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Sample records for factors influencing depression

  1. Consumers with Major Depressive Disorder: Factors Influencing Job Placement

    Science.gov (United States)

    Hergenrather, Kenneth C.; Haase, Eileen; Zeglin, Robert J.; Rhodes, Scott D.

    2013-01-01

    The theory of planned behavior (TPB) was applied to study the factors that influence the intention of public rehabilitation placement professionals to place consumers with major depressive disorder (MDD) in jobs. A sample of 108 public rehabilitation placement professionals in the Mid-Atlantic region of the United States completed the MDD…

  2. Consumers with Major Depressive Disorder: Factors Influencing Job Placement

    Science.gov (United States)

    Hergenrather, Kenneth C.; Haase, Eileen; Zeglin, Robert J.; Rhodes, Scott D.

    2013-01-01

    The theory of planned behavior (TPB) was applied to study the factors that influence the intention of public rehabilitation placement professionals to place consumers with major depressive disorder (MDD) in jobs. A sample of 108 public rehabilitation placement professionals in the Mid-Atlantic region of the United States completed the MDD…

  3. Factors Influencing Depression Endpoints Research (FINDER: baseline results of Italian patients with depression

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    Grassi Luigi

    2009-05-01

    Full Text Available Abstract Background Factors Influencing Depression Endpoints Research (FINDER is a 6-month, prospective, observational study carried out in 12 European countries aimed at investigating health-related quality of life (HRQoL in outpatients receiving pharmacological treatment for a first or new depressive episode. Baseline characteristics of patients enrolled in Italy are presented. Methods All treatment decisions were at the discretion of the investigator. Data were collected at baseline and after 3 and 6 months of treatment. Baseline evaluations included demographics, medical and psychiatric history, and medications used in the last 24 months and prescribed at enrolment. The Hospital Anxiety and Depression Scale (HADS, was adopted to evaluate depressive symptoms, while somatic and painful physical symptoms were assessed by using the Somatic Symptom Inventory (SSI and a 0 to 100 mm visual analogue scale (VAS, HRQoL via 36-item Short Form Health Survey (SF-36, and the European Quality of Life 5-Dimensions (EQ-5D instrument. Results A total of 513 patients were recruited across 38 sites. The mean ± standard deviation (SD age at first depressive episode was 38.7 ± 15.9 years, the mean duration of depression 10.6 ± 12.3 years. The most common psychiatric comorbidities in the previous 24 months were anxiety/panic (72.6% and obsessive/compulsive disorders (13.4%, while 35.9% had functional somatic syndromes. Most patients (65.1% reported pain from any cause. Monotherapy with selective serotonin reuptake inhibitors (SSRIs and tricyclic antidepressants (TCAs was prescribed at enrolment in 64.5% and 6.4% of the cases, respectively. The most commonly prescribed agents were sertraline (17.3%, escitalopram (16.2%, venlaflaxine (15.6% and paroxetine (14.8%. The mean HADS subscores for depression and anxiety were 13.3 ± 4.2 and 12.2 ± 3.9, respectively; 76.4% of patients could be defined as being 'probable cases' for depression and 66.2% for anxiety. The

  4. Introducing a nursing guideline on depression in dementia: A multiple case study on influencing factors

    NARCIS (Netherlands)

    Jessika Ouwerkerk; Anneke Francke; prof Berno van Meijel; Miel Ribbe; Josien Bensing; Renate Verkaik

    2011-01-01

    Successfully introducing care innovations depends on the type of care setting, the intervention and specific circumstances. In this study the factors influencing the introduction of an evidence based nursing guideline on depression in psychogeriatric nursing home residents were studied.

  5. Introducing a nursing guideline on depression in dementia: A multiple case study on influencing factors

    NARCIS (Netherlands)

    Verkaik, Renate; Francke, Anneke; Meijel, Berno van; Ouwerkerk, Jessika; Ribbe, Miel; Bensing, Josien

    2011-01-01

    Successfully introducing care innovations depends on the type of care setting, the intervention and specific circumstances. In this study the factors influencing the introduction of an evidence based nursing guideline on depression in psychogeriatric nursing home residents were studied.

  6. Depression and BMI influences the serum vascular endothelial growth factor level

    DEFF Research Database (Denmark)

    Elfving, Betina; Buttenschøn, Henriette N; Foldager, Leslie

    2014-01-01

    in serum by immunoassay and independent determinants of the serum VEGF level were assessed by generalized linear models.The main findings were that depression, severity of depression, previous depressive episodes, age and body mass index (BMI) were associated with higher serum VEGF levels. The genetic...... marker rs10434 was significantly associated with depression after correction for multiple testing, but not with the serum VEGF level. Our final model included depression and BMI as predictors of serum VEGF levels. Our study suggests a role for circulating serum VEGF in depression. Furthermore, our data...... also demonstrate that other factors than a diagnosis of depression influence the serum VEGF level. The importance of these factors should be emphasized when studies are compared....

  7. Prevalence and factors influencing depression among elderly living in the urban poor locality of Bengaluru city

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    T V Sanjay

    2014-01-01

    Full Text Available Background: The Indian elderly population is currently the second largest in the world. Mental disorders have got high prevalence and low priority among elderly in most of the countries around the world, of which depression being the most common treatable condition. In India, there is scarcity of research on prevalence and factors influencing depression among elderly from urban poor locality by adopting a geriatric depression scale-15 (GDS-15 scale. Objectives: (1 To find out the prevalence of geriatric depression, (2 to find out the factors associated with depression. Methodology: A cross-sectional study was conducted at urban poor locality of Bengaluru on 100 elderly people by applying GDS-15 Kannada version to assess the prevalence of depression and information regarding the sociodemographic characteristics, financial status, and comorbid conditions were collected. Results: The prevalence of depression assessed by using GDS-15 Kannada version was found to be 36%. Depression was more among 12 (70.6% from medium standard of living index (SLI group compared to 24 (28.9% from high SLI group, which was shown to be statistically significant. Among the elderly with depression, 31 (86.1% had some medical comorbidities when compared with 33 (51.6% elderly without depression, which was found to be statistically significant. Conclusions: The current research has shown prevalence of depression according to GDS-15 (Kannada version as 36% and influenced by SLI, hold on assets, insomnia and comorbidities, which needs to be confirmed by undertaking further studies.

  8. The Factors Influencing Depression Endpoints Research (FINDER study: final results of Italian patients with depression

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    Quail Deborah

    2010-07-01

    Full Text Available Abstract Background Factors Influencing Depression Endpoints Research (FINDER is a 6-month, prospective, observational study carried out in 12 European countries aimed at investigating health-related quality of life (HRQoL in outpatients receiving treatment for a first or new depressive episode. The Italian HRQoL data at 6 months is described in this report, and the factors associated with HRQoL changes were determined. Methods Data were collected at baseline, 3 and 6 months of treatment. HRQoL was measured using components of the 36-item Short Form Health Survey (SF-36; mental component summary (MCS, physical component summary (PCS and the European Quality of Life-5 Dimensions (EQ-5D; visual analogue scale (VAS and health status index (HSI. The Hospital Anxiety and Depression Scale (HADS was adopted to evaluate depressive symptoms, while somatic and painful physical symptoms were assessed by using the 28-item Somatic Symptom Inventory (SSI-28 and a VAS. Results Of the initial 513 patients, 472 completed the 3-month observation and 466 the 6-month observation. The SF-36 and EQ-5D mean (± SD scores showed HRQoL improvements at 3 months and a further smaller improvement at 6 months, with the most positive effects for SF-36 MCS (baseline 22.0 ± 9.2, 3 months 34.6 ± 10.0; 6 months 39.3 ± 9.5 and EQ-5D HSI (baseline 0.4 ± 0.3; 3 months 0.7 ± 0.3; 6 months 0.7 ± 0.2. Depression and anxiety symptoms (HADS-D mean at baseline 13.3 ± 4.2; HADS-A mean at baseline 12.2 ± 3.9 consistently decreased during the first 3 months (8.7 ± 4.3; 7.5 ± 3.6 and showed a further positive change at 6 months (6.9 ± 4.3; 5.8 ± 3.4. Somatic and painful symptoms (SSI and VAS significantly decreased, with the most positive changes in the SSI-28 somatic item (mean at baseline 2.4 ± 0.7; mean change at 3 months: -0.5; 95% CI -0.6 to -0.5; mean change at 6 months: -0.7; 95% CI -0.8 to -0.7; in 'interference of overall pain with daily activities' (mean at baseline 45

  9. Factors Influencing Depression and Anxiety among Black Sexual Minority Men

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    Louis F. Graham

    2011-01-01

    Full Text Available The primary aim of this study was to examine the relationships between depression and anxiety, and ethnic and sexual identity development, and discrimination and harassment (DH among Black sexual minority men. Additional aims were to determine whether an interaction effect existed between ethnic and sexual identity and whether coping skills level moderated these relationships. Using an observational cross-sectional design, 54 participants recruited through snowball sampling completed self-administered online surveys. Stepwise multiple regression analysis was used. Sixty-four percent of the variance in depression scores and 53% of the variance in anxiety scores were explained by DH and internalized homonegativity together. Thirty percent of the sample had scale scores indicating likelihood of depression and anxiety. Experience of DH and internalized homonegativity explained a large portion of the variability in depression and anxiety among Black sexual minority men. The study showed high prevalence of mental distress among this sample.

  10. Depression, anxiety and influencing factors in patients with acute pulmonary embolism

    Institute of Scientific and Technical Information of China (English)

    LIU Chun-ping; LI Xiao-mei; CHEN Hang-wei; CUI Jun-yu; NIU Li-li; HE Yu-bin; TIAN Xin-li

    2011-01-01

    Background Psychological distress has been widely studied in many cardiovascular and pulmonary diseases, but the condition in acute pulmonary embolism (APE) is unknown. The purpose of this study was to investigate levels of depression and anxiety and their influencing factors in APE patients.Methods Sixty consecutive patients with APE were subjected to investigation of depression and anxiety by the Beck Depression Inventory and State-Trait Anxiety Inventory, and 60 community-based subjects were enrolled as controls.APE patients were stratified as high-risk, intermediate-risk and low-risk according to the disease severity. Scores of depression and anxiety were compared by statistical analysis using paired t tests between APE patients and controls,and by analysis of variance within the APE patients with the three risk stratification. Factors influencing depression and anxiety were evaluated.Results The mean age of the patients (38 males and 22 females) was (52+12) years. APE patients displayed higher scores of depression (P=0.04) and anxiety (P=0.001) compared with controls. Patients in the high-risk group displayed higher scores of depression (P=0.004) and anxiety (P=0.001) compared with those in the intermediate- and low-risk groups. Depression scores were highly correlated with anxiety scores (r=0.60, P <0.001). Both depression and anxiety inversely related to risk stratification (P <0.01), age (P <0.05), and arterial blood oxygen pressure (PaO2) (P <0.05).Linear regression analysis showed that PaO2 was independently inversely related to both depression (P <0.01) and anxiety (P <0.05); risk stratification and age were independently inversely related to anxiety (P <0.05).Conclusions Patients of APE suffered high levels of depression and anxiety, which were negatively influenced by PaO2,risk stratification and age.

  11. Prevalence of and factors influencing postnatal depression in a rural community in South Africa

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    Ethelwynn L. Stellenberg

    2015-02-01

    Full Text Available Background: Knowledge about postnatal depression (PND and associated risk factors whichin fluence the development of PND is vital for early detection, intervention and prevention.Setting: The study was conducted in primary health care clinics (PHC in the Witzenberg subdistrict, a rural community in South Africa.Objectives: Objectives of this study were to determine the prevalence of PND and to identify the contributing risk factors associated with PND.Methods: A descriptive cross sectional research design with a quantitative approach was applied. The target population was mothers, 18 years and older. A convenience sampling method was used to select a sample of 159 (10% from a population of 1605 live births. Th eEdinburgh Postnatal Depression Scale (EPDS and Beck Depression Inventory (BDI, two validated self-rating questionnaires, including a questionnaire based on demographical, psychosocial and obstetrical data, were applied. The data was analysed using various statistical tests to determine statistical associations between variables using a 95% confidence interval.Results: PND was a serious health problem with 50.3% of the mothers who suffered from PND. A BDI analysis showed that of the participants who had PND, 28.8% was severe, 48.8% moderate and 22.5% mild. Factors influencing the development of PND included most participants (63.5% were unmarried, 61.3% were unemployed and the majority (53.8% had a history of a psychiatric illness. Significant associations between PND and unplanned and unwelcome babies (p < 0.01; partner relationship (p < 0.01; were identified.Conclusion: Prevention, early detection, appropriate referral and treatment of PND are critical in managing maternal, child and family well-being.

  12. The brain derived neurotrophic factor and influences of stress in depression.

    Science.gov (United States)

    Kimpton, Jessica

    2012-09-01

    Brain derived neurotrophic factor (BDNF) is a member of the neurotrophin family and is widely expressed throughout the central nervous system (CNS). BDNF is involved in proliferation, differentiation, survival and death of neuronal and non-neuronal cells in the developing and adult CNS. The BDNF hypothesis of depression postulates that a reduction in BDNF is directly involved in the pathophysiology of depression, whilst anti-depressant mediated restoration of BDNF is responsible for the alleviation of the depressive state. This hypothesis is drawn from several studies implicating BDNF in depression and has received considerable support, which will be reviewed in this paper. This review will also discuss the implications of the functional Val66Met polymorphism of the gene encoding BDNF, which may reduce BDNF expression particularly when exposed to stress and thus may play a critical role in the pathogenesis of depression.

  13. Factors Influencing Risk of Premature Mortality in Community Cases of Depression: A Meta-Analytic Review

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    Amanda J. Baxter

    2011-01-01

    Full Text Available Background. Depressive disorders are associated with substantial risk of premature mortality. A number of factors may contribute to reported risk estimates, making it difficult to determine actual risk of excess mortality in community cases of depression. The aim of this study is to conduct a systematic review and meta-analysis of excess mortality in population-based studies of clinically defined depression. Methods. Population-based studies reporting all-cause mortality associated with a clinically defined depressive disorder were included in the systematic review. Estimates of relative risk for excess mortality in population-representative cases of clinical depressive disorders were extracted. A meta-analysis was conducted using Stata to pool estimates of excess mortality and identify sources of heterogeneity within the data. Results. Twenty-one studies reporting risk of excess mortality in clinical depression were identified. A significantly higher risk of mortality was found for major depression (RR 1.92 95% CI 1.65–2.23, but no significant difference was found for dysthymia (RR 1.37 95% CI 0.93–2.00. Relative risk of excess mortality was not significantly different following the adjustment of reported risk estimates. Conclusion. A mortality gradient was identified with increasing severity of clinical depression. Recognition of depressive symptoms in general practice and appropriate referral for evidence-based treatment may help improve outcomes, particularly in patients with comorbid physical disorders.

  14. The Depression Initiative. Description of a collaborative care model for depression and of the factors influencing its implementation in the primary care setting in the Netherlands

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    Fransina J. de Jong

    2009-06-01

    Full Text Available Background: In the Depression Initiative, a promising collaborative care model for depression that was developed in the US was adapted for implementation in the Netherlands. Aim: Description of a collaborative care model for major depressive disorder (MDD and of the factors influencing its implementation in the primary care setting in the Netherlands. Data sources: Data collected during the preparation phase of the CC:DIP trial of the Depression Initiative, literature, policy documents, information sheets from professional associations. Results: Factors facilitating the implementation of the collaborative care model are continuous supervision of the care managers by the consultant psychiatrist and the trainers, a supportive web-based tracking system and the new reimbursement system that allows for introduction of a mental health care-practice nurse (MHC-PN in the general practices and coverage of the treatment costs. Impeding factors might be the relatively high percentage of solo-primary care practices, the small percentage of professionals that are located in the same building, unfamiliarity with the concept of collaboration as required for collaborative care, the reimbursement system that demands regular negotiations between each health care provider and the insurance companies and the reluctance general practitioners might feel to expand their responsibility for their depressed patients. Conclusion: Implementation of the collaborative care model in the Netherlands requires extensive training and supervision on micro level, facilitation of reimbursement on meso- and macro level and structural effort to change the treatment culture for chronic mental disorders in the primary care setting.

  15. Genetic factors influence the clustering of depression among individuals with lower socioeconomic status

    NARCIS (Netherlands)

    S. López León (Sandra); W.C. Choy (Wing Chi); Y.S. Aulchenko (Yurii); S. Claes (Stephan); B.A. Oostra (Ben); J.P. Mackenbach (Johan); C.M. van Duijn (Cock); A.C.J.W. Janssens (Cécile)

    2009-01-01

    textabstractObjective: To investigate the extent to which shared genetic factors can explain the clustering of depression among individuals with lower socioeconomic status, and to examine if neuroticism or intelligence are involved in these pathways. Methods: In total 2,383 participants (1,028 men a

  16. Comparison of musculoskeletal pain between depressed and non-depressed industrial workers and investigation of its influencing factors

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    A.R. Davoudian Talab

    2015-12-01

      Conclusion: The higher score of depression among workerswith musculoskeletal pain can be due to failure in pain relief achievement. Psychological problemsthatoccurfollowingchronicpainarerelated to continuous discomfort, frustration and thinking about the pain. This situation causes the feelings of inadequacy and inefficiency and consequently the increase ofprobability of depression.

  17. Depression Treatment Among Rural Older Adults: Preferences and Factors Influencing Future Service Use.

    Science.gov (United States)

    Kitchen, Katherine A; McKibbin, Christine L; Wykes, Thomas L; Lee, Aaron A; Carrico, Catherine P; McConnell, Katelynn A

    2013-01-01

    The purpose of this study was to investigate depression treatment preferences and anticipated service use in a sample of adults aged 55 years or older who reside in rural Wyoming. Sixteen participants (mean age = 59) completed 30- to 60-minute, semi-structured interviews. Qualitative methods were used to characterize common themes. Social/provider support and community gatekeepers were perceived by participants as important potential facilitators for seeking depression treatment. In contrast, perceived stigma and the value placed on self-sufficiency emerged as key barriers to seeking treatment for depression in this rural, young-old sample. Participants anticipated presenting for treatment in the primary care sector and preferred a combination of medication and psychotherapy for treatment. Participants were, however, more willing to see mental health professionals if they were first referred by a clergy member or primary care physician.

  18. Prevalence rate and influencing factors of preoperative anxiety and depression in gastric cancer patients in China:A preliminary study

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Objective:We aimed to investigate the prevalence of, and factors inlfuencing, preoperative anxiety and depression in gastric cancer patients.Methods: We enrolled 53 gastric cancer patients from FujianMedical University Union Hospital, who were diagnosed by gastroscopy and would accept laparoscopic surgery. Each participant completed questionnaires to assess their anxiety and depression, coping modes, social support, type D personality and the values of Neutrophil to Lymphocyte Ratio (NLR).Results:The prevalence rate of preoperative anxiety and depression was 20.75% in the 53 gastric cancer patients. The factors were resigned dimensions of coping style, type D personality, NLR. There were no significant differences in confrontive and avoidant dimensions of coping mode and social support. Conclusion:The prevalence of preoperative anxiety and depression in gastric cancer patients is still high, and inlfuenced by the coping mode, type D personality and NLR.

  19. [Influence between early maladaptive schemas and depression].

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    Cormier, A; Jourda, B; Laros, C; Walburg, V; Callahan, S

    2011-09-01

    Early maladaptive schemas developed during childhood are relatively stable. Once activated, these early maladaptive schemas could influence reality perceptions and create cognitive distortions. Previous studies showed that early maladaptive schemas are linked to depression: early maladaptive schemas could be a risk factor for depression (Young, 2001) and a vulnerability marker for depression (Dozoïs, 2007). The main objective of the present study was to explore the influence of early maladaptive schemas on depression severity among a French adult population. One hundred and sixty-two participants (mean age 29 years; SD=13.86) were enrolled, 66 men (mean age 29 years; SD=13.65) and 106 women (mean age 30; SD=14.07). Participants were invited to complete the Young Schema Questionnaire, short version (YSQ-S1-Young 1994) and the Beck depression Inventory, 2nd version (BDI-II-Beck 1994). Fifty-six participants were randomly selected to complete a paper version of the scales, and 95 participants completed an online electronic version. Fifty-two percent of the participants were not depressed, 15% slightly depressed, 17% moderately depressed and 16% met criteria of severe depression. All 15 schemas scores were positively correlated to depression scores. Comparing schema scores and depression severity it can be noted that for severely depressed participants all schema scores were significantly higher, and six of 15 schemas were significantly higher in the case of moderate depression. In addition, three schemas (imperfection, vulnerability, fusional relation) are significantly and positively linked to depression scores, whereas one schema (everything is owed to me) appears to be a significantly negative predictor of associated depression. This study confirms results of previous research concerning the link between early maladaptive schemas and depression. What is more, the results show that the importance of these schemas increases with depression severity. The most

  20. The Relative Influence of Childhood Sexual Abuse and Other Family Background Risk Factors on Adult Adversities in Female Outpatients Treated for Anxiety Disorders and Depression

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    Peleikis, Dawn E.; Mykletun, Arnstein; Dahl, Alv A.

    2004-01-01

    Objective: This study from Norway examines the relative influence of child sexual abuse (CSA) and family background risk factors (FBRF) on the risk for current mental disorders and the quality of current intimate relationships in women with CSA treated for anxiety disorders and/or depression. Women with these disorders frequently seek treatment,…

  1. An Analysis of the Influence of Selected Genetic and Hormonal Factors on the Occurrence of Depressive Symptoms in Late-Reproductive-Age Women

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    Anna Jurczak

    2015-03-01

    Full Text Available Background: The aim of this study was to analyze the influence of genetic and hormonal factors on incidences of depressive symptoms in late-reproductive-age women. Methods: The study was performed using the Beck Depression Inventory, the PCR, and genetic tests of 347 healthy late-reproductive-age Polish women. Results: The relationship between the level of anti-Müllerian hormone (AMH and depressive symptoms was not statistically significant (p > 0.05. Increases in age and FSH levels were accompanied by a decrease in AMH level in a significant way (p < 0.05. There were no statistically significant relationships between the distribution of genotypes and the frequency of alleles of the investigated polymorphisms and depressive symptoms according to the Beck Depression Inventory. Conclusions: (1 The presence of the s/s genotype of the 5-HTTLPR polymorphism in the serotonin transporter promoter region and the 3/3 genotype of the 30-bp VNTR polymorphism in the monoamine oxidase A promoter region does not contribute to the development of depressive symptoms in late-reproductive-age women. (2 A relationship between the level of anti-Müllerian hormone and depressive symptoms was not confirmed in the group of healthy late-reproductive-age women. (3 AMH level correlates negatively with FSH level and age, which confirms that AMH can be regarded as a factor reflecting the ovarian reserve.

  2. An Analysis of the Influence of Selected Genetic and Hormonal Factors on the Occurrence of Depressive Symptoms in Late-Reproductive-Age Women

    Science.gov (United States)

    Jurczak, Anna; Szkup, Małgorzata; Samochowiec, Agnieszka; Grzywacz, Anna; Samochowiec, Jerzy; Karakiewicz, Beata; Dołęgowska, Barbara; Grochans, Elżbieta

    2015-01-01

    Background: The aim of this study was to analyze the influence of genetic and hormonal factors on incidences of depressive symptoms in late-reproductive-age women. Methods: The study was performed using the Beck Depression Inventory, the PCR, and genetic tests of 347 healthy late-reproductive-age Polish women. Results: The relationship between the level of anti-Müllerian hormone (AMH) and depressive symptoms was not statistically significant (p > 0.05). Increases in age and FSH levels were accompanied by a decrease in AMH level in a significant way (p < 0.05). There were no statistically significant relationships between the distribution of genotypes and the frequency of alleles of the investigated polymorphisms and depressive symptoms according to the Beck Depression Inventory. Conclusions: (1) The presence of the s/s genotype of the 5-HTTLPR polymorphism in the serotonin transporter promoter region and the 3/3 genotype of the 30-bp VNTR polymorphism in the monoamine oxidase A promoter region does not contribute to the development of depressive symptoms in late-reproductive-age women. (2) A relationship between the level of anti-Müllerian hormone and depressive symptoms was not confirmed in the group of healthy late-reproductive-age women. (3) AMH level correlates negatively with FSH level and age, which confirms that AMH can be regarded as a factor reflecting the ovarian reserve. PMID:25826396

  3. Identifying and prioritizing different factors influencing the success of advertisement during the economic depression

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    Aram Rashidi

    2014-04-01

    Full Text Available During the financial crisis of 2007, many businesses and banks faced unexpected circumstances and declared bankruptcy. Market mortgage crisis and the collapse of the economic system in United States created a substantial amount of damage in world economy. Within a few years, the economic downturn was transferred to developing countries such as Iran. The recession has created conditions for Iranian companies that have led them to focus more on the subject of advertising since this is the primary tool of communication and business customers business. Success and failure of many organizations and companies depend on their advertisement planning. In this study, the factors contributing to the success and effectiveness of advertising during the recession time are identified. This survey has been accomplished on investigating an Iranian dairy firm named “Kalle”. Using a questionnaire in Likert scale, the study determines the effects of various factors of advertisement on sales improvement in this firm using Pearson correlation ratio and rank them based on Freedman test. Cronbach alpha has been calculated as 0.93. According to the results, factors that contribute to the success of advertising during a recession include: Responsiveness to customers’ needs, advertising tools, content factors, the amount of money spent and availability.

  4. The Heterogeneity and Its Influencing Factors of Soil Nutrients in Peak-Cluster Depression Areas of Karst Region

    Institute of Scientific and Technical Information of China (English)

    ZHANG Wei; CHEN Hong-song; WANG Ke-lin; SU Yi-rong; ZHANG Ji-guang; YI Ai-jun

    2007-01-01

    By selecting a typical peak-cluster depression area of karst region in Southwest China, we evaluated the effect of land use types and topographic factors on soil nutrients. Grid and line sampling methods were used to sample soil in depression and slope lands respectively, and classical statistical tools were applied to analyze the spatial variability character of soil organic carbon (SOC), total nitrogen (TN), total phosphorus (TP), total potassium (TK), available nitrogen (AN), available phosphorus (AP), available potassium (AK), pH, and C/N. It was found that land use type was the dominant factor that effected the spatial heterogeneity of SOC, TN, TP, TK, AN, and AP. The content of SOC, TN, and AN decreased with the increase of land use intensity. Due to high fertilizer input, TP and AP in tillage fields were higher than those in the other land use types. TK had no obvious change trend among various land use types. Topographic factors had a significant effect on SOC, TN, TP, AN, AP, AK, and pH. Habitat factor was the dominant factor that effected AK. Altitude factor was the dominant factor for pH. However, all of these factors had no significant effect on C/N. Tillage practice had important effect on soil nutrients loss and soil degradation in the fragile karst ecosystem, and the input of organic manure should be increased in this region.

  5. The influence of patient, caregiver, and family factors on symptoms of anxiety and depression in children and adolescents with intractable epilepsy.

    Science.gov (United States)

    Puka, Klajdi; Widjaja, Elysa; Smith, Mary Lou

    2017-02-01

    The objective was to evaluate the association of caregiver and family factors with symptoms of anxiety and depression in children and adolescents with medically refractory localization-related epilepsy (i.e., failed at least two epilepsy medications). Forty-four children (ages 6-11years) and 65 adolescents (ages 12-18years) and their parents participated in this multicentered, observational, cross-sectional study. Univariable and multivariable linear regressions were used to evaluate the influence of multiple patient, caregiver, and family characteristics on self-reported symptoms of anxiety and depression in the children and adolescents. Among children, depressive symptoms were associated with a lower proportion of life with seizures (β=.344, p=.022), caregiver depression (β=.462, p=.002), poorer family relationships (β=.384, p=.010), and poorer family mastery and social support (β=.337, p=.025); in multivariable analysis, proportion of life with epilepsy and parental depression remained significant. No significant predictors of anxiety were found among children. Among adolescents, depressive symptoms were associated with caregiver unemployment (β=.345, p=.005) and anxiety (β=.359, p=.003), low household income (β=.321, p=.012), poorer family mastery and social support (β=.334, p=.007), and greater family demands (β=.326, p=.008); in multivariable analysis, caregiver unemployment and anxiety remained significant. Greater anxiety symptoms among adolescents were associated with females (β=.320, p=.009) and caregiver depression (β=.246, p=.048) and anxiety (β=.392, p=.001) and poorer family mastery and social support (β=.247, p=.047); in multivariable analysis, female sex and caregiver anxiety remained significant. These findings highlight the central role of caregiver psychopathology, which is amenable to intervention, on children and adolescents' symptoms of anxiety and depression. Addressing caregiver psychopathology may improve children and

  6. Evolution Characteristics and Influence Factors of Deep Groundwater Depression Cone in North China Plain, China--A Case Study in Cangzhou Region

    Institute of Scientific and Technical Information of China (English)

    Yasong Li; Fawang Zhang; Zhantao Han; Ping Wang; Honghan Chen; Zhaoji Zhang

    2014-01-01

    The North China Plain (NCP) is one of the global hotspots of groundwater depletion, groundwater is almost the only source of water for agricultural, industrial and drinking water in this region. After long-term’s over-exploitation of deep groundwater, there appeared several deep ground-water depression cones, such as Cangzhou cone, Dezhou cone, Hengshui cone, Tianjin cone, etc., in which the Cangzhou cone is one of the typical cones for its special geography and hydrogeology condi-tions. In this study, the authors intended to analyze the evolution characteristics and influence factors of deep groundwater depression cone in Cangzhou region, especially the No. III aquifer depression cone, which is the main exploitation zone in this region. Analysis of the evolution of the groundwater depres-sion cone of the No. III aquifer group in Cangzhou region showed that this process can be divided into four stages, namely, development, stable development, rapid expansion, and gradual recovery. The shape and evolution characteristics of the depression cone at different stages are described by analyzing the evolution of the -30, -40, and -50 contours of the groundwater table, for example the closed area of water table contour of -50 m has been enlarged from 95 km2 in 1985 to 6 528.5 km2in 2005. The dominant factors that affect the evolution characteristics at different stages are proposed. The results showed that relatively long dry periods with less precipitation, special geological and hydrogeological conditions, and sharply increased water consumption for industrial and agricultural development are the main factors that cause the formation of deep groundwater depression cones. Meanwhile, an environmental response against groundwater exploitation is presented, and rational solutions are suggested to avert water crisis.

  7. Path analysis on the influencing factors of depression among college freshmen%大学新生抑郁状态影响因素路径分析

    Institute of Scientific and Technical Information of China (English)

    余毅震; 秦泰然; 孙琳; 刘卓娅; 张萍

    2011-01-01

    Objective To study the influencing factors of depression among college freshmen and the relationship between these factors.Methods A total of 1 247 freshmen were drawn from some colleges of one university located in Wuhan urban area by cluster sampling. Depression,personality and parents' rearing pattern of freshmen were assessed by using Zung's Self-rating Depression Scale, Eysonck Personality Questionnaire and Egma Minnen av Bardndosnauppforstran. The path analysis was employed to analyze the influence factors of depression of those participants. Results Personality characteristics such as psychoticism, neuroticism and extraversion had direct impact on depression of freshmen. Parents' rearing pattern such as father's punishment and over protection, mother's warm care or understanding, refusal and denial, favor and whether single child or not had indirect effect on depression of freshmen. Conclusion Depression among college freshmen is closely related with personality and parents' rearing styles, and should be prevented and treated with comprehonsive measures early.%目的 探讨大学新生抑郁状态影响因素及各因素之间的相互影响,为预防和干预工作提供参考.方法 整群抽取武汉某高校一年级新生1 247名,采用抑郁自评量表、艾森克人格问卷、父母教育方式问卷等进行调查,对影响大学新生抑郁状态的可能因素进行路径分析.结果 大学新生人格因素中的精神质、神经质和内外向性直接影响抑郁状态,父母教育方式(父亲惩罚严厉、父亲过度保护、母亲情感温暖、母亲拒绝否认、母亲偏爱被试)和是否独生子女则间接影响抑郁状态.结论 大学新生抑郁情绪与人格特质和家庭养育方式密切相关,应针对具体原因及早进行综合干预.

  8. Estrogen May Influence Women's Depression Risk

    Science.gov (United States)

    ... news/fullstory_167353.html Estrogen May Influence Women's Depression Risk Early menstruation, more frequent periods seem to ... reproductive years may have a lower risk of depression, a new study finds. Previous research has suggested ...

  9. No influence of brain-derived neurotrophic factor (BDNF) polymorphisms on treatment response in a naturalistic sample of patients with major depression.

    Science.gov (United States)

    Musil, Richard; Zill, Peter; Seemüller, Florian; Bondy, Brigitta; Obermeier, Michael; Spellmann, Ilja; Bender, Wolfram; Adli, Mazda; Heuser, Isabella; Zeiler, Joachim; Gaebel, Wolfgang; Maier, Wolfgang; Rietschel, Marcella; Rujescu, Dan; Schennach, Rebecca; Möller, Hans-Jürgen; Riedel, Michael

    2013-08-01

    The role of the brain-derived neurotrophic factor (BDNF) in the pathophysiology of major depressive disorder (MDD) remains to be elucidated. Recent post hoc analyses indicated a potential association of three polymorphisms in the BDNF gene with worse treatment outcome in patients with the subtype of melancholic depression. We aimed at replicating these findings in a German naturalistic multicenter follow-up. Three polymorphisms in the BDNF gene (rs7103411, rs6265 (Val66Met) and rs7124442) were genotyped in 324 patients with MDD and 470 healthy controls. We applied univariate tests and logistic regression models stratifying for depression subtype and gender. The three polymorphisms were not associated with MDD as diagnosis. Further, no associations were found in univariate tests. With logistic regression, we only found a tendency towards an association of the rs6265 (Val66Met) polymorphism with overall response to treatment (response rates: GG (val/val) < GA (val/met) < AA (met/met); p = 0.0129) and some gender differences for the rs6265 (Val66Met) and rs7103411 polymorphisms. Treatment outcome stratified for subtypes of depression did not differ significantly between the investigated polymorphisms or using haplotype analyses. However, results showed a tendency towards significance. At this stage, we cannot support an influence of these three polymorphisms. Further studies in larger patient samples to increase sample sizes of subgroups are warranted.

  10. Risk factors for antenatal depression, postnatal depression and parenting stress

    Directory of Open Access Journals (Sweden)

    Milgrom Jeannette

    2008-04-01

    Full Text Available Abstract Background Given that the prevalence of antenatal and postnatal depression is high, with estimates around 13%, and the consequences serious, efforts have been made to identify risk factors to assist in prevention, identification and treatment. Most risk factors associated with postnatal depression have been well researched, whereas predictors of antenatal depression have been less researched. Risk factors associated with early parenting stress have not been widely researched, despite the strong link with depression. The aim of this study was to further elucidate which of some previously identified risk factors are most predictive of three outcome measures: antenatal depression, postnatal depression and parenting stress and to examine the relationship between them. Methods Primipara and multiparae women were recruited antenatally from two major hoitals as part of the beyondblue National Postnatal Depression Program 1. In this subsidiary study, 367 women completed an additional large battery of validated questionnaires to identify risk factors in the antenatal period at 26–32 weeks gestation. A subsample of these women (N = 161 also completed questionnaires at 10–12 weeks postnatally. Depression level was measured by the Beck Depression Inventory (BDI. Results Regression analyses identified significant risk factors for the three outcome measures. (1. Significant predictors for antenatal depression: low self-esteem, antenatal anxiety, low social support, negative cognitive style, major life events, low income and history of abuse. (2. Significant predictors for postnatal depression: antenatal depression and a history of depression while also controlling for concurrent parenting stress, which was a significant variable. Antenatal depression was identified as a mediator between seven of the risk factors and postnatal depression. (3. Postnatal depression was the only significant predictor for parenting stress and also acted as a mediator

  11. Risk factors for antenatal depression, postnatal depression and parenting stress.

    Science.gov (United States)

    Leigh, Bronwyn; Milgrom, Jeannette

    2008-04-16

    Given that the prevalence of antenatal and postnatal depression is high, with estimates around 13%, and the consequences serious, efforts have been made to identify risk factors to assist in prevention, identification and treatment. Most risk factors associated with postnatal depression have been well researched, whereas predictors of antenatal depression have been less researched. Risk factors associated with early parenting stress have not been widely researched, despite the strong link with depression. The aim of this study was to further elucidate which of some previously identified risk factors are most predictive of three outcome measures: antenatal depression, postnatal depression and parenting stress and to examine the relationship between them. Primipara and multiparae women were recruited antenatally from two major hoitals as part of the beyondblue National Postnatal Depression Program 1. In this subsidiary study, 367 women completed an additional large battery of validated questionnaires to identify risk factors in the antenatal period at 26-32 weeks gestation. A subsample of these women (N = 161) also completed questionnaires at 10-12 weeks postnatally. Depression level was measured by the Beck Depression Inventory (BDI). Regression analyses identified significant risk factors for the three outcome measures. (1). Significant predictors for antenatal depression: low self-esteem, antenatal anxiety, low social support, negative cognitive style, major life events, low income and history of abuse. (2). Significant predictors for postnatal depression: antenatal depression and a history of depression while also controlling for concurrent parenting stress, which was a significant variable. Antenatal depression was identified as a mediator between seven of the risk factors and postnatal depression. (3). Postnatal depression was the only significant predictor for parenting stress and also acted as a mediator for other risk factors. Risk factor profiles for

  12. Influencing factors correlated with depression in somatoform disorders%躯体形式障碍伴发抑郁的影响因素

    Institute of Scientific and Technical Information of China (English)

    李武; 翟金国; 杨冬林; 胡春凤

    2013-01-01

    目的 探讨躯体形式障碍(SFD)伴发抑郁的影响因素.方法 采用自编的躯体症状报告单、Beck抑郁自评问卷(BDI)、认知情绪调节问卷(CERQ-C)、多伦多述情量表(TAS)对115例SFD患者进行评定.结果 纳入研究的109例SFD中,69例(SFD抑郁组)BDI总分≥14分,40例(SFD非抑郁组)BDI总分≤13分.SFD抑郁组CERQ-C不适应性策略总分[(46.83±7.58)比(41.35±9.32)]、TAS总分[(61.55±7.05)比(55.20±9.84)]均高于非抑郁组,差异有统计学意义(P<0.01).SFD抑郁组的认知功能、运动系统、疼痛、泌尿生殖系统症状及症状清单总分[(26.38±6.80)比(22.35±6.30)]显著高于非抑郁组,差异有统计学意义(P<0.05).以是否抑郁为因变量,对有关变量进行Lo-gistic回归分析,CERQ-C不适应性策略总分、性别、受教育年限依次进入方程.结论 SFD伴发抑郁较为常见,SFD抑郁组较非抑郁组存在更为严重的述情障碍与躯体化症状.SFD抑郁的发生与不适应性策略、性别及受教育年限等密切相关.%Objective To investigate the influencing factors correlated with depression in somatoform disorders (SFD). Methods A total of 115 SFD patients were assessed with a self—designed self-rating somatic symptom questionnaire, Beck Depression Inventory (BDI), the Chinese version of Cognitive Emotion Regulation Questionnaire (CERQ—C) and the twenty—item Toronto Scale (TAS). Results In 109 SFD completed the study, 69 patients (the SFD group with depression)had total BDI score over 14,and 40(the SFD group without depression) had total BDI score under 13. Compared with the SFD group without depression, the SFD group with depression showed significant higher total score of CERQ -C maladaptive strategies [(46. 83±7.58)vs ( 41.35 ± 9.32)] and TAS[(61. 55±7. 05)vs (55.20 ± 9. 84)] (P<0. 01). In somatic symptom questionnaire, SFD with depressive mood had significant higher score in cognitive function, locomotor system, pain, urinary and

  13. 产后抑郁现状及其影响因素调查分析%Postpartum depression status and the influencing factors analysis

    Institute of Scientific and Technical Information of China (English)

    刘慎梅; 胡艳芳

    2015-01-01

    Objective To study the incidence of postpartum depression in Changde city and its risk factors .Methods Totally 232 delivery women were surveyed by general information , obstetric characteristics questionnaire , anxiety and depression self rating scale , social support scale and Edinburgh postnatal depression scale .Results Score of postpartum depression was 13 .56 ± 3 .98 . Education ,family conditions ,living conditions ,whether planned pregnancy , neonatal score ,feeding situation ,prenatal anxiety and social support were the influence factors of postpartum depression . Conclusions We should give pregnant women care aimed at the risk factors for postpartum depression ,pay attention to the mental health care ,give social support for delivery women .%目的:了解常德地区产妇产后抑郁的发生率,研究影响产妇发生产后抑郁的危险因素。方法采用便利抽样方法,从产妇的一般资料、产科特征、医院焦虑‐抑郁自评量表、领悟社会支持量表、爱丁堡产后抑郁量表对232名产妇进行调查。结果①本研究产后抑郁量表得分(13.56 ± 3.98)分。②学历、家庭条件、居住条件、是否计划外妊娠、新生儿评分、喂养情况、产前焦虑和社会支持均是产后抑郁的影响因素。结论应针对易导致产后抑郁的危险因素给予产妇针对性护理,重视孕期心理卫生保健,给予产妇重要的社会支持。

  14. Risk factors for antenatal depression, postnatal depression and parenting stress

    OpenAIRE

    Leigh, Bronwyn; Milgrom, Jeannette

    2008-01-01

    Background Given that the prevalence of antenatal and postnatal depression is high, with estimates around 13%, and the consequences serious, efforts have been made to identify risk factors to assist in prevention, identification and treatment. Most risk factors associated with postnatal depression have been well researched, whereas predictors of antenatal depression have been less researched. Risk factors associated with early parenting stress have not been widely researched, despite the stro...

