Rates Of Depressive Symptomatology Research Articles

Effects of Adolescent-Focused Integrated Social Protection on Depression: A Pragmatic Cluster-Randomized Controlled Trial of Tanzania's Cash Plus Intervention.

We assessed the impacts of Tanzania’s adolescent-focused Cash Plus intervention on depression. In this pragmatic cluster-randomized controlled trial, 130 villages were randomly allocated to an intervention or control arm (1:1). Youth aged 14–19 years living in households receiving governmental cash transfers were invited to participate. The intervention included an intensive period (a 12-session course) and an aftercare period (9 months of mentoring, productive grants, and strengthened health services). We examined intervention impacts on a depressive symptoms scale (10-item Center for Epidemiologic Studies Depression Scale score (range, 0–30)) and rates of depressive symptomatology (score ≥10 points on the scale), recorded at study baseline (April–June 2017), midline (May–July 2018), and endline (June–August 2019). Using intention-to-treat methodology, we employed logistic and generalized linear models to estimate effects for binary and continuous outcomes, respectively. Quantile regression was used to estimate effects across the scale. From 2,458 baseline participants, 941 intervention and 992 control adolescents were reinterviewed at both follow-ups. At endline, the intervention reduced the odds of depressive symptomatology (adjusted odds ratio = 0.67, 95% confidence interval: 0.52, 0.86), with an undetectable mean scale difference (risk difference = −0.36, 95% confidence interval: –0.84, 0.11). Quantile regression results demonstrated an intervention effect along the upper distribution of the scale. Integration of multisectoral initiatives within existing social protection systems shows potential to improve mental health among youth in low-resource settings.

Factors associated with general practitioners\u2019 awareness of depression in primary care patients with heart failure: baseline-results from the observational RECODE-HF study

BackgroundDepression is more prevalent in patients with heart failure (HF) than in those without, but its detection is complicated by the symptom overlap between the two diseases. General practitioners (GPs) are the first point of contact for patients with HF. Therefore, this study aims to investigate GPs’ awareness of depression in their HF patients and factors associated with this awareness.MethodsIn this cross-sectional, observational study 3224 primary care patients with HF were screened for depressive symptomatology using an algorithm based on the Hospital Anxiety and Depression Scale, the 9-item subscale on Depression of the Patient Health Questionnaire, and selected items from the PROMIS Depression and Anxiety scales. The 272 GPs of all patients involved in the study were interviewed by telephone regarding their patients’ somatic and psychological comorbidities. The awareness rates of depressive symptomatology by the patients’ GPs are analyzed using descriptive statistics. Logistic regression analyses are applied to investigate the patient- and GP-based factors associated with the GPs’ awareness of depressive symptomatology.ResultsGPs were aware of their patients’ depressive symptomatology in 35% of all cases. Factors associated with the awareness of depressive symptomatology were: higher patient education levels, a history of depression known to the GP, GP-consultations due to emotional distress within the last 6 months, a higher frequency of GP-contacts within the last 6 months, a higher New York Heart Association (NYHA) classification and more severe depressive symptomatology. The GPs’ characteristics, including further education in psychology/psychiatry, were not associated with GP awareness.ConclusionsMany aspects, including the definition of awareness and the practical issues in primary care, may contribute to the unexpectedly low awareness rates of depressive symptomatology in HF patients in primary care. Awareness rates might increase, if GPs encouraged their patients to talk about emotional distress, held detailed medical interviews including a patient’s history of depression and payed special attention to HF patients with low education levels. However, it remains to be investigated whether GPs’ judgement of depressive symptomatology is a better or worse indicator for the future prognosis and quality of life of HF patients than psychiatry based diagnostic criteria.

Risk Factors for Depressive Symptomatology among Higher Education Students

Higher education students experience high rates of mental health problems, and depression is one of the most common mental illnesses referred. The identification of modifiable risk factors for the development of depressive symptomatology is crucial. The current study was designed to examine the associations among vulnerability to stress, pessimism, dysfunctional attitudes and personality with depressive symptomatology in a sample of higher education students. A total of 257 higher education students completed an online questionnaire, which assessed: depressive symptomatology (BDI-II; Beck, Steer, & Brown, 1996), vulnerability to stress (QVS; Vaz Serra, 2000), pessimism (LOTR; Scheier, Carver, & Bridges, 1994), dysfunctional attitudes (DAS; Weissman & Beck, 1978) and personality (NEO-FFI; Mccrae & Costa, 2004). The main results indicated that vulnerability to stress, pessimism, dysfunctional attitudes and neuroticism were positively associated with depressive symptomatology. Multiple regression analysis was used to test if the vulnerability to stress, neuroticism and pessimism predicted participants’ ratings of depressive symptomatology. The results of the regression indicated the three predictors explained 58% of the variance (R2 = .58, F (3, 226) = 103.98, p < .001). Vulnerability to stress (b = .28, p < .001) and neuroticism (b = .54, p < .001) are significantly predicted by depressive symptomatology. Findings suggested that the risk factors considered, particularly vulnerability to stress and neuroticism, may be crucial to the comprehension of vulnerability to depressive symptomatology among higher education students. Implications of these results on future prevention programs are discussed.

