Depression Research and Treatment最新文献_第10页

Prevalence of Antenatal Depression and Associated Risk Factors among Pregnant Women Attending Antenatal Clinics in Abeokuta North Local Government Area, Nigeria 尼日利亚阿贝奥库塔北部地方政府区产前诊所孕妇产前抑郁患病率及相关危险因素

Depression Research and Treatment Pub Date : 2016-08-18 DOI: 10.1155/2016/4518979

Okechukwu Thompson, I. Ajayi

{"title":"Prevalence of Antenatal Depression and Associated Risk Factors among Pregnant Women Attending Antenatal Clinics in Abeokuta North Local Government Area, Nigeria","authors":"Okechukwu Thompson, I. Ajayi","doi":"10.1155/2016/4518979","DOIUrl":"https://doi.org/10.1155/2016/4518979","url":null,"abstract":"Objective. The prevalence of antenatal depression (AD) and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area, Nigeria, was determined. Methods. A descriptive cross-sectional survey was conducted, interviewing 314 pregnant women selected by multistage sampling technique from among those attending antenatal clinics. Information was collected using structured questionnaire and a screening tool, Edinburgh Postnatal Depression Scale (EPDS), to assess probable depression. Results. The prevalence of antenatal depression was 24.5%. There were significant associations between antenatal depression and attending public health facility (P = 0.000), young maternal age (P = 0.012), single marital status (P = 0.010), not having formal education (P = 0.022), large family size (P = 0.029), planned pregnancy (P = 0.014), coexisting medical conditions (P = 0.034), history of previous caesarian section (P = 0.032), drinking alcohol during pregnancy (P = 0.004), and gender based abuse (P = 0.001). On health seeking behaviour for antenatal depression among depressed pregnant women, most, 68.9%, consulted their husbands about their symptoms; 57.3% took the decision to get treatment from doctors, and 52% sought prayer in the church. Conclusion. Antenatal depression is prevalent in this study population. Interventions to address its risk factors should be carried out and physicians should suspect depression in pregnant women reporting alcohol use and gender abuse.","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4518979","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64385944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 86

Psychometric Limitations of the Center for Epidemiologic Studies-Depression Scale for Assessing Depressive Symptoms among Adults with HIV/AIDS: A Rasch Analysis 流行病学研究中心抑郁量表用于评估成人HIV/AIDS患者抑郁症状的心理测量局限性:皮疹分析

Depression Research and Treatment Pub Date : 2016-03-03 DOI: 10.1155/2016/2824595

C. Gay, A. Kottorp, A. Lerdal, Kathryn A. Lee

{"title":"Psychometric Limitations of the Center for Epidemiologic Studies-Depression Scale for Assessing Depressive Symptoms among Adults with HIV/AIDS: A Rasch Analysis","authors":"C. Gay, A. Kottorp, A. Lerdal, Kathryn A. Lee","doi":"10.1155/2016/2824595","DOIUrl":"https://doi.org/10.1155/2016/2824595","url":null,"abstract":"The Center for Epidemiological Studies-Depression (CES-D) scale is a widely used measure of depressive symptoms, but its psychometric properties have not been adequately evaluated among adults with HIV/AIDS. This study used an item response theory approach (Rasch analysis) to evaluate the CES-D's validity and reliability in relation to key demographic and clinical variables in adults with HIV/AIDS. A convenience sample of 347 adults with HIV/AIDS (231 males, 93 females, and 23 transgenders; age range 22–77 years) completed the CES-D. A Rasch model application was used to analyze the CES-D's rating scale functioning, internal scale validity, person-response validity, person-separation validity, internal consistency, differential item functioning (DIF), and differential test functioning. CES-D scores were generally high and associated with several demographic and clinical variables. The CES-D distinguished 3 distinct levels of depression and had acceptable internal consistency but lacked unidimensionality, five items demonstrated poor fit to the model, 15% of the respondents demonstrated poor fit, and eight items demonstrated DIF related to gender, race, or AIDS diagnosis. Removal of misfitting items resulted in minimal improvement in the CES-D's substantive and structural validity. CES-D scores should be interpreted with caution in adults with HIV/AIDS, particularly when comparing scores across gender and racial groups.","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/2824595","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64297258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 33

