SOCIAL SUPPORT AND RECOVERY AMONG DEPRESSED OUTPATIENTS

本研究旨在探讨抑郁症患者的社会支持与康复的关系 门诊病人要求1年的资金，以调查在整个 课程中不同社会支持维度的寿命， 重度抑郁症门诊患者的预后 社会 支助领域已经超越了对支助进行单方面评估， 尤其重要的是， 门诊病人 本研究的主要目的是研究 社会支持对短期（3个月和6个月） 症状改善和恢复（1）因 社会支持（例如，网络结构，交互频率， 感知情感支持和工具性援助），以及（2）是相同的 或老年人与年轻人的差异。 第三个目标是 确定可能介导或缓和观察到的因素 社会支持与抑郁症状变化之间的关系， 包括支持是否会增加精神病治疗的依从性 以及残疾是否会调节支持的效果。 解决 这些目标，我们将比较成人（18-64）和老年人（65岁及以上） 接受自然疗法治疗的重度抑郁症门诊患者， 8个不同的学术，医院，县和志愿诊所， 韦斯特切斯特县。 B/启动资金将建立在 现有的数据集，并将使我们能够继续跟进整个 在2个随访期（3个月和6个月）纵向采样。 B/开始 资金还将用于支持数据分析。 一个训练有素的研究 助理将进行访谈，以诊断严重抑郁症使用 SCID（Spitzer等人，1995年），并将评估抑郁症的严重程度， 汉密尔顿（汉密尔顿，1960），社会支持的不同维度 使用杜克社会支持指数（乔治等人，#19989;及其他 基线和随访期间的变量。

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.