Factors associated with recurrent depression: a prospective study in family practice
| Autor: | Heidi-Ingrid Maaroos, Anu Aluoja, Ruth Kalda, Kadri Suija |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Estonia Male Child abuse medicine.medical_specialty Adolescent Odds Drug Users Young Adult Recurrence Risk Factors Internal medicine medicine Humans Prospective Studies Prospective cohort study Psychiatry Depression (differential diagnoses) Aged Psychiatric Status Rating Scales Depressive Disorder Major business.industry Adult Survivors of Child Abuse Odds ratio Middle Aged medicine.disease Confidence interval Substance abuse Socioeconomic Factors Major depressive disorder Female Family Practice business Prejudice |
| Zdroj: | Family Practice. 28:22-28 |
| ISSN: | 1460-2229 0263-2136 |
| Popis: | Depression has a high rate of recurrence. Finding the variables that predict which patients are at higher risk of experiencing a recurrent episode of depression would benefit an individual patient.To determine the factors associated with recurrent depression12 months.Consecutive patients (N = 1094), aged 18-75 years, were recruited from 23 family practices across Estonia. The patients were followed up at 6- and 12-month intervals as suggested in the PredictD study. Depression was assessed using the Composite International Diagnostic Interview. Each participant filled in a questionnaire to assess their risk factors for depression.Major depression was diagnosed in 13% of the patients. Twenty-eight per cent of the depressed patients had a recurrent episode of depression 12 months later. The odds of having recurrent depression were significantly higher for patients who had a history of drug abuse, odds ratio (OR) 7.48 [95% confidence interval (CI) = 1.42-39.43), for patients who had experienced discrimination, OR 2.92 (95% CI = 1.05-8.11) and for patients with a history of childhood abuse, OR 1.58 (95% CI = 1.05-2.38).One-third of the patients developed recurrent depression. Drug abuse, discrimination and childhood abuse predicted recurrent depression. These factors should be taken into consideration by family doctors when managing patients with depression. |
| Databáze: | OpenAIRE |
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