A Possible Role of Anhedonia as Common Substrate for Depression and Anxiety 快感缺乏作为抑郁和焦虑的共同基础的可能作用

Depression Research and Treatment Pub Date : 2016-03-02 DOI: 10.1155/2016/1598130

L. Grillo

引用次数: 23

Symptom Endorsement and Sociodemographic Correlates of Postnatal Distress in Three Low Income Countries 三个低收入国家产后窘迫的症状认同和社会人口学相关性

Depression Research and Treatment Pub Date : 2016-02-15 DOI: 10.1155/2016/1823836

A. Nguyen, E. Haroz, T. Mendelson, J. Bass

{"title":"Symptom Endorsement and Sociodemographic Correlates of Postnatal Distress in Three Low Income Countries","authors":"A. Nguyen, E. Haroz, T. Mendelson, J. Bass","doi":"10.1155/2016/1823836","DOIUrl":"https://doi.org/10.1155/2016/1823836","url":null,"abstract":"Background. Maternal mental illness has been implicated in adverse child development outcomes. Factors such as context and culture may influence experiences of maternal distress and explain differences in outcomes across settings. Methods. We analyzed baseline data from 5,647 mothers in Ethiopia, India (Andhra Pradesh), and Vietnam participating in an ongoing cohort study (Young Lives) to compare symptom endorsement and sociodemographic correlates of distress. Maternal distress was assessed using the Self-Reporting Questionnaire-20 Items (cutoff: ≥8). Logistic regressions were stratified by sample to identify correlates of distress. Results. Symptom endorsement was similar among distressed women, particularly with regard to feeling unhappy (76%, 80%, and 79%). Notable differences were observed in three items assessing Depressive Thoughts, which were most highly endorsed in Ethiopia (49%–56%). Having a child experiencing a life-threatening event was correlated with distress in all three samples. A variety of correlates were unique to only one sample. Conclusions. There were multiple similarities but also notable differences across sites in the expression and correlates of maternal distress. Feeling unhappy appears to be a hallmark feature of distress. Correlates highlight the relationship between distress and indicators of poverty, child wellbeing, and economic shocks. Differences demonstrate the value of further exploration of cross-cultural differences.","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/1823836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64245819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Efficacy of Electroconvulsive Therapy in Bipolar Disorder with Mixed Features 电惊厥治疗混合性双相情感障碍的疗效

Depression Research and Treatment Pub Date : 2016-01-05 DOI: 10.1155/2016/8306071

M. Palma, B. Ferreira, N. Borja-Santos, B. Trancas, Céu Monteiro, G. Cardoso

{"title":"Efficacy of Electroconvulsive Therapy in Bipolar Disorder with Mixed Features","authors":"M. Palma, B. Ferreira, N. Borja-Santos, B. Trancas, Céu Monteiro, G. Cardoso","doi":"10.1155/2016/8306071","DOIUrl":"https://doi.org/10.1155/2016/8306071","url":null,"abstract":"Introduction. Mixed states represent a frequent presentation of bipolar disorder, associated with higher resistance to psychopharmacology. Limited evidence supports the use of ECT in these patients. We aim to report our experience on treating bipolar mixed states with ECT. Methods. Retrospective data were collected from all bipolar patients submitted to acute ECT treatment, between June 2006 and June 2011. Three groups were created in terms of affective polarity of the episode. CGI rating was used to establish clinical remission and demographic and clinical variables were compared among groups. Long-term outcome was assessed through readmission measures, considering the use of continuation or maintenance ECT. Results. During the study time frame, a total of 50 ECT course treatments were performed on 41 bipolar patients. All affective episodes, except one mixed state, showed a positive clinical response. Patients with mixed state presentation tended to be younger and have an earlier first hospitalization than depressed patients. No differences were found in terms of ECT sessions performed, length of hospital admission, referral to continuation ECT treatment, number of readmissions, and time until next readmission. Conclusions. Our results support the effectiveness of ECT in patients experiencing a mixed affective state.","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/8306071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64560137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Invisible Victims: Delayed Onset Depression among Adults with Same-Sex Parents. 看不见的受害者:同性父母的成人迟发性抑郁症。

