SOCIAL-FACTORS ASSOCIATED WITH DEPRESSION - A RETROSPECTIVE COMMUNITY STUDY
SOCIAL-FACTORS ASSOCIATED WITH DEPRESSION - A RETROSPECTIVE COMMUNITY STUDY
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DOI：
10.1017/s0033291700046663
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发表时间：
1982-01-01
影响因子：
6.9
通讯作者：
COSTELLO, CG
中科院分区：
文献类型：
--
作者：
COSTELLO, CG
在艾伯塔省卡尔加里进行了Camberwell女性抑郁症回顾性社区研究的程序复制（Brown et al. 1975; Brown & Harris, 1978 A）。随机抽取了449名年龄在18岁到65岁之间的女性进行了采访。本研究采用较短形式的现状测验（PSE）和布朗的生活事件和困难访谈表。与布朗的研究结果相反，以下因素与访谈前12个月的抑郁发作无关：社会阶层、就业状况、家里孩子的数量、11岁前失去母亲。与Brown的观点一致的是，与配偶/同居者/男友缺乏亲密关系会增加患抑郁症的风险。与布朗的观点一致的是，严重的生活事件和困难与抑郁症有关。这种联系对于“可能独立的”事件和困难尤其强烈，即事件（和困难）可能或可能不是部分由女性自己引起的。结论是，社会因素的作用是社区特有的，与抑郁有关的事件和困难的因果作用仍然不确定。本文简要讨论了研究结果与抑郁易感性位点的关系
A procedural replication of the Camberwell retrospective community study of depression in women (Brown et al. 1975; Brown & Harris, 1978 a) was conducted in Calgary, Alberta. A random sample of 449 women between the ages of 18 and 65 were interviewed. The shorter form of the Present State Examination (PSE) and Brown's Interview Schedules for Life Events and Difficulties were used.By contrast to the findings of Brown, none of the following factors was associated with the onset of depression in the 12 months prior to interview: social class, employment status, number of children at home, loss of mother before age 11. In agreement with Brown, a lack of intimacy with spouse/cohabitant/boyfriend increased the risk of depression. Also in agreement with Brown, severe life events and difficulties were associated with depression. The association was particularly strong for ‘possibly independent’ events and difficulties, i.e. events (and difficulties) that may or may not have been caused in part by the woman herself. It was concluded that the role of social factors is community-specific and that the causal roles of events and difficulties in relation to depression remain uncertain. The implications of the findings in relation to the locus of vulnerability to depression are briefly discussed