Predictors of depression severity in a treatment-seeking sample

• Derek Richards ^[3] ; Thomas Richardson ^[1] ; Ladislav Timulak ^[2] ; Noemi Viganò ^[3] ; Jacqueline Mooney ^[3] ; Gavin Doherty ^[2] ; Claire Hayes ^[4] ; John Sharry ^[3]
  1. [1] University of Southampton

     University of Southampton

     GB.ENG.M4.24UJ, Reino Unido

     
  2. [2] Trinity College Dublin

     Trinity College Dublin

     Irlanda

     
  3. [3] The Priory
  4. [4] Aware National Charity

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• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 16, Nº. 3, 2016, págs. 221-229
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2016.02.001
• Títulos paralelos:
  • Predictores de la gravedad de la depresión en personas adultas que buscan tratamiento
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  • Texto completo (pdf)
• Dialnet Métricas: 4 Citas
• Resumen
  • español

    Antecedentes/Objetivo:La depresión es uno de los trastornos de salud mental más comunes y un incipiente problema de salud pública. Pocos estudios han investigado la prevalencia y factores predictivos de su gravedad en el contexto irlandés. El objetivo del estudio fue investigar los factores de riesgo que predicen la gravedad de la depresión en una muestra de adultos en Irlanda en búsqueda de tratamiento. Método: Los participantes auto-referidos accedieron a una intervención en línea para la depresión. Los participantes (N = 641) completaron cuestionarios, incluyendo el BDI-II e información asociada con predictores comunes de la depresión. Resultados: Se encontraron varios factores que predijeron la gravedad de la depresión: ser mujer, ser joven, estar desempleado, estar soltero o con pareja pero no casado, tener diagnóstico previo de depresión y experiencia reciente con factores vitales estresantes. Conclusiones: El estudio contribuye a la elaboración de perfiles de incidencia y factores predictivos en la gravedad de la depresión. Los resultados confirman algunos de los factores de riesgo conocidos y ponen de relieve la necesidad de nuevas investigaciones que lleven a cabo la detección de la depresión así como un mayor acceso a las intervenciones.

  • English

    Background/Objective: Depression is a common mental health disorder and an emerging public health concern. Few studies have investigated prevalence and predictors of depression severity in the Irish context. To investigate the relative contribution of known risk factors that predicts depression severity in a treatment-seeking sample of adults in Ireland. Method: As part of a randomised controlled trial of an internet-delivered intervention for depression participants (N = 641) completed online screening questionnaires including BDI-II and information associated with common predictors of depression. Results: The mean score on the BDI-II was 24.13 (SD = 11.20). Several factors were shown to predict greater severity of depression in the sample including female gender, younger age, unemployment, being single or partnered as opposed to married, previous diagnosis of depression, recent experience of life stressors. Alcohol use, recent losses, knowing a suicide completer, education level, type of employment and income level were not found to be significant. Conclusions: The study contributes to the profiling of the incidence and predictors of severity of depression in an Irish context. The results confirm some of the known risk factors and highlight the need for further research to be carried out on screening for depression and increasing access to interventions.

