TA; IMPACT - Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Australia., Mondin TC; Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil., Moreira FP; Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil., Souza LDM; Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil., da Silva RA; Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil., Kapczinski F; Graduate Program in Psychiatry and Behavioral Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. Molecular Psychiatry Laboratory, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil., Jansen K; Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil., Passos IC; Graduate Program in Psychiatry and Behavioral Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. Molecular Psychiatry Laboratory, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Jazyk:	angličtina
Zdroj:	Trends in psychiatry and psychotherapy [Trends Psychiatry Psychother] 2024 Apr 11. Date of Electronic Publication: 2024 Apr 11.
DOI:	10.47626/2237-6089-2024-0804
Abstrakt:	Background: Major depressive disorder (MDD) is a global concern due to its widespread prevalence and morbidity. Identifying protective factors in high-risk individuals, including those with a familial predisposition, maltreatment history, and socio-economic vulnerabilities, is crucial. Methods: We assessed a high-risk subsample within a young adult population cohort (n = 791; mean age = 31.94 [SD = 2.18]) across three waves. Using multiple regression models to analyse higher education, feeling supported, spirituality, psychotherapy access, higher socioeconomic status, involvement in activities, cohabitation, and family unity in Waves 1 and 2, and their association with MDD resilience at Wave 3. Results: In the high-risk group, MDD incidence was 13.7% (n=24). Paternal support had a protective effect on MDD incidence (OR = 0.366; 95% CI [0.137 to 0.955], p = 0.040) and suicidal attempt risk (OR = 0.380; 95% CI [0.150 to 0.956], p = 0.038). Higher resilience scores were also protective (OR = 0.975; 95% CI [0.953 to 0.997], p = 0.030), correlating with reduced BDI (r = 0.0484; B = -0.2202; 95% CI [-0.3572 to -0.0738]; p = 0.003) and MADRS scores (r = 0.0485; B = -0.2204; 95% CI [-0.3574 to -0.0741]; p = 0.003). Conclusions: Our paper emphasizes reorienting the MDD approach, focusing on positive prevention strategies. It highlights fathers' crucial role in family-based interventions and promoting resilience in high-risk populations. Competing Interests: No conflicts of interest declared concerning the publication of this article.
Databáze:	MEDLINE
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