Depression Research and Treatment Pub Date : 2016-01-01 Epub Date: 2016-05-29 DOI: 10.1155/2016/2410392

D Paul Sullins

引用次数: 2

Prevalence and Severity of Depression and Its Association with Substance Use in Jimma Town, Southwest Ethiopia. 埃塞俄比亚西南部吉马镇的抑郁症患病率和严重程度及其与药物使用的关系。

Depression Research and Treatment Pub Date : 2016-01-01 Epub Date: 2016-03-16 DOI: 10.1155/2016/3460462

Andualem Mossie, Dagmawi Kindu, Alemayehu Negash

{"title":"Prevalence and Severity of Depression and Its Association with Substance Use in Jimma Town, Southwest Ethiopia.","authors":"Andualem Mossie, Dagmawi Kindu, Alemayehu Negash","doi":"10.1155/2016/3460462","DOIUrl":"10.1155/2016/3460462","url":null,"abstract":"Background. Depression is a significant contributor to the global burden of disease and affects 350 million people worldwide. Substance use could be the risk factor for depression. Objective. We aim to determine the prevalence and severity of depression and its association with substance use. Methods. A cross-sectional study was conducted on a sample of 650 respondents in Jimma town in March 2014. A multistage stratified sampling method was conducted. Structured questionnaire and Beck's Depression Inventory (BDI-II) scale were used for data collection. Data analysis was done using the SPSS Version 20.0 for Windows. Results. The participation rate of respondents was 590/650 (90.77%). The proportion of females was 300 (50.9%). The current prevalence of depression was 171 (29.0%). Based on the BDI-II grading of the severity of depression, 102 (59.6%) had mild, 56 (32.7%) had moderate, 13 (7.6%) had severe depression. In the present study, age of 55 years and above [OR = 5.94, CI: 2.26-15.58], being widowed [OR = 5.18, CI: 1.18-22.76], illiterates [OR = 9.06, CI: 2.96-27.75], khat chewing [OR = 10.07, CI: 5.57-18.25], cigarette smoking [OR = 3.15, CI: 1.51-6.58], and shisha usage [OR = 3.04, CI: 1.01-9.19] were significantly and independently associated with depression. Conclusion. The finding depicted that depression was a moderate public health problem. Advanced age, being widowed, illiterate, khat chewing, and cigarette and shisha smocking could be the potential risk factors for depression. Risk reduction is recommended. ","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34393829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breastfeeding and Postpartum Depression: An Overview and Methodological Recommendations for Future Research. 母乳喂养和产后抑郁:综述和未来研究的方法学建议。

Depression Research and Treatment Pub Date : 2016-01-01 Epub Date: 2016-04-11 DOI: 10.1155/2016/4765310

Carley J Pope, Dwight Mazmanian

{"title":"Breastfeeding and Postpartum Depression: An Overview and Methodological Recommendations for Future Research.","authors":"Carley J Pope, Dwight Mazmanian","doi":"10.1155/2016/4765310","DOIUrl":"https://doi.org/10.1155/2016/4765310","url":null,"abstract":"Emerging research suggests that a relationship exists between breastfeeding and postpartum depression; however, the direction and precise nature of this relationship are not yet clear. The purpose of this paper is to provide an overview of the relationship between breastfeeding and postpartum depression as it has been examined in the empirical literature. Also, the potential mechanisms of action that have been implicated in this relationship are also explored. PubMed and PsycINFO were searched using the keywords: breastfeeding with postpartum depression, perinatal depression, postnatal depression. Results of this search showed that researchers have examined this relationship in diverse ways using diverse methodology. In particular, researchers have examined the relationships between postpartum depression and breastfeeding intention, initiation, duration, and dose. Due to a number of methodological differences among past studies we make some recommendations for future research that will better facilitate an integration of findings. Future research should (1) use standardized assessment protocols; (2) confirm diagnosis through established clinical interview when possible; (3) provide a clear operationalized definition for breastfeeding variables; (4) clearly define the postpartum period interval assessed and time frame for onset of symptoms; (5) be prospective or longitudinal in nature; and (6) take into consideration other potential risk factors identified in the empirical literature. ","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4765310","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34458290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 127

