Different Levels Of Depression Research Articles

Depression of Chronic Medical Inpatients in China

Odds of major depression have significantly increased among adults with chronic diseases. However, the diagnosis of depression is often unrecognized in China. To know the prevalence of depression in medical inpatients with different chronic diseases and to assess the level of unrecognized depression among hospitalized patients, we assessed depression in patients with cardiovascular disease, diabetes, and chronic pulmonary heart disease. In this study, it has been shown that 78.9% of patients with pulmonary heart disease, diabetes, hypertension, or coronary heart disease have different levels of depression. There were no significant differences in incidence of depression among different gender, age, education levels, marital status, or course of disease. There were no significant differences in total incidence rate of depression and in incidence rate of different levels of depression among the three groups of patients. It is very important to help patients with chronic diseases to reduce their depression by psychological nursing after evaluating their mental status.

Depression and school performance in middle adolescent boys and girls

The study aimed to investigate the associations between different levels of depression with different aspects of school performance. The target population included 2516 7th–9th grade pupils (13–17 years) of whom 90% completed the questionnaire anonymously in the classroom. Of the girls 18.4% and of the boys 11.1% were classified as being depressed (R-Beck Depression Inventory (BDI), the Finnish version of the 13-item BDI). The lower the self-reported grade point average (GPA) or the more the GPA had declined from the previous term, the more commonly the adolescents were depressed. Depression was associated with difficulties in concentration, social relationships, self-reliant school performance and reading and writing as well as perceiving schoolwork as highly loading. The school performance variables had similar associations with depression among both sexes when a wide range of depression was studied but gender differences appeared when studying the severe end of the depression scale. Our study indicates that pupils reporting difficulties in academic performance should be screened for depression.

A Controlled Study of Alexithymia in Adolescent Patients with Persistent Somatoform Pain Disorder

To study the differences in levels of alexithymia, depression, and anxiety between a sample of adolescents diagnosed with ICD-10 persistent somatoform pain disorder (defined by the DSM-IV as a pain disorder associated with psychological factors) and healthy adolescent control subjects. Using the Toronto Alexithymia Scale and the Hospital Anxiety and Depression Scale, we investigated the point prevalence of alexithymia, anxiety, and depression among adolescents aged 12 to 17 years, with somatoform disorder, who were hospitalized in Kaunas Medical University Hospital, Lithuania (n =120), and a healthy control group (n = 60) of adolescents aged 12 to 17 years, who were randomly selected from 6 schools in Kaunas, Lithuania. The rate of alexithymia in adolescents with somatoform disorder was 59%, which was significantly higher than that in healthy control subjects (1%, P < 0.001). Similarly, the rate of anxiety was significantly higher in the patient group (62%), compared with control subjects (15%, P < 0.001). The rate of depression was low in both groups and did not differ significantly between groups. Adolescents with somatoform disorder have higher levels of alexithymia and anxiety than healthy adolescent control subjects, but adolescents with somatoform disorder and adolescent control subjects do not have significantly different levels of depression.

