Predictors of remission from chronic depression: A prospective study in a nationally representative sample

Predictors of remission from chronic depression: A prospective study in a nationally representative sample
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DOI:
10.1016/j.comppsych.2013.09.016
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发表时间:
2014-04-01
影响因子:
7.3
通讯作者:
Agosti, Vito
Agosti, Vito
中科院分区:
医学2区
文献类型:
--
作者:
Agosti, Vito

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目的:本研究的目的是在一项前瞻性纵向一般人群调查中确定慢性抑郁症缓解的预测因素;其次,确定缓解期患者的功能和幸福感的相对水平。方法:样本包括符合国家酒精及相关病症流行病学调查 (NESARC) 第 1 波(2001-2002 年)和第 2 波(2004-2005 年)重度抑郁症标准的受访者。结果:惊恐障碍、广泛性焦虑症、B 类人格障碍和身体虐待史与可能性降低相关慢性抑郁症的缓解。缓解组的功能和健康状况低于正常水平。结论:这些预后因素与临床样本中发现的相似。尽管慢性抑郁症得到缓解,但很大一部分人的功能存在障碍。 (C) 2014 Elsevier Inc. 保留所有权利。
Purpose: The aims of this study were to identify predictors of remission from chronic depression in a prospective longitudinal general population survey; second, to determine the relative level functioning and well-being of those in remission.Methods: The sample included respondents who met the criteria for major depressive disorder from Wave 1 (2001-2002) and through Wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).Results: Panic Disorder, Generalized Anxiety Disorder, Cluster B personality disorders and a history of Physical Abuse were correlated with reduced likelihood of chronic depression remission. The functioning and well-being of the remitted group was below the norm.Conclusions: These prognostic factors are similar to those found in clinical samples. Despite remission from chronic depression, a significant proportion have impairments in functioning. (C) 2014 Elsevier Inc. All rights reserved.