  15. Risk factors for antenatal depression, postnatal depression and parenting stress

    OpenAIRE

    Milgrom Jeannette; Leigh Bronwyn

    2008-01-01

    Abstract Background Given that the prevalence of antenatal and postnatal depression is high, with estimates around 13%, and the consequences serious, efforts have been made to identify risk factors to assist in prevention, identification and treatment. Most risk factors associated with postnatal depression have been well researched, whereas predictors of antenatal depression have been less researched. Risk factors associated with early parenting stress have not been widely researched, despite...

  16. Risk factors for antenatal depression, postnatal depression and parenting stress

    OpenAIRE

    Milgrom Jeannette; Leigh Bronwyn

    2008-01-01

    Abstract Background Given that the prevalence of antenatal and postnatal depression is high, with estimates around 13%, and the consequences serious, efforts have been made to identify risk factors to assist in prevention, identification and treatment. Most risk factors associated with postnatal depression have been well researched, whereas predictors of antenatal depression have been less researched. Risk factors associated with early parenting stress have not been widely researched, despite...

  17. Risk factors for antenatal depression, postnatal depression and parenting stress

    OpenAIRE

    Leigh, Bronwyn; Milgrom, Jeannette

    2008-01-01

    Background Given that the prevalence of antenatal and postnatal depression is high, with estimates around 13%, and the consequences serious, efforts have been made to identify risk factors to assist in prevention, identification and treatment. Most risk factors associated with postnatal depression have been well researched, whereas predictors of antenatal depression have been less researched. Risk factors associated with early parenting stress have not been widely researched, despite the stro...

  18. Personality, depressive symptoms during pregnancy and their influence on postnatal depression in Spanish pregnant Spanish women

    Directory of Open Access Journals (Sweden)

    Dolores Marín-Morales

    2014-10-01

    Full Text Available The aim of this study was to analyse the influence of personality factors and antenatal depressive symptomatology in postnatal depression. A prospective ex post facto design was carried out. The sample consisted of 116 women, recruited in their first trimester of pregnancy and followed up until four months postpartum. The measurement instruments used were the Edinburg Postnatal Depression Scale (EPDS to assess postpartum depression, the NEO-Five Factor Inventory (NEO-FFI to analyse personality traits and the depression subscale of the Symptoms Check List 90 (SCL-90-R to assess depressive symptomatology in the first half of pregnancy. Socio-demographic variables (age, parity, educational level, employment status, and planned pregnancy and clinical variables (neonatal Apgar score and mode of delivery were also taken into account. A positive correlation was found between postpartum depression and depressive symptomatology in the first trimester; however after the regression analysis neuroticism was the only factor that predicted postpartum depressive symptoms, explaining 24.8% of the variance. Neuroticism significantly influences psychological health during life events such as motherhood. Due to its stable condition, personality could be assessed from the beginning of pregnancy, contributing to the care of pregnant women with high scores in neuroticism, to prevent, detect and treat early postnatal depression.

  19. 脑外伤所致抑郁障碍的影响因素分析%Analysis of influencing factors of depression in patients with cerebral trauma

    Institute of Scientific and Technical Information of China (English)

    朱子进; 程宝春; 胡建成; 詹结民; 冯春国

    2013-01-01

    Objective To analyse the influeneing factors of the occurrence and the severity of depression in patients with cerebral trauma, and to provide a theoretical basis for the pathogenesis and screening of patients at high risk for effective intervention measures. Methods Patients treated for acute cerebral trauma in a hospital of Anhui province in recent 3 years were collected. Psychiatrists diagnosed patients with depression according to DSM - Ⅳ and estimated the degree of depression with Hamilton Depression Rating Scale ( HAMD ). The general condition of patients and clinical information were collected by a self - designed questionnaire, and the influencing factors of the occurrence and the severity of depression were analyzed by multivariate logistic regression and multiple linear regression. Results Multivariate logistic regression results detected the association between GCS score, operation, disability, brain stem injury and depression in patients with cerebral trauma ( P<0.05 ). GCS score was negatively associated with the risk of depression. Operation, brain stem injury and disability could increase the risk of depression. Multiple linear regression results detected the association between GCS score, operation, disability and the severity of depression in patients with cerebral trauma ( P <0. 05 ). GCS score was negatively associated with the severity of depression. Operation and disability could increase the depressive symptoms. Conclusion The GCS score, operation, disability and brain stem injury are the influencing factors of depression in patients with cerebral trauma. GCS score, operation and disability are the influencing factors of the severity of depression in patients with cerebral trauma.%目的 探讨脑外伤后发生抑郁障碍以及抑郁症状严重程度的相关因素,为阐明其发病机制、筛选高危患者以及建立有效的干预措施提供理论依据.方法 以安徽省某医院近3年因急性颅脑损伤住院治疗后出

  20. Reproductive Tract Infections-A Main Factor Influencing Women's Mental Status: Comparison on Depression and Anxiety between Naxi Women with and without RTIs

    Institute of Scientific and Technical Information of China (English)

    Wei-dong CAI; Shi-zhong WU; Lin LUO

    2007-01-01

    Objectives 1) To explore the relationship between RTIs and mental status of Naxi women; 2) to compare the differences of depression & anxiety between Naxi women who have and not have RTIs; and 3) to put forward some suggestions for improving Naxi women's reproductive health in psychological point of view.Methods A cross-sectional survey was adopted, 280 married Naxi female volunteers who aged above 20 years old were selected by cluster random sampling from the two selected villages of Lugufu Township of Yanyuan county in Sichuan. Two selfreporting scales, CES-D and SAS were used for assessment of depression and anxiety of the subjects.Results The facts of mental status of Sichuan Naxi women brook no optimism. Among 280 Naxi reproductive age women who were investigated in current study, only 74 (26.4%) have no depression symptoms, and 116 (41.4%) have no anxiety symptoms.For the study population, the average total scores (TS) of CES-D was 20.1, and the average total index scores (TIS) of SAS was 50.2, and both of them were above a minimum value doubted to have symptoms. There were big differences of both average TS of CES-D and TIS of SAS between Naxi women who have and not have RTIs.Further analysis revealed that RTI was a main risk factor influencing women's mental status (OR=16.043 for depression, and OR=12.954 for anxiety). In addition, Naxi women's depression and anxiety were related to order births (≤2, OR=3.149, 95%CI: 1.228, 8.076), sex debut was younger (≤17, OR=3.043, 95% CI: 1.895, 4.884),and multiple pregnancy (≥3, OR=2.728, 95% CI: 1.990, 4.173), etc.Conclusion For improving Naxi women's mental status, a pressing matter of the moment is for local medical persons to gain the knowledge about mental health and the diagnosis and treatment levels of psychological disorders. At the same time,psychological counselling should become a main activity of reproductive health services.

  1. 鼻咽癌患者抑郁症影响因素研究%Study on Influencing Factors of Depression in Patients with Nasopharyngeal Carcinoma

    Institute of Scientific and Technical Information of China (English)

    陈梅英; 肖水源; 刘萼莲; 刘晓红

    2012-01-01

    目的 探讨鼻咽癌患者抑郁症发病的影响因素,以便及时有效解决癌症患者的心理问题. 方法 应用Zung抑郁自评量表(SDS)及自制鼻咽癌患者抑郁症影响因素调查问卷进行调查. 结果 调查456例鼻咽癌患者抑郁症发生率为40.35%.年龄≤50岁者抑郁症发生率高于>50岁患者(x2=4.02,P<0.05).家庭经济状况条件越差,抑郁症发生也越高(x2=20.15,P<0.05).癌症发生转移患者和副反应程度越重患者,抑郁症发生率也越高(x2=19.19、21.81,P均<0.05),而鼻咽癌患者抑郁症发生率与性别、文化程度无关(P>0.05). 结论 影响鼻咽癌抑郁发病因素主要是年龄、经济状况、癌症有无转移及副反应程度等,对鼻咽癌患者应进行适当的心理疏导,让患者树立战胜疾病的信心是降低鼻咽癌患者抑郁症发生率的重要措施.%Objective To explore the factors influencing the development of depression among patients with nasopharyngeal carcinoma so as to solve the patients' psychological problems timely and effectively. Methods The survey was conducted using Zung Self - rating Depression Scale (SDS) and the self - designed questionnaire about factors associated with depression in patients with nasopharyngeal carcinoma. Results Among 456 patients with nasopharyngeal carcinoma, the incidence rate of depression was 40.35 %. The incidence rate of the patients aged ≤50 years was higher than that of the patients aged >50 years (X2=4.02, P0.05). Conclusions The main factors associated with the development of depression in patients with nasopharyngeal carcinoma are age, economic condition, the metastasis of nasopharyngeal carcinoma, the degree of side effects, etc. Giving proper psychological guidance and setting up the patient's confidence of overcoming the disease are the important measures to reduce the incidence rate of depression in patients with nasopharyngeal carcinoma.

  2. Postpartum depression risk factors: A narrative review.

    Science.gov (United States)

    Ghaedrahmati, Maryam; Kazemi, Ashraf; Kheirabadi, Gholamreza; Ebrahimi, Amrollah; Bahrami, Masood

    2017-01-01

    Postpartum depression is a debilitating mental disorder with a high prevalence. The aim of this study was review of the related studies. In this narrative review, we report studies that investigated risk factors of postpartum depression by searching the database, Scopus, PubMed, ScienceDirect, Uptodate, Proquest in the period 2000-2015 published articles about the factors associated with postpartum depression were assessed in Farsi and English. The search strategy included a combination of keywords include postpartum depression and risk factors or obstetrical history, social factors, or biological factors. Literature review showed that risk factors for postpartum depression in the area of economic and social factors, obstetrical history, and biological factors, lifestyle and history of mental illness detected. Data from this study can use for designing a screening tools for high-risk pregnant women and for designing a prevention programs.

  3. Influencing factors of sleep disturbance in patients with depression%抑郁症患者伴发睡眠障碍的影响因素分析

    Institute of Scientific and Technical Information of China (English)

    何小婷; 杨春霞; 李素萍; 张爱霞; 李业宁; 陈志璐; 张克让

    2016-01-01

    目的:从人口学资料、临床特征、社会心理因素方面探讨抑郁症患者伴发睡眠障碍的影响因素。方法使用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、艾森克人格问卷(EPQ)、生活事件量表(LES)、特质应对方式问卷(TCSQ)、社会支持问卷(SSS)对409例抑郁症患者进行调查和评估,根据睡眠状况分为伴发睡眠障碍组(276例)和不伴睡眠障碍组(133例)。以是否伴发睡眠障碍为因变量,以人口学资料、临床特征、社会心理因素为自变量,使用Logistic回归分析伴发睡眠障碍的影响因素。结果(1)伴发睡眠障碍组在年龄、首发年龄、抑郁症状、焦虑症状上高于不伴睡眠障碍组,在受教育年限上低于不伴睡眠障碍组,差异有统计学意义(P<0.05)。(2)伴发睡眠障碍组在神经质、负性生活事件上的得分高于不伴睡眠障碍组,在主观社会支持上的得分低于不伴睡眠障碍组,差异有统计学意义(P<0.05)。(3)年龄(OR=1.053,95%CI:1.020~1.086)、抑郁症状(OR=1.335,95%CI:1.226~1.455)、负性生活事件(OR=1.011,95%CI:1.003~1.019)是抑郁症患者伴发睡眠障碍的危险因素,首发年龄(OR=0.970,95%CI:0.941~1.000)、主观社会支持(OR=0.926,95%CI:0.879~0.975)是抑郁症患者伴发睡眠障碍的保护因素。结论年龄偏大、首发年龄偏小、抑郁症状严重、经历更多负性生活事件、主观社会支持越差的抑郁症患者更有可能伴发睡眠障碍。%Objective To investigate influencing factors of sleep disturbance in depression from demographic data, clinical features and social psychological factors. Methods Hamilton depression rating scale (HAMD), Hamilton anxiety rating scale (HAMA), Eysenck personality questionnaire (EPQ), life event scale (LES), trait coping style questionnaire (TCSQ), social support scale

  4. Supplementation with eicosapentaenoic omega-3 fatty acid does not influence serum brain-derived neurotrophic factor in diabetes mellitus patients with major depression

    DEFF Research Database (Denmark)

    Bot, Mariska; Pouwer, Francois; Assies, Johanna

    2011-01-01

    BACKGROUND: Low brain-derived neurotrophic factor (BDNF) levels are observed in both depressed and diabetes patients. Animal research has shown that omega-3 polyunsaturated fatty acids increase BDNF levels. In this exploratory randomized double-blind placebo-controlled study in diabetes patients...... severity were not significantly associated (Spearman's ρ = -0.115, p = 0.593). CONCLUSION: Our study does not provide evidence that supplementation with E-EPA improves BDNF levels in depressed diabetes patients already using antidepressants....

  5. Shared genetic factors in migraine and depression

    Science.gov (United States)

    Stam, A H.; de Vries, B; Janssens, A C.J.W.; Vanmolkot, K R.J.; Aulchenko, Y S.; Henneman, P; Oostra, B A.; Frants, R R.; van den Maagdenberg, A M.J.M.; Ferrari, M D.; van Duijn, C M.; Terwindt, G M.

    2010-01-01

    Objective: To investigate the co-occurrence of migraine and depression and assess whether shared genetic factors may underlie both diseases. Methods: Subjects were 2,652 participants of the Erasmus Rucphen Family genetic isolate study. Migraine was diagnosed using a validated 3-stage screening method that included a telephone interview. Symptoms of depression were assessed using the Center for Epidemiologic Studies Depression scale and the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D). The contribution of shared genetic factors in migraine and depression was investigated by comparing heritability estimates for migraine with and without adjustment for symptoms of depression, and by comparing the heritability scores of depression between migraineurs and controls. Results: We identified 360 migraine cases: 209 had migraine without aura (MO) and 151 had migraine with aura (MA). Odds ratios for depression in patients with migraine were 1.29 (95% confidence interval [CI] 0.98–1.70) for MO and 1.70 (95% CI 1.28–2.24) for MA. Heritability estimates were significant for all migraine (0.56), MO (0.77), and MA (0.96), and decreased after adjustment for symptoms of depression or use of antidepressant medication, in particular for MA. Comparison of the heritability scores for depression between patients with migraine and controls showed a genetic correlation between HADS-D score and MA. Conclusions: There is a bidirectional association between depression and migraine, in particular migraine with aura, which can be explained, at least partly, by shared genetic factors. GLOSSARY CES-D = Center for Epidemiologic Studies Depression Scale; CI = confidence interval; ERF = Erasmus Rucphen Family; HADS-D = Hospital Anxiety and Depression Scale; IHS = International Headache Society; MA = migraine with aura; MO = migraine without aura; OR = odds ratio. PMID:20071666

  6. Relation between depression and sociodemographic factors

    Directory of Open Access Journals (Sweden)

    Akhtar-Danesh Noori

    2007-09-01

    Full Text Available Abstract Background Depression is one of the most common mental disorders in Western countries and is related to increased morbidity and mortality from medical conditions and decreased quality of life. The sociodemographic factors of age, gender, marital status, education, immigrant status, and income have consistently been identified as important factors in explaining the variability in depression prevalence rates. This study evaluates the relationship between depression and these sociodemographic factors in the province of Ontario in Canada using the Canadian Community Health Survey, Cycle 1.2 (CCHS-1.2 dataset. Methods The CCHS-1.2 survey classified depression into lifetime depression and 12-month depression. The data were collected based on unequal sampling probabilities to ensure adequate representation of young persons (15 to 24 and seniors (65 and over. The sampling weights were used to estimate the prevalence of depression in each subgroup of the population. The multiple logistic regression technique was used to estimate the odds ratio of depression for each sociodemographic factor. Results The odds ratio of depression for men compared with women is about 0.60. The lowest and highest rates of depression are seen among people living with their married partners and divorced individuals, respectively. Prevalence of depression among people who live with common-law partners is similar to rates of depression among separated and divorced individuals. The lowest and highest rates of depression based on the level of education is seen among individuals with less than secondary school and those with "other post-secondary" education, respectively. Prevalence of 12-month and lifetime depression among individuals who were born in Canada is higher compared to Canadian residents who immigrated to Canada irrespective of gender. There is an inverse relation between income and the prevalence of depression (p Conclusion The patterns uncovered in this

  7. Influencing factors of anxiety symptoms in patients with depression%抑郁症伴焦虑症状的影响因素分析

    Institute of Scientific and Technical Information of China (English)

    何小婷; 孙宁; 杜巧荣; 杨春霞; 刘志芬; 王彦芳; 李素萍; 张克让

    2016-01-01

    Objective To investigate the status of depression with anxiety symptoms, and analyze the influencing factors of anxiety symptoms from demographic data and social psychological factors. Methods Hamilton depression rat⁃ing scale (HAMD), Hamilton anxiety rating scale (HAMA), Eysenck personality questionnaire (EPQ), life event scale (LES), trait coping style questionnaire (TCSQ) and social support scale (SSS) were used to evaluate 729 patients with de⁃pression. According to HAMA scores, patients were divided into non anxiety symptoms group (HAMA14). Social psychological factors were compared between two groups, and the influencing fac⁃tors of anxiety symptoms were analyzed. Results The incidence of anxiety symptoms in depression was 58.85% (429/729), and 119 cases (16.32%) were certainly without anxiety symptoms. Compared with the group without anxiety symp⁃toms, the anxiety symptoms group had higher scores on neuroticism, psychoticism, negative life events and negative cop⁃ing style (P14分),比较两组社会心理因素,并分析抑郁症伴焦虑症状的影响因素。结果抑郁症患者中焦虑症状(HAMA>14分)的发生率为58.85%(429/729),16.32%(119/729)肯定不伴焦虑症状(HAMA<7分)。伴焦虑症状组神经质、精神质、负性生活事件、消极应对方式的得分高于不伴焦虑症状组(P<0.001);外倾性的得分低于不伴焦虑症状组(P=0.010)。抑郁程度(OR=9.255,95%CI:4.726~18.127)、神经质(OR=1.595,95%CI:1.197~2.125)、负性生活事件(OR=1.009,95%CI:1.001~1.017)、消极应对方式(OR=1.046,95%CI:1.013~1.080)均是抑郁症患者伴焦虑症状的危险因素(P<0.05)。结论抑郁症患者焦虑症状的发生率高。抑郁症状严重、高神经质水平、经历更多负性生活事件、倾向于采用消极应对方式的抑郁症患者更有可能伴焦虑症状。

  8. Depressive symptoms and influencing factors in employees from thirteen enterprises%13家企业员工抑郁症状及其影响因素

    Institute of Scientific and Technical Information of China (English)

    谷桂珍; 余善法; 周文慧; 陈国顺; 吴辉

    2015-01-01

    Objective To explore depressive symptoms and influencing factors in employees from 13 enterprises.Methods A total of 6711 workers from 13 enterprises were investigated by cluster sampling,and data were collected anonymously between November 2008 and June 2009.Job satisfaction,occupational stressors,strains,coping strategy,and social support were measured using occupational stress instruments,job content questionnaire,and effort-reward imbalance questionnaire.Results Median and P25 ~P75 values of depression score were 14 and 9~21,respectively.The depression score of male workers (16.31 ±10.12) was significantly higher than that of female workers (14.50±9.08) (Z=4.09,P<0.01).The depression score of managers was lowest (12.89±8.70),and the front-line workers scored highest (16.02±9.94),with a significant difference between the two groups (x2=9.90,P<0.01).The depression score of shift workers (16.79±9.974) was significantly higher than that of non-shift workers (14.81±9.63) (Z=53.43,P<0.01).The depression scores of workers with weekly job times of ≤40 h,~50 h,~59 h,and ≥60 h were (14.70±9.94),(15.76±9.84),(15.46±9.91),and (19.70±10.67),respectively (x2 =31.79,P <0.01).Correlation analysis revealed that depression score was negatively correlated with the scores of job control (r=-0.236,P <0.01),reward (r=-0.443,P<0.01),job satisfaction (r=-0.418,P<0.01),positive affectivity (r=-0.307,P <0.01),superior support (r=-0.287,P<0.01),colleague support (r=-0.235,P<0.01),and coping strategy (r=-0.208,P<0.01),but positively correlated with the scores of external effort (r=0.225,P<0.01),inherent effort (r=0.248,P<0.01),psychological demands (r =0.246,P <0.01),physical demands (r=0.246,P<0.01),and negative affectivity (r=0.525,P<0.01).Multivariate logistic regression analysis revealed that the risk of depressive symptoms in workers with high negative affectivity was about four times as high as that in workers with low negative

  9. Risk factors of depression occurrence in Adolescence

    OpenAIRE

    Miloseva, Lence

    2015-01-01

    The main aim of this lecture is focus on different aspects of occurerence of depression in Adolescence, especially with focus on risk factors. I introduced epidemiology of depression : causes, treatment, and prevention (Abela & Hankin,2008). The special part of the lecture was focus on etiology of depression. Adolescence is characterized by positive gains in cognitive maturity, better interpersonal skills, new experiences, increased autonomy, and hormonal changes (Feldman & Elliot, 1990). Alt...

  10. Supplementation with Eicosapentaenoic Omega-3 Fatty Acid Does Not Influence Serum Brain-Derived Neurotrophic Factor in Diabetes Mellitus Patients with Major Depression : A Randomized Controlled Pilot Study

    NARCIS (Netherlands)

    Bot, Mariska; Pouwer, Francois; Assies, Johanna; Jansen, Eugene H. J. M.; Beekman, Aartjan T. F.; de Jonge, Peter

    2011-01-01

    Background: Low brain-derived neurotrophic factor (BDNF) levels are observed in both depressed and diabetes patients. Animal research has shown that omega-3 polyunsaturated fatty acids increase BDNF levels. In this exploratory randomized double-blind placebo-controlled study in diabetes patients wit

  11. Risk and Protective Factors for Depression and Health Outcomes in American Indian and Alaska Native Adolescents.

    Science.gov (United States)

    Barney, David D.

    2001-01-01

    A study examined whether protective factors reduce the effects of depression in American Indian and Alaska Native adolescents. Surveys of 2,034 Native high school students from 33 states indicated that depression moderately influenced self-perceived health status and that caring and connectedness counteracted the risk factors from depression that…

  12. Depression in athletes: prevalence and risk factors.

    Science.gov (United States)

    Wolanin, Andrew; Gross, Michael; Hong, Eugene

    2015-01-01

    Depression affects an estimated 6.7% of today's adult population in a 12-month period. The prevalence rates for certain age groups, such as young adults and older adults, are higher. There are approximately 400,000 National Collegiate Athletic Association student athletes competing each year and 5 to 7 million high school student athletes involved in competitive interscholastic sports. Given such a high prevalence rate in certain age groups and a large denominator pool of athletes, past notions that athletes are devoid of mental health issues have come under scrutiny by sports medicine providers. Initial data suggest that athletes are far from immune to depression. The purpose of this article was to review the current research on athletes and depression; particularly this article will provide an overview of studies, which have investigated the rate of depression among athletes, and discuss relevant risk factors, which may contribute to depression among athletes.

  13. 高血压患者脑卒中后并发抑郁症的影响因素分析%The Influence Factors Analysis of Post-stroke Depression for Hypertensive Patients

    Institute of Scientific and Technical Information of China (English)

    宋德宽

    2016-01-01

    Objective:To study the influence factors of post-stroke depression for hypertensive patients. Method:A total of 113 cases of hypertension combined cerebral stroke were selected by convenient sampling method from our hospital,the clinical data were investigated by the questionnaire survey,the influence factors of post-stroke depression for hypertensive patients were analyzed by single factor and multi-factor Logistic regression analysis.Result:Post-stroke depression for hypertensive patients were 43 cases,accounted for 38.05%,mild depression were 29 cases(25.66%),moderate depression were 10 cases(8.85%),severe depressive were 4 cases(3.54%).The single factor analysis showed,post-stroke depression rate of female,hyperlipidemia, coronary heart disease,diabetes,high blood pressure duration>15 years,self-paying medical expense,no spouse,monthly income≤2000 yuan/month,education above high school level were significantly higher,the comparative differences were statistically significant(P15年、自费医疗、无配偶、人均月收入≤2000元、高中或以上文化程度的患者抑郁症发生率明显增高,比较差异均有统计学意义(P<0.05)。经多因素Logistic回归分析显示,自费医疗、无配偶、人均月收入≤2000元是高血压患者脑卒中后并发抑郁症的独立危险因素(OR=10.698、4.215、7.245,P<0.05)。结论:高血压患者脑卒中后并发抑郁症是性别、合并症、病程、医疗费用支付方式、婚姻状况、经济收入、文化程度等多种因素共同作用的结果。

  14. 青少年1型糖尿病患者抑郁状况及影响因素调查%Investigation of influencing factors of depression among adolescents with type 1 diabetes

    Institute of Scientific and Technical Information of China (English)

    金雁; 张宁

    2013-01-01

    目的 调查青少年1型糖尿病患者抑郁状况并探讨其影响因素,为制订治疗方案提供科学依据.方法 采用抑郁自评量表和影响因素调查表对106例青少年1型糖尿病患者进行调查,分析影响青少年1型糖尿病患者抑郁状况的因素.结果 青少年1型糖尿病患者抑郁阳性检出率为40.57%,患者起病年龄、出现酮症次数是患者抑郁发生的危险因素,文化程度、糖化血红蛋白是患者抑郁发生的保护因素.结论 针对研究得出的因素,可定期对青少年1型糖尿病患者进行集中健康教育、开展咨询工作、举办集体活动、建立患者信息管理系统,增加与患者沟通,从而改善其心理状况.%Objective To investigate the status and influencing factors of depression of adolescents with type 1 diabetes,so as to provide scientific basis for formulating treatment schemes. Methods A total of 106 adolescents with type 1 diabetes were investigated with Self- Rating Depression Scale and a self-designed influencing factors questionnaire. The influencing factors of depression among adolescents with type 1 diabetes were analyzed. Results The positive rate of depression in adolescents with type 1 diabetes was 40. 57% . The onset age and ketosis times were risk factors of depression. The education degree and HbAlc level were protective factors of depression. Conclusion Multiple measures should be taken, including implementation of health education and consultation, organizing group activities,establishing the patient information management system,increasing the communication with the patients,to improve the psychological status of adolescents with type 1 diabetes.

  15. 社区老年人抑郁症的影响因素及心理健康教育的作用%The function of psychological health education and the influence factors of elderly depression in community

    Institute of Scientific and Technical Information of China (English)

    张鑫

    2015-01-01

    目的:探讨社区老年人抑郁症的影响因素及心理健康教育的作用。方法:收治老年抑郁症患者90例,采取随机性的方法,将患者分为观察组和对照组,每组45例,对照组接受常规的健康教育,观察组接受综合性的心理健康教育,包括心理疗法、运动疗法、药物疗法等,比较两组患者的抑郁状态进展,分析社区老人抑郁症的影响因素。结果:影响社区老人抑郁的因素有离退休、空巢现象、经济问题、心理因素等,通过对患者进行心理健康教育,观察组抑郁状态优于对照组,组间比较差异具有统计学意义(P<0.05)。结论:社区老年人抑郁症的影响因素为老年抑郁症的防治工作提供了重要依据,对老年人进行心理健康教育干预对老年抑郁症的治疗是必不可少的。%Objective:To discuss the function of psychological health education and the influence factors of elderly depression in community.Methods:90 patients with elderly depression were selected.They were randomly divided into the observation group and the control group with 45 cases in each.Patients in the control group received conventional health education,and the observation group received comprehensive mental health education,including psychological therapy,exercise therapy,drug therapy,comparing two groups of patients depression progress.We analyzed influence factors of elderly depression in community.Results:The influence factors of community elderly depression have retired,empty nest phenomenon,economic problems,psychological factors, through the psychological health education for patients,the observation group was better than the control group in patients with depression,there was statistically significant(P<0.05).Conclusion:The influence factors of elderly depression in community provides an important basis for the prevention and control of elderly depression,mental health education intervention in the

  16. Cognitive vulnerability to depression : genetic and environmental influences

    NARCIS (Netherlands)

    Antypa, Niki

    2011-01-01

    This thesis explores cognitive vulnerability to depression and the interplay between genetic and environmental influences. Cognitive vulnerability to depression is characterized by negative patterns of information processing. One aspect is cognitive reactivity - the tendency to respond with maladapt

  17. Factors associated with antenatal depression in pregnant Korean females: the effect of bipolarity on depressive symptoms

    OpenAIRE

    Park, Chul Min; Seo, Hye-Jin; Jung, Young-Eun; Kim, Moon-Doo; Hong,Seong-Chul; Bahk, Won-Myong; Yoon, Bo-Hyun; Hur, Min Hee; Song, Jae Min

    2014-01-01

    Background This cross-sectional study sought to identify factors associated with antenatal depression in pregnant Korean females, including sociodemographic parameters, social support, social conflict, and bipolarity. Methods Eighty-four pregnant women were recruited to complete questionnaires on sociodemographic factors, obstetric history, depressive symptoms, and bipolarity. Depressive symptoms were assessed using the Korean version of the Edinburgh Postnatal Depression Scale. Bipolarity wa...

  18. Risk Factors for Depression in Early Adolescence

    Science.gov (United States)

    MacPhee, Angela R.; Andrews, Jac J. W.

    2006-01-01

    The purpose of this study was to identify salient risk factors for depression in early adolescence from a group of common predictors. The following nine predictors were examined: (1) perceived quality of peer relationships, (2) perceived parental nurturance, (3) perceived parental rejection, (4) self-esteem, (5) body image, (6) pubertal status,…

  19. Psychological factors determine depressive symptomatology after stroke

    NARCIS (Netherlands)

    Van Mierlo, Maria L.; Van Heugten, Caroline M.; Post, Marcel W.; De Kort, Paul L.; Visser-Meily, Anne

    2015-01-01

    Objective To identify psychological factors related to poststroke depressive symptoms. Design Cross-sectional study, with patients assessed at 2 months poststroke. Setting Patients with stroke from 6 general hospitals. Participants Stroke patients (N=344; mean age ± SD, 66.9±12.3y). Interventions No

  20. Risk Factors for Depression in Early Adolescence

    Science.gov (United States)

    MacPhee, Angela R.; Andrews, Jac J. W.

    2006-01-01

    The purpose of this study was to identify salient risk factors for depression in early adolescence from a group of common predictors. The following nine predictors were examined: (1) perceived quality of peer relationships, (2) perceived parental nurturance, (3) perceived parental rejection, (4) self-esteem, (5) body image, (6) pubertal status,…

  1. Investigation and study of depression status and influencing factors of rural widowed elderly with different genders%农村不同性别丧偶老人抑郁状况及影响因素的调查研究

    Institute of Scientific and Technical Information of China (English)

    吴晓莲; 雷利霞; 周繁华; 李晨曦

    2014-01-01

    Objective To understand the depression status and its influencing factors of Chenzhou rural widowed elderly with different genders.Methods A random sample of 342 widowed elderly from 30 villages was investigated using the Geriatric Depression Scale and a self-designed questionnaire.Results Widowed elderly depression detection rate was 29.8%,depressive symptoms among elderly women detection rate was 34.7%,higher than men's depressive symptoms detection rate,which was 22.9%.Binary Logistic regression analysis showed:Alone,decreased self-care ability was the common risk factors of depressive symptoms of widowed elderly.The impact on men was bigger than on female.Age,chronic diseases were the main factors affecting depression status of elderly men,and economic security was the main factors affecting the depression status of elderly women.Conclusions The incidence of depressive symptoms in rural widowed elderly is high,but there are differences between widowed elderly with different genders in depression status and influencing factors.Therefore the community workers need to take targeted interventions to promote mental health for the elderly.%目的 了解郴州市农村不同性别丧偶老人的抑郁状况及影响因素.方法 利用老年抑郁量表及自行设计的调查表,对随机抽取的30个村组中342名丧偶老人进行调查,并对结果进行分析.结果 丧偶老人抑郁症状的检出率为29.8%,其中女性老人抑郁症状检出率为34.7%,男性老人的抑郁症状检出率为22.9%,女性老人的抑郁症状检出率明显高于男性老人,两者之间差异有统计学意义;二分类Logistic回归分析显示:独居、自理能力降低为丧偶老人抑郁症状发生的共同危险因素,且对男性老人的影响大于女性老人;年龄、慢性病是影响男性老人抑郁状况的主要因素,经济保障是影响女性老人抑郁状况的主要因素.结论 农村丧偶老人抑郁症状发生率高,但不同性别

  2. The influencing factors of depression in patients on action stage of smoking cessation%戒烟行动期患者抑郁状况及其影响因素分析

    Institute of Scientific and Technical Information of China (English)

    周胜亮; 许萍; 李平; 徐春燕; 胡招娣

    2014-01-01

    Objective To investigate the level and its influencing factors of depression in patients on action stage of smoking cessation,to analyze correlation between depression and social support. Methods 123 patients on action stage of smoking cessa-tion were investigated with Self-Rating Depression Scale and the Social Support Rating Scale. Results The depression score was 48.12±9.27,incidence rate of depression was 33.33% in patients on action stage of smoking cessation,difference was found be-tween patients with different marital status,occupations and tobacco dependence,negative correlation (r=-0.19,P<0.05) was found between depression level and social support,therefore social support was an effective predictor of depression in patients on action stage of smoking cessation. Conclusion Significant negetive correlation was found between depression level and social support , strengthen subjective support and utilization of support helps to reduce the incidence of depression.%目的:调查戒烟行动期患者的抑郁状况及其影响因素,分析抑郁与社会支持的关联性。方法采用抑郁自评量表和社会支持评定量表对123例戒烟行动期患者进行问卷调查。结果戒烟行动期患者抑郁发生率为33.33%,抑郁标准分为48.12±9.27,分析发现不同婚姻状况、不同职业、不同烟草依赖程度的患者抑郁得分存在差异;此外患者抑郁标准分与社会支持总分呈负相关关系(r=-0.19,P<0.05)。结论戒烟行动期患者抑郁状况与社会支持之间存在显著相关,加强主观支持及对支持的利用度有助于降低抑郁的发生率。

  3. [Therapeutic factors in depression: new strategies].

    Science.gov (United States)

    Tomba, Elena; Grandi, Silvana; Fava, Giovanni A

    2009-01-01

    The issues of recovery and remission are getting increasing attention in depression research, particularly after the publication of the STAR*D results. The paper analyzes some issues which may hinder effective treatment of major depressive disorders: the inadequacies of a cross-sectional DSM assessment without clinical differentiation of the extent, development and seriousness of the disturbances (staging); over-emphasis on and prolongation of drug treatment, without paying attention to problems related to tolerance; neglect of the active role of the patient in achieving recovery, with the integration of psychotherapeutic strategies in a sequential model. If we are able to remove the conceptual obstacles which obstruct our view of depression and are able to correctly identify the therapeutic factors underlying treatment response we may then become aware of a different scenario in mood disorders and be able to develop therapeutic strategies of enduring quality.

