SOCIAL SUPPORT AND THE OUTCOME OF MAJOR DEPRESSION

SOCIAL SUPPORT AND THE OUTCOME OF MAJOR DEPRESSION
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DOI:
10.1192/bjp.154.4.478
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发表时间:
1989-04-01
影响因子:
10.5
通讯作者:
FOWLER, N
FOWLER, N
中科院分区:
医学1区
文献类型:
--
作者:
GEORGE, LK;BLAZER, DG;FOWLER, N

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150名被诊断为重度抑郁症的中年和老年人最初被评估为住院患者,并在6-32个月后再次接受采访。社会网络的大小和主观社会支持是随访时抑郁症状的重要预测因素,基线抑郁评分和其他结局状态的预测因素在统计学上受到控制。主观社会支持与重性抑郁症的关系最密切;这种影响对中年人比老年人明显更强,对男性比女性更强。婚姻状况,社会网络的大小和主观社会支持的影响的差异也表明了区分参与和人际关系质量的重要性。
One hundred and fifty middle-aged and elderly adults with a diagnosis of major depression were assessed initially as in-patients, and were reinterviewed 6-32 months later. Both size of social network and subjective social support were significant predictors of depressive symptoms at follow-up, with baseline depression scores and other predictors of outcome status statistically controlled. Subjective social support was most strongly associated with major depression; this effect was significantly stronger for middle-aged than older adults, and for men than women. Differences in the effects of marital status, size of social network, and subjective social support also suggest the importance of distinguishing between involvement in and quality of interpersonal relationships.