SOCIAL SUPPORT AND RECOVERY AMONG DEPRESSED OUTPATIENTS

抑郁症患者的社会支持与康复研究 门诊患者要求1年的资金，以调查 不同社会支持维度在球场上的寿命 门诊重度抑郁障碍患者的结局。社交化 支持领域已经超越了对支持的一维评估， 尤其重要的是，将这些努力扩展到老年病 门诊部。这项研究的主要目的是检查 社会支持对短期(3个月和6个月)的影响 症状改善和恢复(1)因以下具体方面而异 社会支持(例如，网络结构，交互频率， 感受到的情感支持和辅助)和(2)是相同的 或者在老年人和年轻人之间有所不同。第三个目标是 确定可能对观察到的因素起中介或缓和作用的因素 社会支持与抑郁症状变化的关系 包括支持是否增加了对精神治疗的坚持 以及残疾是否会减缓支持的效果。致信地址 这些目标，我们将比较成人(18-)和老年人(65岁及以上) 门诊接受自然主义治疗的重度抑郁症患者 8个不同的学术、医院、县和志愿诊所 威彻斯特县。B/START资金将建立在并延长 现有数据集，并将使我们能够继续跟踪整个 纵向抽样2个随访期：3个月和6个月。B/开始 资金还将支持对数据的分析。训练有素的研究 助理将进行面谈，以使用 SCID(Spitzer等人，1995)，并将使用 《汉密尔顿》(汉密尔顿，1960)，社会支持的不同维度 使用杜克大学社会支持指数(George等人，)，以及其他 基准期和随访期的变量。

This proposed study of Social Support and Recovery Among Depressed Outpatients requests 1 year of funding to investigate the effect across the lifespan of different social support dimensions on the course and outcome of outpatients with major depressive disorder. The social support field has moved beyond unidimensional assessments of support, and it is particularly important to extend these efforts to geriatric outpatients. The primary aims of this study are to examine the extent to which the effects of social support on short term (3 and 6 month) symptom improvement and recovery (1) vary by specific dimensions of social support (e.g., network structure, interaction frequency, perceived emotional support, and instrumental aid), and (2) are the same or different in elderly adults as younger adults. A third aim is to identify factors that potentially mediate or moderate observed relationships between social support and changes in depressive symptoms, including whether support increases adherence to psychiatric treatment and whether disability moderates the effect of support. To address these aims, we will compare adult (18-64) and geriatric (65 and above) outpatients with major depression who are treated naturalistically at 8 diverse academic, hospital, county, and voluntary clinics in Westchester County. B/Start funding will build on and extend an existing data set and will allow us to continue to follow up the entire sample longitudinally at 2 follow-up periods: 3 and 6 months. B/Start funding will also support analyses of the data. A trained research assistant will conduct interviews to diagnose major depression using the SCID (Spitzer et al., 1995) and will assess depression severity using the Hamilton (Hamilton, 1960), different dimensions of social support using the Duke Social Support Index (George et al., 1989), and other variables at baseline and follow-up periods.