  4. Depressive symptoms in medical students: prevalence and related factors.

    Science.gov (United States)

    Kim, Bomi; Roh, Hyerin

    2014-03-01

    This study was designed to estimate the prevalence of depression and the factors that influence it in Korean medical students. We evaluated depression in 122 first- and second-year medical students in December 2011 using the Korean Beck Depression Inventory (K-BDI). Sixteen potential factors were considered: gender, class year, grade point average, breakfast habits, residence type, leisure activity, sleep satisfaction, relationship status, a close friend or a significant other, finances, present health status, history of mood disorders, family history of mood disorders, religion, and self-esteem. The average BDI score was 8.9. There were 80 (65.6%), 16 (13.1%), 15 (12.3%), and 11 (9.0%) students with minimal, mild, moderate, and severe depression, respectively. The group with depressive symptoms comprised males with a total BDI score > or =24 and females with total BDI > or =25 and constituted 9.0% of students. Students in the depressive symptom group had lower self-esteem and lower grade point averages and were more frequently ill, less likely to be in a relationship, and more likely to have a history of mood disorders (pself-esteem score was an independent factor. The BDI scores in our study were similar to those that have been reported in other countries but slightly higher than in other Korean medical and university students. Self-esteem, grade point average, health status, history of mood disorders, family history of mood disorders, and presence of a significant other correlated significantly with depression in medical students.

  5. Analysis of Influencing Factors of Depressive Disorder after Sudden Mass Incidents a-mong Community Residents%突发群体暴力事件后社区居民抑郁障碍影响因素分析

    Institute of Scientific and Technical Information of China (English)

    徐向东; 吕淑云; 张莉; 李月娥; 陈亮; 买买提热夏提·吐尔逊; 马瑞晨; 古丽娜尔·阿布都克里木

    2014-01-01

    目的:探讨突发群体暴力事件后,社区居民抑郁障碍的发病规律及影响因素。方法由专业精神科医生以美国精神障碍诊断与统计手册第4版修订版(DSM‐IV‐TR)轴I障碍临床定式检查,对某突发群体暴力事件涉及人群中的新疆中湾街沿街年龄≥15岁的全体居民进行检测,使用DSM‐IV对抑郁障碍进行诊断;并以艾森克人格问卷和应付方式问卷进行测查,分析抑郁障碍发病规律及影响因素。结果抑郁障碍患病率13.10%。人格问卷比较,抑郁障碍组较无病组神经质得分高(P<0.05),掩饰性得分低(P<0.05);应付方式比较,抑郁障碍组较无病组退避、幻想、自责和合理化得分高(P<0.05)、求助和解决问题得分低(P<0.05)。Logistic逐步回归分析显示,年龄、文化、暴露程度、内外向、神经质、自责5个参数在抑郁障碍发生上有显著影响。结论抑郁障碍是灾后的常见疾病,其人格特质是情绪稳定性差,应付方式多消极、少积极。应激与抑郁障碍存在因果关系。%Objectives To explore the pathogenesis regularity and influencing factors of depressive disorder after the sudden mass incidents among community residents .Methods Along the zhong‐wan street ,the residents aged 15 years and older were assessed with DSM‐IV‐TR axis I disorder and diagnosised with DSM‐IV .And they were evaluated with Eysenck personality questionnaire (EPQ) and Coping Style questionnaire .The pathogenesis regularity and influencing factors of depressive disorder were analyzed .Results The prevalence rate of depressive disorder was 13 .10% .In compari‐son of EPQ ,the neuroticism scores of depressive disorder group were higher than the illness‐free group (P<0 .05) , and the masked scores of depressive disorder group were lower than the illness‐free group (P<0 .05) .In compari‐son of the coping style ,the avoidance

  6. The analysis of the influencing factors of depression patients′self-care ability and nursing strategies%抑郁症患者自我护理能力影响因素分析及护理对策

    Institute of Scientific and Technical Information of China (English)

    邵志梅; 李素琴

    2016-01-01

    目的:探讨抑郁症患者自我护理能力的影响因素,针对影响因素提出护理对策.方法:采用一般资料问卷、自我护理能力测定量表、住院患者护理观察量表分析系统对140例抑郁症住院患者进行调查.结果:抑郁症患者自我护理能力呈中等偏下水平,得分为(89.77±22.62)分.结论:采取心理治疗、心理护理等认知疗法改变患者的健康认知理念,改变消极思维、情感和行为,使患者的自我护理能力得到有效提高.%Objective:To explore the influencing factors of depression patients' self-care ability and to raise nursing strategies aiming at the influencing fac-tors. Methods:Conducted survey of 140 cases of depression inpatients using the analysis system of common material questionnaire,self-care ability testing scale and inpatient nursing observation scale. Results:The depression patients' self -care ability was generally below the average level with (89. 77 ± 22. 62) scores. Conclusion:The cognitive therapy of psychological therapy and psychological nursing should be adopted to alter depression patients'health-cognitive concept,passive thinking pattern, emotion and behavior so as to effectively improve their self-care ability.

  7. Influencing factors of anxiety and Depression in patients with acute myocardial infarction%急性心肌梗死患者焦虑抑郁状态分析

    Institute of Scientific and Technical Information of China (English)

    陈立颖; 刘文娴; 吴勤; 魏金玲; 杨鲲

    2013-01-01

    目的:探讨急性心肌梗死(acute myocardial infarction,AMI)患者焦虑抑郁状态及相关影响因素.方法:连续入选2011年1月至2012年1月我院心内科住院的AMI患者214例,采用综合医院焦虑抑郁评分量表对所有患者行心理测评,评价焦虑抑郁状态的发生率,对年龄、性别、医保类型及合并疾病等影响因素进行分析.结果:214例患者中,焦虑73例,占34.1%;抑郁患者63例,占29.4%;焦虑抑郁共50例,占23.4%.女性患者、报销比例≤40%者焦虑发生率更高,差异具有统计学意义(P<0.05);女性、报销比例≤40%者、合并糖尿病者抑郁发生率更高,差异具有统计学意义(P<0.05).Logistic回归分析发现,女性是发生焦虑抑郁的影响因素;抑郁的影响因素还包括报销比例≤40%和合并糖尿病史.结论:AMI并发焦虑抑郁状态,为多种影响因素共同作用结果.对于此类患者,应引起临床医师重视,尽早给予心理干预,改善预后.%Objective: To investigate prevalences and influential factors of anxiety and depression in patients with acute myocardial infarction (AMI). Methods; We collected 214 patients with AMI that admitted in our hospital from January of 2011 to January of 2012. All the subjects were assessed with Hospital Anxiety and Depression Scale. To evaluate the incidences of anxiety and depression influencing factors such as age,gender, type of health insurance,other diseases etc. Results; Of all the subjects,about 34. 1% were identifed as anxiety ,29. 4% as depression. The rate of the comorbidity of anxiety and depression was 23. 4%. Patients of AMI with anxiety symptom were more seen in femal and medical reimbursement ≤40%. Patients of AMI with depressive symptom were more seen in femal 、medical reimbursement ≤40% and with history of Diabetes. Multivariate logistic regression analysis showed female was the major influences of anxiety and depression. Medical reimbursement ≤40% ; with

  8. Perceived stress has genetic influences distinct from neuroticism and depression.

    Science.gov (United States)

    Rietschel, Liz; Zhu, Gu; Kirschbaum, Clemens; Strohmaier, Jana; Wüst, Stefan; Rietschel, Marcella; Martin, Nicholas G

    2014-11-01

    The present study investigated whether the genetic determinants of neuroticism and depressive symptoms differ from those underlying perceived psychological stress. Multivariate structural equation models, which included age and sex as modifiers, were fitted to the total sample of 798 adolescents and young adults (female, n = 459; mean age 15.5 years). The sample included 139 monozygotic and 241 dizygotic twin pairs. Stress was measured using item response theory (IRT) scores, as derived from the Perceived Stress Scale and/or the Daily Life and Stressors Scale. Neuroticism was measured using the Neo-Five Factor Inventory or the Junior Eysenck Personality Questionnaire, depending on the age of the participant. Depressive symptoms were assessed using the IRT-scores of the Somatic and Psychological Health Report. The results suggest that the genetic effects underlying perceived psychological stress are largely shared with those that influence neuroticism and liability to depressive symptoms. However, separate genetic effects for perceived psychological stress that are not shared with neuroticism and depressive symptoms were also identified. The source of the identified trait specific effects requires further investigation.

  9. Depressants

    Science.gov (United States)

    ... judgment and mental functioning nausea and vomiting memory loss (depressants can cause users to have no memory of events that happened while they were under the influence) Long-Term Effects When people misuse depressants over a long ...

  10. 心肌梗死患者急性期与恢复期焦虑抑郁状况因素分析%Analysis of factors influencing anxiety and depression at different stages among patients with acute myocardial infarction

    Institute of Scientific and Technical Information of China (English)

    朱凌燕; 卢惠娟; 许燕玲

    2013-01-01

    Objective To investigate the levels of anxiety and depression at different stages among patients with acute myocardial infarction (AMI),to explore the influencing factors,and to improve the stress management of AMI patients.Methods A total of 100 AMI patients from Shanghai Sixth People's Hospital from February to June 2012 were evaluated with the Hospital Anxiety and Depression Scale (HADS) during hospitalization and 2-3 months of follow-up.Results Among 100 patients,the incidence of anxiety was 29%,38% and 44% during hospitalization,early rehabilitation and rehabilitation,respectively.The incidence of depression was 40%,50% and 53% during hospitalization,early rehabilitation and rehabilitation,respectively.The influencing factors during hospitalization were education background,profession and age.During early rehabilitation the per capita household monthly income,medical payment method,myocardial infarction area and history were the influencing factors.While during rehabilitation the family care,marriage status,sports habit,and household were the influencing factors (P < 0.05).Conclusion The incidence of anxiety and depression among AMI patients increases with time going on.It is influenced by various factors at different stages of AMI.The patients' status should be evaluated comprehensively,and the effective intervention should be provided to prevent and reduce the negative psychological impacts.%目的 了解急性心肌梗死(acute myocardial infarction,AMI)患者住院急性期、恢复初期和恢复期的焦虑抑郁状况及相关因素.方法 采用便利抽样法,选取2012年2-6月收治于上海交通大学附属第六人民医院的AMI患者100例,采用综合医院焦虑/抑郁情绪测定表(hospital anxiety and depression scale,HADS)对其发病的急性期、恢复初期和恢复期进行问卷调查.结果 AMI患者在住院急性期焦虑阳性检出率占29%,恢复初期占38%,恢复期占44%;在住院急

  11. Analysis of Depression Level and Influencing Factors among Elders in Rural Areas%农村老年人抑郁水平及其影响因素的研究

    Institute of Scientific and Technical Information of China (English)

    张燕; 张丽; 唐根富

    2012-01-01

    目的 了解农村老年人抑郁情绪水平及其影响因素,为后期干预研究提供理论依据.方法 采用入户调查的方法,使用老年抑郁量表(The Geriatric Depression Scale,GDS)和自编影响因素问卷,评测安徽省寿县948名农村老年人的相关指标.结果 农村老年人有抑郁情绪的占33.3%(其中中重度抑郁占8.4%),最多发的抑郁症状是记忆力减退(88.3%),其次是头脑不清晰(51.4%),开始一件新的工作很困难(49.7%).多元非条件Logistic回归分析发现,性别、婚姻、经济状况、躯体疾病、生活事件为影响农村老年人抑郁水平的因素.结论 在农村地区针对农村老年人抑郁情绪的影响因素,有进一步开展心理干预的必要,农村老年人的心理健康应引起各级卫生部门的重视.%To investigate depression level and its influencing factors in elders in rural areas of Anhui Province. This result would be expected to support the intervention research in the future. Methods 948 elders in rural areas were involved in this research. GDS (The Geriatric Depression Scale) and self-designed questionnaire were used to scale the related indicators. Results The proportion of depressed elders in rural areas was 33. 3% , within 8. 4% mild and severe depression. The top three symptoms were forgetfulness (88. 3%). Unclear mind (51. 4%) and feeling difficult to start a new job (49. 7%). Gender, Marriage, Economic condition, Physics disease, and negative life event were found influential factors of depression level. Conclusions It was proved that it was necessary to do some psychological interventions in rural areas. The health sector at all levels should pay attention to the mental health of older people in rural areas.

  12. 住院新生儿父母焦虑抑郁发生率及其影响因素研究%Study on the incidence and influencing factors of anxiety and depression in parents of hospitalized neonates

    Institute of Scientific and Technical Information of China (English)

    孔丽萍; 邱玉芳; 崔焱

    2012-01-01

    Objective To Investigate the incidence and influencing factors of anxiety Repression of parents wilh hospitalized neonates. Method Basic information questionnaire. Self-Ratinp Anxiety Scale( SAS) , Self - Hating Depressive Scale( SDS), Social Support Rating Scale (SSKS) and Perceived Stress Scale (PSS) were used to investigate 600 parents about their psychological conditions. Results Among the involved cases,20.00% of fathers and 24. 00% of mothers had symptoms of anxiety while 30.75% of fathers and 35.00% of mothers had depressive symptoms, The total scores of anxiety and depression in parents were significantly higher than Chinese normal population (P <0.01). The score of social support was significantly lower than Chinese normar population (P<0.01). The slate of objective support and parental pressure level were the most important influencing factors of anxiety and depression. Conclusion Anxiety anil depression are common in parents of hospitalized neonates,while the social support is far from satisfaction,so timely and effective nursing interventions are indispensable.%目的 调查住院新生儿父母的焦虑、抑郁发乍率及其影响因素.方法 采用基本信息调查表、焦虑自评量表、抑郁自评量表、社会支持评定量表、领悟压力量表对600名住院新生儿父母进行问卷调查.结果 住院新生儿父亲焦虑发生率为20.00%,抑郁发生率为30.75%;住院新生儿母亲焦虑发生率为24.00%,抑郁发生率为35.00%;住院新生儿父母的焦虑、抑郁得分均显著高于国内常模,社会支持总分低于常模(P<0.01).影响住院新生儿父母焦虑、抑郁的主要因素为客观支持和压力水平.结论 住院新生儿父母普遍存在焦虑、抑郁情绪,且获得的社会支持不足,应得到医护人员重视,及时采取有效的护理干预措施.

  13. Associations between School Connection and Depressive Symptoms from Adolescence through Adulthood: The Moderating Influence of Early Adversity

    Science.gov (United States)

    Markowitz, Anna J.

    2015-01-01

    Depression is the most common psychiatric disorder worldwide. Conservative estimates Suggest that 20% of Americans will experience depression during their lifetime, inflicting high interpersonal, labor market, and health care costs. Although depression is highly heritable, environmental factors can powerfully influence its development both…

  14. Analysis of depression status quo of late pregnancy women and its influencing factors%孕晚期妇女抑郁现状及其影响因素分析

    Institute of Scientific and Technical Information of China (English)

    贾彩丽; 王立军; 陆亚娟; 杨东美; 于桂艳; 贾楠

    2016-01-01

    Objective:To investigate the status quo of antenatal depression in late pregnancy women and analyze its influencing factors.Methods:A total of 446 late pregnancy women were studied by using a self designed general information questionnaire,the Edinburgh Postnatal Depression Scale (EPDS)and Chinese Perceived Stress Scale (CPSS).Results:EPDS score of late pregnancy women was 7.78±3.85.Incidence of depression a-mong late pregnancy women was 31.39%.Total CPSS score was 43.58±6.31,EPDS score was positively relat-ed to CPSS score(r=0.540,P<0.01).The multiple linear regression analysis showed that the level of stress perception and the satisfaction of relationship between husband and wife were the influencing factors of depres-sion in late pregnancy women,which could explain the variation of 37.3%.Conclusion:The higher incidence of antenatal depression of late pregnancy women,and the greater stress in late pregnancy,the higher possibility of antenatal depression was.The women with higher pressure perception and poor relationship between husband and wife should be given to health guidance,so as to reduce the incidence of antenatal depression.%[目的]调查孕晚期妇女产前抑郁发生现状,并分析其影响因素。[方法]采用自行设计的一般资料问卷、爱丁堡产后抑郁量表(Edinburgh Postnatal Depression Scale,EPDS)、中文版压力知觉量表(Chinese Perceived Stress Scale,CPSS)对446名孕晚期妇女进行调查。[结果]孕晚期妇女 EPDS评分为7.78分±3.85分,抑郁发生率为31.39%,CPSS总分为43.58分±6.31分,EPDS评分与CPSS得分呈正相关(r=0.540,P<0.01),多元线性回归分析显示:压力知觉水平和夫妻关系满意度是孕晚期抑郁的影响因素,可解释37.3%的变异量。[结论]孕晚期妇女产前抑郁的发生率较高,且孕晚期压力感受越大,发生产前抑郁的可能性越高,对于压力感受较高和夫妻关系差者应及时给予健康指导,减少产前抑郁发生。

  15. Investigation of Rural Widowed Old Man Depression Status and It’s Influence Factors%农村丧偶老人抑郁状况及其影响因素的调查

    Institute of Scientific and Technical Information of China (English)

    吴晓莲; 雷利霞; 周繁华; 李晨曦

    2014-01-01

    Objective To understand the rural widowed elderly depression symptoms and it’s influencing factors in Chenzhou city.Methods Totally 1379 elderly which over the age of 60 were selected and investigated by using Geriatric Depression Scale (GDS)and self-designed questionnaires.Results Widowed old man depressive symptoms of detection rate and GDS score were higher than old man with spouse:widowed old man depression detection rate was 2 9 .8%,which was significantly higher than depressive symptoms detection rate of elderly with spouse of 13.5%;Widowed old man GDS score was16.87±4.37, which was higher than the elderly with spouse of 13.19±3.11 (all P<0.001);The binary classification Logistic regression analysis,self-care ability(OR=4.743),whether to live alone (OR=4.255),gender(OR=1.690),chronic diseases (OR=0.606)are the main factors influencing the depressive symptoms occur in widowed old men.Conclusion Rural widowed old man has become the people at high risk of depression,so we should pay attention to psychological health problems of the rural widowed old man,and take targeted interventions to promote widowed old man’s physical and mental health.%目的:了解郴州市农村丧偶老人抑郁症状发生的现状及其影响因素.方法2013年1-2月利用老年人抑郁量表(geriatric depression scale,GDS)及自编的调查表,采取多阶段整群抽样的方法,对郴州市30个村组中60岁以上的1379名老人进行问卷调查.结果丧偶老人的抑郁症状检出率和 GDS得分均高于有偶老人:丧偶老人抑郁症状检出率为29.8%,明显高于有偶老人的13.5%;丧偶老人的 GDS得分为(16.87±4.37)分,高于有偶老人的(13.19±3.11)分,差异均有统计学意义(均P<0.001);经二分类 Logistic回归分析,自理能力(OR=4.743)、是否独居(OR=4.255)、性别(OR=1.690)、罹患慢性病(OR=0.606)是影响丧偶老人抑郁症状发生的重要因素.结论农村丧偶老人已成为

  16. Negative thinking: a key factor in depressive symptoms in Thai adolescents.

    Science.gov (United States)

    Charoensuk, Sukjai

    2007-01-01

    Negative thinking, self-esteem, parental bonding, and everyday stressors are factors related to depressive symptoms in studies conducted in the United States, but they have been rarely explored in Thailand. An understanding of factors influencing depressive symptoms in Thai youth will lead to the development of interventions to decrease depressive symptoms among this age group. The purpose of this study was to examine the effects of parental bonding, everyday stressors, self-esteem, and negative thinking on depressive symptoms among Thai adolescents. A random sample of 812 high school students in Chon Buri, Thailand, participated in the study. The prevalence of depressive symptoms varied from 20-21% depending on the measures used. Negative thinking was the best predictor of depressive symptoms in Thai adolescents. Negative thinking also mediated the effects of parental bonding, everyday stressors, and self-esteem on depressive symptoms.

  17. 工娱疗法对抑郁症患者疗效的影响因素分析%Influencing factors analysis of efficacy of occupation recreational therapy for patients with depression

    Institute of Scientific and Technical Information of China (English)

    张美英; 刘河; 杨君宏

    2014-01-01

    Objective:To explore influencing factors of efficacy of occupation recreational therapy for patients with depression. Methods:A total of 90 patients with depression receiving occupation recreational therapy were evaluated with the Hamilton depression scale ( HAMD) , coping methods inventory ( CMI) and social support rating scale ( SSRS) . The related factors which affected the effi-cacy were analyzed. Results:There were 73 patients (81. 11%) with good curative effect and 17 patients (18. 89%) with poor cura-tive effect. Through the single-factor analysis, between the two groups, there were significant differences in illness onset pattern, ill-ness attack times, hospitalizing time, accompanying chronic somatic disorders, compliance, and asking for help factor, solving problem factor, remorse factor and withdraw scores in CMI, as well as objective support factor, subjective support factor and using support de-gree factors in SSRS (P<0. 05). Logistic regression analysis showed that the main factors that influenced the efficacy of occupation rec-reational therapy were high compliance (r=53341. 926, P=0. 028), high subjective support factor score (r=62. 081, P=0. 040), and high using support degree factor score (r=13. 348, P=0. 038). Conclusions:The efficacy of occupation recreational therapy for the patients with depression is associated with compliance, subjective support and using support factors.%目的:探讨影响工娱疗法对抑郁症患者疗效的因素。方法:共有90例抑郁症患者接受工娱疗法干预,用24项汉密尔顿抑郁量表、应对方式问卷、社会支持量表对其疗效评定,分析影响工娱疗法对抑郁症疗效的因素。结果:90例患者中,工娱疗法效果好的占81.11%(73例),效果差占18.89%(17例),经单因素分析,两组患者在起病形式﹑发病次数﹑住院次数﹑是否伴有慢性躯体疾病﹑治疗依从性﹑应对方式问卷中求助因子分﹑解决问题因子分﹑自责因子分

  18. Gestational Diabetes a Risk Factor for Postpartum Depression

    Science.gov (United States)

    ... html Gestational Diabetes a Risk Factor for Postpartum Depression: Study It found chances increased even more if woman had suffered an earlier bout of depression To use the sharing features on this page, ...

  19. Cerebrovascular risk factors and subsequent depression in older general practice patients

    NARCIS (Netherlands)

    Nuyen, Jasper; Spreeuwenberg, Peter M.; Beekman, Aartjan T.F.; Groenewegen, Peter P.; Bos, Geertrudis A.M. van den; Schellevis, Francois G.

    2007-01-01

    Background: This general practice-based case-control study tested the association between cerebrovascular risk factors (CVRFs) and the development of later-life depression by focusing on the impact of exposure duration to CVRFs and the modifying influence of age at depression onset. Methods: Cases w

  20. Cerebrovascular risk factors and subsequent depression in older general practice patients.

    NARCIS (Netherlands)

    Nuyen, J.; Spreeuwenberg, P.M.; Beekman, A.T.F.; Groenewegen, P.P.; Bos, G.A.M. van den; Schellevis, F.G.

    2007-01-01

    Background: This general practice-based case-control study tested the association between cerebrovascular risk factors (CVRFs) and the development of later-life depression by focusing on the impact of exposure duration to CVRFs and the modifying influence of age at depression onset. Methods: Cases w

  1. Anxiety and depression in female patients with bladder leukoplakia and its influencing factors%女性膀胱白斑患者焦虑、抑郁状态及其影响因素

    Institute of Scientific and Technical Information of China (English)

    李文坚; 朱喜山; 孙柳静; 张正林

    2015-01-01

    目的::评价女性膀胱白斑患者焦虑、抑郁心理状况并分析其影响因素。方法:对确诊为膀胱白斑的148例女性患者,采用焦虑自评量表( SAS)、抑郁自评量表( SDS)评估其焦虑、抑郁症状,记录患者性别、年龄、文化程度、职业、经济状况、家族史、婚姻与病程等一般情况,分析抑郁、焦虑症状的影响因素。结果:148例焦虑和抑郁症状发生率分别为31.1%和22.3%,且焦虑和抑郁症状呈正相关关系(P0.05)。结论:女性膀胱白斑患者存在明显的抑郁和焦虑情绪,与患者文化程度、职业、经济状况及病程长短相关,需要引起重视,给予必要的心理干预。%Objective:To evaluate the anxiety and depression status in female patients with bladder leukoplakia,and investigate its influencing factors. Methods:The anxiety and depression status in 148 female patients with bladder leukoplakia were investigated using the Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS). The gender,age,education,occupation,economic state, family history,marriage and course of the disease in all patients were analyzed. Results:The occurrence rates of anxiety and depression in 148 cases were 31. 1% and 22. 3%,respectively,and there was a positive correlation between anxiety and depression(P0. 05). Conclusions:Anxious and depressive status are commonly found in female patients with bladder leukoplakia, which are related to the education, occupation, economic state and course of the disease. It is necessary to pay special attention and psychological intervention in the patients.

  2. Effects of three depression prevention interventions on risk for depressive disorder onset in the context of depression risk factors.

    Science.gov (United States)

    Rohde, Paul; Stice, Eric; Gau, Jeff M

    2012-12-01

    Study aims were to identify subgroups of adolescents with elevated depressive symptoms who had the highest likelihood of developing future major/minor depressive disorder on the basis of depression risk factors and participation in three depression prevention programs, with the goal of evaluating the preventive effect of indicated prevention interventions in the context of known risk factors. Adolescents (N = 341) with elevated depressive symptoms were randomized to one of four prevention intervention conditions (cognitive-behavioral group, supportive-expressive group, cognitive-behavioral bibliotherapy, educational brochure control). By 2-year follow-up, 14% showed onset of major/minor depressive disorders. Classification tree analysis (CTA) revealed that negative attributional style was the most important risk factor: Youth with high scores showed a 4-fold increase in depression onset compared to youth who did not endorse this attributional style. For adolescents with negative attributional style, prevention condition emerged as the most important predictor: Those receiving bibliotherapy showed a 5-fold reduction in depression disorder onset relative to adolescents in the three other intervention conditions. For adolescents who reported low negative attributional style scores, elevated levels of depressive symptoms at baseline emerged as the most potent predictor. Results implicate two key pathways to depression involving negative attributional style and elevated depressive symptoms in this population, and suggest that bibliotherapy may offset the risk conveyed by the most important depression risk factor in this sample.

  3. Analysis of influence factors of depression in gestation complicated with diabetes mellitus patients%妊娠合并糖尿病患者发生抑郁情况的影响因素分析

    Institute of Scientific and Technical Information of China (English)

    黄宏超; 李阳; 魏文峰; 刘子杰

    2015-01-01

    目的:探究分析妊娠合并糖尿病患者发生抑郁情况的影响因素。方法160例妊娠合并糖尿病患者作为试验组,随机选取同期入院的160例正常孕妇作为对照组。采用抑郁自评量表(SDS)对所有患者进行抑郁情况评分,并记录比较两组患者抑郁发生率,采用Logistic回归分析妊娠合并糖尿病患者发生抑郁的影响因素。结果多因素Logistic回归分析结果显示,并发症、年龄、社会支持(SSRS)总分是2型糖尿病(T2DM)患者合并抑郁的影响因素, OR值分别为1.892、0.672、0.558;试验组患者糖化血红蛋白水平、妊娠期抑郁发生率及SDS评分情况均明显高于对照组,组间比较差异有统计学意义(P<0.05);回归分析结果显示,孕妇年龄、体质量指数(BMI)、不良孕史、糖尿病病程以及孕期糖化血红蛋白水平在一定程度上均与抑郁的发生有关(P<0.05)。结论妊娠合并糖尿病患者在妊娠期间易发生抑郁,患者糖化血红蛋白含量与抑郁程度明显相关,而抑郁情况与妊娠结局息息相关,采用有效方法控制孕妇血糖值,改善抑郁状态,对于改善妊娠结局有积极意义。%Objective To investigate and analyze the influence factors of depression in gestation complicated with diabetes mellitus patients.Methods There were 160 gestation complicated with diabetes mellitus patients in experimental group, and another 160 healthy pregnant women in the same admission period in control group. Self-rating depression scale (SDS) was applied for grading depression status in all patients, and records were made on incidences of depression for comparison between the two groups. Influence factors of depression in gestation complicated with diabetes mellitus patients were analyzed by Logistic regression.Results Multivariate Logistic regression showed that complications, age and total score of social support rating scale (SSRS) were the influencing factors of

  4. The condition of depression of the elderly and influence factors in Nantong%南通市老年人抑郁状况及其影响因素分析

    Institute of Scientific and Technical Information of China (English)

    高月霞; 徐红; 肖静; 林艳; 仲亚琴; 陆青云; 蓝绍颖; 许熙国; 庄勋

    2012-01-01

    目的 了解南通市老年人抑郁的患病现状及其影响因素.方法 采用整群随机抽样的方法,以老年抑郁量表(GDS)及自制量表为调查工具,对南通市60岁以上老年人群进行调查,共收集有效问卷714份.结果 南通市老年人群老年抑郁症状发生率为16.11%,其中中重度抑郁占2.24%.多因素Logistic回归分析显示,睡眠、家庭/亲友/邻里关系、个性是否乐观、体育锻炼是老年抑郁症状发生的影响因素.结论 抑郁症状是老年人常见的心理健康问题,受生理、心理、家庭、社会等诸多因素的综合影响,应加强老年精神卫生服务,提供相应预防措施.%Objective To investigate the occurrence of depression of the aged in Nantong and the influencing factors on the basis of epidemiological investigation. Methods 714 elderly peoples in Nantong were selected by randomly sampling method and studied by cross-sectional study with GDS and self-designed questionaire. Results The total incidence rate of the elderly depression was 16. 11% , 2. 24% among them were the medium-serious depression syndrome. Multivariate Logistic analysis confirmed that sleep, family relationship, friendship, neighborhood, optimistic, physical exercise were significantly related to elderly depression. Conclusions Depression is a common problem of mental health among old people, which is influenced by physical, psychological, family, social and so on. Mental health service should be enhanced and provide nursing of mental health.

  5. Influencing factors of coexisting anxiety and depression in patients with NPC in Chaoshan region%潮汕地区鼻咽癌患者焦虑、抑郁发生情况及其影响因素

    Institute of Scientific and Technical Information of China (English)

    林韵; 黄丽萍; 张秀莲; 邱洁华; 许晓丹; 许慕明

    2016-01-01

    Objective To explore depression and anxiety in nasopharyngeal carcinoma (NPC) patients in Chaoshan region and investigate their influencing factors. Methods Two hundred and one patients newly diagnosed with NPC were included in this study. The status of depression and anxiety during their hospital stay were evaluated using the self-rating depression scale (SDS) and the self-rating anxiety scale (SAS). Data including sex, age, education, history of smoking, course of disease, sleeping quality and oral pain were also collected and their relationships with depression and anxiety were analyzed as well. Results They had significantly higher mean SAS score (36.41 ± 7.41) and SDS score (48.42 ± 7.19), as compared with the healthy population. Single factor analysis indicated that age, education, history of smoking, course of disease, sleeping quality, and oral pain had significant impact on the scores of SAS and SDS. Multivariate logistics regression analysis indicated that age, education, history of smoking, course of disease, sleeping quality, and oral pain had significant impact on their anxiety and depression. Conclusions Depression and anxiety are common psychological problems in NPC patients. Patients at the middle to elderly age and with low education, history of smoking, bad sleeping quality and oral pain are more susceptible to depression and anxiety.%目的 探讨潮汕地区鼻咽癌患者焦虑、抑郁发生情况及分析其影响因素.方法 采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)对201例首诊鼻咽癌患者住院期间的焦虑和抑郁状况进行调查,并分析其影响因素.结果 潮汕地区鼻咽癌患者焦虑、抑郁发生率分别为41.79%、62.19%.患者SAS(36.41±7.41)分、SDS(48.42±7.19)分,高于国内常模.单因素分析显示年龄、教育程度、吸烟、病程、睡眠质量及口腔疼痛与患者发生焦虑、抑郁相关(均P<0.05);多因素Logistics

  6. Cultural background and socioeconomic influence of immigrant and refugee women coping with postpartum depression.

    Science.gov (United States)

    O'Mahony, Joyce Maureen; Donnelly, Tam Truong; Raffin Bouchal, Shelley; Este, David

    2013-04-01

    Postpartum depression is a serious condition that can have long lasting traumatic effects on women and their families. Until recently postpartum depression research has focused more on the population as a whole rather than refugee and immigrant women. Informed by Kleinman's explanatory model and the postcolonial feminist perspective, 30 immigrant and refugee women were interviewed to find out what factors influenced them in seeking postpartum care and what strategies would be helpful in prevention and treatment of postpartum depression. We found that the immigrant and refugee women in our sample: (a) were influenced by both cultural background and socioeconomic factors in seeking support and treatment; (b) were influenced by cultural differences and social stigma when making decisions about health care practices; and (c) employed numerous coping strategies to deal with postpartum depression. Recommendations are provided for more culturally appropriate and equitable mental health care services for immigrant and refugee women living in Canada.

  7. 社区老年高血压患者抑郁状况及影响因素分析%Analysis of depression and its influencing factors in the elderly with hypertension in the community

    Institute of Scientific and Technical Information of China (English)

    马丽珍; 柴海云; 廖淑梅

    2010-01-01

    Objective To investigate the depression and its influential factors in the elderly with hypertension in communities,so as to provide the theoretical evidence for practicing intervention for community health workers.Methods According to uniform inclusion and exclusion criteria,350 elderly people aged 60 years and over in Changxing Community and Town God's Temple Community in Changzhi city included hypertensive patients and healthy persons who were extracted by stratified random sampling method.The face-to-face survey method was taken,and the questionnaire included general information and Geriatric Depression Scale (GDS).All data were through statistical analysis by SPSS 13.0.Results The incidence of depression was higher in elderly hypertensive patients (scores:11.70±6.67,56.4%) than in normal elderly persons [scores:(6.49+5.97,21.3)%,t=-7.314,x2=41.489,P<0.01].The results of multiple stepwise regression analysis showed the influencing factors of depression were subjective symptoms,complicating disease,knowledge of hypertension,co-living family and economic burden.Conclusions The incidence of depression is higher in elderly hypertensive patients than in normal elderly people.If community health workers do something to intervene the influencing factors of the depression in elderly hypertensive patients,the incidence may be reduced.%目的 调查社区老年高血压患者抑郁状况及其影响因素,为社区医务人员采取有效的干预措施提供依据.方法 随机抽取长治市2个社区60岁及以上的原发性高血压患者和健康老年人共350例,采取入户面对面的调查方式进行问卷调查.调查问卷主要包括自编的-般资料及老年抑郁量表(GDS).所有数据采用统计软件SPSS13.0建立数据库,进行统计分析.结果 老年高血压患者抑郁平均得分为(11.70±6.67)分,发生率为56.4%,高于健康老年对照组[(6.49±5.97)分和21.3%,t=-7.314,x2=41.489,P<0.01];多元逐步回归分析发现,影响抑郁

  8. Survey of depression status and its influencing factors of elderly people in rural areas of Suzhou%宿州市农村老年人抑郁状况及其影响因素调查

    Institute of Scientific and Technical Information of China (English)

    张双姣; 杭荣华; 刘欢

    2016-01-01

    [目的]了解宿州市农村地区老年人抑郁状况及其影响因素。[方法]采用一般情况调查表、老年抑郁量表(GDS)、社会支持量表(SSRS)对60岁及以上常住老年人进行问卷调查。[结果]宿州市农村老年人 GDS 评分为(9.46±5.95)分,有抑郁症状者180人(40.1%),不同性别、年龄、文化程度、婚姻状况、患慢性病情况、经济保障、娱乐活动、家庭关系的老年人抑郁发生率比较差异有统计学意义。GDS 评分与社会支持呈负相关(r=-0.339)。二分类 Logistic 回归分析显示,男性、非文盲、有经济保障、家庭关系好为保护性因素,高龄、患慢性病为发生抑郁的危险因素。[结论]宿州市农村地区老年人抑郁问题较突出,通过增加社会支持、防治慢性病、建立良好的家庭关系等可降低老年人抑郁发生率。%Objective:To understand the depression status and its influencing factors of elderly people in rural ar-eas of Suzhou.Methods:The elderly residents with 60 years or abover received the questionnaire by using the general situation questionnaire,Geriatric Depression Scale (GDS),Social Support Revalued Scale (SSRS).Re-sults:The GDS scores was(9.46 ±5.95),and 180 people had symptoms of depression(40.1%),the differences of depression incidence among the elderly people with different genders,ages,culture degree,marriage status, status of suffering from chronic disease,economic security,entertainment,family relationships were statistically significant.GDS score was negatively correlated with social support(r =-0.339).Two classification Logistic regression analysis showed that male,having economic non illiteracy security of culture degree and good family relationship were the protective factors;while old age and suffering from chronic diseases were the risk factors of depression.Conclusion:The depression problem of elderly people in rural areas of Suzhou was more promi-nent;the depression incidence of

  9. Somatisation as a risk factor for incident depression and anxiety

    NARCIS (Netherlands)

    Dijkstra-Kersten, Sandra M. A.; Sitnikova, Kate; van Marwijk, Harm W. J.; Gerrits, Marloes M. J. G.; van der Wouden, Johannes C.; Penninx, Brenda W. J. H.; van der Horst, Henrieette E.; Leone, Stephanie S.

    2015-01-01

    Objective: In this study, we aimed to examine somatisation as a risk factor for the onset of depressive and anxiety disorders. Methods: 4-year follow-up data from the Netherlands Study of Depression and Anxiety (NESDA), a multisite cohort study of the course of depression and anxiety, was analysed.

  10. Somatisation as a risk factor for incident depression and anxiety

    NARCIS (Netherlands)

    Dijkstra-Kersten, Sandra M. A.; Sitnikova, Kate; van Marwijk, Harm W. J.; Gerrits, Marloes M. J. G.; van der Wouden, Johannes C.; Penninx, Brenda W. J. H.; van der Horst, Henrieette E.; Leone, Stephanie S.

    2015-01-01

    Objective: In this study, we aimed to examine somatisation as a risk factor for the onset of depressive and anxiety disorders. Methods: 4-year follow-up data from the Netherlands Study of Depression and Anxiety (NESDA), a multisite cohort study of the course of depression and anxiety, was analysed.

  11. Depression after Delivery: Risk Factors, Diagnostic and Therapeutic Considerations

    OpenAIRE

    Debra A. Scrandis; Sheikh, Tehmina M.; Robina Niazi; Tonelli, Leonardo H.; Teodor T. Postolache

    2007-01-01

    Postpartum mood disorders can negatively affect women, their offspring, and their families when left untreated. The identification and treatment of postpartum depression remains problematic since health care providers may often not differentiate postpartum blues from depression onset. Recent studies found potentially new risk factors, etiologies, and treatments; thus, possibly improving the untreated postpartum depression rates. This integrated review examined several postpartum psychiatric d...