9.15 Choice stepping reaction time in depressed andnon-depressed older people

Depressive symptoms are associated with inflammation yet the association between inflammation and different levels of depression remains unclear. Therefore, we studied the association of subsyndromal and depressive symptoms with inflammatory markers in a large multi-ethnic cohort.C-reactive protein (CRP) (n=6269), interleukin-6 (IL-6) (n=6135) and tumor necrosis factor-alpha (TNF-α) (n=1830) were measured in selected participants from the multi-ethnic study of atherosclerosis (MESA). Subsyndromal depressive symptoms were defined as a CES-D value from 8 to 15, depressive symptoms as a CES-D≥16 and normal as a CES-D≤7. Depressive states (subsyndromal and depressed) were entered into multivariable linear regression models incrementally adjusting for demographic, behavioral, biologic and comorbidities.Among 6289 participants not taking antidepressants and free from CVD, the mean age was 62.2, while 52% were women, 36.4% were Caucasian, 28.9% African-American, 22.3% Hispanics and 12.4% Chinese-American. Of the total, 24.2% had subsyndromal depression and 11.8% had depressive symptoms. Compared to the non-depressed group and after controlling for demographics, there was no association between both subsyndromal and depressive symptoms with log CRP (β=−0.01, p=0.80 and β=−0.05, p=0.25 respectively), log IL-6 (β=0.01, p=0.71 and β=−0.04, p=0.07 respectively) and log TNF-α (β=−0.03, p=0.29 and β=0.06, p=0.18 respectively). Moreover, fully adjusted models showed no significant associations for log IL-6 and log TNF-α and the different depressive categories. However, with full adjustment, we found a significant inverse association between depressive symptoms and ln CRP (β=−0.10, p=0.01) that was not present for subsyndromal depression (β=−0.05, p=0.11).Among participants not taking anti-depressants, subsyndromal depression is not associated with inflammation. However, depressive symptoms measured by CES-D≥16 are associated with a lower inflammation (CRP).

Living with heart failure: depression and quality of life in patients and spouses

Background: Although spouses are a key support for patients with heart failure, and help them remain in the community, no one has studied patient–spouse pairs to determine the nature of their experience. Therefore, we conducted a study of patients and spouses to compare their levels of depression and health-related quality of life (HRQOL), and to identify factors that contribute to depression and HRQOL in patient–spouse pairs. Methods: Forty-eight couples, in which all patients were men with heart failure, were recruited from a university-affiliated, outpatient heart failure clinic. Data were collected using the Beck Depression Inventory, the 12-item Short Form (that measures physical and mental components of QOL), and the 6-minute walk test. Results: Patients with heart failure were significantly more depressed and had poorer physical quality of life compared with spouses. Patients’ depression was correlated with their own functional status and mental quality of life, with the combination of 6-minute walk distance and mental QOL contributing 51% of the variance in patient depression. Spouse depression and HRQOL did not significantly influence patient depression. In contrast, spouses’ depression was related to their husbands’ functional status and employment, as well as their own mental QOL. The mental component of spouse QOL and the age of the patient accounted for 33% of the adjusted variance in spousal depression. Conclusions: Patients with heart failure and their spouses experience significantly different levels of depression and physical QOL. In developing interventions, it may be important to take these differences into account and focus on their unique needs as well as those issues that affect the couple together. Interventions that improve patient functional status may result in decreased depression and improved HRQOL on the part of both patients and spouses.

Higher levels of state depression in masculine than in feminine nations

Studies using identical measures have identified different levels of depression in different countries or cultures. Until now, however, explanations for such differences, other than methodological ones, have not been empirically addressed. It was hypothesized and found that soft or feminine nations in which both women and men are offered equal opportunities for the fulfillment of multiple social roles that are associated with good self-rated health would score significantly lower on national depression levels than tough or masculine societies in which such opportunities exist to a clearly lesser extent. Analyses of data collected in 14 nations in Europe (total N>5000) demonstrated that higher scores on Hofstede’s national masculinity index and lower ones on national wealth were independent predictors of higher national depression levels. National trait neuroticism did not mediate the relationship between national masculinity and national depression levels.

Suicidal Ideation and Depression among Institutionalized Elderly: The Influence of Residency Duration

An exploratory study of eighty-three randomly selected elderly persons relocated to a nursing home was conducted in the north of Israel. The aim was to examine the relationship between duration of residency and suicidal ideation. Elderly people in four different periods of residency were compared on three scales: the Beck Depression Inventory, the Beck Hopelessness Scale, and the Scale for Suicide Ideation. Participants at all four stages of relocation expressed high levels of suicidality, particularly those in their first seven months of residency. In addition, residents at different stages of adaptation to relocation at the nursing home expressed different levels of depression, suicidality, and hopelessness. It is suggested that special attention be paid to residents' subjective mental and emotional states, especially during the first period of relocation.

