Socioeconomic burden of subsyndromal depressive symptoms and major depression in a sample of the general population.
نویسندگان
چکیده
OBJECTIVE The authors' goal was to evaluate the association between impairment in daily function and subsyndromal depressive symptoms as well as major depression to determine the economic and societal significance of these conditions. METHOD Using 12-month prevalence data gathered by the National Institute of Mental Health (NIMH) Epidemiologic Catchment Area Program (ECA), based on responses to the NIMH Diagnostic Interview Schedule, the authors divided the 2,393 subjects from the Los Angeles ECA site into three groups: subjects with subsyndromal depressive symptoms (N = 270), major depression (N = 102), and no depressive disorder or symptoms (N = 2,021). The groups were compared on 10 domains of functional outcome and well-being. RESULTS Significantly more subjects with depressive symptoms than subjects who had no disorder reported high levels of household strain, social irritability, and financial strain as well as limitations in physical or job functioning, restricted activity days, bed days, and poor health status. Significantly more subjects with major depression than subjects with no disorder reported major financial losses, bed days, high levels of financial strain, limitations in physical or job functioning, and poor health status. Except for lower self-ratings of health status, no significant differences were found between subjects with subsyndromal symptoms and those with major depression. CONCLUSIONS Significantly more people with subsyndromal depressive symptoms or major depression reported impairment in eight of 10 functional domains than did subjects with no disorder. The high 1-year prevalence of subsyndromal depressive symptoms, combined with the associated functional impairment, emphasizes the clinical and public health importance and need for additional investigations into these symptoms.
منابع مشابه
The Mediating role of Shame and Self-Criticism in the relationship between Attachment Styles and Severity of Depressive Symptoms
Objectives: Depression is the fourth major cause of disease burden in the world, which alone accounts for the largest share of non-fatal disease burden. The present study was aims to investigate the mediating role of shame and self-criticism in the relationship between attachment styles and severity of depression symptoms. Methods: The current research design was descriptive and the structural...
متن کاملThe evaluation of mechanism of Effectiveness of Behavioral Activation Therapy (BA) through Cognitive Flexibility and Emotional Flexibility on Symptoms of Women with Major Depressive Disorders
The purpose of this study was to investigate the mechanism of the effect of behavioral activation therapy (BA) through cognitive flexibility and emotional flexibility on the symptoms of women with major depressive disorder. This study was based on the single-subject design. The research sample consisted of five women with major depressive disorder (BDI-II), Beck Anxiety (BAI), Cognitive Flexi...
متن کاملIdentifying Early Maladaptive Schema of Patients with Major Depressive Disorder
Cognitive models of depression propose that negative schemas and Early Maladaptive Schema contribute to depressive symptoms. The purpose of this study is to identify the early maladaptive Schema of patients with depression disorder. The method of study is descriptive. Research statistics involves all patients with depression disorder who have come to the c...
متن کاملThe Effectiveness of Acceptance and Commitment Therapy on cognitive regulation of emotion, mindfulness and self-compassion in patients with major depression
Introduction: Considering the wide range of symptoms and clinical characteristics of major depression, it can be said that many factors are involved in the severity of depressive episodes, their recurrence, and the extent of their consequences; Therefore, the present study was conducted with the aim of investigating the Effectiveness of acceptance and commitment therapy on cognitive regulation ...
متن کاملThe Frequency Distribution of Chief Complaints in Patients with Major Depressive Disorder Referring to Psychiatric Clinics in Kerman
Introduction: Physical symptoms associated with depression and common psychiatric disorders sometimes lead to the misdiagnosis of depressive disorders. The aim of this study was to determine the frequency distribution of different chief complaints in patients with major depressive disorder referring to psychiatric clinics according to their demographic characteristics and source of referral. Me...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The American journal of psychiatry
دوره 153 11 شماره
صفحات -
تاریخ انتشار 1996