  12. 临产前孕妇抑郁和焦虑状况及影响因素分析%Analysis of anxiety and depression status and influencing factors among parturient pregnant women

    Institute of Scientific and Technical Information of China (English)

    高杨; 王伟业; 黄大雁; 刘辉

    2014-01-01

    Objective To explore the anxiety and depression status and their influencing factors among parturient pregnant women . Methods A total of 461 pregnant women in our hospital from January 2011 to January 2013 were used questionnaire to collect information like age and marital status,and we also used self-rating depression scale (SDS),self-rating anxiety scale (SAS),Eysenck personality ques-tionnaire (EPQ),social support rating scale (SSRS) to determinate related mental index .Results Incidence of anxiety was 31.9%,and the average SAS total score was 38.5 ±6.17 points;incidence of depression was 28.2%,and the average SDS total score was 36.1 ±5.83 points. Multivariate logistic regression analysis showed:place of residence ,whether the only child or not ,early pregnancy reaction degree ,the number of pregnancy ,history of adverse pregnancy among relatives and friends ,social support score and N standard score were the influencing factors of anxiety.Family income,conjugal relation,whether preferring sons rather than daughters ,the number of pregnancy ,history of adverse preg-nancy among relatives and friends ,social support score and P standard score were the influencing factors of depression .Conclusion The inci-dences of anxiety and depression among parturient pregnant women are high ,thus mental intervention should be implemented .%目的:探索临产前孕妇的焦虑和抑郁状况及其影响因素。方法选取待产孕妇461例,采用问卷调查方式收集孕妇年龄、婚姻状况等信息,并运用抑郁自评量表(SDS)、焦虑自评量表(SAS)、人格测验量表(EPQ)及社会支持评定量表(SSRS)测定相关心理指标。结果临产前孕妇焦虑的发生率为31.9%,SAS标准分平均为(38.5±6.17)分;抑郁的发生率为28.2%,SDS标准分平均为(36.1±5.83)分,均处于较高水平。多元logistic回归分析结果显示,常住地、是否独生子女、早孕反应程度、产次

  13. Prevalence, influencing factors and help-seeking style of depression among elderly population in Wenzhou area%温州老年人抑郁障碍影响因素及求医方式分析

    Institute of Scientific and Technical Information of China (English)

    叶敏捷; 钟善钊; 林春燕; 叶素贞; 陈策

    2013-01-01

    目的 了解浙江省温州市老年人抑郁障碍的患病率、相关影响因素及求医方式,为采取干预措施提供参考依据.方法 采用中文版老年抑郁量表(GDS)对从温州市分层随机抽取的1 937名≥60周岁城乡老年居民进行抑郁障碍筛查,对筛查阳性的514例和随机抽取的447名筛查阴性的老年人进行DSM-IV-TR轴Ⅰ障碍临床定式检查(SCID-1)评定,并对其中确诊的抑郁障碍患者进行求医方式调查.结果 514例筛查阳性老年人中检出81例抑郁障碍患者,447名筛查阴性老年人中检出7例抑郁障碍患者,调整患病率为5.50%;多因素logistic回归分析结果表明,年龄≥80岁、有慢性躯体疾病和慢性躯体疼痛是温州市老年人抑郁障碍患病的危险因素,在婚和生命质量总分>21分是温州市老年人抑郁障碍患病的保护因素;居于老年抑郁障碍患者求医方式前3位的依次为综合医院普通内科门诊(38.64%)、综合医院住院(26.14%)、社区的药房(18.18%),到精神专科医疗单位的总求医率仅为2.27%.结论 温州市老年人抑郁障碍的患病率较高,且正确求医率极低;年龄、婚姻状况、慢性疾病、慢性躯体疼痛和生命质量是温州市老年人抑郁障碍患病的影响因素.%Objective To investigate the prevalence, influencing factors and help-seeking style of depression among elderly population in Wenzhou area. Methods Totally 1 937 community-dwellers( ≥60 years old) were screened with Geriatric Depression Scale(GDS) ,of which,514 positive subjects(GDS score ≥11) and 447 negative subjects(GDS score <11) completed Structured Clinical Interview for Diagnostic and Statistical of Mental Disorder IV(DSM-IV-TR) axis I disorders interviews. The subjects diagnosed with depressive disorders were investigated with Help-Seeking Style Questionnaire. Results Totally 81 depression patients among GDS positive subjects and 7 among 447 negative subjects were diagnosed

  14. 离退休老年人抑郁症状的影响因素分析%The Analysis of Influence Factors of Geriatric Depressive Symptoms among Retired People

    Institute of Scientific and Technical Information of China (English)

    刘芳; 梁勋厂; 罗浩; 胡淑华; 高珊荣; 王增珍

    2012-01-01

    目的 了解社区离退休老年人抑郁症状发生情况及影响因素,为改善老年人心理健康提供参考依据.方法 采用老年抑郁量表简表及自编问卷,对武汉市4个社区的483名离退休老人进行问卷调查.结果 共有130人存在抑郁症状,发生率为20.5%.卡方分析显示,家庭人均收入低、自理能力差、患多种疾病、有孤独感、社会支持和人际关系不好、娱乐活动欠缺的老年人有更高的抑郁症状发生率;Logistic回归分析发现,社会支持、人际关系、家庭人均收入、职业、自理能力、孤独是老年人抑郁症状发生的潜在影响因素;结构方程模型显示,社会功能、身体健康状况、孤独感对老年抑郁症状的影响具有统计学意义(P<0.05).结论 离退休老年人存在一定程度的抑郁症状,与社会功能和身体健康状况、孤独感关系较大,可通过改善社会功能、加强身体锻炼和多参与社会活动、多与人交流等加以预防.%To investigate the prevalence of geriatric depressive symptoms among the retired old people in community and understand related influence factors in order to provide evidences for the policy which aims to improve mental health of aged people. Methods 483 retired old people in four different communities in Wuhan were investigated with GDS-15 and self-made questionnaires. Results There are 130 people (20. 5%) among the participants suffering from geriatric depressive symptoms. Square analysis shows that the incidence rate of geriatric depressive symptoms is much higher among the people who have lower household, poor self-care ability, poor social support and interpersonal relationships, suffer from various diseases, feel lonely and lack of recreational activities. Logistic regression analysis shows that people with different social support, interpersonal relationships, household per capita, previous career, self-care ability and loneliness have significant influence on the

  15. 安徽省某镇空巢老人抑郁因素分析%Depression prevalence status and the influencing factors in empty nest elderly in a town of Anhui province

    Institute of Scientific and Technical Information of China (English)

    李丹丹; 臧娜; 何培丽; 崔冉冉; 韦真珍; 袁慧

    2013-01-01

    目的:了解安徽省某镇空巢老人抑郁现状,分析其相关影响因素.方法:采用整群抽样方法选择安徽省某镇作为研究地区,以生活质量问卷SF-36及抑郁自评量表SDS对60岁以上老人进行调查.结果:共调查695名老人,抑郁症状检出率为20.43%;其中非空巢老人352人,抑郁症状检出率为13.92%;空巢老人343人,抑郁症状检出率为27.11%,其中空巢夫妻同住老人256人,抑郁症状检出率为25.78%;空巢独居老人87人,抑郁症状检出率为31.03%;空巢独居老人抑郁症状检出率最高,差异有统计学意义(P<0.001).Logistic回归分析显示性别(OR=0.543)、经济收入(OR=0.518)、对生活满意度(OR=0.499)、家庭关系(OR=1.632)与抑郁症状相关.结论:空巢老人的抑郁症状发生率较高,影响因素复杂,我们应加强对空巢老人特别是独居空巢老人的关注,从提高经济收入、改善家庭关系等方面有针对性地提供更多的社会支持.%Objective: To survey on the depression prevalence status among the empty nest elderly living in a town oi Anhui province and analyze the related influencing factors. Methods : By randomized duster sampling, the empty nest population aged over 60 in an township area were surveyed using Quality oi Life Questionnaire( SF-36 ) and Sell-Rating Depression scale( SDS ). Results: The detected rate for depression was 20. 43% in the total 695 subjects,in whom 352 were non-empty nest elderly and 343 were empty living, and the depression detectable was 13. 92% for the farmer and 27. 1 1 % for the latter. Detectable depression wai also found in 256( 25.78 % ) subjects living with their spouse and in 87( 31. 03 % ) of single empty living, which suggested that the emotional disorder most hit the empty nest elderly oi single living and had statistical difference ( P <0. 001 ). Logistic regression analysis showed that the depressive state wai associated with sexes( OR = 0. 543 ), family income( OR = 0.518 ), living

  16. Postnatal depression - an examination of psychosocial factors | Mills ...

    African Journals Online (AJOL)

    Postnatal depression - an examination of psychosocial factors. ... South African Medical Journal ... pregnancy, complications after birth, marital relations, relationship with their own mothers, social support and preparation for motherhood.

  17. The depression status and its influencing factors in primary caregivers of patients with lung cancer chemotherapy%肺癌化疗患者主要照顾者抑郁状况及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    干雨; 何玲玲

    2014-01-01

    目的:探讨肺癌化疗患者主要照顾者的抑郁状况及影响因素。方法:对160例肺癌化疗患者主要照顾者进行问卷调查,并对结果进行分析。结果:肺癌化疗患者主要照顾者抑郁自评量表(SDS )得分为(66.30±9.33)分,显著高于国内常模( P<0.01);单因素分析显示,有抑郁组和无抑郁组照顾者在家庭收入、文化程度、照顾持续时间、患者病程时间、患者TMN分期等方面差异有统计学意义( P<0.05);多因素Logistic回归分析显示照顾持续时间、家庭收入、患者病程时间是照顾者抑郁的主要影响因素。结论:肺癌化疗患者主要照顾者存在较严重的抑郁,护理人员应重视对肺癌化疗患者主要照顾者的心理干预。%Objective]To study and explore the depression status and its influencing factors in primary caregivers of patients with lung cancer chemotherapy .[Method]160 primary caregivers of patients with lung cancer chemotherapy were surveyed ,and the results were analyzed statistically .[Result] The scores of SDS was 66.30 ± 9.33 ,which was higher than that of the domes-tic norm .Univariate analysis showed that depression was associated with family income level ,education level ,duration of care , course of disease ,and the TNM classification .Multinomial Logistic regression showed that duration of care ,family income lev-el ,and the course of disease were the main factors of depression for primary caregivers .[Conclusion] The primary caregivers of patients with lung cancer chemotherapy existed more severe depression ,the nursing staff should pay attention to the psycho-logical intervention of primary caregivers of patients with lung cancer .

  18. Older patients' depressive symptoms 6 months after prolonged hospitalization: course and interrelationships with major associated factors.

    Science.gov (United States)

    Chen, Chun-Min; Huang, Guan-Hua; Chen, Cheryl Chia-Hui

    2014-01-01

    The aim of this study was to examine the course of depressive symptoms in older patients 6 months following a prolonged, acute hospitalization, especially the interrelationships among depressive symptoms and its major associated factors. For this study, we conducted a secondary analysis of data from a prospective cohort study of 351 patients aged 65 years and older. Participants were recruited from five surgical and medical wards at a tertiary medical center in northern Taiwan and assessed at three time points: within 48 h of admission, before discharge, and 6 months post-discharge. The course of depressive symptoms was dynamic with symptoms increased spontaneously and substantially during hospitalization and subsided at 6 months after discharge, but still remained higher than at admission. Overall, 26.7% of older patients at hospital discharge met established criteria for minor depression (15-item Geriatric Depressive Scale (GDS-15) scores 5-9) and 21.2% for major depression (GDS-15 scores >10). As the strongest associated factors, functional dependence and nutritional status influenced depressive symptoms following hospitalization. Depressive symptoms at discharge showed significant cross-lagged effects on functional dependence and nutritional status at 6 months after discharge, suggesting a reciprocal, triadic relationship. Thus, treating one condition might improve the other. Targeting the triad of depressive symptoms, functional dependence, and nutritional status, therefore, is essential for treating depressive symptoms and improving the overall health of older adults hospitalized for acute illness. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  19. Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes

    Directory of Open Access Journals (Sweden)

    Gláucia Rosana Guerra Benute

    2010-01-01

    Full Text Available BACKGROUND: Approximately one-fifth of women present depression during pregnancy and puerperium, and almost 13% of pregnant women experience a major depressive disorder. OBJECTIVE: The aim of this study was to identify risk factors for depression among pregnant women with a medical disorder and to evaluate the influence of depression on perinatal outcomes. METHODS: Three hundred and twenty-six pregnant women with a medical disorder were interviewed. A semistructured interview was conducted for each participant using a questionnaire that had been developed previously. Major depression was diagnosed using the Portuguese version of the Primary Care Evaluation of Mental Disorders (PRIME-MD. The medical records of the participants were thoroughly reviewed to evaluate the perinatal results. RESULTS: Major depressive disorder was diagnosed in 29 cases (9.0%. The prevalence of major depression was as follows: 7.1% for preeclampsia or chronic hypertension, 12.1% for cardiac disorder, 7.1% for diabetes mellitus, 6.3% for maternal anemia, 8.3% for collagenosis and 12.5% for a high risk of premature delivery. An univariate analysis showed a significant positive correlation between an average household income below minimum wage and a PRIME-MD diagnosis of major depression. A multiple regression analysis identified unplanned pregnancy as an independent predictor of major depression (86.2% in the group with a diagnosis of major depression by PRIME-MD vs. 68.4% in the group without major depression. A comparison between women who presented major depression and those who did not revealed no significant differences in the perinatal results (i.e., preterm delivery, birth weight and low Apgar scores. CONCLUSION: In the present study, unplanned pregnancy in women with a medical disorder was identified as a risk factor for major depression during gestation. Major depression during pregnancy in women with a medical disorder should be routinely investigated using

  20. Depressive Symptoms in Chinese Elementary School Children: Child Social-Cognitive Factors and Parenting Factors

    Science.gov (United States)

    Chan, Siu Mui; Oi Poon, Scarlet Fung

    2016-01-01

    This study examined child cognitive-behavioural factors and parenting factors related to childhood depressive symptoms. Results indicate that positive and negative attributional styles were protective and vulnerable factors of depression symptoms, respectively, and the attribution-depression link was mediated by self-esteem and coping responses.…

  1. Depressive Symptoms in Chinese Elementary School Children: Child Social-Cognitive Factors and Parenting Factors

    Science.gov (United States)

    Chan, Siu Mui; Oi Poon, Scarlet Fung

    2016-01-01

    This study examined child cognitive-behavioural factors and parenting factors related to childhood depressive symptoms. Results indicate that positive and negative attributional styles were protective and vulnerable factors of depression symptoms, respectively, and the attribution-depression link was mediated by self-esteem and coping responses.…

  2. Depression

    DEFF Research Database (Denmark)

    Cizza, G; Ravn, Pernille; Chrousos, G P

    2001-01-01

    Existing studies of the relationship between depression and osteoporosis have been heterogeneous in their design and use of diagnostic instruments for depression, which might have contributed to the different results on the comorbidity of these two conditions. Nevertheless, these studies reveal...... a strong association between depression and osteoporosis. Endocrine factors such as depression-induced hypersecretion of corticotropin-releasing hormone and hypercortisolism, hypogonadism, growth hormone deficiency and increased concentration of circulating interleukin 6, might play a crucial role...... in the bone loss observed in subjects suffering from major depression....

  3. A review of lifestyle factors that contribute to important pathways associated with major depression: diet, sleep and exercise.

    Science.gov (United States)

    Lopresti, Adrian L; Hood, Sean D; Drummond, Peter D

    2013-05-15

    Research on major depression has confirmed that it is caused by an array of biopsychosocial and lifestyle factors. Diet, exercise and sleep are three such influences that play a significant mediating role in the development, progression and treatment of this condition. This review summarises animal- and human-based studies on the relationship between these three lifestyle factors and major depressive disorder, and their influence on dysregulated pathways associated with depression: namely neurotransmitter processes, immuno-inflammatory pathways, hypothalamic-pituitary-adrenal (HPA) axis disturbances, oxidative stress and antioxidant defence systems, neuroprogression, and mitochondrial disturbances. Increased attention in future clinical studies on the influence of diet, sleep and exercise on major depressive disorder and investigations of their effect on physiological processes will help to expand our understanding and treatment of major depressive disorder. Mental health interventions, taking into account the bidirectional relationship between these lifestyle factors and major depression are also likely to enhance the efficacy of interventions associated with this disorder.

  4. 围绝经期妇女焦虑、抑郁障碍的临床特征及影响因素分析%Clinical features of depression and anxiety disorders and their influence factors in perimenopausal women

    Institute of Scientific and Technical Information of China (English)

    郭珍; 刘飞; 张欣尚; 陆峥

    2015-01-01

    Objective To investigate the clinical features of depression and anxiety disorders and their influence factors in women during perimenopause .Methods Fifty-seven cases of first hospitalized perimenopausal patients with anxiety and depression symptoms evaluated by Hamilton Depression Rating Scale for Depression (HAMD) ,Hamilton Anxiety Scale for Anxiety (HAMA) and Life Event Scale (LES) ,and detected of hormone levels .All of the data were input into a database and analyzed with de‐scriptive statistics ,Spearman correlation analysis and multiple linear regression analysis .Results All 57 patients in the HAMD total score of (22 .56 ± 8 .48) ,HAMA total score of (15 .21 ± 7 .88) ,mainly mild or moderate depression and definite anxiety .Most of the patients affected by life events ,especial the negative life events .Linear correlation analysis showed that the incidence of postmenopausal was posi‐tively correlated with depressive disorder ,the correlation coefficient was 0 .275;there was no significant correlation factor with anxiety disorders .Linear regression analysis showed that estradiol was negatively correlation with depressive disorders;pituitary prolactin ,economically disadvantaged families ,children long - term leaving home was positively correlated with depression (the regression coefficients were-0 .823 ,0 .230 ,1 .017 ,0 .783 ,respectively);economically disadvantaged families ,bad marital relations was positively correlated with anxiety disorders (the regression coefficient were 0 .802 ,0 .553) .Conclu‐sions Perimenopausal women were mainly in mild or moderate anxiety and depression ,were affected by hormones and social family factors .%目的:探讨围绝经期妇女焦虑、抑郁障碍的主要临床特征及相关影响因素。方法采用HAMD和HAMA对57例首次入院治疗的围绝经期焦虑、抑郁障碍患者进行临床症状评估,生活事件量表(LES)评估,以及检测每位患者体内激素水平,并用描述性统

  5. Depression after Delivery: Risk Factors, Diagnostic and Therapeutic Considerations

    Directory of Open Access Journals (Sweden)

    Debra A. Scrandis

    2007-01-01

    Full Text Available Postpartum mood disorders can negatively affect women, their offspring, and their families when left untreated. The identification and treatment of postpartum depression remains problematic since health care providers may often not differentiate postpartum blues from depression onset. Recent studies found potentially new risk factors, etiologies, and treatments; thus, possibly improving the untreated postpartum depression rates. This integrated review examined several postpartum psychiatric disorders, postpartum blues, generalized anxiety, obsessive compulsive disorder, post-traumatic stress disorder, and postpartum psychosis for current findings on prevalence, etiologies, risk factors, and postpartum depression treatments.

  6. Protective Factors for Depression among African American Children of Predominantly Low-Income Mothers with Depression.

    Science.gov (United States)

    Boyd, Rhonda C; Waanders, Christine

    2013-01-01

    Maternal depression has a deleterious impact on child psychological outcomes, including depression symptoms. However, there is limited research on the protective factors for these children and even less for African Americans. The purpose of the study is to examine the effects of positive parenting skills on child depression and the potential protective effects of social skills and kinship support among African American children whose mothers are depressed and low-income. African American mothers (n = 77) with a past year diagnosis of a depressive disorder and one of their children (ages 8-14) completed self-report measures of positive parenting skills, social skills, kinship support, and depression in a cross-sectional design. Regression analyses demonstrated that there was a significant interaction effect of positive parenting skills and child social skills on child depression symptoms. Specifically, parent report of child social skills was negatively associated with child depression symptoms for children exposed to poorer parenting skills; however, this association was not significant for children exposed to more positive and involved parenting. Kinship support did not show a moderating effect, although greater maternal depression severity was correlated with more child-reported kinship support. The study findings have implications for developing interventions for families with maternal depression. In particular, parenting and child social skills are potential areas for intervention to prevent depression among African American youth.

  7. Reduction of Influence Factors

    NARCIS (Netherlands)

    Regtien, Paulus P.L.; Sydenham, Peter H.; Thorn, Richard

    Any measurement system has imperfections and any act of measurement is liable to errors. Measurement errors either originate from system deficiencies (for instance system noise, quantization, and drift), or are due to environmental influences such as thermal, electromagnetic, and mechanical

  8. Epigenetic Risk Factors in PTSD and Depression

    Directory of Open Access Journals (Sweden)

    Florian Joachim Raabe

    2013-08-01

    Full Text Available Epidemiological and clinical studies have shown that children exposed to adverse experiences are at increased risk for the development of depression, anxiety disorders and PTSD. A history of child abuse and maltreatment increases the likelihood of being subsequently exposed to traumatic events or of developing PTSD as an adult. The brain is highly plastic during early life and encodes acquired information into lasting memories that normally subserve adaptation. Translational studies in rodents showed that enduring sensitization of neuronal and neuroendocrine circuits in response to early life adversity are likely risk factors of life time vulnerability to stress. Hereby, the hypothalamic-pituitary-adrenal (HPA axis integrates cognitive, behavioural and emotional responses to early-life stress and can be epigenetically programmed during sensitive windows of development. Epigenetic mechanisms, comprising reciprocal regulation of chromatin structure and DNA methylation, are important to establish and maintain sustained, yet potentially reversible, changes in gene transcription. The relevance of these findings for the development of PTSD requires further studies in humans where experience-dependent epigenetic programming can additionally depend on genetic variation in the underlying substrates which may protect from or advance disease development. Overall, identification of early-life stress associated epigenetic risk markers informing on previous stress history can help to advance early diagnosis, personalized prevention and timely therapeutic interventions, thus reducing long-term social and health costs.

  9. Depressive symptoms and associated factors in systemic lupus erythematosus.

    Science.gov (United States)

    Karol, David E; Criscione-Schreiber, Lisa G; Lin, Min; Clowse, Megan E B

    2013-01-01

    Depressive symptoms affect anywhere from 11% to 71% of patients with systemic lupus erythematosus (SLE), which may be related to SLE disease activity, other clinical variables, or sociodemographic factors. We aimed to measure the rate of depressive symptoms in our cohort of patients with SLE and to identify modifiable factors associated with depressive symptoms. Patients in our university-based SLE registry completed the Beck Depression Inventory-II (BDI-II), pain scores, and demographic information. Disease activity was measured using the physician's global assessment (PGA) and Selena-SLE disease activity index (Selena-systemic lupus erythematosus disease activity index (SLEDAI)). Patients were identified as having moderate or severe depressive symptoms (BDI-II ≥ 18) or not (BDI-II lupus arthritis (P lupus arthritis, may result in alleviation of depressive symptoms in patients with SLE. Copyright © 2013 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  10. Job strain as a risk factor for clinical depression

    DEFF Research Database (Denmark)

    Madsen, I E H; Nyberg, S T; Magnusson Hanson, L L;

    2017-01-01

    as a risk factor for clinical depression. METHOD: We identified published cohort studies from a systematic literature search in PubMed and PsycNET and obtained 14 cohort studies with unpublished individual-level data from the Individual-Participant-Data Meta-analysis in Working Populations (IPD.......94-1.65), but attenuated on adjustment for a continuous depressive symptoms score (RR = 1.03, 95% CI 0.81-1.32). CONCLUSIONS: Job strain may precipitate clinical depression among employees. Future intervention studies should test whether job strain is a modifiable risk factor for depression.......BACKGROUND: Adverse psychosocial working environments characterized by job strain (the combination of high demands and low control at work) are associated with an increased risk of depressive symptoms among employees, but evidence on clinically diagnosed depression is scarce. We examined job strain...

  11. 245例脑外伤所致精神障碍者家属抑郁状况及相关因素分析%Depression Status of the Family Member and Its Influencing Factors in the Patient with Mental Disorder Caused by Cerebral Trauma: 245 Cases Analysis

    Institute of Scientific and Technical Information of China (English)

    杨成龙; 庞艳霞; 谢岩平; 许海峰

    2013-01-01

    目的 了解脑外伤所致精神障碍者家属抑郁状况及其影响因素. 方法 应用自行设计的一般资料调查问卷和抑郁自评量表(self-rating depression scale,SDS),对245名被鉴定人家属进行抑郁状况调查,并依据SDS评分指数分为抑郁组和非抑郁组,进行单因素以及多元逐步回归分析.结果 245名被鉴定人家属中117名家属存在不同程度的抑郁症状,其中轻度68例、中度42例、重度7例.在多元逐步回归分析中,亲缘关系、家属性格特征、付费方式为被鉴定人家属抑郁状况的主要影响因素. 结论 脑外伤所致精神障碍者家属抑郁状况应引起足够重视,给予针对性的心理干预.%Objective To determine the family member's depression status and its influencing factors in the patient with mental disorder caused by cerebral trauma.Methods The self-designed information questionnaire and self-rating depression scale (SDS) were used to investigate 245 family members' depression conditions.On the basis of SDS score index,all cases were divided into depression group and non-depression group.The data were analyzed by the tmivariate analysis and multiple factors regression analysis.Results In the 245 family members,117 family members had different degrees of depressive symptoms including 68 with mild depression,42 with moderate depression,and 7 with severe depression.In the multiple factors regression analysis,genetic relationship,personality characteristics and payment method were the main influencing factors of the depression status.Conclusion Much attention should be paid to the family member's depression condition of the patient with mental disorder caused by cerebral trauma through specific psychological intervention.

  12. The influence of self-efficacy, pre-stroke depression and perceived social support on self-reported depressive symptoms during stroke rehabilitation.

    Science.gov (United States)

    Lewin, A; Jöbges, M; Werheid, K

    2013-01-01

    Post-stroke depression (PSD) is the most common mental disorder following stroke; however, little is known about its pathogenesis. We investigated the predictive value and mutual relationship of psychological factors such as self-efficacy and social support and known risk factors such as pre-stroke depression, activities of daily living (ADL), cognitive functioning, and age for the emergence of depressive symptoms in the acute phase after stroke. Ninety-six ischaemic stroke inpatients residing at a rehabilitation centre completed an interview about 6.5 weeks post-stroke. The interview included demographic data, psychiatric anamnesis, the Barthel Index, Mini-Mental State Examination, Social Support Questionnaire, Generalized Self-Efficacy Scale, Stroke Self-Efficacy Questionnaire, and the Geriatric Depression Scale. A multiple regression analysis was performed to ascertain the predictive value of the factors on depressive symptoms. High self-efficacy, no history of pre-stroke depression, and high levels of perceived social support were the strongest protective factors for depressive symptoms. The influence of cognitive functioning on depressive symptoms was fully mediated by general self-efficacy, and general self-efficacy was a stronger predictor than stroke-specific self-efficacy. Neither ADL nor age significantly predicted depressive symptoms. Our findings suggest that consideration of self-efficacy and perceived social support in the inpatient rehabilitation setting may help prevent PSD.

  13. 康复期住院精神病罪犯抑郁情绪及影响因素分析%Analysis of the factors influencing depression mood and psychotic criminals during rehabilitation stage

    Institute of Scientific and Technical Information of China (English)

    储井山; 赵山; 孙春明; 崔中俭

    2015-01-01

    Objective To investigate the factors of mental health status and the influence of criminal mental disease inpatient re-habilitation period,and put forward the countermeasures. Methods In the rehabilitation of hospitalized psychiatric criminals in 85 ca-ses,using Self - rating Depression Scale(SDS)compared with domestic norm will score,and further analysis of the different culture, marital status,type of crime in criminal rehabilitation period of mood disorders depression difference. Results During the rehabilita-tion period of hospitalization of mentally ill offenders SDS score were(54. 59 + 11. 77),higher than the national norm(41. 88 +10. 57),and the difference was statistically significant(P < 0. 01),and there was significant different level of education,marital sta-tus differences(P < 0. 05). Conclusion Rehabilitation of hospitalized psychiatric criminals are more depressed,corresponding inter-vention measures should be taken to reduce the harm to the safety supervision.%目的:了解康复期住院精神病罪犯心理健康状况及影响因素,为改善康复期住院精神病罪犯心理卫生状况提供参考依据。方法选取处于康复期的住院精神病罪犯85例,采用抑郁自评量表(SDS)进行问卷调查,并与国内常模比较,分析不同受教育程度、婚姻状态、犯罪类型间的康复期住院精神病罪犯抑郁情绪的差别。结果康复期住院精神病罪犯 SDS 评分为(54.59±11.77)分,高于全国常模(41.88±10.57)分,差异有统计学意义(P <0.01),且不同受教育程度、婚姻状态间 SDS 评分差异有统计学意义(P <0.05)。结论康复期住院精神病罪犯存在较多的抑郁情绪,应采取相应干预措施,减少对监管安全的危害。

  14. Psychosocial Factors Predicting Severity of Depression Among ...

    African Journals Online (AJOL)

    2017-03-06

    Mar 6, 2017 ... design investigated the role of stigma, anticipated discrimination, self-esteem, ... reduce the severity of depression should consider cultural specificity in its design .... sorted, coded, and entered into the Statistical Package for.

  15. Surveys of factors influencing anxious-depressive emotion of families of severe mental illness patients%重性精神病患者家属焦虑抑郁情绪影响因素调查

    Institute of Scientific and Technical Information of China (English)

    刘燕花; 李丽; 金林; 邓沛荣

    2015-01-01

    Objective To investigate the related factors influencing anxious‐depressive emotion of families of severe mental illness patients .Methods Assessments were carried out with the Self‐made General Fam‐ily Status Questionnaire ,Family Burden Scale of Disease (FBS) ,Self‐rating Anxiety Scale (SAS) and Self‐rating Depression Scale (SDS) among families of 265 severe mental illness patients .Results The families had significantly higher total scores on the SAS and SDS compared with Chinese norm (P<0 .01) . Patients’ pre‐and post‐illness family economy status ,per capita income/year and reimbursement propor‐tion of treatment costs were negatively related to severity of families’ depression and SAS total score nota‐bly (P<0 .05 or 0 .01) .Patients’ course and hospitalization times were positively related to severity of families’ depression and SAS total score notably (P<0 .01);Families’ education years were negatively re‐lated to their SAS total scores notably (P<0 .01) ,instability of patients’ condition and treatment costs/year were positively related to families’ SAS total scores notably (P<0 .05 or 0 .01) .The FBS total and each dimension score were positively related to severity of families’ depression and SAS total score notably (P<0 .01) .Conclusion Families of severe mental illness patients have obvious anxiety‐depression emo‐tional problem ,family burden of disease ,especially economic burden ,is the main factor influencing fami‐lies’ anxious‐depressive emotion .%目的:探讨重性精神病患者家属焦虑抑郁情绪的相关影响因素。方法采用自拟一般家庭状况调查问卷、疾病家庭负担量表、焦虑自评量表、抑郁自评量表对265名重性精神病患者家属进行测评分析。结果本组患者家属焦虑自评量表、抑郁自评量表总分均显著高于中国常模(P<0.01)。患者病前病后家庭经济状况、家庭年人均收入、患者治疗费用报销比

  16. Influence of Exercise Intensity for Improving Depressed Mood in Depression: A Dose-Response Study.

    Science.gov (United States)

    Meyer, Jacob D; Koltyn, Kelli F; Stegner, Aaron J; Kim, Jee-Seon; Cook, Dane B

    2016-07-01

    Exercise effectively improves mood in major depressive disorder (MDD), but the optimal exercise stimulus to improve depressed mood is unknown. To determine the dose-response relationship of acute exercise intensity with depressed mood responses to exercise in MDD. We hypothesized that the acute response to exercise would differ between light, moderate, and hard intensity exercise with higher intensities yielding more beneficial responses. Once weekly, 24 women (age: 38.6±14.0) diagnosed with MDD underwent a 30-minute session at one of three steady-state exercise intensities (light, moderate, hard; rating of perceived exertion 11, 13 or 15) or quiet rest on a stationary bicycle. Depressed mood was evaluated with the Profile of Mood States before, 10 and 30 minutes post-exercise. Exercise reduced depressed mood 10 and 30 minutes following exercise, but this effect was not influenced by exercise intensity. Participants not currently taking antidepressants (n=10) had higher baseline depression scores, but did not demonstrate a different antidepressant response to exercise compared to those taking antidepressants. To acutely improve depressed mood, exercise of any intensity significantly improved feelings of depression with no differential effect following light, moderate, or hard exercise. Pharmacological antidepressant usage did not limit the mood-enhancing effect of acute exercise. Acute exercise should be used as a symptom management tool to improve mood in depression, with even light exercise an effective recommendation. These results need to be replicated and extended to other components of exercise prescription (e.g., duration, frequency, mode) to optimize exercise guidelines for improving depression. Copyright © 2016. Published by Elsevier Ltd.

  17. Depression as a Modifying Factor in Sport-Related Concussion: A Critical Review of the Literature.

    Science.gov (United States)

    Solomon, Gary S; Kuhn, Andrew W; Zuckerman, Scott L

    2016-01-01

    Since its third iteration in 2008, the international Concussion in Sport Group (CISG) has delineated several 'modifying factors' that have the potential to influence the management of sport-related concussions (SRC). One of these factors is co- and pre-morbidities, which includes migraines, mental health disorders, attention-deficit hyperactive disorder (ADHD), learning disability, and sleep disorders. Mental health disorders, and in particular, depression, have received some attention in the management of SRC and in this review we summarize the empirical evidence for its inclusion as a modifying factor. This review is divided into three main bodies of findings: (1) the incidence and prevalence of depression and depressive symptoms in non-concussed and concussed athletes, with comparison made to the general population; (2) managing the post-concussion athlete and accounting for premorbid depressive symptoms; and (3) depression as a long-term effect of repetitive head trauma. Overall, it has been reported that certain subpopulations of athletes have similar or even higher rates of depressive symptoms when compared to the general population. The challenge of accounting for these baseline-depressive symptoms while managing the post-concussive athlete is stressed. And lastly, the prevalence of depression and its relationship to concussion in later-life is discussed.

  18. Factors Associated with Undertreatment of Medical Student Depression.

    Science.gov (United States)

    Tjia, Jennifer; Givens, Jane L.; Shea, Judy A.

    2005-01-01

    The authors measured factors associated with undertreatment of medical students' depression. They administered a cross-sectional Beck Depression Inventory and sociodemographic questionnaire to students at 1 medical school, defining their outcome measure as the use of counseling services or antidepressant medication. Of an estimated 450 available…

  19. Metabolic risk factors in depressive and anxiety disorders

    NARCIS (Netherlands)

    Reedt Dortland, Arianne Klaartje Beraldine van

    2012-01-01

    The aim of this thesis was to clarify which aspects of depression and anxiety are related to an increased metabolic risk, and which factors contribute to these associations. Taken together, our findings indicate that people with more severe symptoms of depression and anxiety are at particular risk

  20. Metabolic risk factors in depressive and anxiety disorders

    NARCIS (Netherlands)

    Reedt Dortland, Arianne Klaartje Beraldine van

    2012-01-01

    The aim of this thesis was to clarify which aspects of depression and anxiety are related to an increased metabolic risk, and which factors contribute to these associations. Taken together, our findings indicate that people with more severe symptoms of depression and anxiety are at particular risk o

  1. Confirmatory Factor Analysis of the Geriatric Depression Scale

    Science.gov (United States)

    Adams, Kathryn Betts; Matto, Holly C.; Sanders, Sara

    2004-01-01

    Purpose: The Geriatric Depression Scale (GDS) is widely used in clinical and research settings to screen older adults for depressive symptoms. Although several exploratory factor analytic structures have been proposed for the scale, no independent confirmation has been made available that would enable investigators to confidently identify scores…

  2. Metabolic risk factors in depressive and anxiety disorders

    NARCIS (Netherlands)

    Reedt Dortland, Arianne Klaartje Beraldine van

    2012-01-01

    The aim of this thesis was to clarify which aspects of depression and anxiety are related to an increased metabolic risk, and which factors contribute to these associations. Taken together, our findings indicate that people with more severe symptoms of depression and anxiety are at particular risk o

  3. 宜春市中学教师焦虑抑郁状况及影响因素分析%Analysis of the Influencing factors of depression and anxiety among high school teacher in Yichun

    Institute of Scientific and Technical Information of China (English)

    郭晓玉; 万绍兰; 高镕; 刘钦; 黎文云; 唐宁; 邓凡

    2012-01-01

    OBJECTIVE To understand the status of depression and anxiety among high school teacher in Yichun, and to provide the reason of psychological intervention. METHODS Overall 236 teachers were investigated with the general health questionnaire, including Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). RESULTS The positive rate of high school teacher's anxiety were 20.34%, and was 21.21% for males. The rate for females was 19.23%, there was no difference between them (χ2 = 0.141, P = 0.707). The positive rate of high school teacher's depression was 21.19% , and the males was 21.21%. The females was 21.54%, there was no difference between them (r = 0.000, P = 0.991). Teachers who had different sex, academic rank, the degree of education and the state of marriage were be tested, and there was no statistical difference between them. However, the teachers who had higher income, better friendship and better performed family obligation were the protective factors. Teachers who were older and low income had higher positive rate in the test. CONCLUSION High school teachers had the anxious and depressed feeling, which were caused by many influencing social factors.%目的 探讨中学教师的焦虑抑郁情绪现状及影响因素,为中学教师心理干预提供参考依据.方法 对236名中学教师进行自编一般情况问卷、焦虑自评量表(SAS)及抑郁自评量表(SDS)等测评.结果 中学教师焦虑情绪检出率为20.34%,男女分别为21.21%、19.23%,两者差异无统计学意义(x2=0.141,P=0.707);抑郁情绪检出率为21.19%,男女分别为21.21%、21.54%,两者差异无统计学意义(x2=0.000,P=0.991);不同的性别、职称、教育程度、婚姻状况焦虑、抑郁得分均无统计学差异;工作年限为16~20年的中学教师焦虑得分明显高于工龄为11-15年者;月收入较好、与同事关系较好、对家庭义务履行情况较好是抑郁情绪的保护因素;教育程度较高

  4. Phonological Awareness: Factors of Influence

    Science.gov (United States)

    Frohlich, Linda Paulina; Petermann, Franz; Metz, Dorothee

    2013-01-01

    Early child development is influenced by various genetic and environmental factors. This study aims to identify factors that affect the phonological awareness of preschool and first grade children. Based on a sample of 330 German-speaking children (mean age = 6.2 years) the following domains were evaluated: Parent factors, birth and pregnancy,…

  5. Suicidal risk factors of recurrent major depression in Han Chinese women.

    Science.gov (United States)

    Zhu, Yuzhang; Zhang, Hongni; Shi, Shenxun; Gao, Jingfang; Li, Youhui; Tao, Ming; Zhang, Kerang; Wang, Xumei; Gao, Chengge; Yang, Lijun; Li, Kan; Shi, Jianguo; Wang, Gang; Liu, Lanfen; Zhang, Jinbei; Du, Bo; Jiang, Guoqing; Shen, Jianhua; Zhang, Zhen; Liang, Wei; Sun, Jing; Hu, Jian; Liu, Tiebang; Wang, Xueyi; Miao, Guodong; Meng, Huaqing; Li, Yi; Hu, Chunmei; Li, Yi; Huang, Guoping; Li, Gongying; Ha, Baowei; Deng, Hong; Mei, Qiyi; Zhong, Hui; Gao, Shugui; Sang, Hong; Zhang, Yutang; Fang, Xiang; Yu, Fengyu; Yang, Donglin; Liu, Tieqiao; Chen, Yunchun; Hong, Xiaohong; Wu, Wenyuan; Chen, Guibing; Cai, Min; Song, Yan; Pan, Jiyang; Dong, Jicheng; Pan, Runde; Zhang, Wei; Shen, Zhenming; Liu, Zhengrong; Gu, Danhua; Wang, Xiaoping; Liu, Xiaojuan; Zhang, Qiwen; Li, Yihan; Chen, Yiping; Kendler, Kenneth Seedman; Flint, Jonathan; Liu, Ying

    2013-01-01

    The relationship between suicidality and major depression is complex. Socio- demography, clinical features, comorbidity, clinical symptoms, and stressful life events are important factors influencing suicide in major depression, but these are not well defined. Thus, the aim of the present study was to assess the associations between the above-mentioned factors and suicide ideation, suicide plan, and suicide attempt in 6008 Han Chinese women with recurrent major depression (MD). Patients with any suicidality had significantly more MD symptoms, a significantly greater number of stressful life events, a positive family history of MD, a greater number of episodes, a significant experience of melancholia, and earlier age of onset. Comorbidity with dysthymia, generalized anxiety disorder (GAD), social phobia, and animal phobia was seen in suicidal patients. The present findings indicate that specific factors act to increase the likelihood of suicide in MD. Our results may help improve the clinical assessment of suicide risk in depressed patients, especially for women.

