The role of depression course on life functioning and coping outcomes from baseline through 23-year follow-up.
J Ment Health
; 31(3): 348-356, 2022 Jun.
Article
en En
| MEDLINE
| ID: mdl-32667276
ABSTRACT
BACKGROUND:
Although studies have examined how depressed patients' baseline characteristics predict depression course, still needed are studies of how depression course is associated with modifiable long-term outcomes.AIMS:
This study examined six outcomes of three groups representing distinct depression courses (low baseline severity, rapid decline; moderate baseline severity, rapid decline; and high baseline severity, slow decline) medical functioning, coping patterns, family functioning, social functioning, employment, and work functioning.METHOD:
Adults with depression at baseline (N = 382; 56% women) were followed for 23 years on self-reported outcomes (79% response rate). Data from the baseline assessment and follow-ups (1, 4, 10, and 23 years) were used in a longitudinal analysis to examine associations between depression course and outcomes.RESULTS:
All depression course groups declined on medical and social functioning and employment over follow-up. The high- and moderate-severity depression course groups reported poorer coping patterns than the low-severity group. The high-severity depression course group reported poorer family functioning than the moderate-severity group, and had the poorest work functioning outcome, followed by the moderate-severity and then the low-severity groups.CONCLUSIONS:
Patients with a high- or moderate-severity depression course may benefit from treatment that manages coping patterns and improves family and work functioning.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Depresión
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Trastorno Depresivo
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
Idioma:
En
Año:
2022
Tipo del documento:
Article