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Titolo:
PSYCHOSOCIAL AND PHYSICAL CORRELATES OF CHRONIC DEPRESSION
Autore:
HAYS JC; KRISHNAN KRR; GEORGE LK; PIEPER CF; FLINT EP; BLAZER DG;
Indirizzi:
DUKE UNIV,MED CTR,DEPT PSYCHIAT,BOX 387C DURHAM NC 27710 DUKE UNIV,DEPT SOCIOL DURHAM NC 27706 DUKE UNIV,MED CTR,DEPT FAMILY & COMMUNITY MED DURHAM NC 27710 DUKE UNIV,MED CTR,CTR AGING & HUMAN DEV DURHAM NC 27710
Titolo Testata:
Psychiatry research
fascicolo: 3, volume: 72, anno: 1997,
pagine: 149 - 159
SICI:
0165-1781(1997)72:3<149:PAPCOC>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC MAJOR DEPRESSION; SOCIAL SUPPORT; FOLLOW-UP; OLD-AGE; HEALTH; RECOVERY; PROGNOSIS; OUTPATIENTS; COMMUNITY; EPISODES;
Keywords:
MAJOR DEPRESSIVE EPISODE; ELDERLY; FUNCTIONAL IMPAIRMENT; MEDICAL COMORBIDITY; SOCIAL SUPPORT; STRESSFUL LIFE EVENTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
39
Recensione:
Indirizzi per estratti:
Citazione:
J.C. Hays et al., "PSYCHOSOCIAL AND PHYSICAL CORRELATES OF CHRONIC DEPRESSION", Psychiatry research, 72(3), 1997, pp. 149-159

Abstract

This study used a case-control design to address differences in psychosocial, physical and clinical profiles between subjects who presentedwith a chronic index episode of major depression and those who presented with a non-chronic index episode. Subjects were adult patients participating in the Duke University Mental Health Clinical Research Center (MHCRC) for the Study of Depression in Later Life. Gases (N = 88) who reported duration of depressive symptoms lasting greater than or equal to 24 months at enrollment were compared to controls (N = 354) whoreported symptoms lasting 1-12 months. The groups were compared with respect to selected demographic and clinical variables, physical function deficits, medical comorbidity, social support constructs and number of recent stressful life events. Social support and physical health were more relevant to chronicity of major depressive illness than wereseverity of illness or family history. Older age (> 60 years) intensified the deleterious effect of recent negative life events and reducedthe deleterious effect of functional impairment on chronic major depression. These findings require special emphasis where treatment for chronic major depression is divorced from considerations of the social environment and functional capacity. (C) 1997 Elsevier Science Ireland Ltd.

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Documento generato il 08/07/20 alle ore 08:01:52