  6. Suicidal risk factors of recurrent major depression in Han Chinese women.

    Directory of Open Access Journals (Sweden)

    Yuzhang Zhu

    Full Text Available The relationship between suicidality and major depression is complex. Socio- demography, clinical features, comorbidity, clinical symptoms, and stressful life events are important factors influencing suicide in major depression, but these are not well defined. Thus, the aim of the present study was to assess the associations between the above-mentioned factors and suicide ideation, suicide plan, and suicide attempt in 6008 Han Chinese women with recurrent major depression (MD. Patients with any suicidality had significantly more MD symptoms, a significantly greater number of stressful life events, a positive family history of MD, a greater number of episodes, a significant experience of melancholia, and earlier age of onset. Comorbidity with dysthymia, generalized anxiety disorder (GAD, social phobia, and animal phobia was seen in suicidal patients. The present findings indicate that specific factors act to increase the likelihood of suicide in MD. Our results may help improve the clinical assessment of suicide risk in depressed patients, especially for women.

  7. Genetic susceptibility to family environment: BDNF Val66met and 5-HTTLPR influence depressive symptoms.

    Science.gov (United States)

    Dalton, Elizabeth D; Hammen, Constance L; Najman, Jake M; Brennan, Patricia A

    2014-12-01

    Functional genetic polymorphisms associated with Brain-Derived Neurotrophic Factor (BDNF) and serotonin (5-HTTLPR) have demonstrated associations with depression in interaction with environmental stressors. In light of evidence for biological connections between BDNF and serotonin, it is prudent to consider genetic epistasis between variants in these genes in the development of depressive symptoms. The current study examined the effects of val66met, 5-HTTLPR, and family environment quality on youth depressive symptoms in adolescence and young adulthood in a longitudinal sample oversampled for maternal depression history. A differential susceptibility model was tested, comparing the effects of family environment on depression scores across different levels of a cumulative plasticity genotype, defined as presence of both, either, or neither plasticity alleles (defined here as val66met Met and 5-HTTLPR 'S'). Cumulative plasticity genotype interacted with family environment quality to predict depression among males and females at age 15. After age 15, however, the interaction of cumulative plasticity genotype and early family environment quality was only predictive of depression among females. Results supported a differential susceptibility model at age 15, such that plasticity allele presence was associated with more or less depressive symptoms depending on valence of the family environment, and a diathesis-stress model of gene-environment interaction after age 15. These findings, although preliminary because of the small sample size, support prior results indicating interactive effects of 5-HTTLPR, val66met, and environmental stress, and suggest that family environment may have a stronger influence on genetically susceptible women than men.

  8. Factors associated with depressive symptoms among Filipino university students.

    Directory of Open Access Journals (Sweden)

    Romeo B Lee

    Full Text Available Depression can be prevented if its symptoms are addressed early and effectively. Prevention against depression among university students is rare in the Philippines, but is urgent because of the rising rates of suicide among the group. Evidence is needed to systematically identify and assist students with higher levels of depressive symptoms. We carried out a survey to determine the social and demographic factors associated with higher levels of depressive symptoms among 2,436 Filipino university students. The University Students Depression Inventory with measures on lethargy, cognition-emotion, and academic motivation, was used. Six of the 11 factors analyzed were found to be statistically significantly associated with more intense levels of depressive symptoms. These factors were: frequency of smoking, frequency of drinking, not living with biological parents, dissatisfaction with one's financial condition, level of closeness with parents, and level of closeness with peers. Sex, age category, course category, year level and religion were not significantly related. In identifying students with greater risk for depression, characteristics related to lifestyle, financial condition, parents and peers are crucial. There is a need to carry out more surveys to develop the pool of local knowledge on student depression.

  9. 影响抑郁症患者精神专科门诊治疗的相关因素研究%Research on relatively factors which influence depressions' therapy in psychosis clinic

    Institute of Scientific and Technical Information of China (English)

    刘霞; 杨金华; 高玉娥

    2009-01-01

    目的 探讨影响抑郁症患者在精神专科门诊治疗的相关因素,为提高治疗依从性提供科学依据.方法 采用简明精神病量表(BPRS)和自制问卷调查79例精神专科医院门诊就诊的抑郁症患者,分析影响在专科治疗的因素,进行健康指导,采取预约复诊或电话回访随访1年.结果 63.29%的抑郁症患者首诊选择非精神科诊治;53.16%的患者未到精神科就诊的原因是不知道患抑郁症;首诊于精神专科的患者诊断、首次连续治疗时间、用药、疗效均明显优于首诊于非精神科患者(P<0.01);系统健康教育后治疗依从性提高,差异有统计学意义(P<0.01).结论 对医护人员、患者及家属开展积极有效的精神卫生知识宣传与普及是提高早期诊断、早期治疗、提高疗效、防止复发的关键.%Objective To investigate the factors which influence the depressions' therapy in psychosis clinic,provide Scientific basis for improving the level of treatment compliance.Methods The Brief Psychiatric Rating Scale and home-made questionnaire were used to investigate 79 depressions patients who took treatment in psychosis clinic,to analyse the influencing factors,and to give them the Health guide.Appointment for further consultation or call to follow up were carried out for 1 year.Results There were 63.29% depressions chose the general hospital to see the doctor at first time,53.16% patients did not go to the psychiatric hospital because they didn' t know their disease feature;the diagnosis,treatment session,medication,effect are obviously prior in the patients seeing the psychiatrists at first time(P < 0.01);patients' therapeutic compliance improved after Systemic health education,the discrepancy is statistically significant.(P < 0.01).Condnsions To make active and valid propaganda on mental healthy is the key points to diagnosis and therapy prophase,can also prevent the recrudesce.

  10. Prevalence and associated factors of stress, anxiety and depression ...

    African Journals Online (AJOL)

    Prevalence and associated factors of stress, anxiety and depression among ... Alexandria Journal of Medicine ... Objectives: The objectives of this study was to study the prevalence of psychological mood disorders and its association with ...

  11. Prevalence of depression and its associated factors using Beck Depression Inventory among students of a medical college in Karnataka

    OpenAIRE

    Kumar, Ganesh S; Jain, Animesh; Hegde, Supriya

    2012-01-01

    Background and Objective: Depression among medical students is an area of increasing concern worldwide. This study aimed to assess the prevalence of depression and its associated factors among medical students. Materials and Methods: A stratified random sample of 400 students was assessed using Beck Depression Inventory by investigators. Associations between depression and class of studying, social factors like alcohol use, drug addiction, family problems, family history of depression, and st...

  12. Depression, Sociocultural Factors, and African American Women

    Science.gov (United States)

    Hunn, Vanessa Lynn; Craig, Carlton David

    2009-01-01

    The authors discuss depression in African American women from a sociocultural perspective, including aspects of oppression and racism that affect symptom manifestation. The authors highlight John Henryism as a coping mechanism, the history and continuing role of the African American church as a safe haven, and strategies for culturally competent…

  13. Life stress as potential risk factor for depression and burnout

    Directory of Open Access Journals (Sweden)

    T. Plieger

    2015-03-01

    Conclusion: By considering the influence of life stress it could be demonstrated that depression and burnout are not identical although they share substantial phenotypic variance (r = .46–.61. Most important, the trivariate associations are the same in a representative employee sample and in an inpatient clinical sample suggesting the same underlying mechanisms covering the whole range from normal behavior to psychopathology. However, only longitudinal data can show if burnout necessarily turns into depression with the consequence that the burnout – life stress association approaches the depression – life stress association over time.

  14. Depression, Prevalence and Some Risk Factors in Elderly Nursing Homes in Tehran, Iran

    Science.gov (United States)

    NAZEMI, Lyly; SKOOG, Ingmar; KARLSSON, Ingvar; HOSSEINI, Saeed; HOSSEINI, Mostafa; HOSSEINZADEH, Mohammad Javad; MOHAMMADI, Mohammad Reza; POURANSARI, Zahra; CHAMARI, Maryam; BAIKPOUR, Masoud

    2013-01-01

    Background: The most common geriatric psychiatric disorder is depression, known to be a multi factorial disorder. However, the influence of common preventable factors is yet to be discovered. This study was designed to evaluate the prevalence of depression and some possible risk factors in elderly residents of nursing homes in Iran. Methods: Data on demographic characteristics, nutritional and health status of 244 residents aged 60 years or older were collected from seventeen nursing homes in Tehran, Iran, during 2010 to 2012. Depression was assessed and classified according to the 15-item GDS. Univariate and then multivariate complex sample survey ordinal regression analysis was performed to investigate the association between depression and the risk factors. Results: The average age of the 244 cases studied was 75.8 (±8.7) years, 53.3% were female (of whom 74.2% were housewives), 43.4% illiterate, and 32.0% were divorced or were living separately. The percentages of non-depressed, mild, moderate and severe depression were 9.8%, 50.0%, 29.5% and 10.7%, respectively. Multivariate analysis showed that dissatisfaction with personnel of nursing homes and food quality had odds ratios of 2.91 (1.33–6.36) and 2.64 (1.44–4.87), corresponding to greater odds of having a higher grade depression. Moreover, those who rested or walked had significantly higher risk of a more severe depression in comparison with those who did not (OR of 2.25 (1.50–3.38) and 1.98 (1.24–3.18), respectively), however, studying had a protective odds ratio of 0.17 (0.13–0.22). Conclusion: Depression was very common in our sample and their lifestyle influenced its prevalence. PMID:23967423

  15. Analysis of influence factors and status of anxiety and depression in main caregivers with cerebral palsy children%脑瘫患儿主要照护者焦虑、抑郁状况影响因素分析

    Institute of Scientific and Technical Information of China (English)

    王国琴; 牛霞; 张志军; 王小荣; 邵凤勤; 刘安诺

    2014-01-01

    目的:探讨脑瘫患儿主要照护者焦虑、抑郁现状及影响因素,为改善主要照护者心理健康状况,提高患儿康复治疗水平提供参考依据。方法采用焦虑自评量表( SAS)、抑郁自评量表( SDS)、世界卫生组织生存质量测定量表简表( WHOQOL-BREF ),整群抽取145名住院脑瘫患儿的照护者进行调查。结果脑瘫患儿主要照护者焦虑和抑郁的发生率分别为42.76%和53.79%,焦虑水平为(47.73±10.96)分,显著高于国内常模(29.78±0.46)分,差异有统计学意义(t=19.730,P<0.01)。焦虑、抑郁得分随着生命质量得分增加而增加。单因素分析结果显示:不同职业、文化程度、年龄、月收入、有无并发症间焦虑发生率差异有统计学意义(χ2分别为11.695,10.787,3.919,5.133,9.942;P<0.05),不同性别、年龄组间抑郁的发生率差异有统计学意义(χ2分别为10.393,8.919;P<0.05)。经多因素Logistic逐步回归分析结果显示:女性照护者、有并发症、以半自费和新农合为医疗形式的照护者更容易出现抑郁情绪;工人、农民、病程在10年以上的照护者更容易出现焦虑情绪。结论脑瘫患儿照护者心理状况较差,存在比较严重的焦虑和抑郁情况。医务工作者应在进行患儿康复的同时,注意主要照护者心理状况的改变,对他们进行健康教育和心理关怀。对于已经出现心理疾病的主要照护者建议他们及时进行心理治疗,从而全面提高患儿的康复水平。%Objective To explore the influence factors and the status of anxiety and depression in main caregivers with cerebral palsy children , improve caregivers psychological health status , and offer references for improving the rehabilitation level of cerebral palsy children .Methods A total of 145 caregivers of cerebral palsy children were selected by

  16. Psychosocial factors for influencing healthy aging in adults in Korea.

    Science.gov (United States)

    Han, KyungHun; Lee, YunJung; Gu, JaSung; Oh, Hee; Han, JongHee; Kim, KwuyBun

    2015-03-07

    Healthy aging includes physical, psychological, social, and spiritual well-being in later years. The purpose of this study is to identify the psychosocial factors influencing healthy aging and examining their socio-demographic characteristics. Perceived health status, depression, self-esteem, self-achievement, ego-integrity, participation in leisure activities, and loneliness were identified as influential factors in healthy aging. 171 Korean adults aged between 45 and 77 years-old participated in the study. Self-reporting questionnaires were used, followed by descriptive statistics and multiple regressions as inferential statistical analyses. There were significant differences between participants' general characteristics: age, education, religion, housing, hobby, and economic status. The factors related to healthy aging had positive correlation with perceived health status, self-esteem, self-achievements, and leisure activities, and negative correlation with depression and loneliness. The factors influencing healthy aging were depression, leisure activities, perceived health status, ego integrity, and self-achievements. These factors were able to explain 51.9%. According to the results, depression is the factor with the greatest influence on healthy aging. Perceived health status, ego integrity, self-achievement, self-esteem, participation of leisure activities were also influential on healthy aging as beneficial factors.

  17. Job strain as a risk factor for clinical depression

    DEFF Research Database (Denmark)

    Madsen, I. E. H.; Nyberg, S. T.; Magnusson Hanson, L. L.

    2017-01-01

    BACKGROUND: Adverse psychosocial working environments characterized by job strain (the combination of high demands and low control at work) are associated with an increased risk of depressive symptoms among employees, but evidence on clinically diagnosed depression is scarce. We examined job strain...... as a risk factor for clinical depression. METHOD: We identified published cohort studies from a systematic literature search in PubMed and PsycNET and obtained 14 cohort studies with unpublished individual-level data from the Individual-Participant-Data Meta-analysis in Working Populations (IPD...... unpublished datasets we included 120 221 individuals and 982 first episodes of hospital-treated clinical depression. Job strain was associated with an increased risk of clinical depression in both published [relative risk (RR) = 1.77, 95% confidence interval (CI) 1.47-2.13] and unpublished datasets (RR = 1...

  18. Polymorphisms in melatonin synthesis pathways: possible influences on depression

    Directory of Open Access Journals (Sweden)

    McCarthy Michael J

    2011-08-01

    Full Text Available Abstract Background It has been reported that rs4446909, a single nucleotide polymorphism (SNP in the promoter of acetylserotonin methyltransferase (ASMT, influences the expression of the ASMT enzyme. The common G allele is associated with lower ASMT activity, and therefore, diminishes conversion of N-acetylserotonin to melatonin. The G allele was associated with recurrent depressive disorder in a Polish group. ASMT might also affect bipolar relapse, given evidence that N-acetylserotonin might stimulate TRKB receptors, and TRKB may influence mood relapse in bipolar disorder. Additionally, arylalkylamine N-acetyltransferase (AANAT polymorphisms have been reported associated with depression, perhaps through their influence upon N-acetylserotonin or melatonin synthesis. Results To replicate and further explore these ideas, rs4446909 was genotyped in four research groups, as part of a panel of 610 SNPs surveyed by an Illumina Golden Gate assay. In 768 cases with delayed sleep phase disorder or matched controls, rs4446909 was indeed associated with the depressive symptoms on a self-report scale (P = 0.01, R2 = 0.007. However, there was no significant association of rs4446909 with self-reported depression in a sleep clinic patient group or with two groups of elderly men and women from multicenter studies, nor was the response to lithium treatment associated with rs4446909 in bipolar patients. No associations of two AANAT SNPs with depression were found. Conclusions The evidence did not support a strong influence of rs4446909 upon mood, but the partial replication may be consistent with a modest effect. It is possible that larger or younger subject groups with improved phenotype ascertainment might demonstrate more persuasive replication.

  19. 汶川地震安置点灾民抑郁症状及影响因素分析%An analysis on depression and influence factors of victims of Wenchuan earthquake in temporary settlements

    Institute of Scientific and Technical Information of China (English)

    陶炯; 王相兰; 温盛霖; 甘照宇; 李雷俊; 郑俩荣; 单鸿; 张晋碚; 李凌江

    2008-01-01

    Objective To investigate the symptoms of depression and influence factors of victims of Wen-chuan Earthquake in temporary settlements in the second week.Method A random sample of 225 cases were as-sessed by using Hamilton Rating Scale for Depression (HRSD),Stanford Acute Stress Reaction Questionnaire (SASRQ),Stress Reaction Questionnaire(SRQ) and a self-designed questionnaire.Result 29.33% of the vic-rims had symptoms of depression,11.11% of the victims had suicidal idea.The total score of HRSD(15.67±11.12) had positive correlation with SASRQ (r=0.725,P<0.01) and SRQ (r=0.767,P<0.01).There were statistical differences of the total score of HRSD(F=4.94,P<0.001),anxiety and somatization,blockade,dys-somnia and feeling of despair among 6 age groups by analysis of variance(ANOVA).The children had lower score of HRSD(10.35±9.17) than the adolescent(16.86±11.82),the middle age(19.31±11.94) and the preseni-urn (P<0.05).The dyssomnia of the female victims(3.27±2.25) was worse than the male(2.59±2.27) (t=2.145,P=0.033).The victims who had lost a loved one had higher scores of HRSD(22.82±13.99) than those with property loss only(14.51±10.06) (t=3.308,P=0.002).According to regression model,SRQ,disturbing degree,and SASRQ significantly explained HRSD variance.(R=0.870,F=95.307,P<0.01).Conclusion The victims had obvious symptoms of depression in the second week after the Wenchuan earthquake.The symptoms of depression had positive correlation with the symptoms of acute stress reaction.The symptoms of depression of children were milder.The female victims and the victims who had lost a loved one in the earthquake should be pay more attention to psychological intervention in the after-disaster.%目的 评估汶川地震后第2周安置点灾民的抑郁症状及影响因素.方法 对江油市太平镇安置点灾民随机抽样后,利用汉密尔顿抑郁量表(HRSD)、斯坦福急性应激反应量表(SASRQ)、应激反应问卷(SRQ)及自编调查问卷进行评估,225

  20. Evaluation of major risk factors related to depression among medical students of NRS medical college.

    Directory of Open Access Journals (Sweden)

    Mukhopadhyay Prianka, Sain Sonali, Mandal Nirmal Kumar, Saha Tushar Kanti , Dey Indira, Chattopadhyay Amitava

    2014-11-01

    Full Text Available Background and objectives: Medical students experience depression, burnout, and mental illness at a higher rate than general population. A better understanding of related risk factors can help target appropriate support services for them. The aim of the study was to assess the occurrence of depression and identify its risk factors among undergraduate students in a medical College in Kolkata, India. Methodology: A descriptive, cross-sectional study using a two stage, stratified cluster sampling technique was used to select a sample of 289 students. Data were collected using a self-administered, anonymous questionnaire based on Becks Depression Inventory II. Results: The mean score of students on depression scale was 10.47±10.39. 22.5 % of students tested positive for some form of depression while 6.2% had severe to extreme depression. The risk factors of depressive symptoms identified were older age, lower family income, students who did not choose admission in MBBS course on their own, had addictions, felt negatively about results, faced difficulty with study course and had relationship issues. Students with relationship issues in their personal lives were 3.7 times more likely to exhibit depressive symptoms than without them. Students who faced difficulty coping with study course were 2.18 times more likely to exhibit depressive symptoms than without them. Conclusion: Academic performance alone doesn’t influence the mental health of students, rather factors like older age, socioeconomic status, role in choice of medical career, negative perception of academic performance, difficulty with study course and relationship issues are also important.

  1. Influencing factors of depression post-surgery in elderly patients%老年患者外科手术后抑郁状态的影响因素分析

    Institute of Scientific and Technical Information of China (English)

    黄少明; 倪亚珺; 张丽英; 许瑛

    2016-01-01

    Objective To investigate the factors affecting the depression in elderly patients after surgery. Methods A total of 196 elderly patients (≥60 years old) with surgery in our hospital from January 2013 to January 2015 were investigated by self-rating depression scale ( SDS) . Patients were assigned to the depression group and the normal group according to the SDS score. Logistic regression analyses were used to analyze the related risk factors about postoperative depression.Results There were 104 elderly patients suffered depression after surgery, and the incidence rate of depression was 53. 1%. In the depression group, female patients with postoperative pressure accounted for 38.5%;patients with preoperative depression accounted for 76.7%;patients with malignant disease accounted for accounted for 8.6%;patients with chronic pain accounted for 24%, and all were higher than the normal group (χ2=4.06,8.11,5.40,9.65;P<0.05). Multiple Logistic regression showed that female, chronic pain and preoperative pain were risk factors of postoperative depression ( P<0. 05 ) . Conclusions Elderly patients with high risk of postoperative depression should be given more attention and psychological counseling, to reduce the risk of depression.%目的:探讨老年患者外科手术后抑郁状态的影响因素。方法选择2013年1月—2015年1月在浙江医院行外科手术治疗的老年患者(年龄≥60岁)196例,术后采用抑郁自测量表( SDS)进行评估,根据SDS评分分为抑郁组与正常组,通过Logistic回归分析术后抑郁状态的相关危险因素。结果有104例患者发生术后抑郁,发生率为53.1%。术后抑郁组患者中女性占38.5%,术前抑郁占76.7%,恶性病变占8.6%,伴慢性疼痛的患者占24.0%,均高于术后正常组,两组比较差异有统计学意义(χ2值分别为4.06,8.11,5.40,9.65;P<0.05)。多因素Logistic回归分析显示,女性、术前抑郁、伴慢性疼痛是老年患者是

  2. Factors associated with antenatal depression in pregnant Korean females: the effect of bipolarity on depressive symptoms

    Directory of Open Access Journals (Sweden)

    Park CM

    2014-06-01

    Full Text Available Chul Min Park,1 Hye-Jin Seo,2 Young-Eun Jung,3 Moon-Doo Kim,3 Seong-Chul Hong,4 Won-Myong Bahk,5 Bo-Hyun Yoon,6 Min Hee Hur,7 Jae Min Song31Department of Obstetrics and Gynecology, School of Medicine, Jeju National University, Jeju, 2Department of Psychiatry, Yeonkang Hospital, Jeju, 3Department of Psychiatry, 4Department of Preventive Medicine, School of Medicine, Jeju National University, Jeju, 5Department of Psychiatry, Yeouido St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, 6Department of Psychiatry, Naju National Hospital, Naju, 7School of Medicine, Jeju National University, Jeju, KoreaBackground: This cross-sectional study sought to identify factors associated with antenatal depression in pregnant Korean females, including sociodemographic parameters, social support, social conflict, and bipolarity.Methods: Eighty-four pregnant women were recruited to complete questionnaires on sociodemographic factors, obstetric history, depressive symptoms, and bipolarity. Depressive symptoms were assessed using the Korean version of the Edinburgh Postnatal Depression Scale. Bipolarity was assessed using the Korean version of the Mood Disorder Questionnaire.Results: Nineteen participants (22.6% had positive Mood Disorder Questionnaire scores, suggesting the presence of bipolarity, and were significantly more likely to score high on the Edinburgh Postnatal Depression Scale. Antenatal depression was associated with bad marital communication and marital dissatisfaction.Conclusion: These results suggest that spousal interactions play a significant role in antenatal depression, and pregnant women with bipolarity may be more depressed than those without bipolarity.Keywords: antenatal depression, bipolarity, pregnancy, Korea

  3. Mental depression as a risk factor for periodontal disease: A case-control study

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    Zareen Fatima

    2016-01-01

    Full Text Available Aim: Periodontal disease is an immune-inflammatory response of tooth supporting structures to microbial dental plaque. It is influenced by various factors such as poor oral hygiene, smoking, systemic diseases, and psychological factors such as stress. This case-control study was performed to consider mental depression as a risk factor for periodontal disease. Materials and Methods: A total of 170 subjects were selected. All the subjects were assessed for the presence of depression by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria and severity of depression was measured by Hamilton depression rating scale. For assessment of periodontal disease, clinical periodontal parameters oral hygiene index, gingival index, probing pocket depth (PPD, and clinical attachment level (CAL were recorded. Results: Univariate logistic regression analysis demonstrated that subjects with depression had significantly higher values of debris index, calculus index, gingival index, PPD, and CAL (P 6 months of illness were higher (P < 0.05. Conclusion: Within the limits of this study, it is concluded that mental depression significantly affects the periodontium. It may be considered as risk factor for periodontal disease.

  4. 高校男护生抑郁情况及影响因素的初步分析%An evaluation of status of depression using CES-D and analysis of its influencing factors among male nursing undergraduates

    Institute of Scientific and Technical Information of China (English)

    徐英; 祁娟; 张丕德

    2013-01-01

    目的 了解高校男护理本科生的抑郁情况,并与全国城市同龄人群常模进行比较并初步探讨可能的影响因素,为相关心理干预方法的提出提供依据.方法 采用两阶段抽样的方法抽取两所高校102名男护生作为研究对象,利用流调中心抑郁量表(CES-D)测量抑郁发生情况,同时利用自拟的调查问卷探讨可能的影响因素.结果 男护生的抑郁发生率为14.0%,CES-D得分(11.00±6.37)分,与全国城市同龄人群水平相当.单因素分析提示来自农村、人际关系较差、感觉就业前景较差、自己的兴趣、爱好、需求、想法等得不到父母亲的关注是抑郁发生的危险因素;迸一步进行多因素分析提示,感觉就业前景较差及自己的兴趣、爱好、需求、想法等得不到父母亲的关注是抑郁发生的独立危险因素.结论 针对男护生,需要从家庭和就业前景两方面着手进一步改善其心理健康状况,为护理事业的发展储备合格的力量.%Objective To understand the status of depression and compare with the same age group of Chinese norms of CES-D in urban areas and analyze its potential influencing factors among male nursing undergraduates.Methods In this cross-sectional study,the CES-D and self-made questionnaire were administrated to 102 male nursing undergraduates from two schools of nursing through two-stage random sampling.Results The prevalence of depression was 14.0%,and the score of nursing undergraduates was (11.00±6.37) points,which had no significant difference from the scores of the same age group of Chinese norms in urban areas.Univariate analysis showed that coming from countryside,worse interpersonal relationship,worse career prospect,getting no attention from parents had some significant association with depression.Multivariate analysis showed that worse career prospect and getting no attention from parents associated with lower CES-D scores.Condusions For male nursing

  5. Depression and associated factors in older adults in South Africa

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    Karl Peltzer

    2013-01-01

    Full Text Available Background and objective: Late-life depression is an important public health problem because of its devastating consequences. The study aims to investigate the prevalence and associated factors of self-reported symptom-based depression in a national sample of older South Africans who participated in the Study of Global Ageing and Adult Health (SAGE wave 1 in 2008. Methods: We conducted a national population-based cross-sectional study with a probability sample of 3,840 individuals aged 50 years or above in South Africa in 2008. The questionnaire included socio-demographic characteristics, health variables, anthropometric and blood pressure measurements as well as questions on depression symptoms in the past 12 months. Multivariable regression analysis was performed to assess the association of socio-demographic factors, health variables, and depression. Results: The overall prevalence of symptom-based depression in the past 12 months was 4.0%. In multivariable analysis, functional disability, lack of quality of life, and chronic conditions (angina, asthma, arthritis, and nocturnal sleep problems were associated with self-reported depression symptoms in the past 12 months. Conclusions: Self-reported depression in older South Africans seems to be a public health problem calling for appropriate interventions to reduce occurrence. Factors identified to be associated with depression, including functional disability, lack of quality of life, and chronic conditions (angina, asthma, arthritis, and nocturnal sleep problems, can be used to guide interventions. The identified protective and risk factors can help in formulating public health care policies to improve quality of life among older adults.

  6. Risk factors to suicidal attempt in major depressive disorder patients

    Institute of Scientific and Technical Information of China (English)

    陈林

    2014-01-01

    Objective To explore the risk factors of socio-demographic and clinical characteristics related to suicidal attempt in major depressive disorder patients.Methods A total of 1 172 major depressive disorder patients were consecutively examined in 13 mental health centers in China from September 1,2010 to February 28,2011.The patients’socio-demographic and clinical characteristics were recorded using a standardized protocol and data collection procedure.

  7. Risk factors for prenatal depressive symptoms among Hispanic women.

    Science.gov (United States)

    Fortner, Renée Turzanski; Pekow, Penelope; Dole, Nancy; Markenson, Glenn; Chasan-Taber, Lisa

    2011-11-01

    Prior studies of risk factors for depressive symptoms during pregnancy are sparse and the majority have focused on non-Hispanic white women. Hispanics are the largest minority group in the US and have the highest birth rates. We examined associations between pre and early pregnancy factors and depressive symptoms in early pregnancy among 921 participants in Proyecto Buena Salud, an ongoing cohort of pregnant Puerto Rican and Dominican women in Western Massachusetts. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale (mean=13 weeks gestation) by bilingual interviewers who also collected data on sociodemographic, acculturation, behavioral, and psychosocial factors. A total of 30% of participants were classified as having depressive symptoms (EPDS scores>12) with mean+SD scores of 9.28+5.99. Higher levels of education (college/graduate school vs. depressive symptoms. There was the suggestion that failure to discontinue cigarette smoking with the onset of pregnancy (RR=1.32; 95% CI 0.97-1.71) and English language preference (RR=1.33; 95% CI 0.96-1.70) were associated with higher risk. Single marital status, second generation in the U.S., and higher levels of alcohol consumption were associated with higher risk of depressive symptoms in univariate analyses, but were attenuated after adjustment for other risk factors. Findings in the largest, fastest-growing ethnic minority group can inform intervention studies targeting Hispanic women at risk of depression in pregnancy.

  8. Factors related to depression and anxiety in adults with bronchiectasis

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    Özgün Niksarlioglu EY

    2016-11-01

    Full Text Available Elif Yelda Özgün Niksarlioglu,1 Gülcihan Özkan,2 Gülşah Günlüoğlu,1 Mehmet Atilla Uysal,1 Sule Gül,1 Lütfiye Kilic,1 Ayse Yeter,1 Güngör Çamsarı1 1Department of Chest Disease, Yedikule Chest Disease and Thoracic Surgery Training and Research Hospital, 2Department of Chest Disease, Yeniyüzyıl University Gaziosmanpasa Hospital, Istanbul, Turkey Introduction and background: Patients with chronic lung diseases frequently have depressive and anxiety symptoms, but there are very few studies looking at this in patients with bronchiectasis. Aim: This study aimed to investigate depression and anxiety and related factors among patients with non-cystic fibrosis bronchiectasis.Patients and methods: This was a prospective study of 133 patients with bronchiectasis. Patients with confirmed diagnosis of bronchiectasis with high-resolution computed tomography were enrolled in the study. Patients that were clinically stable in the previous 4 weeks were evaluated with the Hospital Depression and Anxiety scale. Symptoms, pulmonary function tests, and medical treatments were recorded.Results: The mean age of patients was 49.5±14.5 years (range, 18–77 years, and 81 (60.9% patients were females. Twenty-eight (21.1% patients had depression, and 53 (39.8% had anxiety. Depression score was related to family situation (living with a partner, previous depression history and admission to an emergency department within the last year. Anxiety score was related to female gender, the family situation (living with a partner, previous depression history, and admission to an emergency department within the last year (P<0.05. Depression was positively correlated with hemoptysis, admission to an emergency department within the last year and living with a partner. Anxiety was positively correlated with education level, previous depression history, admission to an emergency department within the last year, and living with a partner.Conclusion: Patients with non

  9. Women and vulnerability to depression: some personality and clinical factors.

    Science.gov (United States)

    Carrillo, Jesús M; Rojo, Nieves; Staats, Arthur W

    2004-05-01

    The purpose of this study is to explore the role of sex differences and personality in vulnerability to depression. Sex differences in personality and some clinical variables are described. We also assess the value of the variables that revealed significant sex differences as predictors of vulnerability to depression. In a group of adult participants (N = 112), 50% males and 50% females (mean age = 41.30; SD = 15.09; range 17-67), we studied sex differences in the three-factor personality model, using the Eysenck Personality Questionnaire, Form A (EPQ-A; Eysenck & Eysenck, 1975), and in the Five-Factor Personality Model, with the NEO Personality Inventory (NEO-PI; Costa & McCrae, 1985). The following clinical scales were used: the Beck Depression Inventory (BDI; Beck, Rush, Shaw, & Emery, 1979), the Schizotypy Questionnaire (STQ; Claridge & Broks, 1984; Spanish version, Carrillo & Rojo, 1999), the THARL Scales (Dua, 1989, 1990; Spanish version, Dua & Carrillo, 1994) and the Adjustment Inventory (Bell, 1937; Spanish version, Cerdá, 1980). Subsequently, simple linear regression analysis, with BDI scores as criterion, were performed to estimate the value of the variables as predictors of vulnerability to depression. The results indicate that a series of personality variables cause women to be more vulnerable to depression than men and that these variables could be explained by a negative emotion main factor. Results are discussed within the framework of the psychological behaviorism theory of depression.

  10. Brain-derived neurotrophic factor: role in depression and suicide

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    Yogesh Dwivedi

    2009-08-01

    Full Text Available Yogesh DwivediPsychiatric Institute, Department of Psychiatry, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USAAbstract: Depression and suicidal behavior have recently been shown to be associated with disturbances in structural and synaptic plasticity. Brain-derived neurotrophic factor (BDNF, one of the major neurotrophic factors, plays an important role in the maintenance and survival of neurons and in synaptic plasticity. Several lines of evidence suggest that BDNF is involved in depression, such that the expression of BDNF is decreased in depressed patients. In addition, antidepressants up-regulate the expression of BDNF. This has led to the proposal of the “neurotrophin hypothesis of depression”. Increasing evidence demonstrates that suicidal behavior is also associated with lower expression of BDNF, which may be independent from depression. Recent genetic studies also support a link of BDNF to depression/suicidal behavior. Not only BDNF, but abnormalities in its cognate receptor tropomycin receptor kinase B (TrkB and its splice variant (TrkB.T1 have also been reported in depressed/suicidal patients. It has been suggested that epigenetic modulation of the Bdnf and Trkb genes may contribute to their altered expression and functioning. More recently, impairment in the functioning of pan75 neurotrophin receptor has been reported in suicide brain specimens. pan75 neurotrophin receptor is a low-affinity neurotrophin receptor that, when expressed in conjunction with low availability of neurotropins/Trks, induces apoptosis. Overall, these studies suggest the possibility that BDNF and its mediated signaling may participate in the pathophysiology of depression and suicidal behavior. This review focuses on the critical evidence demonstrating the involvement of BDNF in depression and suicide.Keywords: BDNF, neurotrophins, p75NTR, Trk receptor, depression, antidepressants, suicide, genetics, epigenetics

  11. Psychosocial and vascular risk factors of depression in later life

    NARCIS (Netherlands)

    Oldehinkel, AJ; Ormel, J; Brilman, EI; van den Berg, MD

    2003-01-01

    Background: Research on the aetiology of late-life depression has typically focused on either risk factors from the psychosocial stress-vulnerability domain or degenerative biological changes (for instance, vascular disease). We examined whether vascular risk factors could be interpreted within the

  12. Factors Influencing Healthcare Service Quality

    OpenAIRE

    Ali Mohammad Mosadeghrad

    2014-01-01

    Background The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context. Methods Exploratory in-depth individual and focus group interviews were conducted with 222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian healthcare organisations. Results Quality in healthcare is a production o...

  13. Hippocampal neurogenesis, neurotrophic factors and depression: possible therapeutic targets?

    Science.gov (United States)

    Serafini, Gianluca; Hayley, Shawn; Pompili, Maurizio; Dwivedi, Yogesh; Brahmachari, Goutam; Girardi, Paolo; Amore, Mario

    2014-01-01

    Major depression is one of the leading causes of disability and psychosocial impairment worldwide. Although many advances have been made in the neurobiology of this complex disorder, the pathophysiological mechanisms are still unclear. Among the proposed theories, impaired neuroplasticity and hippocampal neurogenesis have received considerable attention. The possible association between hippocampal neurogenesis, neurotrophic factors, major depression, and antidepressant responses was critically analyzed using a comprehensive search of articles/book chapters in English language between 1980 and 2014. One common emerging theme was that chronic stress and major depression are associated with structural brain changes such as a loss of dendritic spines and synapses, as well as reduced dendritic arborisation, together with diminished glial cells in the hippocampus. Both central monoamines and neurotrophic factors were associated with a modulation of hippocampal progenitor proliferation and cell survival. Accordingly, antidepressants are generally suggested to reverse stress-induced structural changes augmenting dendritic arborisation and synaptogenesis. Such antidepressant consequences are supposed to stem from their stimulatory effects on neurotrophic factors, and possibly modulation of glial cells. Of course, accumulating evidence also suggested that glutamatergic systems are implicated in not only basic neuroplastic processes, but also in the core features of depression. Hence, it is critical that antidepressant strategies focus on links between the various neurotransmitter systems, neurotrophic processes of hippocampal neurogenesis, and neurotrophic factors with regards to depressive symptomology. The identification of novel alternative antidepressant medications that target these systems is discussed in this review.

