Chronic diseases and social risk factors in relation to specific symptoms of depression: Evidence from the U.S. national health and nutrition examination surveys

Jokela, Markus; García-Velázquez, Regina; Airaksinen, Jaakko; Gluschkoff, Kia; Kivimäki, Mika; Rosenström, Tom

doi:10.1016/j.jad.2019.03.074

Cited by 26 publications

(23 citation statements)

References 37 publications

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“…We assessed treatment contact in general (contact with a medical doctor [MD]) and psychiatric treatment contact specifically (treatment for depression and inpatient psychiatric admission). Because somatic depressive symptoms—fatigue, sleep problems, appetite change, and psychomotor retardation or agitation—have been linked to poor physical health, 14,15 we hypothesized that somatic symptoms would be associated with treatment contact in general. Moreover, we anticipated that cognitive/affective depressive symptoms—diminished interest, sad mood, hopelessness, suicidal ideation, and concentration difficulties—would be particularly relevant in determining psychiatric treatment contact specifically.…”

Section: Introductionmentioning

confidence: 99%

“…The few previous studies comparing associations of different depressive symptoms and health care utilization have reported mixed findings. [9][10][11][12][13] Furthermore, these studies have been based on cross- Because somatic depressive symptoms-fatigue, sleep problems, appetite change, and psychomotor retardation or agitation-have been linked to poor physical health, 14,15 we hypothesized that somatic symptoms would be associated with treatment contact in general.…”

Section: Introductionmentioning

confidence: 99%

“…Two somatic symptoms-fatigue and sleep problems -were most strongly associated with higher frequency of contact with an MD. Previous literature has linked somatic depressive symptoms-sleep problems, fatigue, appetite change, and psychomotor retardation or agitation-to poor physical health, 14,15 and this association of somatic symptoms with greater health concern may be reflected as a higher frequency of contact with an MD, especially in older populations. 2 Depressive symptoms, especially somatic symptoms, may also be characteristic physical conditions other than depression.…”

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confidence: 99%

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Association of depressive symptoms with health care utilization in older adults: Longitudinal evidence from the Survey of Health, Aging, and Retirement in Europe

Komulainen

Gluschkoff

García-Velázquez

et al. 2020

Int J Geriat Psychiatry

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Objectives Many older adults with depression do not receive adequate treatment. Differences in treatment utilization may reflect the heterogeneous nature of depression, encompassing multiple distinct symptoms. We assessed whether depressive symptoms are differentially associated with subsequent health care utilization with respect to three outcomes as follows: (1) contact with a medical doctor (MD), (2) depression‐specific treatment, and (3) inpatient psychiatric admission. Methods/Design Longitudinal analyses were based on data from three follow‐up cycles conducted between 2004 and 2013 among 53,139 participants from the Survey of Health, Aging, and Retirement in Europe. Depressive symptoms were self‐reported at baseline of each follow‐up cycle using the 12‐item EURO‐D scale. Health care utilization was self‐reported at the end of each follow‐up cycle. Results After adjustment for sex, age, country of interview, follow‐up time, educational attainment, presence of a partner in household, body‐mass index, the number of chronic diseases, disability, average/prior frequency of contact with an MD, and all other depressive symptoms, people with more frequent contact with an MD had most often reported sleep problems (IRR = 1.10) and fatigue (IRR = 1.10), followed by sad/depressed mood, tearfulness, concentration problems, guilt, irritability, and changes in appetite. Those treated for depression had most often reported sad/depressed mood (OR = 2.18) and suicidal ideation (OR = 1.72), but also sleep problems, changes in appetite, fatigue, concentration problems, hopelessness, and irritability. Sad/depressed mood (OR = 2.87) was also associated with psychiatric inpatient admission. Similarly to other outcomes, appetite change, fatigue, and sleep problems were associated with inpatient admission. Conclusions Specific symptoms of depression may determine utilization of different types of health care among elderly.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Association of depressive symptoms with health care utilization in older adults: Longitudinal evidence from the Survey of Health, Aging, and Retirement in Europe

Komulainen

Gluschkoff

García-Velázquez

et al. 2020

Int J Geriat Psychiatry

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“…The cognitive/affective symptoms seem to have other correlates. For instance, Jokela et al (2019) found that social risk factors were associated with almost all of the cognitive/affective symptoms but only sporadically with somatic symptoms. These patterns point to the possibility that the mechanisms underlying somatic and cognitive-affective clusters are different.…”

