The role of depression course on life functioning and coping outcomes from baseline through 23-year follow-up.

The role of depression course on life functioning and coping outcomes from baseline through 23-year follow-up.
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抑郁症过程中从基线到23年随访的生活功能和应对结果的作用。

DOI:
10.1080/09638237.2020.1793127
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发表时间:
2022-06
期刊:
Journal of mental health (Abingdon, England)
影响因子:
--
通讯作者:
Timko C
Timko C
中科院分区:
其他
文献类型:
--
作者:
Woodhead E;Cronkite R;Finlay A;Wong J;Haverfield M;Timko C

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尽管研究已经研究了抑郁症患者的基线特征如何预测抑郁症的病程,但仍需要研究抑郁症病程如何与可改变的长期结果相关联。本研究检查了代表不同抑郁病程(低基线严重程度,快速下降;中等基线严重程度,快速下降;高基线严重程度,缓慢下降)的三组的六项结果:医疗功能,应对模式,家庭功能,社会功能,就业和工作功能。基线时患有抑郁症的成年人(N=382,其中56%为女性)在自我报告结果的情况下随访了23年(应答率为79%)。基线评估和随访(1年、4年、10年和23年)的数据用于纵向分析,以检查抑郁症病程与结果之间的关系。随访期间,所有抑郁病程组在医疗、社会功能和就业方面均有所下降。高、中度抑郁症病程组报告的应对模式比低重度组差。重度抑郁组的家庭功能比中度抑郁组差,工作功能最差,其次是中度抑郁组,然后是低重度抑郁组。患有高或中度抑郁症的患者可能会从管理应对模式和改善家庭和工作功能的治疗中受益。
Although studies have examined how depressed patients’ baseline characteristics predict depression course, still needed are studies of how depression course is associated with modifiable long-term outcomes. This study examined six outcomes of three groups representing distinct depression courses (low baseline severity, rapid decline; moderate baseline severity, rapid decline; and high baseline severity, slow decline): medical functioning, coping patterns, family functioning, social functioning, employment, and work functioning. Adults with depression at baseline (N=382; 56% women) were followed for 23 years on self-reported outcomes (79% response rate). Data from the baseline assessment and follow-ups (1, 4, 10, and 23 years) were used in a longitudinal analysis to examine associations between depression course and outcomes. All depression course groups declined on medical and social functioning and employment over follow-up. The high- and moderate-severity depression course groups reported poorer coping patterns than the low-severity group. The high-severity depression course group reported poorer family functioning than the moderate-severity group, and had the poorest work functioning outcome, followed by the moderate-severity and then the low-severity groups. Patients with a high- or moderate-severity depression course may benefit from treatment that manages coping patterns and improves family and work functioning.
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影响因子: 3.2
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影响因子: --
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