  14. Parental bonding and depression: personality as a mediating factor.

    Science.gov (United States)

    Avagianou, Penelope-Alexia; Zafiropoulou, Maria

    2008-01-01

    According to Bowlby's theory of attachment, the role of early experience and parenting is of crucial importance to child development and mental health. In addition, several research findings suggest that parental bonding and different types of attachment play a crucial role in personality development. The present study examines the association between parental bonding experiences (lack of parental care, overprotection or both) and depression during adulthood. The objective of the present study was to evaluate different personality dimensions as possible mediators of the relation between perceptions of parental bonding and depressive symptoms in adult life. 181 participants (15- 49-years-old) completed the Parental Bonding Instrument (PBI), the Beck Depression Inventory (BDI) and the 16 Personality Factor Questionnaire (16PF). The results show that lack of parental care and overprotection is linked with depressive symptoms and a number of personality characteristics, such as low self-esteem, introversion, distress and emotional instability. In contrast, high care and low protection (optimal bonding) is linked with increased self-confidence, less distress and less depressive symptoms. The results presented here are in line with Bowlby's theory of attachment and show that parental bonding is linked with problematic personality development and psychopathology. The present study provided evidence that personality factors may mediate the observed relationship between parental rearing style and depression. The potential causal mechanisms warrant longitudinal evaluation.

  15. Perinatal Depression and Patterns of Attachment: A Critical Risk Factor?

    Directory of Open Access Journals (Sweden)

    Valentina Meuti

    2015-01-01

    Full Text Available Background. This study aims to verify if the presence and severity of perinatal depression are related to any particular pattern of attachment. Methods. The study started with a screening of a sample of 453 women in their third trimester of pregnancy, who were administered a survey data form, the Edinburgh Postnatal Depression Scale (EPDS and the Experience in Close Relationship (ECR. A clinical group of subjects with perinatal depression (PND, 89 subjects was selected and compared with a control group (C, regarding psychopathological variables and attachment patterns. Results. The ECR showed a prevalence of “Fearful-Avoidant” attachment style in PND group (29.2% versus 1.1%, p<0.001; additionally, the EPDS average score increases with the increasing of ECR dimensions (Avoidance and Anxiety. Conclusion. The severity of depression increases proportionally to attachment disorganization; therefore, we consider attachment as both an important risk factor as well as a focus for early psychotherapeutic intervention.

  16. Influence of sex and stress exposure across the lifespan on endophenotypes of depression: focus on behavior, glucocorticoids and hippocampus

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    Aarthi Raksha Gobinath

    2015-01-01

    Full Text Available Sex differences exist in vulnerability, symptoms and treatment of many neuropsychiatric disorders. In this review we discuss both preclinical and clinical research that investigates how sex influences depression endophenotypes at the behavioral, neuroendocrine, and neural levels across the lifespan. Chronic exposure to stress is a risk factor for depression and we discuss how stress during the prenatal, postnatal, and adolescent periods differentially affects males and females depending on the method of stress and metric examined. Given that the integrity of the hippocampus is compromised in depression, we specifically focus on sex differences in how hippocampal plasticity is affected by stress and depression across the lifespan. In addition, we examine how female physiology predisposes depression in adulthood, specifically in postpartum and perimenopausal periods. Finally, we discuss the underrepresentation of women in both preclinical and clinical research and how this limits our understanding of sex differences in vulnerability, presentation, and treatment of depression.

  17. Influence of sex and stress exposure across the lifespan on endophenotypes of depression: focus on behavior, glucocorticoids, and hippocampus

    Science.gov (United States)

    Gobinath, Aarthi R.; Mahmoud, Rand; Galea, Liisa A.M.

    2015-01-01

    Sex differences exist in vulnerability, symptoms, and treatment of many neuropsychiatric disorders. In this review, we discuss both preclinical and clinical research that investigates how sex influences depression endophenotypes at the behavioral, neuroendocrine, and neural levels across the lifespan. Chronic exposure to stress is a risk factor for depression and we discuss how stress during the prenatal, postnatal, and adolescent periods differentially affects males and females depending on the method of stress and metric examined. Given that the integrity of the hippocampus is compromised in depression, we specifically focus on sex differences in how hippocampal plasticity is affected by stress and depression across the lifespan. In addition, we examine how female physiology predisposes depression in adulthood, specifically in postpartum and perimenopausal periods. Finally, we discuss the underrepresentation of women in both preclinical and clinical research and how this limits our understanding of sex differences in vulnerability, presentation, and treatment of depression. PMID:25610363

  18. Zhongshan flow maternal postpartum depression status and its influencing factors is analyzed%中山市流动产妇产后抑郁症状况及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    陈倩冬

    2015-01-01

    目的:调查流动产妇产后抑郁症的状况,探讨其发生的危险因素。方法采用自制问卷调查表及抑郁自评量表(EPDS),对200例住院分娩的流动产妇进行调查。采用单因素与多因素分析抑郁症发生的危险因素。结果200例流动产妇中,62例EPDS评分≥9分,产后抑郁症检出率为31%。居住条件、生育状态、夫妻关系、家庭关系、家庭月收入、新生儿性别、新生儿健康状况及医护满意度与产后抑郁症显著相关(P<0.05);年龄、教育程度及分娩方式与产后抑郁症无相关性(P>0.05)。家庭月收入、夫妻关系、新生儿性别、新生儿健康状况及医护满意度是产后抑郁症发生的独立危险因素(P<0.05)。结论流动产妇产后抑郁症发生率相对较高,家庭收入低、夫妻关系差、新生儿性别为女性、新生儿健康状况不良和医护满意度差,增加其发生的风险,应针对性实施护理干预。%Objective to investigate the flow conditions in the maternal postpartum depression ,in this study was to e‐valuate the risk factors .Methods self‐made questionnaire and self‐reported depression scale (EPDS) investigating the flow of 200 cases of hospitalized childbirth puerpera ,with EPDS score nine points or a diagnosis of postpartum depression .Using asingleelementandmultiplefactorsanalysisriskfactorfordepressionoccurs.Results 200casesoftheflowinthemater‐nal ,62 cases of EPDS score nine points ,or postpartum depression detection rate of 31% .Affect the single factor analysis of postpartum depression ,according to the living conditions ,family status ,relationship ,family relationship ,family income , newborn gender ,neonatal health and medical care satisfaction were significantly associated with postpartum depression (P 0 .05) .Further multi‐factor analysis indicated that ,family income ,the relationship ,newborn gender ,neonatal health and medical care

  19. Parenting influences on Latino children's social competence in the first grade: parental depression and parent involvement at home and school.

    Science.gov (United States)

    Valdez, Carmen R; Shewakramani, Vansa; Goldberg, Simon; Padilla, Brian

    2013-10-01

    Although it is widely accepted that parental depression is associated with problems with children's socioemotional adjustment, the pathways by which parental depression influences children's adjustment, particularly in low-income Latino children are not fully understood. In our investigation of 1,462 low-income Latino children in the first grade and their Spanish- and English-dominant parents, a factor analysis revealed three main pathways of possible influence of parent involvement in children's social development: emotional involvement and educational involvement at home and at school. The findings from multigroup structural equation modeling revealed that whereas the first two pathways mediated the effect of parental depression on child social competence for Spanish-dominant parents, only emotional involvement explained parental depression effects for English-dominant parents. Parent educational involvement at school did not mediate parental depression effects for either Spanish- or English-dominant Latino parents. Discussion and implications of findings with respect to research, practice, and policy with Latinos follow.

  20. Environmental factors influencing the development of atherosclerosis

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    Andrzej Brodziak

    2013-12-01

    Full Text Available The aim of the paper is to present an overview of recent findings on the environmental and behavioral factors influencing the development of atherosclerosis. The authors primarily concentrated on deliberations of possibile main causes of the damage of the endothelium. At the same time the following pathogenic mechanisms as cellular dysfunction, inflammation and coagulation disorders have been enumerated. The links between the state of the vascular endothelium and life style have been emphasized. It is also important to note that the primary causes of the endothelial damage should be traced as originally suggested many years ago viewing such factors as anger, hostility, aggression, impulsiveness and depression but with a new approach. The authors supplement the comments, on the environmental factors influencing the development of atherosclerosis, with basic data on family predisposition to the development of this disease. They highlight that current genetic research have not determined genes responsible for atheroscelosis. According to the authors the considerations and conclusions presented in this overview are important for the educational purposes related to the most frequent disease process resulting in many diseases in medical disciplines.

  1. Risk Factors for Poststroke Depression : Identification of Inconsistencies Based on a Systematic Review

    NARCIS (Netherlands)

    De Ryck, Annemieke; Brouns, Raf; Geurden, Marleen; Elseviers, Monique; De Deyn, Peter P.; Engelborghs, Sebastiaan

    2014-01-01

    Objective: Depression after stroke or poststroke depression (PSD) has a negative impact on the rehabilitation process and the associated rehabilitation outcome. Consequently, defining risk factors for development of PSD is important. The relationship between stroke and depression is described extens

  2. Study of depression in liver cancer patients after TACE and its influence factors%经导管肝动脉化疗栓塞术后患者抑郁状况及影响因素研究

    Institute of Scientific and Technical Information of China (English)

    陈海燕

    2014-01-01

    目的:探讨经导管肝动脉化疗栓塞术(TACE )后患者抑郁状况及其影响因素。方法:应用调查问卷评估TACE术后肝癌患者的抑郁状况,并分析其影响因素。结果:TACE术后有53.75%的肝癌患者存在抑郁,与国内常模相比,差异有统计学意义( P<0.05);多因素分析显示,教育程度低、家庭收入低,患病时间长,KPS评分低及VAS评分高的患者容易产生抑郁。结论:TACE术后肝癌患者是发生抑郁的高危人群,在临床护理中应及时干预,提高患者术后生活质量。%Objective] To explore the depression and its related factors in liver cancer patients after TACE .[Method] Ques-tionnaires were used to investigate the depression in liver cancer patients after TACE ,and its related factors were statistically ana-lyzed .[Result] 53 .57% TACE patients experienced depressive symptoms .The score of SDS in liver cancer patients after TACE were higher than that of domestic norm ( P<0.05 ) .Multi-factor analysis showed that patients with lower education , poorer family finance , much hospitalized times , lower KPS scores or higher VAS scores were easily to develop depressive symptoms .[Conclusion] Liver patients after TACE were the high-risk groups suffering depression ,and it is necessary to be i-dentified and intervened early in the clinical and nurse practice ,hence the quality of life in liver patients after TACE can be im-proved .

  3. 初产妇产后抑郁的影响因素及护理的研究综述%The Research Summary of Influencing Factors and Nursing Postpartum Depression in Primiparae

    Institute of Scientific and Technical Information of China (English)

    陈国霞

    2014-01-01

    The dangers of postpartum depression has been a front-line care workers and academics attention, and has made ??a wealth of research results. Combing through the literature, depression can be factors summarized in the early postpartum social factors, psychological stress, physical factors, obstetric factors, the role change, and analyze the direction of the current nursing attention can be divided into maternal health, strengthen psychological interventions, actively looking for external support, exploration and promotion of community intervention.%产后抑郁的危害性已经受到了学术界和一线护理工作者的重视,并且已经取得了丰富的研究成果。通过对文献资料的梳理,可以将初产妇产后抑郁的影响因素归纳为社会因素、心理压力、身体因素、产科因素、角色转变,并分析目前的护理方向可以分为重视产妇保健、加强心理干预、积极寻找外部支持、探索与推广社区干预。

  4. A study on depression and the influencing factors in liver transplant recipients%肝移植受者抑郁状况及其危险因素的调查分析

    Institute of Scientific and Technical Information of China (English)

    陈琪尔; 邢文婷; 汪根树; 谭坚铃

    2011-01-01

    目的 调查术后肝移植受者的抑郁状况及其危险因素.方法 将100例肝移植受者按时间段分为3组,第1组(31例)为术后1-6个月,第2组(34例)为术后7-12个月,第3组(35例)为术后1-3年,采用抑郁自评量表(self-rating depression scale,SDS)对3组肝移植受者进行现状调查.比较肝移植受者抑郁得分与国内常模得分,采用多元逐步回归分析肝移植受者抑郁的危险因素.结果 肝移植受者术后抑郁总分及3个时间段抑郁得分分别高于常模,组间比较,差异具有统计学意义(均P<0.001);影响术后1-6个月、7-12个月及1-3年肝移植受者抑郁危险因素包括术后并发症、受者性别、谷丙转氨酶(alanine transaminase,ALT)异常及甲胎蛋白(alpha fetal protein,AFP)异常.结论 肝移植受者抑郁水平高于一般人群,影响肝移植受者术后抑郁的危险因素包括术后并发症、受者性别、ALT及AFP指标值异常.%Objective To descnbe the depression conditions and explore ita risk factors in liver transplant (LT) recipients.Methods One hundred recipients were divided into three groups according to the time after LT.They were one to six months (group1), more than six months to one year (group 2) and more than one year to three years (group 3) after the operation respectively.The Self-rating Depression Scale (SDS) and the general data questionnaire were used to measure the depresaion level in liver transplant recipients.The depression level was compared with that of general population and its riak factors were analyzed by Logistic regression.Results All the scores of depression in liver transplant recipienta were atatistically significant (P <0.001) higher than that of the norm.The risk factors of depression included complications, gender, and sbnormal level of ALT and AFP.Conclusions The depression level in liver transplant recipients is higher than that in the general population.The main risk factors of depreasion in LT recipients

  5. The manifestation of depression in the context of urban poverty: a factor analysis of the Children's Depression Inventory in low-income urban youth.

    Science.gov (United States)

    Taylor, Jeremy J; Grant, Kathryn E; Amrhein, Kelly; Carter, Jocelyn Smith; Farahmand, Farahnaz; Harrison, Aubrey; Thomas, Kina J; Carleton, Russell A; Lugo-Hernandez, Eduardo; Katz, Brian N

    2014-12-01

    The current study used confirmatory factor analysis (CFA) to compare the fit of 2 factor structures for the Children's Depression Inventory (CDI) in an urban community sample of low-income youth. Results suggest that the 6-factor model developed by Craighead and colleagues (1998) was a strong fit to the pattern of symptoms reported by low-income urban youth and was a superior fit with these data than the original 5-factor model of the CDI (Kovacs, 1992). Additionally, results indicated that all 6 factors from the Craighead model contributed to the measurement of depression, including School Problems and Externalizing Problems especially for older adolescents. This pattern of findings may reflect distinct contextual influences of urban poverty on the manifestation and measurement of depression in youth.

  6. Psychosocial factors for influencing healthy aging in adults in Korea

    OpenAIRE

    Han, KyungHun; Lee, YunJung; Gu, JaSung; Oh, Hee; Han, JongHee; Kim, KwuyBun

    2015-01-01

    Background Healthy aging includes physical, psychological, social, and spiritual well-being in later years. The purpose of this study is to identify the psychosocial factors influencing healthy aging and examining their socio-demographic characteristics. Perceived health status, depression, self-esteem, self-achievement, ego-integrity, participation in leisure activities, and loneliness were identified as influential factors in healthy aging. Methods 171 Korean adults aged between 45 and 77 y...

  7. Factors influencing pacing in triathlon.

    Science.gov (United States)

    Wu, Sam Sx; Peiffer, Jeremiah J; Brisswalter, Jeanick; Nosaka, Kazunori; Abbiss, Chris R

    2014-01-01

    Triathlon is a multisport event consisting of sequential swim, cycle, and run disciplines performed over a variety of distances. This complex and unique sport requires athletes to appropriately distribute their speed or energy expenditure (ie, pacing) within each discipline as well as over the entire event. As with most physical activity, the regulation of pacing in triathlon may be influenced by a multitude of intrinsic and extrinsic factors. The majority of current research focuses mainly on the Olympic distance, whilst much less literature is available on other triathlon distances such as the sprint, half-Ironman, and Ironman distances. Furthermore, little is understood regarding the specific physiological, environmental, and interdisciplinary effects on pacing. Therefore, this article discusses the pacing strategies observed in triathlon across different distances, and elucidates the possible factors influencing pacing within the three specific disciplines of a triathlon.

  8. Depression in elderly patients with Alzheimer dementia or vascular dementia and its influence on their quality of life

    Directory of Open Access Journals (Sweden)

    Yaroslav Winter

    2011-01-01

    Full Text Available Background: Alzheimer dementia (AD and vascular dementia (VD are the most common causes of dementia in the elderly. Depression is an important co-morbid disorder in these diseases, which is often challenging to recognize. We investigated the prevalence of depression in patients with AD and VD and estimated the influence of depression on the health-related quality of life (HrQoL in these patients. Materials and Methods: We evaluated prevalence of depression in consecutively recruited patients with AD or VD (n= 98. Depression was diagnosed according to criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV and scored using the Geriatric Depression Scale. The EuroQol (EQ-5D and visual analogue scale was applied to evaluate HrQoL. The severity of cognitive impairment was measured by the Mini-Mental State Examination (MMSE. Multiple regression analysis was used to identify factors predicting severity of depression. Results: The prevalence of depression in AD/VD was 87%. In comparison to the general population, HrQoL measured on the visual analogue scale was reduced by 54% in patients with AD/VD. In the dimension "anxiety/depression" of the EQ-5D, 81% of patients with AD/VD had moderate or severe problems. Depression showed significant association with reduced HrQoL (P<0.01. Independent predictors of more severe depression were older age, male gender, better MMSE scores and being not married. Conclusions: Depression is a prevalent psychiatric co-morbidity in patients with AD/VD, which is often under-diagnosed being masked by cognitive impairment. Depression is a predictor of reduced HrQoL in elder people with AD/VD. Therefore, they should be screened for presence of depressive symptoms and receive adequate antidepressant treatment.

  9. 高职院校学生抑郁状况及其影响因素的研究%A survey on the depression prevalence and its influencing factors in vocational college students

    Institute of Scientific and Technical Information of China (English)

    倪仕钢; 姚应水; 祁秦; 黄志伟; 陈燕; 尚效贤; 康耀文; 贺连平; 臧洪艳; 聂淼

    2012-01-01

    目的:了解高职学生抑郁的基本状况,探讨抑郁的相关影响因素.方法:采用方便整群抽样的方法对淮南和芜湖两所高职院校共3 867名高职学生进行问卷调查,主要内容包括一般情况调查表、抑郁自评量表(SDS).结果:本研究显示,高职学生抑郁情绪的检出率为36.0%,不同性别、性格、饮食习惯、社会支持的高职学生抑郁情绪检出率的差异有统计学意义(P<0.05).Logistic回归分析发现,女性、外向的性格、不偏食、较好的社会支持是高职学生抑郁发生的保护因素.结论:抑郁情绪在高职学生中检出率较高.学校应该有针对性地开展高职学生的心理健康教育、危机干预等工作,提高学生的心理健康水平和压力承受能力.%Objective:To investigate the primary status of depression prevalence in students from certain vocational colleges and the influential factors associated with this disorder. Methods: By convenient clustered sampling,we conducted a survey on 3867 students from two vocational colleges in Huainan and Wuhu,Anhui province, through self-written questionnaires that included general demographic information and Self-rating Depression Scale(SDS). Results-. Detectable depressive mood appealed prevalent in 36. 0% of the total participants, and the disorder symptoms were statistically different in respect of dissimilar sexes,personalities,food habits and availability of social supports(P<0.05). Logistic regression analysis suggested that the protective factors for depressive disorders were involved in females,extroverted personalities,food preferences free and a-vailable network of social support. Conclusion: Depressive mood symptoms seem prevalent higher in vocational college students, for which college authorities are advised to supply the students with targeted mental health education and crisis intervention to boost their mental health level and stress tolerance.

  10. An Instrumental Variable Probit (IVP) Analysis on Depressed Mood in Korea: The Impact of Gender Differences and Other Socio-Economic Factors

    OpenAIRE

    Lara Gitto; Yong-Hwan Noh; Antonio Andrés

    2015-01-01

    Background Depression is a mental health state whose frequency has been increasing in modern societies. It imposes a great burden, because of the strong impact on people’s quality of life and happiness. Depression can be reliably diagnosed and treated in primary care: if more people could get effective treatments earlier, the costs related to depression would be reversed. The aim of this study was to examine the influence of socio-economic factors and gender on depressed mood, focusing on...

  11. Depressants

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Depressants KidsHealth > For Teens > Depressants A A A What's ... How Can Someone Quit? Avoiding Depressants What Are Depressants? Depressants are drugs that calm nerves and relax ...

  12. 离退休老年人抑郁障碍的影响因素: 1000名调查分析%An investigation of influencing factors for depressive disorder in 1 000 retired cadres and people

    Institute of Scientific and Technical Information of China (English)

    邢凤梅; 吴庆文; 朱薇; 孙冬梅; 田喜凤; 李建民

    2006-01-01

    BACKGROUND: Geriatric depressive disorder is a common psychological disorder in elderly people, and it can lead to the decline of various organic functions, and it also does great harm to elderly people and their family.OBJECTIVE: To investigate the influencing factors of depressive disorder in retired cadres and people, so as to provide basic evidence for enhancing the mental nursing in retired cadres and people and reducing the prevalence of geriatric depressive disorder.DESIGN: A sampling survey.SETTING: Department of Nursing, North China Coal Medical College.PARTICIPANTS: Between August and December 2002, 1 000 retired cadres and people living in the urban area of Tangshan city were investigated. There were 574 males and 426 females, aged from 60-88 years, the average age was 67.04 years, 851 of them were married, 10 were divorced and 139 had lost their spouses: the educational level was primary school and below in 159 cases, junior middle school in 362 cases, senior middle school in 280 cases, university and above in 199 cases.METHODS: The elderly people were investigated with the geriatric depression scale (GDS) and individual general information inventory by means of family visit. The investigative purpose and methods were introduced to the subjects before the investigation, and they all signed the informed consent, the form of without recording name was used. The strictly trained investigators were qualified by examination, which ensured the concordance of the investigative results. The pretesting was performed before the investigation to detect whether there were words,sentencesand items hard to understand, so as to avoid the information bias. The questionnaires were filled by the elderly people themselves or by the investigator if there was any difficulty for the elderly people in writing according to the their choice after reading the questions for them.in retired cadres and people of different age, gender and educational level:ferent marriage status

  13. [Bipolarity correlated factors in major depression: about 155 Tunisian inpatients].

    Science.gov (United States)

    Gassab, L; Mechri, A; Gaha, L; Khiari, G; Zaafrane, F; Zougaghi, L

    2002-01-01

    The distinction between the depressive troubles according to their inclusion in bipolar disorders or in recurrent depressive disorders offers an evident practical interest. In fact, the curative and mainly the preventive treatment of these troubles are different. So it is necessary to identify the predictive factors of bipolar development in case of inaugural depressive episode. In 1983, Akiskal was the first who identified those factors: pharmacological hypomania, puerperal depression, onset at early age (bipolar disorders to recurrent depressive disorders in order to indicate the correlated factors with bipolarity. It is a retrospective and comparative study based on about 155 inpatients for major depressive episode during the period between January 1994 and December 1998. These patients were divided into two groups according the DSM IV criteria: bipolar group (96 patients) and recurrent depressive group (59 patients). Both groups were compared according to socio-demographic data, life events in childhood, personal and family history, clinical and evolution characteristics of the index depressive episode. The predictive factors proposed by Akiskal were systematically examined. It was found out that the following factors were correlated with bipolarity: high rate of separation and divorce (17.7% versus 5.1%; p=0.02), family history of psychiatric disorders (56.3% versus 35.6%; p=0.012) especially bipolar ones (29.2% versus 3.4%; p=0,00008), onset at early age (mean age of onset: 24.8 8.2 years versus 34.1 12.6 years; p=0.000004), number of affective episode significantly more frequent (mean 3.6 versus 2.5; p=0.03), sudden onset of depressive episode (44.8% versus 15.9%; p=0.0003) and presence of psychotic characteristics (69.8% versus 16.7%; p=0.0001) catatonic characteristics (37.3% versus 20.3%; p=0.03), hypersomnia (51% versus 20.3%; p=0.03) and psychomotor inhibition (83.3% versus 42.4%; p=0.00007). Negatively correlated factors of bipolar depression were

  14. High glycemic index diet as a risk factor for depression: analyses from the Women's Health Initiative.

    Science.gov (United States)

    Gangwisch, James E; Hale, Lauren; Garcia, Lorena; Malaspina, Dolores; Opler, Mark G; Payne, Martha E; Rossom, Rebecca C; Lane, Dorothy

    2015-08-01

    The consumption of sweetened beverages, refined foods, and pastries has been shown to be associated with an increased risk of depression in longitudinal studies. However, any influence that refined carbohydrates has on mood could be commensurate with their proportion in the overall diet; studies are therefore needed that measure overall intakes of carbohydrate and sugar, glycemic index (GI), and glycemic load. We hypothesized that higher dietary GI and glycemic load would be associated with greater odds of the prevalence and incidence of depression. This was a prospective cohort study to investigate the relations between dietary GI, glycemic load, and other carbohydrate measures (added sugars, total sugars, glucose, sucrose, lactose, fructose, starch, carbohydrate) and depression in postmenopausal women who participated in the Women's Health Initiative Observational Study at baseline between 1994 and 1998 (n = 87,618) and at the 3-y follow-up (n = 69,954). We found a progressively higher dietary GI to be associated with increasing odds of incident depression in fully adjusted models (OR for the fifth compared with first quintile: 1.22; 95% CI: 1.09, 1.37), with the trend being statistically significant (P = 0.0032). Progressively higher consumption of dietary added sugars was also associated with increasing odds of incident depression (OR for the fifth compared with first quintile: 1.23; 95% CI: 1.07, 1.41; P-trend = 0.0029). Higher consumption of lactose, fiber, nonjuice fruit, and vegetables was significantly associated with lower odds of incident depression, and nonwhole/refined grain consumption was associated with increased odds of depression. The results from this study suggest that high-GI diets could be a risk factor for depression in postmenopausal women. Randomized trials should be undertaken to examine the question of whether diets rich in low-GI foods could serve as treatments and primary preventive measures for depression in postmenopausal women.

  15. Trait mindfulness as a limiting factor for residual depressive symptoms: an explorative study using quantile regression.

    Directory of Open Access Journals (Sweden)

    Sholto Radford

    Full Text Available Mindfulness has been suggested to be an important protective factor for emotional health. However, this effect might vary with regard to context. This study applied a novel statistical approach, quantile regression, in order to investigate the relation between trait mindfulness and residual depressive symptoms in individuals with a history of recurrent depression, while taking into account symptom severity and number of episodes as contextual factors. Rather than fitting to a single indicator of central tendency, quantile regression allows exploration of relations across the entire range of the response variable. Analysis of self-report data from 274 participants with a history of three or more previous episodes of depression showed that relatively higher levels of mindfulness were associated with relatively lower levels of residual depressive symptoms. This relationship was most pronounced near the upper end of the response distribution and moderated by the number of previous episodes of depression at the higher quantiles. The findings suggest that with lower levels of mindfulness, residual symptoms are less constrained and more likely to be influenced by other factors. Further, the limiting effect of mindfulness on residual symptoms is most salient in those with higher numbers of episodes.

  16. Trait Mindfulness as a Limiting Factor for Residual Depressive Symptoms: An Explorative Study Using Quantile Regression

    Science.gov (United States)

    Radford, Sholto; Eames, Catrin; Brennan, Kate; Lambert, Gwladys; Crane, Catherine; Williams, J. Mark G.; Duggan, Danielle S.; Barnhofer, Thorsten

    2014-01-01

    Mindfulness has been suggested to be an important protective factor for emotional health. However, this effect might vary with regard to context. This study applied a novel statistical approach, quantile regression, in order to investigate the relation between trait mindfulness and residual depressive symptoms in individuals with a history of recurrent depression, while taking into account symptom severity and number of episodes as contextual factors. Rather than fitting to a single indicator of central tendency, quantile regression allows exploration of relations across the entire range of the response variable. Analysis of self-report data from 274 participants with a history of three or more previous episodes of depression showed that relatively higher levels of mindfulness were associated with relatively lower levels of residual depressive symptoms. This relationship was most pronounced near the upper end of the response distribution and moderated by the number of previous episodes of depression at the higher quantiles. The findings suggest that with lower levels of mindfulness, residual symptoms are less constrained and more likely to be influenced by other factors. Further, the limiting effect of mindfulness on residual symptoms is most salient in those with higher numbers of episodes. PMID:24988072

  17. Factors associated with help-seeking behaviour among individuals with major depression: A systematic review.

    Science.gov (United States)

    Magaard, Julia Luise; Seeralan, Tharanya; Schulz, Holger; Brütt, Anna Levke

    2017-01-01

    Psychological models can help to understand why many people suffering from major depression do not seek help. Using the 'Behavioral Model of Health Services Use', this study systematically reviewed the literature on the characteristics associated with help-seeking behaviour in adults with major depression. Articles were identified by systematically searching the MEDLINE, EMBASE and PsycInfo databases and relevant reference lists. Observational studies investigating the associations between individual or contextual characteristics and professional help-seeking behaviour for emotional problems in adults formally diagnosed with major depression were included. The quality of the included studies was assessed, and factors associated with help-seeking behaviour were qualitatively synthesized. In total, 40 studies based on 26 datasets were included. Several studies investigated predisposing (age (N = 17), gender (N = 16), ethnicity (N = 9), education (N = 11), marital status (N = 12)), enabling (income (N = 12)), need (severity (N = 14), duration (N = 9), number of depressive episodes (N = 6), psychiatric comorbidity (N = 10)) and contextual factors (area (N = 8)). Socio-demographic and need factors appeared to influence help-seeking behaviour. Although existing studies provide insight into the characteristics associated with help seeking for major depression, cohort studies and research on beliefs about, barriers to and perceived need for treatment are lacking. Based on this review, interventions to increase help-seeking behaviour can be designed.

  18. Examining Overgeneral Autobiographical Memory as a Risk Factor for Adolescent Depression

    Science.gov (United States)

    Rawal, Adhip; Rice, Frances

    2012-01-01

    Objective: Identifying risk factors for adolescent depression is an important research aim. Overgeneral autobiographical memory (OGM) is a feature of adolescent depression and a candidate cognitive risk factor for future depression. However, no study has ascertained whether OGM predicts the onset of adolescent depressive disorder. OGM was…

  19. Emotion regulation and depressive symptoms: Close relationships as social context and influence.

    Science.gov (United States)

    Marroquín, Brett; Nolen-Hoeksema, Susan

    2015-11-01

    Depression is associated with social dysfunction and maladaptive social environments, but mechanisms through which social relationships affect depressive psychopathology are unclear. We hypothesized that emotion regulation (ER) is such a mechanism, with outcomes of individuals' ER efforts sensitive to the social context, and individuals' ER strategy repertoire and use sensitive to social influence. In Study 1, a longitudinal study of community adults (N = 1,319), associations of individuals' ER strategies with depressive symptoms depended on social connectedness and romantic relationship status (social context hypothesis). Moreover, associations of social connectedness and relationship status with symptoms were accounted for by maladaptive ER concurrently and, for social connectedness, prospectively over 1 year (social influence hypothesis). Study 2a, using a national sample (N = 772), replicated and extended these findings with a broader array of ER strategies, and ruled out alternative explanations regarding social skills and psychological wellbeing. Among participants in romantic relationships (Study 2b; N = 558), intimacy and trust buffered associations of maladaptive ER strategies with symptoms (context), and maladaptive and adaptive ER mediated links between relationship variables and symptoms (influence). Findings suggest that close relationships-and variation in underlying relational processes within relationships-influence the ER strategies people use, and also affect whether individuals' own ER repertoires contribute to depression when deployed. Results elucidate core social mechanisms of ER in terms of both basic processes and depressive psychopathology, suggest ER is a channel through which social factors affect internal functioning and mental health, and inform relationship pathways for clinical intervention. (c) 2015 APA, all rights reserved).

  20. [Enviromental factors related to depressive disorders].

    Science.gov (United States)

    Hernández-Benítez, Catalina Teresa; García-Rodríguez, Alfonso; Leal-Ugarte, Evelia; Peralta-Leal, Valeria; Durán-González, Jorge

    2014-01-01

    Introducción: debido a su alta prevalencia, la depresión mayor, episodio único (DMEU); la depresión mayor recurrente (DMR); y la distimia son consideradas un problema importante de salud pública. El objetivo de este estudio fue identificar y relacionar los factores ambientales en pacientes con DMEU, DMR y distimia. Métodos: 121 pacientes procedentes del Hospital General de Subzona del Instituto Mexicano del Seguro Social (IMSS) de San Andrés Tuxtla, Veracruz, fueron cuestionados mediante una historia clínica con las variables de riesgo. Resultados: 16 pacientes presentaron DMEU, 72 DMR y 33 distimia. En todos prevaleció el sexo femenino. Los trastornos depresivos se observaron con más frecuencia en personas de más de 40 años, casadas, con un nivel de estudios medio o bajo, provenientes de una familia disfuncional, víctimas de violencia familiar, además de ser hijos intermedios. Las comorbilidades que se presentaron fueron trastornos gastrointestinales, obesidad e hipertensión arterial. Conclusión: los principales factores de riesgo que se identificaron para desarrollar trastornos depresivos fueron: ser mujer, tener más de 40 años de edad y estar casada. Las diferencias obtenidas en este estudio respecto a otros probablemente se deban al tamaño de la muestra, los criterios de selección y el origen de la etnia.

  1. Postnatal depression and its associated factors among Northeastern Nigerian women

    Directory of Open Access Journals (Sweden)

    Dauda Sulyman

    2016-01-01

    Full Text Available Background: Postnatal depression is a serious psychiatric condition that occurs in puerperium. It is associated with increased morbidity and can overwhelm new mothers and interfere with the care of their babies. This study aimed to determine the prevalence rate of postnatal depression and assess factors that are associated with its development among northeastern Nigerian women. Materials and Methods: Edinburgh Postnatal Depression Scale (EPDS questionnaire was administered to four hundred and eighty-three women who delivered at the maternity unit of a tertiary health institution in northeastern Nigeria. Their sociodemographic and clinical variables were also obtained using pro forma questionnaire designed by the researchers. Results: One hundred and eight respondents scored 13 or more points on EPNDS, making the prevalence rate of postnatal depression 22.4%. Factors that are associated with the development of postnatal depression are unemployment [odds ratio (OR = 0.49, 95% (CI = 0.27-0.86, P value = 0.018, lack of support from the husband (OR = 0.34, 95% CI = 0.19-0.60, P value = 0.000, and primiparity (OR = 0.56, 95% CI = 0.35-0.88, P value = 0.013; others are unplanned pregnancy (OR = 0.56, 95% CI = 0.35-0.88, P value = 0.013 and physical illness in the mother (OR = 1.81, 95% CI = 1.77-2.79, P value = 0.007. Conclusion: The study showed that a significant proportion of new mothers have postnatal depression. This may negatively affect their parenting skills and may have adverse effects on them and their children. Early detection and effective management, together with an efficient collaboration among psychiatrists, obstetricians, and other health workers who are involved in the care of new mothers, will go a long way in reducing the negative consequences that may result from this condition.

  2. The influence of comorbid personality disorders on recovery from depression

    Directory of Open Access Journals (Sweden)

    Wongpakaran T

    2015-03-01

    Full Text Available Tinakon Wongpakaran, Nahathai Wongpakaran, Vudhichai Boonyanaruthee, Manee Pinyopornpanish, Suthi Intaprasert Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Purpose: The impact of personality disorders on the treatment of and recovery from depression is still a controversial topic. The aim of this paper is to provide more information on what has led to this disagreement.Materials and methods: Clinician-rated Hamilton Depression Rating Scale (HAMD scores were assessed among 82 depressed outpatients who were receiving a routine treatment combination of antidepressant medication and psychosocial intervention. The participants were followed up over five visits at 3-month intervals: at the baseline, at 3, 6, 9 and 12 months. Personality disorders were assessed after the last visit in accordance with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. These repeated measures were used to explore the impact of personality disorders on HAMD scores by using a linear mixed model.Results: Among the four personality clusters that were used (A, B, C, and mixed, only those in cluster B and in the mixed cluster were found to take significantly longer than those without personality disorders, for reduction in HAMD scores over the course of treatment.Conclusion: In this study, the impact of personality disorders on treatment outcomes varied with the way that the personality disorder variables were described and used as independent predictors. This is because the outcomes were influenced by the impact weight of each personality disorder, even within the same cluster. Keywords: depressive disorder, mixed linear model, impact, multilevel analysis

  3. Factors Influencing Healthcare Service Quality

    Directory of Open Access Journals (Sweden)

    Ali Mohammad Mosadeghrad

    2014-07-01

    Full Text Available Background The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context. Methods Exploratory in-depth individual and focus group interviews were conducted with 222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian healthcare organisations. Results Quality in healthcare is a production of cooperation between the patient and the healthcare provider in a supportive environment. Personal factors of the provider and the patient, and factors pertaining to the healthcare organisation, healthcare system, and the broader environment affect healthcare service quality. Healthcare quality can be improved by supportive visionary leadership, proper planning, education and training, availability of resources, effective management of resources, employees and processes, and collaboration and cooperation among providers. Conclusion This article contributes to healthcare theory and practice by developing a conceptual framework that provides policy-makers and managers a practical understanding of factors that affect healthcare service quality.

  4. 老年抑郁、焦虑与认知功能的现状、影响因素及其关系研究%Elder Depression, Anxiety and Cognitive Function State,Influencing Factors and Their Relationships Analysis

    Institute of Scientific and Technical Information of China (English)

    李然

    2015-01-01

    目的:探讨老年抑郁、焦虑和认知功能的现状、影响因素及其关系。方法从该院附近的各社区和来该院治疗的农村老年抑郁、焦虑症患者的病例进行分析,共选出312例对象,采用问卷调查的方式,对不同年龄、文化程度、工作类型以及生活习惯等方面所引发的抑郁或焦虑疾病率的影响。结果在老年患者当中,女性的抑郁和焦虑检出率明显高于男性,而城市户口居民抑郁和焦虑检出率明显高于农村户口居民,睡眠时间较少的老年对象抑郁或焦虑水平较高,生活当中各类事件越多越复杂的人患有抑郁的几率越高。结论现代老年抑郁、焦虑患者数量越来越多,需要医护人员在治疗过程中重点注意。%Objective To investigate the elderly depression, anxiety, and the status quo of cognitive function, influencing factors and their relationships. Methods Our hospital nearby communities and to the hospital treatment of the rural elderly cases of patients with depression and anxiety disorder were analyzed, 312 cases with selected object, with the method of questionnaire survey, with different age, culture level, type of work and living habits and so on the influence of the rate of depression or anxiety caused by the disease. Results In elderly patients with depression and anxiety detection rate of female was obviously higher than that of male, depression and anxiety and urban residents was much higher than that of rural resi-dents, sleep less elderly depression or anxiety level is higher, the more the life of all kinds of events, the higher the risk of complex people suffer from depression. Conclusion The modern more and more number of elderly patients with depression, anxiety, need to focus on medical staff on the treatment process.

