Mediators of the association between depression and role functioning.
Acta Psychiatr Scand
; 118(6): 451-8, 2008 Dec.
Article
em En
| MEDLINE
| ID: mdl-18853945
ABSTRACT
OBJECTIVE:
While the adverse effect of Major Depressive Episode on role functioning is well established, the exact pathways remain unclear.METHOD:
Data from The European Study of the Epidemiology of Mental Disorders, a cross-sectional survey including 21 425 adults from six European countries, were used to assess 12-month depression (Composite International Diagnostic Interview), activity limitations and role functioning in the past 30 days (Disability Assessment Schedule). An a priori model based on the World Health Organization's International Classification of Functioning, Disability and Health was designed and a structural equation model for categorical and ordinal data was used (MPlus) to estimate the extent to which six limitations mediated the association between depression and role functioning.RESULTS:
The unadjusted association between depression and role functioning was strong (0.43; SE = 0.04). In the best-fitting model, only concentration and attention problems and embarrassment mediated a significant amount of association (direct effect dropped to 0.17; SE = 0.10, which was no longer significant).CONCLUSIONS:
Targeting cognition and embarrassment in treatment could help reduce depression-associated role disfunctioning.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Papel (figurativo)
/
Atividades Cotidianas
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Transtorno Depressivo Maior
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Humans
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article