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Titolo:
Depression and functioning in relation to health care use in sickle cell disease
Autore:
Grant, MM; Gil, KM; Floyd, MY; Abrams, M;
Indirizzi:
Univ Pittsburgh, Sch Med, Western Psychiat Inst & Clin, Dept Psychiat, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 sychiat, Pittsburgh, PA 15213 USA Univ N Carolina, Chapel Hill, NC USA Univ N Carolina Chapel Hill NC USAUniv N Carolina, Chapel Hill, NC USA Univ Virginia, Charlottesville, VA 22903 USA Univ Virginia Charlottesville VA USA 22903 Charlottesville, VA 22903 USA Duke Univ, Med Ctr, Durham, NC 27706 USA Duke Univ Durham NC USA 27706Duke Univ, Med Ctr, Durham, NC 27706 USA
Titolo Testata:
ANNALS OF BEHAVIORAL MEDICINE
fascicolo: 2, volume: 22, anno: 2000,
pagine: 149 - 157
SICI:
0883-6612(200021)22:2<149:DAFIRT>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
STRUCTURED CLINICAL INTERVIEW; PROSPECTIVE FOLLOW-UP; DSM-III; MAJOR DEPRESSION; MEDICAL OUTPATIENTS; COPING STRATEGIES; SOCIAL ADJUSTMENT; UNITED-STATES; SELF-REPORT; ADULTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Grant, MM Univ Pittsburgh, Sch Med, Western Psychiat Inst & Clin, Dept Psychiat, 3811 Ohara St, Pittsburgh, PA 15213 USA Univ Pittsburgh 3811 Ohara St Pittsburgh PA USA 15213 15213 USA
Citazione:
M.M. Grant et al., "Depression and functioning in relation to health care use in sickle cell disease", ANN BEHAV M, 22(2), 2000, pp. 149-157

Abstract

The purpose of the current study was to investigate depression and health care use in patients with sickle cell disease (SCD). Forty-four adults withSCD were interviewed and data from 43 participants, both with (n = 11) andwithout (n = 32) depression, were used for further analyses. Data from onepotential subject were excluded on the basis of diagnosis. The full evaluation included the Structured Clinical interview for DSM-III-R Disorders (SCID) and the Center for Epidemiologic Studies-Depression Scale (CES-D), as well as measures of psychosocial and behavioral functioning. Good between-instrument agreement was found between the self-report and interview-based measures of depression. However the functioning data did not entirely supportthe use of a more stringent cutoff score on the CES-D. Findings suggest that the purpose of the evaluation should be factored into the decision-making process when determining which cutoff score should be utilized (i.e. whatis the cost-benefit ratio for false-positives vs. false-negatives). A series of hierarchical regression analyses supported the finding that disease severity alone does not explain the level of functioning displayed by patients. More importantly, the patient's perceived functioning was the best indicator of health care use within a 1-year period. Furthermore, specific interventions that target negative thinking and distorted cognitions, as well as provide psychoeducation, such as cognitive-behavioral therapy, need to befurther explored within this population.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 20:10:25