  5. [Prevalence of type 2 diabetes and factors associated in depression].

    Science.gov (United States)

    Sebbani, M; Dali Sahi, M; Amine, M; Aouar, A

    2014-02-01

    The aim of our study was to estimate the prevalence of type 2 diabetes in patients with depression and to describe its associated factors. A cross-sectional descriptive study was conducted over a period of three months (from May to August 2012) in a hospital in Tlemcen, Algeria. The sample study had included 73 consecutive depressed patients who had attended the unit for assessment, education or treatment of depression or its complications. Data collection was conducted using a questionnaire. Blood sampling was performed in all patients to measure glycemic levels. Data analysis was performed using the spss version 10 software. P-value was considered significant when ≤ 0.05. Means age was 53 ± 15 years. Sex-ratio female/male was 1.35. The prevalence of type 2 diabetes was 69.9% with 95% CI [57.9; 79.8]. Heredity and collective lifestyle were significantly associated with diabetes (P<0.0001). We have not found an association of diabetes with the factors studied: gender, presence of remaining associated diseases, smoking, and treatment regime. In the absence of national epidemiological data, the results of our study provide the frequency of type 2 diabetes during depression. This requires planning strategies for diagnosis and appropriate care for this population. Copyright © 2013 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  6. Causal and mediating factors for anxiety, depression and well-being.

    Science.gov (United States)

    Kinderman, Peter; Tai, Sara; Pontin, Eleanor; Schwannauer, Matthias; Jarman, Ian; Lisboa, Paulo

    2015-06-01

    Background The relationship between well-being and mental ill health is complex; people may experience very low levels of well-being even in the absence of overt mental health problems. Aims This study tested the hypothesis that anxiety, depression and well-being have different causal determinants and psychological mediating mechanisms. Method The influence of causal and mediating factors on anxiety, depression and well-being were investigated in a cross-sectional online questionnaire survey hosted on a UK national broadcasting website. Results Multivariate conditional independence analysis of data from 27 397 participants revealed different association pathways for the two constructs. Anxiety and depression were associated with negative life events mediated by rumination; low levels of subjective well-being were associated with material deprivation and social isolation, mediated by adaptive coping style. Conclusions Our findings support the 'two continua' model of the relationship between psychological well-being and mental health problems, with implications for both treatment and prevention.

  7. Factors influencing pacing in triathlon

    Directory of Open Access Journals (Sweden)

    Wu SSX

    2014-09-01

    Full Text Available Sam SX Wu,1 Jeremiah J Peiffer,2 Jeanick Brisswalter,3 Kazunori Nosaka,1 Chris R Abbiss1 1Centre for Exercise and Sports Science Research, School of Exercise and Health Sciences, Edith Cowan University, Perth, WA, Australia; 2School of Psychology and Exercise Science, Murdoch University, Perth, WA, Australia; 3Laboratory of Human Motricity, Education Sport and Health, University of Nice Sophia Antipolis, Nice, France Abstract: Triathlon is a multisport event consisting of sequential swim, cycle, and run disciplines performed over a variety of distances. This complex and unique sport requires athletes to appropriately distribute their speed or energy expenditure (ie, pacing within each discipline as well as over the entire event. As with most physical activity, the regulation of pacing in triathlon may be influenced by a multitude of intrinsic and extrinsic factors. The majority of current research focuses mainly on the Olympic distance, whilst much less literature is available on other triathlon distances such as the sprint, half-Ironman, and Ironman distances. Furthermore, little is understood regarding the specific physiological, environmental, and interdisciplinary effects on pacing. Therefore, this article discusses the pacing strategies observed in triathlon across different distances, and elucidates the possible factors influencing pacing within the three specific disciplines of a triathlon. Keywords: cycle, endurance, multisport, pacing strategy, run, swim

  8. Factors influencing women's decisions to purchase specific ...

    African Journals Online (AJOL)

    Keywords: multi-nutrient supplements; survey; children; women's decisions. Factors influencing .... associations between level of education and various factors influencing women's ..... Social marketing improved the use of multivitamin and ...

  9. Dissociative symptoms reflect levels of tumor necrosis factor alpha in patients with unipolar depression

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    Bizik G

    2014-04-01

    Full Text Available Gustav Bizik,1 Petr Bob,1 Jiri Raboch,1 Josef Pavlat,1 Jana Uhrova,2 Hana Benakova,2 Tomas Zima2 1Center for Neuropsychiatric Research of Traumatic Stress, Department of Psychiatry and UHSL, 2Department of Clinical Biochemistry and Laboratory Diagnostics, 1st Faculty of Medicine, Charles University, Prague, Czech Republic Abstract: Recent evidence indicates that the nature of interactions between the nervous system and immune system is important in the pathogenesis of depression. Specifically, alterations in pro-inflammatory cytokines have been related to the development of several psychological and neurobiological manifestations of depressive disorder, as well as to stress exposure. A number of findings point to tumor necrosis factor alpha (TNF-α as one of the central factors in these processes. Accordingly, in the present study, we test the hypothesis that specific influences of chronic stressors related to traumatic stress and dissociation are related to alterations in TNF-α levels. We performed psychometric measurement of depression (Beck Depression Inventory [BDI]-II, traumatic stress symptoms (Trauma Symptom Checklist [TSC]-40, and psychological and somatoform dissociation (Dissociative Experiences Scale [DES] and Somatoform Dissociation Questionnaire [SDQ]-20, respectively, and immunochemical measure of serum TNF-α in 66 inpatients with unipolar depression (mean age 43.1 ± 7.3 years. The results show that TNF-α is significantly related to DES (Spearman R=−0.42, P<0.01, SDQ-20 (Spearman R=−0.38, P<0.01, and TSC-40 (Spearman R=−0.41, P<0.01, but not to BDI-II. Results of the present study suggest that TNF-α levels are related to dissociative symptoms and stress exposure in depressed patients. Keywords: depression, dissociation, TNF-alpha, traumatic stress

  10. Depression's Influence on the Asthma Control Test, Japanese Version

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    Mio Toyama

    2014-01-01

    Conclusions: The efficacy of the ACT-J was confirmed in depressive patients with asthma. Because asthma control as evaluated with the ACT-J can be worse than actual control under depressive states, physicians should also pay attention to a patient's depressive state at evaluation. Further investigations focus on the association between the ACT-J and depression are required.

  11. The Influence of Parental Support, Depressed Affect, and Peers on the Sexual Behaviors of Adolescent Girls.

    Science.gov (United States)

    Whitbeck, Les B.; And Others

    1993-01-01

    Used longitudinal data from 76 adolescent girls and their parents to investigate effects of parental warmth and supportiveness on adolescents' depressed affect, attitudes about sexuality, peer influence, and sexual experience. Girls with more emotionally distant parents were more likely to manifest symptoms of depression. Depressed affect was…

  12. Factors Influencing Learner Permit Duration

    Directory of Open Access Journals (Sweden)

    Johnathon P. Ehsani

    2016-12-01

    Full Text Available An increasing number of countries are requiring an extended learner permit prior to independent driving. The question of when drivers begin the learner permit period, and how long they hold the permit before advancing to independent licensure has received little research attention. Licensure timing is likely to be related to “push” and “pull” factors which may encourage or inhibit the process. To examine this question, we recruited a sample of 90 novice drivers (49 females and 41 males, average age of 15.6 years soon after they obtained a learner permit and instrumented their vehicles to collect a range of driving data. Participants completed a series of surveys at recruitment related to factors that may influence licensure timing. Two distinct findings emerged from the time-to-event analysis that tested these push and pull factors in relation to licensure timing. The first can be conceptualized as teens’ motivation to drive (push, reflected in a younger age when obtaining a learner permit and extensive pre-permit driving experience. The second finding was teens’ perceptions of their parents’ knowledge of their activities (pull; a proxy for a parents’ attentiveness to their teens’ lives. Teens who reported higher levels of their parents’ knowledge of their activities took longer to advance to independent driving. These findings suggest time-to-licensure may be related to teens’ internal motivation to drive, and the ability of parents to facilitate or impede early licensure.

  13. Stressful life events and depressive symptoms: influences of gender, event severity, and depression history.

    Science.gov (United States)

    You, Sungeun; Conner, Kenneth R

    2009-11-01

    Informed by Post's (1992) kindling hypothesis, the study examined the association between depressive symptoms and varying levels of perceived life events as determined by respondents, as well as the moderating role of depression history and gender. Severe life events were significantly associated with current depressive symptoms among never depressed women but not among women with depression history. Such a moderating role of depression history was not observed among men where severe life events were associated with current depressive symptoms in men regardless of depression history. No moderating effects of gender and depression history were obtained for mild and moderate life events, but these events were significantly associated with current depressive symptoms. These results support Post's kindling hypothesis for severe life events but not for mild or moderate life events, and further only in women.

  14. Risk Factors Linking Maternal Depressed Mood to Growth in Adolescent Substance Use

    Science.gov (United States)

    Cortes, Rebecca C.; Fleming, Charles B.; Mason, W. Alex; Catalano, Richard F.

    2009-01-01

    Maternal depression has been implicated in the development of adolescent substance use. Conceptualizing depression as a continuum, the aims of this study are to (a) understand the relationship between maternal depressed mood and risk factors associated with adolescent substance use; (b) understand the relationship between maternal depressed mood…

  15. Prevalence of depressive symptoms and associated socio-demographic factors among recruits during military training.

    Science.gov (United States)

    Bin Zubair, Usama; Mansoor, S; Rana, M H

    2015-06-01

    Military training is a stressful and unusual event. It may predispose individuals towards mental health problems. The stress of military training has been shown to result in depressive symptoms that can potentially influence the combat ability of a soldier. This study aimed to determine the prevalence of depressive symptoms among recruits during military training in Northern Pakistan and analyse the associated socio-demographic factors. The study was carried out at the Mujahid Force Center, Bhimber, in Azad Jammu and Kashmir (AJK) in the North of Pakistan. This is one of the training institutes of the Pakistan Army. The sample population comprised of 313 adult men undergoing military training at Bhimber AJK. General Health Questionnaire 12 (GHQ-12) was used to screen for any psychiatric illness, and those with a score>4 were administered the Beck Depression Inventory (BDI) to record the presence and severity of depressive symptoms. Age, service type (general duty soldier, cook or clerk), education, level of family income, marital status, tobacco smoking, use of naswar (tobacco based substance), worrying about future and social support status were correlated with depressive symptoms to evaluate the association of these factors with depression in the study population. Out of 313 recruits screened with GHQ-12, 232 were found to have a score of 4 or more as an indicator of the presence of psychiatric morbidity, and had the BDI administered. Of these 232 recruits, 31.5% had no depressive symptoms, 41.4% had mild, 17.7% had moderate and 9.5% had severe depressive symptoms. With logistic regression, we found significant correlation among depressive symptoms and level of family income, worrying about future and lack of social support. Prevalence of depressive symptoms was high among recruits. Special attention should be paid to recruits from low socioeconomic background and those who lack social support and who worry about the future. Published by the BMJ Publishing Group

  16. Major depression: does gender influence the risk of recurrence? A systematic review

    Directory of Open Access Journals (Sweden)

    Gilles Bertschy

    Full Text Available Background and Objectives: A woman's lifetime risk of major depression is almost twice as high as that of a man. Major depression is associated with a high risk of recurrence, but the question of a differential risk of recurrence between genders is unclear. Based on a systematic review of the literature, this paper attempts to answer the following question: "Following a major depressive episode, do women and men have the same risk of recurrence?". Methods: We prospectively collected all studies from the period 2005-2014 where the variable gender was considered a potential predictor of recurrence. The database has also been expanded with articles cited in the bibliography of the prospectively collected articles and with a PubMed Database search covering the period January 2005-August 2014. Results: Of the prospective studies (n = 98, most found no influence of gender on recurrence risk, but a minority, mostly large sample studies, found that female gender is a statistically significant risk factor for recurrence. Results suggest a probable female-to-male relative risk of recurrence between 1.0 and 1.2. Given the heterogeneity of the studies (length of follow-up, populations, nature of the studies, choice of dependant variables, statistical methods, and available data no meta-analyses were performed. There are many interfering variables (age of onset, subchronic evolution, treatments, etc. that can influence the results of prospective studies. Conclusions: Women probably have a slightly higher risk of recurrence after a major depressive episode than men. This increased risk is much smaller than women's much higher lifetime risk of depression.

  17. Influence of personality on depression, burden, and health-related quality of life in family caregivers of persons with dementia.

    Science.gov (United States)

    Kim, Sun Kyung; Park, Myonghwa; Lee, Yunhwan; Choi, Seong Hye; Moon, So Young; Seo, Sang Won; Park, Kyung Won; Ku, Bon D; Han, Hyun Jeong; Park, Kee Hyung; Han, Seol-Heui; Kim, Eun-Joo; Lee, Jae-Hong; Park, Sun A; Shim, Yong S; Kim, Jong Hun; Hong, Chang Hyung; Na, Duk L; Ye, Byoung Seok; Kim, Hee Jin; Moon, Yeonsil

    2017-02-01

    Personality may predispose family caregivers to experience caregiving differently in similar situations and influence the outcomes of caregiving. A limited body of research has examined the role of some personality traits for health-related quality of life (HRQoL) among family caregivers of persons with dementia (PWD) in relation to burden and depression. Data from a large clinic-based national study in South Korea, the Caregivers of Alzheimer's Disease Research (CARE), were analyzed (N = 476). Path analysis was performed to explore the association between family caregivers' personality traits and HRQoL. With depression and burden as mediating factors, direct and indirect associations between five personality traits and HRQoL of family caregivers were examined. Results demonstrated the mediating role of caregiver burden and depression in linking two personality traits (neuroticism and extraversion) and HRQoL. Neuroticism and extraversion directly and indirectly influenced the mental HRQoL of caregivers. Neuroticism and extraversion only indirectly influenced their physical HRQoL. Neuroticism increased the caregiver's depression, whereas extraversion decreased it. Neuroticism only was mediated by burden to influence depression and mental and physical HRQoL. Personality traits can influence caregiving outcomes and be viewed as an individual resource of the caregiver. A family caregiver's personality characteristics need to be assessed for tailoring support programs to get the optimal benefits from caregiver interventions.

  18. Relationship of Depression and Risk Factors in Osteoporotic Men

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    Evrim Karadağ Saygı

    2005-09-01

    Full Text Available Although osteoporosis mainly affects women, it could also be seen in men. The aims of the this study were to evaluate the risk factors for osteoporosis in men and to determine their relationships with each other. 49 men with osteoporosis were enrolled in the study. The participants completed a questionnaire covering education, work, alcohol intake, smoking, milk consumption, physical activity and oral glucocorticoid therapy. Additionally, Beck Depression and Visual Analogue Scales were used to assess depression and back pain level. Bone mineral density measurements of the lumbar spine (L2-L4, neck of femur and Ward’s triangle zone were performed by means of dual energy x-ray absorptiometer (DEXA. Dorsal, lumbar x-ray images were taken. According to WHO criteria, patients having Tscores of BMD ≥ -2.5 SD were included. In all patients, positive correlation between the length of education and exercise (r=0.305, p=0.03 and a negative correlation with milk consumption (r= -0.428, p=0.002 were found. Beck Deepression Scale scores were lower in working patients (r=0.457, p=0.001. There was positive corelation between Beck Depression and Visual Analogue Scales values (r=0.376, p=0.01. In men, life style and habits of the individual could be risk factors for osteoporosis and these issues should be taken into consideration before the planning of the treatment.

  19. Detection and influencing factors of brain-derived neurotropic factor in serum of post stroks depression%脑卒中后抑郁患者脑源性神经营养因子检测及其影响因素

    Institute of Scientific and Technical Information of China (English)

    李晓鹤

    2014-01-01

    Objective To detect the serum levels of brain-derived neurotropic factor (BDNF) in cases with post-stroke depression (PSD) and analyze its influencing factors .Methods The cases with PSD and healthy people were chosen to detect the serum BDNF ,and the differences were compared .The relationship between clinic pathologi-cal factors and BDNF in PSD cases was analyzed .Results The serum BDNF in PSD cases was significantly lower than in healthy people .The differences of BDNF in PSD cases showed no statistics significances in agenda ,age ,cause of disease ,location ,distribution and position ,while they were statistics significant in smoking history ,history of alco-hol abuse ,family history ,depression score and NIHSS score .The BDNF in PSD cases correlated negatively with smoking history ,history of alcohol abuse ,family history ,depression score and NIHSS score .Conclusion The serum BDNF in PSD cases is significantly lower than in healthy people ,its levels correlates negatively with smoking history , history of alcohol abuse ,family history ,depression score and NIHSS score .%目的:检测脑卒中后抑郁患者血清脑源性神经营养因子并分析其影响因素。方法选择脑卒中后抑郁患者和健康者作为研究对象,并分析2组研究对象血清脑源性神经营养因子的差异,比较脑卒中后抑郁患者脑源性神经营养因子在不同临床生化指标中的差异及其相关性。结果脑卒中后抑郁患者血清脑源性神经营养因子低于健康对照者,差异有统计学意义(P<0.05)。脑源性神经营养因子在性别、年龄、卒中病因、病灶部位、病灶分布和卒中部位中的差异无统计学意义(P>0.05),在吸烟史、酗酒史、家族史、抑郁评分和美国国立卫生研究院卒中量表(NIHSS)评分中的差异有统计学意义(P<0.05)。脑源性神经营养因子与吸烟史、酗酒史、家族史、抑郁评分

  20. Depressive mood mediates the influence of social support on health-related quality of life in elderly, multimorbid patients.

    Science.gov (United States)

    Wicke, Felix S; Güthlin, Corina; Mergenthal, Karola; Gensichen, Jochen; Löffler, Christin; Bickel, Horst; Maier, Wolfgang; Riedel-Heller, Steffi G; Weyerer, Siegfried; Wiese, Birgitt; König, Hans-Helmut; Schön, Gerhard; Hansen, Heike; van den Bussche, Hendrik; Scherer, Martin; Dahlhaus, Anne

    2014-04-08

    It is not well established how psychosocial factors like social support and depression affect health-related quality of life in multimorbid and elderly patients. We investigated whether depressive mood mediates the influence of social support on health-related quality of life. Cross-sectional data of 3,189 multimorbid patients from the baseline assessment of the German MultiCare cohort study were used. Mediation was tested using the approach described by Baron and Kenny based on multiple linear regression, and controlling for socioeconomic variables and burden of multimorbidity. Mediation analyses confirmed that depressive mood mediates the influence of social support on health-related quality of life (Sobel's p depressive mood (β = -0.341, p quality of life is greater than the influence of multimorbidity (β = -0.234, p quality of life, but this association is strongly mediated by depressive mood. Depression should be taken into consideration in research on multimorbidity, and clinicians should be aware of its importance when caring for multimorbid patients. ISRCTN89818205.

  1. Choice of treatment with antidepressants: influencing factors.

    Science.gov (United States)

    Himmerich, Hubertus; Wranik, Dominika W

    2012-01-01

    Depressive disorders place a large burden on patients and on society. Although efficacious treatment options for unipolar depressive disorders exist, substantial gaps in care remain. In part, the challenge lies in the matching of individual patients with appropriate care. This is complicated by the steady increases in the variety of antidepressants available in the market. The goal of this study is to highlight the decision processes in the selection of antidepressants by clinicians, given that most treatments have similar clinical effectiveness profiles. We conducted a systematic literature review of studies that referred to the decisions surrounding treatment with antidepressants for the treatment of non-psychotic unipolar depression. Our analysis of the literature reveals that the choice of treatment is based on a variety of factors, of which clinical evidence is only one. These factors can be categorized into clinical factors such as illness and treatment characteristics, individual factors such as patient and physician characteristics, and contextual factors such as setting characteristics, decision supports and pharmacoeconomic aspects. Illness characteristics are defined by the type and severity of depression. Treatment characteristics include drug properties, efficacy, effectiveness and favorable as well as unintended adverse effects of the drug. Examples for patient characteristics are co-morbidities and individual preferences, and physician characteristics include knowledge, experience, values and beliefs, and the relationship with the patient. Treatment guidelines, algorithms, and most recently, computational supports and biological markers serve as decision supports.

  2. 安徽某高职院校"3+2"大四女护生抑郁状况及影响因素分析%Depression of Female Nursing Students in a Higher Vocational College in Anhui and Its Influence Factors

    Institute of Scientific and Technical Information of China (English)

    程进; 魏锁; 王君; 王锦; 黄平萍

    2016-01-01

    Objective To investigate the depression among female nursing students in a higher vocational college and its influence factors, so as to provide reference for mental health education and intervention in higher vocational colleges. Methods By cluster sampling method, 524 nursing students in grade 2011 were assessed by a self-designed general information questionnaire, The Center for Epidemiological Studies Depression Scale, Adolescent Self-Rating Life Events Check List., The self-Esteem Scale and coping style questionnaire. Results Of the total, 65.1% of the students had depression, with an average depression score of 20.03 ±8.16, which was significantly higher than that of the Chinese norm (P<0.001). Multiple liner regression analysis showed that the scores of problem solving factor and helping factor and remorse factor in coping styles and the scores of health adaptation factor and others in the life incident and the score of SES were influence factors of depression among female nursing students. Conclusion There is a prevalence of depression among female nursing students which is influenced by many factors and effective interventions should be adopted to promote the mental health of female nursing students.%目的 了解高职女护生抑郁状况及影响因素,为开展高职院校心理健康教育和制定心理问题干预措施提供依据.方法 采取整群抽样方法,使用自行编制一般情况调查表、流调中心用抑郁自评量表、青少年生活事件量表、自尊量表及应对方式问卷,对某高职院校2011级所有在校护理专业共551名护生进行问卷调查.结果 抑郁检出率为65.1%,抑郁得分为(20.03±8.16)分,显著高于全国常模(12.33±10.06)分(P<0.001).多元线性回归分析显示:应对方式中的解决问题因子、求助因子、自责因子、生活事件中的健康适应因子和其他因子、自尊是高职女护生抑郁水平的影响因素.结论 该高职院校中女护生抑郁状况较

  3. Depressive symptoms and associated factors among renal-transplant recipients in China

    Directory of Open Access Journals (Sweden)

    Xiaohong Lin

    2016-12-01

    Conclusion: Depression is common among RT recipients in China. Employment status, economic burden, inhabitation area, and social support are the main factors affecting depression among RT recipients. Follow-up clinics should prescribe the evaluation of depression as a routine examination for RT patients. Moreover, depressed recipients must be provided with individualized care by collecting information on the depressive symptoms, employment status, economic burden, inhabitation area, and perceived social support of recipients.

  4. FACTORS INFLUENCING THE EVOLUTION OF YOUTH TRAVEL

    Directory of Open Access Journals (Sweden)

    Student Claudia MOISĂ

    2010-01-01

    Full Text Available Youth travel is an important part of global tourism, consequently, getting to know the evolution of this form of tourism requires an approach of the aspects regarding the permissive and restrictive factors that influence the youth travel dynamic worldwide. In terms of the factors that influence youth travel, we highlighted these two categories of factors (permissive and restrictive and, within each category, we tried to singularize the influence of every factor over youth travel.

  5. Depression as a Moderator of Sociocultural Influences on Eating Disorder Symptoms in Adolescent Females and Males

    Science.gov (United States)

    Rodgers, Rachel F.; Paxton, Susan J.; Chabrol, Henri

    2010-01-01

    This study aimed to explore the role of depression as a moderator of sociocultural influences on eating disorder symptoms. A sample of 509 adolescents (56% female) completed self-report questionnaires assessing depression, body dissatisfaction, drive for thinness, bulimic symptoms and sociocultural influences on appearance from family, peers and…

  6. Physiological factors influencing capillary growth.

    Science.gov (United States)

    Egginton, S

    2011-07-01

    (1) Angiogenesis (growth of new capillaries from an existing capillary bed) may result from a mismatch in microvascular supply and metabolic demand (metabolic error signal). Krogh examined the distribution and number of capillaries to explore the correlation between O(2) delivery and O(2) consumption. Subsequently, the heterogeneity in angiogenic response within a muscle has been shown to reflect either differences in fibre type composition or mechanical load. However, local control leads to targetted angiogenesis in the vicinity of glycolytic fibre types following muscle stimulation, or oxidative fibres following endurance training, while heterogeneity of capillary spacing is maintained during ontogenetic growth. (2) Despite limited microscopy resolution and lack of specific markers, Krogh's interest in the structure of the capillary wall paved the way for understanding the mechanisms of capillary growth. Angiogenesis may be influenced by the response of perivascular or stromal cells (fibroblasts, macrophages and pericytes) to altered activity, likely acting as a source for chemical signals modulating capillary growth such as vascular endothelial growth factor. In addition, haemodynamic factors such as shear stress and muscle stretch play a significant role in adaptive remodelling of the microcirculation. (3) Most indices of capillarity are highly dependent on fibre size, resulting in possible bias because of scaling. To examine the consequences of capillary distribution, it is therefore helpful to quantify the area of tissue supplied by individual capillaries. This allows the spatial limitations inherent in most models of tissue oxygenation to be overcome generating an alternative approach to Krogh's tissue cylinder, the capillary domain, to improve descriptions of intracellular oxygen diffusion. © 2010 The Author. Acta Physiologica © 2010 Scandinavian Physiological Society.

  7. Factors influencing methionine toxicity in young bobwhite quail

    Science.gov (United States)

    Serafin, J.A.

    1981-01-01

    Young Bobwhite quail (Colinus virginianus) were fed low and adequate protein purified diets with and without excess methionine to evaluate factors affecting methionine toxicity. Growth of quail fed an adequate protein (27%) diet, without supplemental glycine, was depressed by 1.75% and 2.25% excess methionine. Supplemental glycine (.3%) alleviated growth depression caused by 2.25% excess methionine. Quail fed 1.75% and 2.25% excess methionine developed signs of toxicity characterized by weakness, a lowered, outstretched neck when moving, and ataxia. In addition, quail would fall on their sides when disturbed and spin with their heads retracted. These conditions were transient in nature. Growth of quail fed a low protein (18.9%) diet was depressed by 1% and 1.5% excess methionine and DL-homocystine. Quail fed 1% and 1.5% excess methionine in this diet also developed signs of toxicity, the incidence of which was greater and the duration longer than occurred with quail fed adequate protein. Supplementing a low protein (20.15%) diet with .3% or .6% glycine or threonine or a combination of these amino acids did not alleviate growth depression caused by 1.5% excess methionine; however, 2% and 3% supplemental glycine were somewhat effective. Supplements of glycine (2%, 3%) and threonine (1%) completely reversed growth depression from 1% excess methionine but did not influence growth of controls, indicating that both amino acids counteract methionine toxicity. Both glycine and threonine alone improved growth by about the same extent in diets with 1% or 1.5% excess methionine; however, these amino acids alleviated less than 30% of the growth depression resulting from 1.5% excess methionine. The effectiveness of glycine in alleviating methionine toxicity in a low protein diet was decreased, and hemoglobin levels were depressed with 1.5% excess methionine compared to less amounts.

  8. 慢性阻塞性肺疾病住院患者焦虑抑郁情绪调查及相关影响因素%Investigation of anxiety and depression in hospitalized patients with chronic obstructive pulmonary disease and related influencing factors

    Institute of Scientific and Technical Information of China (English)

    连婵; 张江南

    2016-01-01

    目的:调查慢性阻塞性肺疾病住院患者焦虑抑郁情绪的发生率,探讨影响患者发生焦虑抑郁的相关因素。方法对入选的142例慢性阻塞性肺疾病患者采用焦虑/抑郁情绪测定表进行评估,筛查是否合并焦虑抑郁障碍,分析患者合并抑郁的影响因素,并与肺炎住院患者130例(对照组)进行比较。结果观察组伴随焦虑抑郁情绪的患者(38.03%)明显多于无慢性阻塞性肺疾病的对照组(23.08%),差异有统计学意义(χ2=4.28,P<0.05)。经多因素Logistic回归分析表明,性别、病程、文化程度、社会支持度和自评健康状况5个变量对慢性阻塞性肺疾病患者抑郁的影响具有统计学意义(OR=0.413、1.534、2.651、1.673、2.442,均P<0.05)。结论慢性阻塞性肺疾病住院患者焦虑抑郁情绪的发病率较高,且性别、慢性阻塞性肺疾病病程、受教育程度、社会支持度和自评健康状况是影响患者焦虑抑郁的重要因素。%Objective To investigate the incidence of anxiety and depression in hospitalized patients with chronic obstructive pulmonary disease( COPD) ,and to analyze the related factors that affect the occurrence of anxiety and depression in patients with chronic obstructive pulmonary disease.Methods In the observation group and control group,the anxiety and depression were assessed,and the influencing factors of the patients with depression were ana-lyzed.Results In the observation group,the patients with anxiety and depression (38.03%) were significantly more than the control group (23.08%),and the difference was statistically significant (χ2 =4.28,P<0.05).The multi-variate logistic regression analysis showed that sex,course of disease,degree of culture,social support and self rated health status of five variables on COPD depression effects were statistically significant ( OR=0.413,1.534,2.651, 1.673,2.442,all P <0

  9. Depression Trajectories, Inflammation, and Lifestyle Factors in Adolescence : The TRacking Adolescents' Individual Lives Survey

    NARCIS (Netherlands)

    Duivis, Hester E.; Kupper, Nina; Vermunt, Jeroen K.; Penninx, Brenda W.; Bosch, Nienke M.; Riese, Harriette; Oldehinkel, Albertine J.; de Jonge, Peter

    2015-01-01

    Objective: In adults, depression and inflammation are bidirectionally related. This association is less clear in adolescents. Moreover, somatic and cognitive depressive symptoms might be differentially related to inflammation. Lifestyle factors, as in adults, may play an important mediating role in

  10. GH responses to growth hormone releasing factor in depression.

    Science.gov (United States)

    Thomas, R; Beer, R; Harris, B; John, R; Scanlon, M

    1989-01-01

    The growth hormone (GH), thyrotrophin (TSH) and prolactin response to growth hormone releasing factor (GRF) was investigated in 18 patients suffering from major depression with melancholia and in 18 age- and sex-matched normal controls. There was no significant difference in the GH response to GRF stimulation between the patients and controls and in neither subject group was there a demonstrable TSH or prolactin response to GRF. These findings indicate that the pathophysiology underlying the blunted GH response to pharmacological challenge, demonstrated in other studies, must lie at a suprapituitary level.

  11. The Influence of Social Interaction and Physical Health on the Association Between Hearing and Depression With Age and Gender

    Science.gov (United States)

    Seeto, Mark

    2017-01-01

    Recent epidemiological data suggest the relation between hearing difficulty and depression is more evident in younger and middle-aged populations than in older adults. There are also suggestions that the relation may be more evident in specific subgroups; that is, other factors may influence a relationship between hearing and depression in different subgroups. Using cross-sectional data from the UK Biobank on 134,357 community-dwelling people and structural equation modelling, this study examined the potential mediating influence of social isolation and unemployment and the confounding influence of physical illness and cardiovascular conditions on the relation between a latent hearing variable and both a latent depressive episodes variable and a latent depressive symptoms variable. The models were stratified by age (40s, 50s, and 60s) and gender and further controlled for physical illness and professional support in associations involving social isolation and unemployment. The latent hearing variable was primarily defined by reported hearing difficulty in noise. For all subgroups, poor hearing was significantly related to both more depressive episodes and more depressive symptoms. In all models, the direct and generally small association exceeded the indirect associations via physical health and social interaction. Significant (depressive episodes) and near significant (depressive symptoms) higher direct associations were estimated for males in their 40s and 50s than for males in their 60s. There was at each age-group no significant difference in estimated associations across gender. Irrespective of the temporal order of variables, findings suggest that audiological services should facilitate psychosocial counselling. PMID:28752806

  12. The Influence of Social Interaction and Physical Health on the Association Between Hearing and Depression With Age and Gender.

    Science.gov (United States)

    Keidser, Gitte; Seeto, Mark

    2017-01-01

    Recent epidemiological data suggest the relation between hearing difficulty and depression is more evident in younger and middle-aged populations than in older adults. There are also suggestions that the relation may be more evident in specific subgroups; that is, other factors may influence a relationship between hearing and depression in different subgroups. Using cross-sectional data from the UK Biobank on 134,357 community-dwelling people and structural equation modelling, this study examined the potential mediating influence of social isolation and unemployment and the confounding influence of physical illness and cardiovascular conditions on the relation between a latent hearing variable and both a latent depressive episodes variable and a latent depressive symptoms variable. The models were stratified by age (40s, 50s, and 60s) and gender and further controlled for physical illness and professional support in associations involving social isolation and unemployment. The latent hearing variable was primarily defined by reported hearing difficulty in noise. For all subgroups, poor hearing was significantly related to both more depressive episodes and more depressive symptoms. In all models, the direct and generally small association exceeded the indirect associations via physical health and social interaction. Significant (depressive episodes) and near significant (depressive symptoms) higher direct associations were estimated for males in their 40s and 50s than for males in their 60s. There was at each age-group no significant difference in estimated associations across gender. Irrespective of the temporal order of variables, findings suggest that audiological services should facilitate psychosocial counselling.

  13. Distinguishing affective and somatic dimensions of pain and depression: a confirmatory factor analytic study.

    Science.gov (United States)

    Lerman, Sheera F; Rudich, Zvia; Shahar, Golan

    2010-04-01

    In this study, we examined the overlap between pain and depression in a sample of 342 chronic pain patients treated at a specialty pain clinic. Confirmatory factor analysis was conducted to test the differentiation of pain and depression measured as latent factors derived from the subscales of the Short Form McGill Pain Questionnaire and the Center for Epidemiological Studies Depression Scale. The affective pain subscale did not load on latent depression and the somatic depression subscale loaded weakly on latent pain. Although pain and depression are linked, we found that affective pain is distinct from depression, and that somatic depression is distinct from pain. This finding justifies further examination of the casual relationship between pain and depression.

  14. Depression and Anxiety in Patients with Irritable Bowel Syndrome and Its Influence Factors%肠易激综合症患者抑郁焦虑状况及其影响因素研究

    Institute of Scientific and Technical Information of China (English)

    薛梅

    2016-01-01

    Objective To investigate the depression and anxiety in patients with irritable bowel syndrome and their psychosocial factors. Methods General data questionnaire, Self rating Depression Scale (SDS), Self Rating Anxiety Scale (SAS), Eysenck Personality Questionnaire (EPQ-RSC), Life Event Scale (LSE), Social Support Rating Scale (SSRS), Simple Coping Style Questionnaire (SCSQ), General Self-Efficacy Scale (GSES) were investigated in 102 patients with irritable bowel syndrome (IBS group) and 98 healthy young people (control group). Results Incidence of anxiety and depression in the IBS group was significantly higher than the control group (P<0.01);The SDS and SAS scores of the IBS group were higher than the control group( <0.01);Scores on the dimension of neuroticism and psychoticism, and scores on the negative life events, negative coping style in the IBS group were higher than the control group. Scores on the dimension of introversion-extraversionin and deception, and scores on the positive life events, social support, positive coping, self-efficacy in the IBS group were lower than the control group ( <0.05); Multiple linear regression analysis of SDS score in IBS group showed that the score of internal and introversion-extraversionin, neuroticism, negative life events, positive coping, self-efficacy were statistically significant ( <0.05); Multiple linear regression analysis of SAS score in IBS group showed that the score of introversion-extraversionin and neuroticism, negative life events, positive coping, social support, self-efficacy were statistically significant ( <0.05). Conclusion Depression and anxiety in IBS patients were significantly higher than those in healthy adults. The depression and anxiety in patients with IBS were closely related to partial introverted personality, neurotic personality, negative life events, lack of positive coping style and self-efficacy. The anxiety in patients with IBS were closely related to social support, too.%目的探讨

  15. Hepatocyte nuclear factor 4 alpha is a key factor related to depression and physiological homeostasis in the mouse brain.

    Directory of Open Access Journals (Sweden)

    Kyosuke Yamanishi

    Full Text Available Major depressive disorder (MDD is a common psychiatric disorder that involves marked disabilities in global functioning, anorexia, and severe medical comorbidities. MDD is associated with not only psychological and sociocultural problems, but also pervasive physical dysfunctions such as metabolic, neurobiological and immunological abnormalities. Nevertheless, the mechanisms underlying the interactions between these factors have yet to be determined in detail. The aim of the present study was to identify the molecular mechanisms responsible for the interactions between MDD and dysregulation of physiological homeostasis, including immunological function as well as lipid metabolism, coagulation, and hormonal activity in the brain. We generated depression-like behavior in mice using chronic mild stress (CMS as a model of depression. We compared the gene expression profiles in the prefrontal cortex (PFC of CMS and control mice using microarrays. We subsequently categorized genes using two web-based bioinformatics applications: Ingenuity Pathway Analysis and The Database for Annotation, Visualization, and Integrated Discovery. We then confirmed significant group-differences by analyzing mRNA and protein expression levels not only in the PFC, but also in the thalamus and hippocampus. These web tools revealed that hepatocyte nuclear factor 4 alpha (Hnf4a may exert direct effects on various genes specifically associated with amine synthesis, such as genes involved in serotonin metabolism and related immunological functions. Moreover, these genes may influence lipid metabolism, coagulation, and hormonal activity. We also confirmed the significant effects of Hnf4a on both mRNA and protein expression levels in the brain. These results suggest that Hnf4a may have a critical influence on physiological homeostasis under depressive states, and may be associated with the mechanisms responsible for the interactions between MDD and the dysregulation of

  16. Depression

    Science.gov (United States)

    ... overview URL of this page: //medlineplus.gov/ency/article/003213.htm Depression - overview To use the sharing features on this ... older adults Major depression Persistent depressive disorder Postpartum depression Premenstrual ... Review Date 1/4/2016 Updated by: Timothy Rogge, ...

