Depressive disorder at the household level: prevalence and correlates of depressive symptoms among household members.
Depressive disorder at the household level: prevalence and correlates of depressive symptoms among household members.
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DOI：
10.1080/16549716.2023.2241808
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发表时间：
2023-12-31
影响因子：
2.6
通讯作者：
McBain, Ryan
中科院分区：
文献类型：
--
作者：
Mpinga, Kondwani;Rukundo, Temusa;Mwale, Owen;Kamwiyo, Myrrah;Thengo, Limbani;Ruderman, Todd;Matanje, Beatrice;Munyaneza, Fabien;Connolly, Emilia;Kulisewa, Kazione;Udedi, Michael;Kachimanga, Chiyembekezo;Dullie, Luckson;McBain, Ryan
在全球范围内，估计有5%的成年人患有重度抑郁症。然而，人们对这些人的抑郁症状与其家庭成员的心理健康和幸福感之间的关系知之甚少。我们的目的是调查马拉维Neno区重度抑郁症患者的成年家庭成员中抑郁症状的患病率和预测因素。作为一项为成年重性抑郁症患者提供抑郁症护理的随机对照试验的一部分，我们对患者的家庭成员（n = 236）进行了调查，并询问了他们的整体健康状况、抑郁症状、残疾和社会支持。我们计算了抑郁症的患病率，并进行了多变量线性回归和多变量logistic回归分析，以评估相关的抑郁症状的严重程度和抑郁症（PHQ-9）的预测，分别在家庭成员。我们观察到，大约五分之一的家庭成员（19%）筛查出抑郁症（PHQ-9 > 9）。超过一半的家庭成员认同九种症状中的六种或六种以上，其中68%的人表示在前两周感到“沮丧，沮丧或绝望”。抑郁症状严重程度的升高与残疾程度的增加（β = 0.17，p < 0.001）、社会支持的减少（β =-0.04，p = 0.016）和自我报告的总体健康状况的降低（β = 0.54，p = 0.001）相关。患有抑郁症也与更大的残疾（调整后的比值比[aOR] = 1.12，p = 0.001）和更少的社会支持（aOR = 0.97，p = 0.024）相关。在马拉维的背景下，我们发现，抑郁症和抑郁症状是家庭成员之间的共享属性。这对筛查和治疗都有影响，它表明，应该从家庭和家庭单位的更广泛的社会生态的Vantage位置来处理心理健康问题。ClinicalTrials.gov（NCT 04777006）-2021年3月2日。
Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals’ depressive symptoms and their household members’ mental health and well-being. We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi. As part of a cluster randomized controlled trial providing depression care to adults with major depressive disorder, we conducted surveys with patients’ household members (n = 236) and inquired about their overall health, depressive symptoms, disability, and social support. We calculated prevalence rates of depressive disorder and conducted multivariable linear regression and multivariable logistic regression analyses to assess correlates of depressive symptom severity and predictors of having depressive disorder (PHQ-9), respectively, among household members. We observed that roughly one in five household members (19%) screened positive for a depressive disorder (PHQ-9 > 9). More than half of household members endorsed six or more of the nine symptoms, with 68% reporting feeling ‘down, depressed, or hopeless’ in the prior two weeks. Elevated depression symptom severity was associated with greater disability (β = 0.17, p < 0.001), less social support (β = −0.04, p = 0.016), and lower self-reported overall health (β = 0.54, p = 0.001). Having depressive disorder was also associated with greater disability (adjusted Odds Ratio [aOR] = 1.12, p = 0.001) and less social support (aOR = 0.97, p = 0.024). In the Malawian context, we find that depressive disorder and depression symptoms are shared attributes among household members. This has implications for both screening and treatment, and it suggests that mental health should be approached from the vantage point of the broader social ecology of the household and family unit. ClinicalTrials.gov (NCT04777006) - March 2, 2021.
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影响因子：
2.9
作者：
Wroe EB;Kalanga N;Dunbar EL;Nazimera L;Price NF;Shah A;Dullie L;Mailosi B;Gonani G;Ndarama EPL;Talama GC;Bukhman G;Kerr L;Connolly E;Kachimanga C
通讯作者：
Kachimanga C
影响因子：
4.4
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Kim MH;Mazenga AC;Yu X;Devandra A;Nguyen C;Ahmed S;Kazembe PN;Sharp C
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Sharp C
影响因子：
2.9
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通讯作者：
Guerrier M
影响因子：
7.6
作者：
Betancourt, Theresa S.;Newnham, Elizabeth A.;Bolton, Paul
通讯作者：
Bolton, Paul
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3.7
作者：
Docrat, Sumaiyah;Cleary, Susan;Lund, Crick
通讯作者：
Lund, Crick