Illness Attitudes Associated with Seasonal Depressive Symptoms: An Examination Using a Newly Developed Implicit Measure 疾病态度与季节性抑郁症状相关:使用新开发的内隐测量的检验

Depression Research and Treatment Pub Date : 2015-12-10 DOI: 10.1155/2015/397076

Katherine Meyers, M. Young

{"title":"Illness Attitudes Associated with Seasonal Depressive Symptoms: An Examination Using a Newly Developed Implicit Measure","authors":"Katherine Meyers, M. Young","doi":"10.1155/2015/397076","DOIUrl":"https://doi.org/10.1155/2015/397076","url":null,"abstract":"The Dual Vulnerability Model of seasonal depression posits that seasonal vegetative symptoms are due to a physiological vulnerability, but cognitive and mood symptoms are the result of negative appraisal of vegetative changes. In addition, rumination may be associated with stronger negative attitudes toward vegetative symptoms. This is the first study to examine implicit attitudes toward vegetative symptoms. We hypothesized that illness attitudes about fatigue moderate the relationship between the severity of vegetative symptoms and the severity of cognitive symptoms and that the illness attitudes are associated with rumination. This study also developed an implicit method to assess the appraisal of fatigue as indicating illness. Results supported both hypotheses. Illness attitudes toward fatigue moderated the relationship between vegetative symptoms and cognitive symptoms. Ruminative response style was positively associated with implicit illness attitudes towards fatigue. The study provides support for the role of negative appraisals of vegetative symptoms in the development of cognitive and mood seasonal depressive symptoms.","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/397076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64941440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cognitive Mechanisms Reciprocally Transmit Vulnerability between Depressive and Somatic Symptoms 认知机制在抑郁和躯体症状之间相互传递脆弱性

Depression Research and Treatment Pub Date : 2015-12-09 DOI: 10.1155/2015/250594

K. Harding, Karly M. Murphy, A. Mezulis

{"title":"Cognitive Mechanisms Reciprocally Transmit Vulnerability between Depressive and Somatic Symptoms","authors":"K. Harding, Karly M. Murphy, A. Mezulis","doi":"10.1155/2015/250594","DOIUrl":"https://doi.org/10.1155/2015/250594","url":null,"abstract":"Despite high comorbidity between depressive and somatic symptoms, cognitive mechanisms that transmit vulnerability between symptom clusters are largely unknown. Dampening, positive rumination, and brooding are three cognitive predictors of depression, with rumination theoretically indicated as a transdiagnostic vulnerability through amplifying and diminishing affect in response to events. Specifically, the excess negative affect and lack of positive affect characteristic of depressive symptoms and underlying somatic symptoms may cause and be caused by cognitive responses to events. Therefore, the current study examined whether comorbidity between depressive and somatic symptoms may be explained by the cognitive mechanisms of dampening and positive rumination in response to positive events and brooding in response to negative events among adults (N = 321) across eight weeks of assessment. We hypothesized that greater dampening and brooding would reciprocally predict greater depressive and somatic symptoms, while greater positive rumination would reciprocally predict fewer depressive and somatic symptoms. Mediation analyses in AMOS 22 indicated that dampening and brooding mediated reciprocal pathways between depressive and somatic symptoms, but positive rumination did not. Findings propose dampening and brooding as mechanisms of the reciprocal relationship between depressive and somatic symptoms through diminishing positive affect and amplifying negative affect in response to positive and negative events.","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/250594","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64861455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6