Back to Search
Start Over
Moderators of the synchrony of change between decreasing depression severity and disability.
- Source :
-
Acta psychiatrica Scandinavica [Acta Psychiatr Scand] 2012 Sep; Vol. 126 (3), pp. 175-85. Date of Electronic Publication: 2012 Jan 09. - Publication Year :
- 2012
-
Abstract
- Objective: To identify moderators of synchrony of change between depression severity and disability.<br />Method: From a large cohort study with 2 years of follow-up, patients with major depressive disorder at baseline who decreased at least 25% in depression severity after 2 years (n = 245) were selected. We measured overall and domain-specific disability at baseline, and at 1- and 2-year follow-up. Possible moderators, among which several demographic, clinical, personality, and contextual factors, were measured at baseline. We used linear mixed models to analyze the data.<br />Results: Decrease in depression severity correlated strongly with reductions of overall disability (r = 0.54). Synchrony of change for the disability domains ranged from 0.13 for self-care to 0.47 for participation. From the possible moderators, only age and work stress moderated the association between change in depression severity and disability, with stronger synchrony of change among younger patients and patients who experienced moderate work stress.<br />Conclusion: Strong synchrony of change exists between depression severity and disability. Perhaps, because of the strength of this synchrony, few contextual characteristics moderated the association. Clinicians should be aware of the risk of slower or incomplete functional recovery in older people and those without a job or those experiencing low work stress.<br /> (© 2012 John Wiley & Sons A/S.)
- Subjects :
- Chronic Disease
Cohort Studies
Comorbidity
Disability Evaluation
Female
Follow-Up Studies
Humans
Male
Risk Factors
Treatment Outcome
Depressive Disorder epidemiology
Depressive Disorder therapy
Disabled Persons rehabilitation
Disabled Persons statistics & numerical data
Severity of Illness Index
Subjects
Details
- Language :
- English
- ISSN :
- 1600-0447
- Volume :
- 126
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Acta psychiatrica Scandinavica
- Publication Type :
- Academic Journal
- Accession number :
- 22224475
- Full Text :
- https://doi.org/10.1111/j.1600-0447.2011.01823.x