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confidence: 99%

Direction of Dependence Between Specific Symptoms of Depression: A Non-Gaussian Approach

García-Velázquez

Jokela

Rosenström

2019

Clinical Psychological Science

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Psychopathology could arise from direct interactions between symptoms. Evidence suggests that the mechanisms underlying somatic and cognitive-affective symptoms of depression are different. The aim of this study was to explore dynamic associations among cognitive-affective depression criteria. We used distribution-based direction of dependence models, which estimate whether the presence of symptom A is more likely to depend on the presence of symptom B than vice versa. We analyzed six large samples of adults from the United States ( N = 34,963) and conducted a simulation study to test the performance of the algorithm with ordinal variables and a second simulation study focusing on Type I error. Our results were consistent with the literature: Depressed mood and anhedonia were reactive to changes in other symptoms, whereas suicidality may reinforce other symptoms or reflect factors doing so. We discuss the results in the context of other empirical findings and theories of depression, reflect on the potential of these methods in psychopathology, and consider some practical implications.

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“…pri posttraumatickej stresovej poruche -PTSD) (pozri DSM-5; ICD-11). Rozdielne symptómy bývajú zároveň asociované s rozdielnymi rizikovými faktormi a predikujú rôzne dôsledky v rozdielnej miere ( Fried et al, 2014;Jokela et al, 2019;Lux & Kendler, 2010), majú odlišný priebeh v čase (Iacoviello et al, 2010) a zrejme aj odlišnú adaptačnú funkciu (Keller & Nesse, 2006). Ak by reflektívny model popisoval realitu psychopatológie, tak napríklad sebapoškodzovanie by muselo byť plne vysvetliteľné tým istým jediným faktorom, ktorý spôsobuje zmenu BMI.…”

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Duševné zdravie ako komplexný dynamický systém: sieťový prístup k psychopatológii

Ropovik¹,

Adamkovič²,

Baník³

2020

Preprint

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Psychické poruchy bývajú konceptualizované ako skrytý kauzálny faktor, ktorý sa prejavuje symptómami. Táto predstava je založená na reflektívnom latentnom modeli, ktorý sa uplatňuje vždy, keď je komplexná symptomatológia sumarizovaná vo forme čísla alebo kategorického stavu. V článku sú analyzované kvantitatívne, testovateľné implikácie tohto psychometrického modelu a na tomto základe je demonštrovaná jeho nevhodnosť pre konceptualizáciu väčšinu psychických porúch. Pozorované dáta naopak implikujú, že psychické poruchy sú komplexné dynamické systémy. Symptómy totiž nie sú ekvivalentným meraním jednej a tej istej latentnej premennej, ale fungujú ako nezávislé, vzájomne interagujúce kauzálne entity. Táto zmena nazerania na ontológiu psychopatológie viedla k adaptácii tzv. sieťovej teórie na kontext psychologických vied. V rámci tejto teórie je psychická porucha relatívne stabilným emergentným stavom, ktorý vzniká výraznými, opakujúcimi sa interakciami kauzálne prepojených symptómov. Článok adresuje otázku, ako môžu modely vychádzajúce zo sieťovej teórie pomôcť pochopiť etiopatogenézu psychických porúch a adresovať klinickú intervenciu. V závere sú načrtnuté limity a výzvy pre budúcnosť sieťovej teórie v psychológii.

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Chronic diseases and social risk factors in relation to specific symptoms of depression: Evidence from the U.S. national health and nutrition examination surveys

Abstract: Author statement: MJ created the study design and carried out the statistical analysis. All authors participated in preparation of the manuscript.

Cited by 26 publications

References 37 publications

Association of depressive symptoms with health care utilization in older adults: Longitudinal evidence from the Survey of Health, Aging, and Retirement in Europe

Association of depressive symptoms with health care utilization in older adults: Longitudinal evidence from the Survey of Health, Aging, and Retirement in Europe

Direction of Dependence Between Specific Symptoms of Depression: A Non-Gaussian Approach

Duševné zdravie ako komplexný dynamický systém: sieťový prístup k psychopatológii

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