Social adjustment in in-patients with affective disorders: predictive factors

We assessed social adjustment in 145 depressed in-patients using the self-reporting Social Adjustment Scale (42-item version) to evaluate the contribution of demographic and clinical variables and examine social functioning at different levels of depression. Our results indicate that the presence of a psychopathology in association with interpersonal sensitivity, hostility and perceived social support aspects — and not the severity of current depressive symptoms — were the most important factors affecting social adjustment. As expected, social disturbances are more pronounced in severe depressives who experience difficulties in all areas: by contrast, patients with low depressive symptom levels do not appear to be maladjusted, by comparison with a community sample.

Depression, existential family therapy, and viktor frankl's dimensional ontology

In existential family therapy, it is believed that Viktor Frankl's dimensional ontology is a useful way to understand the different levels of depression that are important in both family assessment and family treatment. This article reviews Frankl's dimensional ontology, its usefulness for existential family treatment, the “must,” “can,” and “ought” levels of family depression, and presents clinical material illustrating the described existential family treatment approach.

The development and validation of a Spanish version of the quality of life in depression scale (QLDS)

Objective: The adaptation of the Quality of Life in Depression Scale, the QLDS, into Spanish. Methods: The original UK version of the QLDS was considered by two translation panels, who produced a Spanish translation. Priority was given to conceptual rather than semantic equivalence. This version was then field-tested with 15 depressed patients. The final stage of the research involved a postal survey of 62 patients, who were asked to complete the measure on two occasions. Results: The Spanish QLDS was found to be appropriate and acceptable by depressed patients. The questionnaire's test-retest reliability and internal consistency were both high, and QLDS scores correlated as predicted with scores on sections of the Nottingham Health Profile. The measure was sensitive to different levels of depression as assessed by the Hospital Anxiety and Depression Scale. Conclusion: The Spanish version of the QLDS is suitable for use in clinical trials and for monitoring individual patients in routine clinical practice.

Depression of older age. Origins of the study.

The EURODEP collaboration was formed to take advantage of existing studies of random community samples of older people in Europe, using GMS-AGECAT for case identification and diagnosis. Later, other centres joined, and the EURO-D scale was developed to harmonise the different methods used with the GMS. Previous studies had revealed different levels of depression in Europe but had been confounded by the use of unreconcilable methods. These studies attempt to overcome this problem. To introduce the first set of publications from the EURODEP collaboration. Presented in five accompanying papers (pp. 307-345, this issue).

Psychiatric profiles and patterns of cerebral blood flow in focal epilepsy: interactions between depression, obsessionality, and perfusion related to the laterality of the epilepsy.

OBJECTIVES: In a study of patients with focal epilepsy the hypothesis was explored that different measurements of psychopathology are related to specific distributions of cerebral perfusion. METHODS: Forty patients had...

Coping and depression in bulimia nervosa.

While theoretical models of bulimia have tended to emphasize single dimensions of the disorder, such as cognition or depression, factor analytic studies suggest that bulimia is best represented by a multifactorial model. In this study, we explore whether bulimia nervosa patients with different levels of depression display different types of coping. Bulimia nervosa clinic patients were divided into four subgroups based on level of depression and asked to respond to the Coping Strategies Inventory. The results suggest that avoidant or disengaged coping may be more related to affective symptoms than to bulimia, itself. While problem solving and cognitive restructuring did not appear to differ between the subgroups in this study, there were significant differences in social support seeking among the four groups. The findings suggest that bulimic patients who present with the affective and personality disordered dimension of bulimia need interventions that focus on the utilization of social support.

Authors' Reply Item-Response Theory: The Two-Parameter Model, Rasch Model, and Invariance Criteria

Previous articleNext article No AccessDebate with AuthorsAuthors' Reply Item-Response Theory: The Two-Parameter Model, Rasch Model, and Invariance CriteriaWilliam R. Nugent, and Janette A. HankinsWilliam R. Nugent Search for more articles by this author , and Janette A. Hankins Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Social Service Review Volume 65, Number 2Jun., 1991 Article DOIhttps://doi.org/10.1086/603843 Views: 2Total views on this site Copyright 1991 The University of ChicagoPDF download Crossref reports no articles citing this article.