Functioning and Well-being Outcomes of Patients With Depression Compared With Chronic General Medical Illnesses

Hays, Ron D.; Wells, Kenneth B.; Sherbourne, Cathy D.; Rogers, William H.; Spritzer, Karen

doi:10.1001/archpsyc.1995.03950130011002

Cited by 765 publications

(432 citation statements)

References 27 publications

Supporting

Mentioning

381

Contrasting

Unclassified

Order By: Relevance

“…The results of the present study concerning social adjustment are at variance with previous findings showing various levels of impairment of social adjustment in affective disorder patients [7,17,20,[40][41][42][43]. In those studies, however, the areas of impairment were not the same between BP and UP patients, the impairment was not always apparent in BP patients, and was dependent on the severity of the disease [17,40].…”

Section: Discussioncontrasting

confidence: 97%

Self-esteem, social adjustment and suicidality in affective disorders

et al. 2002

View full text Add to dashboard Cite

Summary -Self-esteem (SE) and social adjustment (SA) are often impaired during the course of affective disorders; this impairment is associated with suicidal behaviour. The aim of the present study was to investigate SE and SA in unipolar or bipolar patients in relation to demographic and clinical characteristics, especially the presence of suicidality (ideation and/or attempt). Forty-four patients, 28 bipolar and 16 unipolar, in remission for at least 3 months, and 50 healthy individuals were examined through a structured clinical interview. SE and SA were assessed by the Rosenberg self-esteem scale and the social adjustment scale, respectively. The results have shown that bipolar patients did not differ from controls in terms of SE, while unipolar patients had lower SE than bipolars and controls. No significant differences in the mean SA scores were found between the three groups. Suicidality during depression was associated only in bipolar patients with lower SE at remission; similar but not as pronounced was the association of suicidality with SA. It is concluded that low SE lasting into remission seems to be related to the expression of suicidality during depressive episodes of bipolar patients, while no similar pattern is evident in unipolar patients.

show abstract

Section: Discussioncontrasting

confidence: 97%

Self-esteem, social adjustment and suicidality in affective disorders

et al. 2002

View full text Add to dashboard Cite

show abstract

“…Chronic MDD is common, with a lifetime prevalence of ~5% in the general population; around 20-30% of acutely depressed individuals typically go on to develop a chronic disease course (1,2). Chronic MDD is distinguished from acute MDD by an earlier onset (1), increased comorbidity with axis 1 disorders (1,3,4), higher rates of personality disorders (5), higher rates of childhood trauma (6), greater suicidality (7) and functional impairment (1,8), higher rates of mood disorders in relatives (9,10), and worse treatment outcome (11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Pericardial adipose tissue and the metabolic syndrome is increased in patients with chronic major depressive disorder compared to acute depression and controls

Kahl

Herrmann

Stubbs

et al. 2017

Progress in Neuro-Psychopharmacology and Biological Psychiatry

View full text Add to dashboard Cite

“…Patients with depression usually report deficits in social functioning in addition to depressive symptoms (Hirschfeld et al 2000). These impairments are often long-lasting and are equal to or exceed those of chronic medical illnesses such as myocardial infarction and diabetes (Hays et al 1995). Impairments in social functioning in depression contribute strongly to the increased burden of depression (Greenberg et al 2003;Eaton et al 2008) and predict depressive relapse and recurrences (e.g.…”

Section: Introductionmentioning

confidence: 99%

The effect of psychotherapy for depression on improvements in social functioning: a meta-analysis

Renner

Cuijpers²,

Huibers

2014

Psychol. Med.

View full text Add to dashboard Cite

Background. Patients with depression often report impairments in social functioning. From a patient perspective, improvements in social functioning might be an important outcome in psychotherapy for depression. Therefore, it is important to examine the effects of psychotherapy on social functioning in patients with depression.Method. We conducted a meta-analysis on studies of psychotherapy for depression that reported results for social functioning at post-treatment. Only studies that compared psychotherapy to a control condition were included (31 studies with 2956 patients).Results. The effect size of psychotherapy on social functioning was small to moderate, before [Hedges' g = 0.46, 95% confidence interval (CI) 0.32-0.60] and after adjusting for publication bias (g = 0.40, 95% CI 0.25-0.55). Univariate moderator analyses revealed that studies using care as usual as a control group versus other control groups yielded lower effect sizes, whereas studies conducted in the USA versus other countries and studies that used clinician-rated instruments versus self-report yielded higher effect sizes. Higher quality studies yielded lower effect sizes whereas the number of treatment sessions and the effect size of depressive symptoms were positively related to the effect size of social functioning. When controlling for these and additional characteristics simultaneously in multivariate meta-regression, the effect size of depressive symptoms, treatment format and number of sessions were significant predictors. The effect size of social functioning remained marginally significant, indicating that improvements in social functioning are not fully explained by improvements in depressive symptoms.Conclusions. Psychotherapy for depression results in small to moderate improvements in social functioning. These improvements are strongly associated with, but not fully explained by, improvements in depressive symptoms.

show abstract

Functioning and Well-being Outcomes of Patients With Depression Compared With Chronic General Medical Illnesses

Abstract: Depressed patients have substantial and long-lasting decrements in multiple domains of functioning and well-being that equal or exceed those of patients with chronic medical illnesses.

Cited by 765 publications

References 27 publications

Self-esteem, social adjustment and suicidality in affective disorders

Self-esteem, social adjustment and suicidality in affective disorders

Pericardial adipose tissue and the metabolic syndrome is increased in patients with chronic major depressive disorder compared to acute depression and controls

The effect of psychotherapy for depression on improvements in social functioning: a meta-analysis

Contact Info

Product

Resources

About