1941 – Depression and women's life cycle:comparative prevalence of depressive symptons in women along the life cycle in a portuguese community sample

This study aims to analyze the differences in depressive symptomatology in women in different age groups along the life cycle and the influence of sociodemographic variables in a Portuguese community sample. The Center for Epidemiologic Studies Scale-CES-D (Radloff, 1977), and a Questionnaire including questions concerning sociodemographic variables, general health variables and women health variables, as well as interpersonal stress factors were mailed to a sample of 1480 subjects. A phone line was available and local papers asked for collaboration. 360 women aged between 18 and 65 answered it. Severe depressive symptoms were reported by 24,4% of women. Women living in rural areas showed significant higher rates of depressive symptomatology(CES-D mean score=27.2, DP = 14.9)than women living in urban areas (x=19.4, DP = 12.5)(t = 3,1; p = 0.002). It wasn’t found a statistically significant difference between age groups and prevalence of depressive symptomatology. Nevertheless, Menopause was found to be highly related with high levels of depressive symptomatology, and menopausal women have shown a CES-D mean score significantly higher than non-menopausal women (t = 2.7; p = 0.006). Higher prevalence of depressive symtomatology was associated with low income, low educational level and marital status (divorced and widowed). It's possible to assume that is not the age group but the stage of the reproductive women life cycle that seems to be associated with higher prevalence of depressive symtomatology.Given the high levels of severe depressive symptomatology in women found, we argue that preventing depression in women should be a priority and reducing depressive symtomatology should be targeted for research and prevention efforts.

The Fit Families pilot study: preliminary findings on how parental health and other family system factors relate to and predict adolescent obesity and depressive symptoms

This study, undergirded by family systems theory, examined the extent to which parent and family‐level factors correlate with adolescent obesity and depressive symptoms. We also considered whether these variables predict unique variance in adolescent obesity and depressive symptoms. The participants were a convenience sample of 77 racially diverse, predominantly early adolescents (aged 12 to 17) and their parents. Results from a series of linear and logistic regression analyses indicated that three of the study factors (parental weight history, family resources and adolescent weight history) significantly contributed to the variance in adolescents' body mass indexes and only one of the study factors (parental depressive symptomatology) significantly contributed to the variance in adolescents' rates of depressive symptomatology. These preliminary findings clarify how parent and family system factors might inform family and school‐based intervention and treatment efforts for adolescent health outcomes.Practitioner points Family environment (measured in this study as family conflict and cohesion) should continue to be evaluated as a risk factor for obesity and depressive symptoms in racial and ethnic minority and non‐minority families. Family therapists as well as other practitioners (for example, primary care providers) should assess for family conflict when adolescents present with physical and psychological distress and disturbances. Family therapists and other practitioners could be more effective if they established whether adolescent patients and their family members have the resources (for example, knowledge, financial ability and skills) needed to live a healthy lifestyle, as well as the coping strategies for maintaining their physical and psychological health.

Depression and self-esteem in boys with attention-deficit/hyperactivity disorder: associations with comorbid aggression and explanatory attributional mechanisms.

It was tested whether boys with attention-deficit/hyperactivity disorder (ADHD), subgrouped by aggressive status, would show higher rates of depressive symptomatology and lower levels of self-esteem than would comparison boys and, in a subsample, explored attributional mechanisms that may be related to such internalizing features. Study 1 utilized 114 boys with ADHD (all prior recipients of stimulant medication) and 87 comparison boys, aged 7-12 years. Aggressive boys with ADHD reported more symptoms of depression than did nonaggressive boys with ADHD, who, in turn, reported more depression than did comparison boys. Effect sizes were moderate to large and did not vary with a depression rating scale uncontaminated by ADHD-related items. For self-esteem, the most pronounced effect was that aggressive boys with ADHD showed lower levels than did nonaggressive ADHD or comparison boys; effects were again moderate to large. Study 2 participants were a subsample of boys with ADHD from Study 1 (N = 27). We probed causal attributions in ADHD-related domains through responses to hypothetical vignettes, in which the protagonist's medication status (medicated, not medicated) was crossed with type of outcome (good, bad). Medication-related attributions were frequent. In describing the protagonist's success in relation to medication treatment, the sample showed significant associations between (a) medication-related attributions and (b) increased depressive symptomatology as well as decreased self-esteem. We discuss attributional processes that may help to explain the variation in internalizing symptoms among children with ADHD.