• Referencias bibliográficas
  • American Psychiatric Association. (2000). Diagnostic and statisti-cal manual of mental disorders (Text Revision (Fourth Ed.)).Washington,...
  • Andrews, G., Sanderson, K., Slade, T., & Issakidis, C. (2000). Whydoes the burden of disease persist? Relating the burden of anx-iety...
  • Ayuso-Mateos, J. L., Vazquez-Barquero, J. L., Dowrick, C., Lehti-nen, V., Dalgard, O. S., Casey, P., Wilkinson, C., Lasa, L., Page,H., Dunn,...
  • Barry, M. M., Van Lente, E., Molcho, M., Morgan, K., McGee,H., Conroy, R. M., Watson, D., Shelley, E., & Perry, I.(2009). SLÁN 2007: Survey...
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for theBDI-II. San Antonio, TX: Psychological Corporation.Bjelland, I., Krokstad,...
  • Bonde, J. P. E. (2008). Psychosocial factors at work and risk ofdepression: A systematic review of the epidemiological evi-dence. Occupational...
  • Brossart, D. F., Wendel, M. L., Elliott, T. R., Cook, H. E., Castillo, L.G., & Burdine, J. N. (2013). Assessing depression in rural commu-nities....
  • Bulloch, A. G., Williams, J. V., Lavorato, D. H., & Patten, S. B.(2009). The relationship between major depression and mar-ital disruption...
  • Burcusa, S. L., & Iacono, W. G. (2007). Risk for recurrencein depression. Clinical Psychology Review, 27, 959---985.http://dx.doi.org/10.1016/j.cpr.2007.02.005
  • Centers for Disease Control and Prevention. (2010). BehavioralRisk Factor Surveillance System survey data. Atlanta (GA): USDepartment of Health...
  • Central Statistics Office [CSO]. (2008). National Disability Survey2006: First Results. Dublin: Stationary Office.
  • Chazelle, E., Lemogne, C., Morgan, K., Kelleher, C. C., Chastang,J., & Niedhammer, I. (2011). Explanations of educational dif-ferences...
  • Cumsille, P., Martínez, M. L., Rodríguez, V., & Darling, N.(2015). Parental and individual predictors of trajectories ofdepressive symptoms...
  • Fitch, C., Mamo, M., & Campion, J. (2014). Primary Care Guidanceon Debt and Mental Health---2014 update. London: Royal Collegeof General...
  • Hammen, C. (2003). Interpersonal stress and depression in women.Journal of Affective Disorders, 74, 49---57. http://dx.doi.org/10.1016/S0165-0327(02)00430-5
  • Health Service Executive. (2013). Healthy Ireland: A frameworkfor improved health and wellbeing 2013-2025. Dublin: HealthService Executive.
  • Hirschfeld, R. M. A., & Weisman, M. M. (2002). Risk factors for majordepression and bipolar disorders. In K. L. Davis, D. Charney, J.T....
  • Hölzel, L., Härter, M., Reese, C., & Kriston, L. (2011). Riskfactors for chronic depression. A systematic review. Jour-nal of Affective...
  • Judd, L. L., Paulus, M. J., Schettler, P. J., Akiskal, H. S., Endi-cott, J., Leon, A. C., Maser, J. D., Muller, T., Solomon, D.A., & Keller,...
  • Kessler, R. C. (2005). Gender differences in major depression. In E.Frank (Ed.), Gender and its effects on psychopathology. Ameri-can Psychiatric...
  • Kessler, R. C., & Bromet, E. J. (2013). The epidemiologyof depression across cultures. Annual Review of Pub-lic Health, 34, 119---138....
  • Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treat-ment gap in mental health care. Bulletin of the World HealthOrganization,...
  • Lopes, R. T., Gonc¸alves, M. M., Sinai, D., & Machado, P.P. P. (2015). Predictors of dropout in a controlled clinicaltrial of psychotherapy...
  • Lorant, V., Deliège, D., Eaton, W., Robert, A., Philippot, P., &Ansseau, M. (2003). Socioeconomic inequalities in depression: Ameta-analysis....
  • Mazure, C. M. (2006). Life stressors as risk factors in depres-sion. Clinical Psychology: Science and Practice, 5, 291---313.http://dx.doi.org/10.1111/j....
  • McGee, R. E., & Thompson, N. J. (2015). Unemployment and depres-sion among emerging adults in 12 states, behavioral risk factorsurveillance...
  • Mental Health Commission. (2011). The Human Cost: An overviewof the evidence on economic adversity and mental health andrecommendations for...
  • Mohr, D. C., Ho, J., Duffecy, J., Baron, K. G., Lehman, K. A.,Jin, L., & Reifler, D. (2010). Perceived barriers to psychologicaltreatments...
  • Mutkins, E., Brown, R. F., & Thorsteinsson, E. B. (2011).Stress, depression, workplace and social support and burnoutin intellectual disability...
  • Nolen-Hoeksema, S. (2001). Gender differences in depression.Current Directions in Psychological Science, 10, 173---176.http://dx.doi.org/10.1111/1467-8721.00142
  • Paul, K. I., & Moser, K. (2009). Unemployment impairs men-tal health: Meta-analyses. Journal of Vocational Behavior, 74,264---282. http://dx.doi.org/10.1016/j.jvb.2009.01.001
  • Pérez-Wehbe, A. I., Perestelo-Pérez, L., Bethencourt-Pérez,J. M., Cuéllar-Pompa, L., & Peñate-Castro, W. (2014).Treatment-resistant depression:...
  • Piccinelli, M., & Wilkison, G. (2000). Gender differences indepression. British Journal of Psychiatry, 177, 486---492.http://dx.doi.org/10.1192/bjp.177.6.486
  • Plieger, T., Melchers, M., Montag, C., Meermann, R., &Reuter, M. (2015). Life stress as potential risk factorfor depression and burnout....
  • Richards, D. (2011). Prevalence and clinical course of depres-sion: A review. Clinical Psychology Review, 31, 1117---1125.http://dx.doi.org/10.1016/j.cpr.2011.07.004
  • Richards, D., & Salamanca-Sanabria, A. (2014). Point-prevalenceof depression and associated risk factors. The Journalof Psychology, 148,...
  • Richards, D., Timulak, L., Doherty, G., Sharry, J., Colla, A.,Joyce, C., & Hayes, C. (2014). Internet-delivered treat-ment: Its potential...
  • Richards, D., Timulak, L., O’Brien, E., Hayes, C., Vigano, N.,Sharry, J., & Doherty, G. (2015). A Randomized ControlledTrial of an internet-delivered...
  • Richardson, T., Elliott, P., & Roberts, R. (2013). The rela-tionship between personal unsecured debt and mental andphysical health: A...
  • Romans, S., Cohen, M., & Forte, T. (2011). Rates of depres-sion and anxiety in urban and rural Canada. Social Psychiatryand Psychiatric...
  • Solomon, D. A., Keller, M. B., Leon, A. C., Mueller, T. I., Lavori, P.W., Shea, M. T., Coryell, W., Warshaw, M., Turvey, C., Maser, J.D.,...
  • Solomon, D. A., Leon, A. C., Coryell, W., Mueller, T. I., Posternak,M., Endicott, J., & Keller, M. B. (2008). Predicting recovery fromepisodes...
  • Stegenga, B. T., Geerlings, M. I., Torres-González, F., Xavier,M.,ˇSvab, I., Penninx, B. W., Nazareth, I., & King, M.(2013). Risk factors...
  • Tedstone-Doherty, D., Moran, R., & Kartalova-O’Doherty, Y. (2008).Psychological Distress, Mental Health Problems and use of HealthServices...
  • Van de Velde, S., Bracke, P., & Levecque, K. (2010). Gen-der differences in depression in 23 European countries.Cross-national variation...
  • Wang, P. S., Simon, G., & Kessler, R. C. (2003). The economic burdenof depression and the cost-effectiveness of treatment. Interna-tional...
  • World Health Organization [WHO]. (2008). The global burden ofdisease: 2004 update. Geneva: WHO.