Earned- and continuous-security in adult attachment: Relation to depressive symptomatology and parenting style

AbstractThe secure working model classification of adult attachment, as derived from Main and Goldwyn's (in press) Adult Attachment Interview scoring system, was considered in terms of earned-security and continuous-security. Earned-security was a classification given to adults who described difficult, early relationships with parents, but who also had current secure working models as indicated by high coherency scores; continuous-security referred to a classification in which individuals described secure early attachment relationship with parents and current secure working models. Working models of attachment were classified as earned-secure, continuous-secure, or insecure in a sample of 40 parents of preschool children. Comparisons among the classifications were conducted on a measure of depressive symptoms and two sets of ratings of observed parenting styles. Adults with earned-secure classifications had comparable depressive symptomatology to insecures, with 30% of the insecures, 40% of the earned-secures, and only 10% of the continuous-secures having scores exceeding the clinical cut-off. The rate of depressive symptomatology in the earned-secure group suggests that reconstructions of past difficulties may remain emotional liabilities despite a current secure working model. With regard to parenting styles with their preschoolers, the behavior of earned-secure parents was comparable to that of the continuous-secures. This refinement in conceptualizing secure working models suggests ways for understanding variation in pathways to competent parenting as well as a possible perspective on how adults' adverse early experiences may continue to place them and their children at risk.

A 2-year longitudinal study of depression among Alzheimer's caregivers.

Results from a 2-year (4 waves) longitudinal study show strong evidence for patient decline and high levels of depressive symptomatology among caregivers. Female caregivers reported high, stable rates of depressive symptomatology throughout the study, whereas male caregivers exhibited significant increases in depression over time. Cross-sectional multivariate analyses revealed significant positive relationships between depression and number of patient problem behaviors, negative social support, and concern about financial resources; negative relationships were found between depression and social support, quality of prior relationship, and satisfaction with social contacts. Three significant independent predictors of change in depression were found: Lower depression scores at Time 1 were related to increases in depression over time; men were more likely than women to experience increases; and a decline in social support resulted in increased depression.

An Evaluation of Mood States among First-Year Residents

To examine the need for preventive and treatment interventions, a prevalence study was conducted to ascertain the rate of depressive symptomatology and other negative mood states among 112 first-year residents. The participation rate was 54%. Subjects (N = 61) were administered the Beck Depression Inventory and Profile of Mood States in personal interview sessions. The Profile measures five negative mood states, namely, "tension-anxiety," "depression-dejection," "anger-hostility," "fatigue-inertia," "confusion-bewilderment," and one positive state, "vigor-activity." A 15.5% rate of depression was found, which is lower than a rate of 23.5%, also measured by Beck's inventory, among a sample of university undergraduates and 19.9% among an adult sample from the general population. No differences were observed among residency programs or sex on Beck's scale; however, significantly higher scores were found for women on the "depression-dejection" dimension of the Profile. The mean scores on all negative mood dimensions of the Profile were below the mean for university undergraduate norms. Neither sleep nor hours worked over the past week were associated with increased Beck scores. These results indicate that sleep deprivation and long work hours did not contribute to depression among the subjects who participated in the study. Female interns, however, appear to be at increased risk of depression, and adequate support systems need to be provided.

Parents' and Teachers' Sensitivity to Unhappiness Reported by Undercontrolled Children

The primary purpose of this study was to investigate parents' and teachers' sensitivity to the unhappiness and depression of 110 elementary-aged undercontrolled children being treated in an inpatient program. Sensitivity was operationally defined as congruence between the child's responses on two self-report measures (Children's Depression Inventory and Hopelessness Scale for Children) and the adults' behavioral ratings of the children on behavior checklists (Child Behavior Checklist and Teacher Report Form). The first hypothesis that children's self-reports of depressive symptoms would not be significantly correlated with parents' and teachers' ratings of depressive symptomatology was supported. Secondly, it was hypothesized that there would be no differences in the level of self-reported depressive symptoms when children who were rated as depressed by their parents and teachers were compared with children rated as not depressed by their parents and teachers. This was also supported. Finally, it was hypothesized that children who reported significant levels of depressive symptomatology would be rated by their parents and teachers as having more behavior problems than children who did not report significant levels of depressed symptomatology. This was partially supported. The implications of these results in relation to identification and treatment are discussed.