  17. 高职高专学生抑郁情绪的应激因素及应对和自我概念的影响%STRESS FACTORS IN HIGHER VOCATIONAL STUDENTS' DEPRESSION AND INFLUENCE OF COPING STYLE AND SELF-CONCEPT

    Institute of Scientific and Technical Information of China (English)

    郑开梅

    2011-01-01

    [目的]探讨高职高专学生抑郁情绪的应激因素及应对方式和自我概念的作用,为心理咨询提供依据.[方法]以775名商职高专学生为研究对象,采用症状自评量表、青少年生活事件量表、肖计划的应对方式问卷和田纳西自我概念量表进行调查,对其抑郁情绪、应激因素、应对方式和自我概念进行多元线性回归分析,以确定影响抑郁情绪的应激因素及应对方式和自我概念对抑郁的影响路径.[结果]考试失败或不理想、长期远离家人不能团聚、家庭经济困难、升学压力和个性化应激源为引发高职高专学生抑郁的主要应激源.应对方式中的解决问题和自我概念中的积极自我为抑郁的拮抗因素.而自责和消极自我为引发抑郁的因素.另外,自责、积极自我和消极自我可通过影响应激评价对抑郁情绪产生影响.[结论]高职高专学生的应激源具有自己的特点.降低自责的应对方式和消极的自我概念,提高积极自我概念的心理干预方法能够降低应激对高职高专学生的影响,进而使抑郁情绪得以改善.同时,上述方法及提高解决问题的应对能力,也可直接对抗抑郁的发生.%[Objective]To explore the stress factors in higher vocational students' depression and relationships among stress, coping style, self-concept and depression so that provide the basis for psychological counseling.[Methods]775 higher vocational students were investigated with SCL-90, ASLEC, Coping Style Questionnaire of Xiaojihua and Tennesse Self-Concept Scale (TSCS).Conducted the multivariate linear regression analysis towards depressive mood, stress factors, coping styles and self-concept in order to determine the stress factors which influenced depression and the influence path of coping style and self-concept to depression.[Results]There were five stressors in producing depression: fail in the exam (β= 0.164, P = 0.000), long-term away from

  18. Relationship between depression and loneliness in elderly and examination of influential factors.

    Science.gov (United States)

    Aylaz, Rukuye; Aktürk, Ümmühan; Erci, Behice; Öztürk, Hatice; Aslan, Hakime

    2012-01-01

    This study was planned and conducted for the purpose of examining the relationship between depression and loneliness in elderly people and the influencing factors. The study was a descriptive and correlational study and its population consisted of 17,080 older individuals aged sixty and over who were registered at six Family Healthcare Centers (FHCs) located in the provisional center of Malatya. The sample of the study comprised of 913 elderly people who were chosen from the elderly people registered at the FHCs first by cluster sampling and then by simple random sampling from the clusters in proportion to the population. The data was collected between April and June 2011 using a questionnaire developed by the investigators in line with the literature, the Geriatric Depression Scale (GDS) and the UCLA Loneliness Scale (ULS). They had a mean score of 13.83 ± 7.4 from the GDS and 40.50 ± 12.1 from the ULS. A positive correlation was found between Geriatric Depression and loneliness (r=0.608, ploneliness and depression in the elderly people living in a community, presence of social security and higher income, on the other hand, led to lower mean scores. In view of these results, it can be advised that a minimum income should be secured for elderly people whether they have social security or not, their families and the society should be trained not to leave elderly people alone.

  19. Demotivating factors influencing rubber production workers

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Iravani

    2012-01-01

    Full Text Available Motivation is one of the most important factors influencing workers' productivity. An increase in workers' motivation could add more value to organizations' structure and influence the profitability, significantly. In this paper, we study different factors on demotivating workers using questionnaire consist of various questions. The questionnaire is distributed among some employees who work for rubber production units located in Esfahan, Iran. The results of this survey indicate that discrimination on annual job compensation, entrusting responsibilities and unpleasant relationship with family partner are some of the most important factors influencing employees' motivation. While financial factors play important role on increasing employees' motivation, non-financial factors are considered more important.

  20. A multivariate analysis of youth violence and aggression: the influence of family, peers, depression, and media violence.

    Science.gov (United States)

    Ferguson, Christopher J; San Miguel, Claudia; Hartley, Richard D

    2009-12-01

    To examine the multivariate nature of risk factors for youth violence including delinquent peer associations, exposure to domestic violence in the home, family conflict, neighborhood stress, antisocial personality traits, depression level, and exposure to television and video game violence. A population of 603 predominantly Hispanic children (ages 10-14 years) and their parents or guardians responded to multiple behavioral measures. Outcomes included aggression and rule-breaking behavior on the Child Behavior Checklist (CBCL), as well as violent and nonviolent criminal activity and bullying behavior. Delinquent peer influences, antisocial personality traits, depression, and parents/guardians who use psychological abuse in intimate relationships were consistent risk factors for youth violence and aggression. Neighborhood quality, parental use of domestic violence in intimate relationships, and exposure to violent television or video games were not predictive of youth violence and aggression. Childhood depression, delinquent peer association, and parental use of psychological abuse may be particularly fruitful avenues for future prevention or intervention efforts.

  1. Asian Student Depression in American High Schools: Differences in Risk Factors

    Science.gov (United States)

    Song, Suzan J.; Ziegler, Robert; Arsenault, Lisa; Fried, Lise E.; Hacker, Karen

    2011-01-01

    There are inconsistent findings about depression in Asians. This study examined risk factors for depression in Asian and Caucasian adolescents. Stratified bivariate secondary analyses of risk indicators and depressed mood were performed in this cross-sectional study of high school survey data (9th to 12th grades) from 2,542 students (198 Asian).…

  2. The prevalence and related factors of depressive symptoms among junior college nursing students: a cross-sectional study.

    Science.gov (United States)

    Chen, C-J; Chen, Y-C; Sung, H-C; Hsieh, T-C; Lee, M-S; Chang, C-Y

    2015-10-01

    Nursing students have particularly experienced stressful lives during nursing education. This cross-sectional study aimed to investigate depressive symptoms and related factors in junior college nursing students. A total of 625 nursing students from a junior college in Taiwan were assessed by Pittsburgh Sleep Quality Index, Adolescent Depression Inventory, Situational Anxiety Scale and the Taiwanese-Chinese version of Stress in Nursing Students Scale. The results showed that (1) the prevalence of depressive symptoms among junior college nursing students was 32.6%; (2) depressive symptoms are significantly related to grade point average, interest in nursing, interest in their clinical placement, career planning after graduation, overeating as a stress-relief strategy, sleep problems, stress, and anxiety; and (3) anxiety, sleep quality, and stress are three major variables that can significantly predict depressive symptoms. Psychological factors may influence young nursing students' willingness to seek assistance from teachers. These factors should be considered when designing strategies to promote their emotional health and well-being. Nursing educators can plan appropriate strategies tailored to junior college nursing students' problems and needs, which thereby may facilitate learning experience and prevent depressive symptoms.

  3. Early Manifestations of Childhood Depression: Influences of Infant Temperament and Parental Depressive Symptoms

    Science.gov (United States)

    Gartstein, Maria A.; Bateman, Alison E.

    2008-01-01

    In this longitudinal study, 83 parents of infants between 3 and 12 months completed questionnaires assessing demographic information, infant temperament, and maternal depression. When these children were at least 18 months of age, parents completed follow-up questionnaires assessing toddler temperament and depression-like symptoms. We were…

  4. Factors associated with help-seeking behaviors in Mexican elderly individuals with depressive symptoms: a cross-sectional study

    Science.gov (United States)

    Pérez-Zepeda, Mario Ulises; Arango-Lopera, Victoria Eugenia; Wagner, Fernando A.; Gallo, Joseph J.; Sánchez-García, Sergio; Juárez-Cedillo, Teresa; García-Peña, Carmen

    2013-01-01

    Objective Depression in the elderly is associated with multiple adverse outcomes, such as high health service utilization rates, low pharmacological compliance, and synergistic interactions with other comorbidities. Moreover, the help seeking process, which usually starts with the feeling “that something is wrong” and ends with appropriate medical care, is influenced by several factors. The aim of this study was to explore factors associated with the pathway of help seeking among older adults with depressive symptoms. Methods A cross-sectional study of 60-year or older of community dwelling elderly belonging to the largest health and social security system in Mexico was done. A standardized interview explored the process of seeking health care in four dimensions: depressive symptoms, help seeking, help acquisition and specialized mental health. Results A total of 2,322 individuals were studied; from these, 67.14% (n=1,559) were women, and the mean age was 73.18 years (SD=7.02) 57.9% had symptoms of depression, 337 (25.1%) participants sought help, and 271 (80.4%) received help and 103 (38%) received specialized mental health care. In the stepwise model for not seeking help (χ2=81.66, p<0.0001), significant variables were female gender (OR=0.07 95% CI 0.511–0.958 p=0.026), health care use (OR 3.26 CI 95% 1.64–6.488, p=0.001). Number of years in school, difficulty in activities, SAST score and depression as a disease belief were also significant. Conclusions Appropriate mental health care is rather complex and is influenced by several factors. The main factors associated with help seeking were gender, education level, recent health service use, and the belief that depression is not a disease. Detection of subjects with these characteristics could improve care of elderly with depressive symptoms. PMID:23585359

  5. Depression

    DEFF Research Database (Denmark)

    Kessing, Lars Veddel; Bukh, Jens Otto Drachmann

    2014-01-01

    The prevalence of depression is not clearly established, but estimated to 3-4% in a Danish questionnaire study. Lifetime's prevalences of 12-17% are reported in other community samples. In the current diagnostic system depression is defined categorically and operationally. It has been argued......, that these diagnostic criteria represent an oversimplification, which has blurred the concept of depression. We suggest a greater emphasis on the depressed mood as the core symptom of depression, which may increase the specificity of the diagnosis. Furthermore, basic principles for the treatment of depression...

  6. Depression

    DEFF Research Database (Denmark)

    Kessing, Lars Veddel; Bukh, Jens Drachmann

    2014-01-01

    , that these diagnostic criteria represent an oversimplification, which has blurred the concept of depression. We suggest a greater emphasis on the depressed mood as the core symptom of depression, which may increase the specificity of the diagnosis. Furthermore, basic principles for the treatment of depression......The prevalence of depression is not clearly established, but estimated to 3-4% in a Danish questionnaire study. Lifetime's prevalences of 12-17% are reported in other community samples. In the current diagnostic system depression is defined categorically and operationally. It has been argued...

  7. Gene-environment factors in depressive disorders with a focus on circadian genes

    OpenAIRE

    Sjöholm, Louise

    2010-01-01

    Depressive disorders have a multifactorial etiology, where both environmental and genetic risk factors contribute. Depression is characterized by a depressed mood and accompanied by e.g. loss of interest and pleasure, disturbed sleep and appetite and difficulties in concentrating. A disturbed sleep-wake pattern as well as disruptions of other biological (circadian) rhythms is a hallmark of depression. This fact has led researchers to believe that disruptions of biological ...

  8. The Influence of Hope on the Relationship between Racial Discrimination and Depressive Symptoms

    Science.gov (United States)

    Banks, Kira Hudson; Singleton, Jennifer L.; Kohn-Wood, Laura P.

    2008-01-01

    This study investigated how hope influences the relationship between discrimination and depressive symptoms. Results from participants' (N = 318) responses suggest that increased levels of hope were directly related to decreased levels of depressive symptoms. However, increased levels of hope were also related to a stronger relationship between…

  9. Psychosocial factors at work, personality traits and depressive symptoms: Longitudinal results from the GAZEL Study

    National Research Council Canada - National Science Library

    PATERNITI, S; NIEDHAMMER, I; LANG, T; CONSOLI, S. M

    2002-01-01

    .... This association could be explained by personality traits. To examine the relationship between psychosocial factors at work and changes in depressive symptoms, taking into account personality traits...

  10. THE VALIDITY OF CLINICAL DIFFERENTIATION BETWEEN ANXIETY AND DEPRESSIVE NEUROSES BY FACTOR ANALYSIS

    Science.gov (United States)

    Singh, Gurmeet; Sharma, Ravinder Kumar

    1986-01-01

    SUMMARY Ninety subjects consisting of 30 patients of generalized anxiety disorder, 30 of dysthymic disorder (depressive neurosis) according to D. S. M. III criteria and 30 patients of mixed anxiety-depressive disorder were given a detailed psychiatric examination, in addition, they were administered the Humilton rating scales for anxiety and depression, and also the Taylor manifest anxiety scale and Amritsar depressive inventory. All the symptoms elicited were then subjected to factor analysis, five factors were isolated-two of them co-relating with the depressive rating scales and three with the anxiety rating scales. However there was considerable overlap with anxious mood having highest loading on the depressive factor. Thus anxiety and depression could not be isolated as distinct entities factorially. PMID:21927176

  11. Sexual activity and cardiac risk: is depression a contributing factor?

    Science.gov (United States)

    Roose, S P; Seidman, S N

    2000-07-20

    There is a well-documented association between depression, ischemic heart disease, and cardiovascular mortality. This association has a number of dimensions including: (1) depressed patients have a higher than expected rate of sudden cardiovascular death; (2) over the course of a lifetime, patients with depression develop symptomatic and fatal ischemic heart disease at a higher rate compared with a nondepressed group; and (3) depression after myocardial infarction (MI) is associated with increased cardiac mortality. Depression is also associated with sexual dysfunction, particularly erectile dysfunction. If depression is the primary illness, then erectile dysfunction can be considered a symptom of the depressive illness. However, if the erectile dysfunction is primary, men may develop a depressive syndrome in reaction to the loss of sexual function. Regardless of whether erectile dysfunction is a symptom of depression or depression is a consequence of erectile dysfunction, these conditions are frequently comorbid. Thus, the patient with ischemic heart disease who is depressed is more likely to have erectile difficulties. An attempt by this patient to engage in sexual activity is therefore more likely to be unsuccessful and, given the increase in cardiac mortality associated with depression, it may result in a serious cardiac event.

  12. Caffeine/nutrition interaction in the rat brain: Influence on latent inhibition and cortical spreading depression.

    Science.gov (United States)

    de Aguiar, Márlison José Lima; de Aguiar, Cilene Rejane Ramos Alves; Guedes, Rubem Carlos Araújo

    2011-01-10

    Caffeine, like malnutrition, can produce behavioral and electrophysiological alterations. However, the interaction of both factors remains unclear. Here this interaction has been studied in male Wistar rats previously malnourished during the lactation period by feeding their dams the "regional basic diet" of Northeast Brazil, containing about 8% protein, predominantly from vegetable sources (RBD(8)). At 70-75days of life, a subset of the pups was treated intraperitoneally with 30mg/kg caffeine for 4days while being tested according to the behavioral model of latent inhibition. Another group was subjected to an electrophysiological recording of the phenomenon known as cortical spreading depression, and the effects of caffeine injected during the recording session were evaluated. Caffeine did not affect cortical spreading depression, but antagonized latent inhibition in both the RBD(8)-malnourished rats and in the well-nourished control group fed a chow diet with 22% protein. This effect of caffeine was not seen in malnourished rats fed a protein-supplemented RBD (protein increased to 22% by increasing the proportion of foodstuffs from vegetable origin; RBD(22) group), suggesting that the amino acid imbalance of this diet may modulate the caffeine effects on latent inhibition. The results indicate a differential effect of caffeine in the latent inhibition behavioral model, as compared to the cortical spreading depression phenomenon, and this effect is influenced by the early nutritional status of the animal. We suggest that caffeine may modulate dopaminergic subcortical receptors participating in attention processes, but does not interact at the cortical level, in a way that would affect cortical spreading depression.

  13. Family and Work Influences on Stress, Anxiety and Depression Among Bisexual Latino Men in the New York City Metropolitan Area.

    Science.gov (United States)

    Muñoz-Laboy, Miguel; Ripkin, Alexandra; Garcia, Jonathan; Severson, Nicolette

    2015-12-01

    The empirical exploration of mental health problems among bisexual Latino men is scarce. Bisexual men experience stress because of their non-conforming sexuality from multiple-sources. In this study we focus on the family and work environments. We conducted a mixed-methods study to examine the impacts of these social environments among behavioral bisexual Latino men in New York City (N = 142). Using the Brief Symptom Inventory we measured stress, depression, and anxiety, and used specific scales to measure familial and work social environmental stress factors. We also measured four cultural factors to assess their potential influence on our hypothesized stressors. To test our hypothesis we used linear regression with stress, depression and anxiety as the primary outcome variables. Our results indicated that bisexual Latino men experienced negative mental health outcomes due to pressures in their familial and work environments. Stress was the strongest predictor of anxiety and depression among the men in the study. After taking stress into account, familial factors were stronger predictors of negative mental health outcomes than work factors. Cultural factors such as acculturation and length of living in the United States were not associated with negative mental health outcomes in our sample. Our findings suggest the importance of addressing stress, anxiety and depression among behaviorally bisexual men, and suggest that addressing family-based stressors is critical for this population. This research should inform future studies addressing this underserved population and provide mental health providers with a foundation for working with bisexual Latino men.

  14. Factors associated with onset timing, symptoms, and severity of depression identified in the postpartum period.

    Science.gov (United States)

    Fisher, Sheehan D; Wisner, Katherine L; Clark, Crystal T; Sit, Dorothy K; Luther, James F; Wisniewski, Stephen

    2016-10-01

    Unipolar and bipolar depression identified in the postpartum period have a heterogeneous etiology. The objectives of this study are to examine the risk factors that distinguish the timing of onset for unipolar and bipolar depression and the associations between depression onset by diagnosis, and general and atypical depressive symptoms. Symptoms of depression were assessed at 4- to 6-weeks postpartum by the Structured Interview Guide for the Hamilton Depression Rating Scale-Atypical Depression Symptoms in an obstetrical sample of 727 women. Data were analyzed using ANOVA, Chi-square, and linear regression. Mothers with postpartum onset of depression were more likely to be older, Caucasian, educated, married/cohabitating, have one or no previous child, and have private insurance in contrast to mothers with pre-pregnancy and prenatal onset of depression. Mothers with bipolar depression were more likely to have a pre-pregnancy onset. Three general and two atypical depressive symptoms distinguished pre-pregnancy, during pregnancy, and postpartum depression onset, and the presence of agitation distinguished between unipolar and bipolar depression. The sample was urban, which may not be generalizable to other populations. The study was cross-sectional, which excludes potential late onset of depression (after 4-6 weeks) in the first postpartum year. A collective set of factors predicted the onset of depression identified in the postpartum for mothers distinguished by episodes of unipolar versus bipolar depression, which can inform clinical interventions. Future research on the onset of major depressive episodes could inform prophylactic and early psychiatric interventions. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Influence of depression on the quality of life in patients with chronic hepatitis C

    Directory of Open Access Journals (Sweden)

    Pavić Slađana

    2011-01-01

    Full Text Available Introduction. Chronic hepatitis C reduces the quality of life in patients causing fatigue, loss of self-confidence, reduced working capacity, development of depression, emotional problems, and cognitive dysfunction. Objective. The aim of the study was to identify the presence of depression in patients with chronic hepatitis C, predicting factors for its expression, and the impact of depression on the quality of life in these patients. Methods. During the prospective study, we used the Hamilton depression scale to investigate the presence of depression, generic 36-Item Short Form Health Survey (SF-36 and Chronic Liver Diseases Questionnaire (CLDQ to examine the quality of life in 100 patients with chronic hepatitis C, 30 patients with chronic hepatitis B, 30 patients with chronic liver disease non- viral aetiology and 50 healthy persons. Results. A significantly higher presence of depression, and cognitive dysfunction in patients with chronic hepatitis C were noted as compared to the healthy individuals (p=0.00. In relation to non-viral patients with chronic liver disease, depression was significantly less present (p=0.004. Depression was rare in younger patients. The largest number of patients with chronic hepatitis C was without depression. The presence of depression caused deterioration of the physical and mental components of the quality of life. Multivariate analysis showed that the most significant positive predictive factor for the presence of depression was married life (B=0.278; SE=0.094; p=0.004. Conclusion. The presence of depression was more often in patients with chronic hepatitis C viral infection compared to healthy population and was correlated with decline in the quality of life. Depression is more pronounced in the elderly and intravenous drug addicts. The lowest depression is expected in patients who are not married.

  16. Major Depression and Acute Coronary Syndrome-Related Factors

    Science.gov (United States)

    Figueiredo, Jose Henrique Cunha; Silva, Nelson Albuquerque de Souza e; Pereira, Basilio de Bragança; de Oliveira, Glaucia Maria Moraes

    2017-01-01

    Background Major Depressive Disorder (MDD) is one of the most common mental illnesses in psychiatry, being considered a risk factor for Acute Coronary Syndrome (ACS). Objective To assess the prevalence of MDD in ACS patients, as well as to analyze associated factors through the interdependence of sociodemographic, lifestyle and clinical variables. Methods Observational, descriptive, cross-sectional, case-series study conducted on patients hospitalized consecutively at the coronary units of three public hospitals in the city of Rio de Janeiro over a 24-month period. All participants answered a standardized questionnaire requesting sociodemographic, lifestyle and clinical data, as well as a structured diagnostic interview for the DSM-IV regarding ongoing major depressive episodes. A general log-linear model of multivariate analysis was employed to assess association and interdependence with a significance level of 5%. Results Analysis of 356 patients (229 men), with an average and median age of 60 years (SD ± 11.42, 27-89). We found an MDD point prevalence of 23%, and a significant association between MDD and gender, marital status, sedentary lifestyle, Killip classification, and MDD history. Controlling for gender, we found a statistically significant association between MDD and gender, age ≤ 60 years, sedentary lifestyle and MDD history. The log-linear model identified the variables MDD history, gender, sedentary lifestyle, and age ≤ 60 years as having the greatest association with MDD. Conclusion Distinct approaches are required to diagnose and treat MDD in young women with ACS, history of MDD, sedentary lifestyle, and who are not in stable relationships. PMID:28443957

  17. Differential Influences of Depression and Personality Traits on the Use of Facebook

    National Research Council Canada - National Science Library

    Scherr, Sebastian; Brunet, Antonia

    2017-01-01

    .... Focusing on Facebook use as an extremely popular leisure activity, this study examines the influence of depressive tendencies on the intensity of using Facebook by considering the moderating effects...

  18. Factors predictive of depression in first-year college students.

    Science.gov (United States)

    Brandy, Julie M; Penckofer, Sue; Solari-Twadell, Phyllis A; Velsor-Friedrich, Barbara

    2015-02-01

    Starting college is a challenging time for first-year students and is often accompanied by emotions such as depression, which can negatively affect academic performance and quality of life. This descriptive correlational study examined stress, coping, depressive symptomology, spirituality, and social support in a convenience sample of first-year students (N = 188) from two private colleges. Results indicated that 45% of students demonstrated greater than average levels of stress and 48% reported clinically significant depressive symptomology. Significant relationships existed between depressive symptoms and stress (p stress (p stress reduction in first-year students should be considered for decreasing depressive symptoms to enhance their college experience. \\

  19. Depression as a prognostic factor for breast cancer mortality

    DEFF Research Database (Denmark)

    Hjerl, Karen; Andersen, Elisabeth W; Keiding, Niels

    2003-01-01

    of data from three central registers and found that breast cancer patients with depression had a modestly but significantly higher risk of mortality depending on stage of breast cancer and time of depression. The same result was found after censoring unnatural causes of death such as accident, suicide......It is unclear if depression or depressive symptoms have an effect on mortality in breast cancer patients. In this population-based, nationwide, retrospective cohort study in Denmark, depression was defined as affective or anxiety disorders that necessitated psychiatric hospital admission. All...

  20. Vitamin D Deficiency and Depressive Symptomatology in Psychiatric Patients Hospitalized with a Current Depressive Episode: A Factor Analytic Study.

    Directory of Open Access Journals (Sweden)

    Roland von Känel

    Full Text Available Low vitamin D levels have been associated with depressive symptoms in population-based studies and non-clinical samples as well as with clinical depression. This study aimed to examine the association of vitamin D levels with the severity and dimensions of depressive symptoms in hospitalized patients with a current episode of depression taking into account confounding variables.We investigated 380 patients (mean age 47 ± 12 years, 70% women who were consecutively hospitalized with a main diagnosis of an ICD-10 depressive episode. All patients self-rated depressive symptom severity with the Hospital Anxiety and Depression Scale (HADS-D, the Beck Depression Inventory-II (BDI-II, and the Brief Symptom Inventory. A principal component analysis was performed with all 34 items of these questionnaires and serum levels of 25-hydroxyvitamin D3 (25-OH D were measured.Vitamin D deficiency ( 75 nmol/l were present in 55.5%, 31.8% and 12.6%, respectively, of patients. Patients with vitamin D deficiency scored higher on the HADS-D scale and on an anhedonia symptom factor than those with insufficient (p-values ≤ 0.023 or sufficient (p-values ≤ 0.008 vitamin D. Vitamin D deficient patients also scored higher on the BDI-II scale than those with sufficient vitamin D (p = 0.007; BDI-II cognitive/affective symptoms, but not somatic/affective symptoms, were higher in patients with vitamin D deficiency (p = 0.005 and insufficiency (p = 0.041 relative to those with sufficient vitamin D. Effect sizes suggested clinically relevant findings.Low vitamin D levels are frequent in hospitalized patients with a current episode of depression. Especially 25-OH D levels < 50 nmol/l were associated with cognitive/affective depressive symptoms, and anhedonia symptoms in particular.

  1. Vitamin D Deficiency and Depressive Symptomatology in Psychiatric Patients Hospitalized with a Current Depressive Episode: A Factor Analytic Study.

    Science.gov (United States)

    von Känel, Roland; Fardad, Nasser; Steurer, Nadine; Horak, Nicole; Hindermann, Esther; Fischer, Franz; Gessler, Katharina

    2015-01-01

    Low vitamin D levels have been associated with depressive symptoms in population-based studies and non-clinical samples as well as with clinical depression. This study aimed to examine the association of vitamin D levels with the severity and dimensions of depressive symptoms in hospitalized patients with a current episode of depression taking into account confounding variables. We investigated 380 patients (mean age 47 ± 12 years, 70% women) who were consecutively hospitalized with a main diagnosis of an ICD-10 depressive episode. All patients self-rated depressive symptom severity with the Hospital Anxiety and Depression Scale (HADS-D), the Beck Depression Inventory-II (BDI-II), and the Brief Symptom Inventory. A principal component analysis was performed with all 34 items of these questionnaires and serum levels of 25-hydroxyvitamin D3 (25-OH D) were measured. Vitamin D deficiency ( 75 nmol/l) were present in 55.5%, 31.8% and 12.6%, respectively, of patients. Patients with vitamin D deficiency scored higher on the HADS-D scale and on an anhedonia symptom factor than those with insufficient (p-values ≤ 0.023) or sufficient (p-values ≤ 0.008) vitamin D. Vitamin D deficient patients also scored higher on the BDI-II scale than those with sufficient vitamin D (p = 0.007); BDI-II cognitive/affective symptoms, but not somatic/affective symptoms, were higher in patients with vitamin D deficiency (p = 0.005) and insufficiency (p = 0.041) relative to those with sufficient vitamin D. Effect sizes suggested clinically relevant findings. Low vitamin D levels are frequent in hospitalized patients with a current episode of depression. Especially 25-OH D levels < 50 nmol/l were associated with cognitive/affective depressive symptoms, and anhedonia symptoms in particular.

  2. Genetic and Environmental Influences on Parent-Child Conflict and Child Depression Through Late Adolescence.

    Science.gov (United States)

    Samek, Diana R; Wilson, Sylia; McGue, Matt; Iacono, William G

    2016-04-04

    Few studies have investigated potential gender differences in the genetic and environmental influences on the prospective associations between parent-child conflict and later depression, a notable gap given substantial gender differences in rates of depression and suggestive evidence of differences in the etiology of depression among females and males. To fill this gap, we evaluated whether the prospective relationship between parent-child conflict and major depressive disorder symptoms varied as a function of parent-child gender composition. A combined twin and adoption sample was used (53% female; 85% European ancestry), containing 1,627 adolescent sibling pairs (789 monozygotic twin pairs, 594 dizygotic/full-biological pairs, 244 genetically unrelated pairs) with assessments at two time points in adolescence (approximate ages 15 and 18). Prospective associations between parent-child conflict and subsequent adolescent depression were explained predominately through common genetic influences for mother-daughter and mother-son pairs but less so for father-daughter and father-son pairs. Results support the notion that processes of gene-environment correlation involved in the prospective associations between parent-child conflict, and later adolescent depression appear to be less relevant to father-child relationships in comparison to mother-child relationships. Notably, results did not show that parent-child conflict was more relevant to the etiology of major depressive disorder (MDD) for girls than boys; gender differences in depression do not appear to be due to differences in the associations between parent-child conflict and child depression.

  3. Psychological Factors Influencing Consumer Behaviour

    OpenAIRE

    Vainikka, Bianca

    2015-01-01

    This paper’s aim is to provide an in-depth elucidation of the many aspects that influence consumer behaviour. The study of consumer behaviour emphasizes the “why” and “how” questions involved in decision making and buying behaviour. This exciting field visits a dynamic blend of themes of consumer marketing strategies, psychology and behavioural discipline. Consumer behaviour in this day and age is highly applicable to modern society as it is an integral part of our everyday lives. This paper ...

  4. Influence of Depressive Symptoms on Dopaminergic Treatment of Parkinson’s Disease

    Science.gov (United States)

    Hanganu, Alexandru; Degroot, Clotilde; Monchi, Oury; Bedetti, Christophe; Mejia-Constain, Béatriz; Lafontaine, Anne-Louise; Chouinard, Sylvain; Bruneau, Marie-Andrée

    2014-01-01

    Introduction: Depressive symptoms are very common in patients with Parkinson’s disease (PD) and have a significant impact on the quality of life. Dopaminergic medication has been shown to have an influence on the development of depressive symptoms. Materials and methods: The present study analyzed two groups of non-demented patients with PD, with and without depressive symptoms, and reported the correlations between antiparkinsonian medication [specifically levodopa (l-DOPA) and dopaminergic agonists] with depressive symptoms. Results: A strong statistically significant positive correlation between l-DOPA dosages and the level of depressive symptoms has been revealed, suggesting that higher l-DOPA dosages correlate with a worsening of depressive status. No significant correlation was found with dopamine agonists. Discussion: The results of this study show that in patients with PD, higher l-DOPA dosages correlate with worse depressive symptoms. From this point of view, PD patients need to be better diagnosed with respect to depressive symptoms and need additional treatment adjustment when clinical manifestations of depression are present. Clinicians must be aware that dopaminergic drugs are not sufficient to alleviate depressive symptoms. PMID:25309508

  5. Risk factors for the development of depression in patients with hepatitis C taking interferon-α

    Directory of Open Access Journals (Sweden)

    Smith KJ

    2011-05-01

    Full Text Available Kimberley J Smith¹, Suzanne Norris², Cliona O'Farrelly³, O'Mara SM¹¹Trinity College Institute of Neuroscience, ²Hepatology Centre, St James's Hospital, Dublin, Ireland; ³Department of Biochemistry and Immunology, Trinity College Dublin, Dublin, IrelandAbstract: Interferon-α, currently used for the treatment of hepatitis C, is associated with a substantially elevated risk of depression. However, not everyone who takes this drug becomes depressed, so it is important to understand what particular factors may make some individuals more 'at risk' of developing depression than others. Currently there is no consensus as to why interferon-induced depression occurs and the range of putative risk factors is wide and diverse. The identification of risk factors prior to treatment may allow identification of patients who will become depressed on interferon, allowing the possibility of improved treatment support and rates of treatment adherence. Here, we consolidate and review the literature on risk factors, and we discuss the potential confounds within the research examined in order to better isolate the risk factors that may be important in the development of depression in these patients and which might help predict patients likely to become depressed on treatment. We suggest that interactions between psychobehavioral, genetic, and biological risk factors are of particular importance in the occurrence of depression in patients with hepatitis C taking interferon-α.Keywords: interferon-α, risk factors, depression, hepatitis C

  6. The Application of Four Unit Relation Number in the Analysis of Influencing Factors of Depression on Type 2 Diabetes Patients in Hospital%四元联系数在2型糖尿病住院患者抑郁发生影响因子分析中的应用

    Institute of Scientific and Technical Information of China (English)

    王冰洁

    2011-01-01

    把四元联系数U=A+Bi+Cj+Dk中的各联系分量A、B、C、D依次对应于被调查的2型糖尿病住院患者中没有抑郁发生(正常)以及有轻度、中度和重度抑郁情况的发生率,依据四元联系数的系统态势对不同影响因子作出分类;为医务人员采用不同的心理关怀和健康指导提供决策依据.%The A、B、C、B of four unit relation number U = A + Bi + Cj + Dk and Its Corresponding order to incidence of no depression (normal), mild, moderate, severe depression on type 2 diabetes patients in hospital, classification of different influencing factors according to system situation of four unit relation number providing a basis for medical staff using different mental state concern and health guidance.

  7. Influence of socioeconomic status and family support on disability, depressive symptoms, and perceived poor health in older Korean adults

    Directory of Open Access Journals (Sweden)

    Insook Lee

    2017-05-01

    Full Text Available This purpose of this study is to identify factors associated with older Korean adults’ disability, depressive symptoms, and perceived poor health, with a focus on their socioeconomic status and family support. This is a secondary data analysis of the initial survey data from a home visiting center in 2009. The data were analyzed using frequencies, percentages, and multivariate logistic regression. We observed significant differences in perceived health between men and women based on their socioeconomic status. Type of medical insurance was strongly associated with depressive symptoms among the men and women. Results also indicated that being unschooled was significantly related to perceived poor health among women. Family support also influenced their health status, particularly their depressive symptoms. This study suggests that interventions for reducing health inequalities should target older adults with Medicaid and have poor family support, taking a gender-specific approach.

  8. Mediators of maternal depression and family structure on child BMI: parenting quality and risk factors for child overweight.

    Science.gov (United States)

    McConley, Regina L; Mrug, Sylvie; Gilliland, M Janice; Lowry, Richard; Elliott, Marc N; Schuster, Mark A; Bogart, Laura M; Franzini, Luisa; Escobar-Chaves, Soledad L; Franklin, Frank A

    2011-02-01

    Risk factors for child obesity may be influenced by family environment, including maternal depression, family structure, and parenting quality. We tested a path model in which maternal depression and single parent status are associated with parenting quality, which relates to three risk factors for child obesity: diet, leisure, and sedentary behavior. Participants included 4,601 5th-grade children and their primary caregivers who participated in the Healthy Passages study. Results showed that associations of maternal depression and single parenthood with child BMI are mediated by parenting quality and its relation to children's leisure activity and sedentary behavior. Interventions for child obesity may be more successful if they target family environment, particularly parenting quality and its impact on children's active and sedentary behaviors.

  9. Fitness drivers in the threatened Dianthus guliae Janka (Caryophyllaceae): disentangling effects of growth context, maternal influence and inbreeding depression.

    Science.gov (United States)

    Gargano, D; Gullo, T; Bernardo, L

    2011-01-01

    We studied inbreeding depression, growth context and maternal influence as constraints to fitness in the self-compatible, protandrous Dianthus guliae Janka, a threatened Italian endemic. We performed hand-pollinations to verify outcomes of self- and cross-fertilisation over two generations, and grew inbred and outbred D. guliae offspring under different conditions - in pots, a common garden and field conditions (with/without nutrient addition). The environment influenced juvenile growth and flowering likelihood/rate, but had little effect on inbreeding depression. Significant interactions among genetic and environmental factors influenced female fertility. Overall, genetic factors strongly affected both early (seed mass, seed germination, early survival) and late (seed/ovule ratio) life-history traits. After the first pollination experiment, we detected higher mortality in the selfed progeny, which is possibly a consequence of inbreeding depression caused by over-expression of early-acting deleterious alleles. The second pollination induced a strong loss of reproductive fitness (seed production, seed mass) in inbred D. guliae offspring, regardless of the pollination treatment (selfing/crossing); hence, a strong (genetic) maternal influence constrained early life-history traits of the second generation. Based on current knowledge, we conclude that self-compatibility does not prevent the detrimental effects of inbreeding in D. guliae populations, and may increase the severe extinction risk if out-crossing rates decrease.

  10. Confirmatory factor analysis of the portuguese Depression Anxiety Stress Scales-21

    OpenAIRE

    Apóstolo,João Luís Alves; Tanner,Barry Allen; Arfken,Cynthia Lee

    2012-01-01

    To determine which of three published models best characterizes the factor structure of the Portuguese version of the Depression Anxiety Stress Scales-21 and to assess its validity and reliability. Confirmatory factor analysis of Depression Anxiety and Stress Scale-21 for 1,297 adult, primary care outpatients (66.7% female, Mage = 48.57 years) comparing 3 models. The relationship between the Depression Anxiety Stress Scales-21 and the Positive and Negative Affect Schedule was analyzed. The co...

  11. Lack of coordination of nonverbal behaviour between patients and interviewers as a potential risk factor to depression recurrence : vulnerability accumulation in depression

    NARCIS (Netherlands)

    Bouhuys, AL; Sam, MM

    2000-01-01

    Background: Coordination of nonverbal behaviour during interactions is a prerequisite for satisfactory relationships. Lack of coordination may form a risk factor for depression. The 'vulnerability-accumulation hypothesis' assumes that vulnerability to recurrence of depression will increase with incr

  12. Thymic Output: Influence Factors and Molecular Mechanism

    Institute of Scientific and Technical Information of China (English)

    Rong Jin; Jun Zhang; Weifeng Chen

    2006-01-01

    Thymus is a primary lymphoid organ, able to generate mature T cells that eventually colonize secondary lymphoid organs, and is therefore essential for peripheral T cell renewal. Recent data showed that normal thymocyte export can be altered by several influence factors including several chemokines,sphingosinel-phosphate (S1P),transcription factors such as Foxjl, Kruppel-like transcription factor 2 (KLF2) and antigen stimulation, etc. In this review, we summarized the recent reports about study strategies, influence factors and possible molecular mechanisms in thymic output.

  13. 31. FACTORS INFLUENCING UTILIZATION OF INTERMITTENT ...

    African Journals Online (AJOL)

    Esem

    treatment of malaria during pregnancy(IPTp), effective IPTp service utilization ... effective case management of malaria. Despite the ... Factors influencing IPTp utilization identified in the study included; educational status of a woman,. Medical ...

  14. Home Environmental Factors Influencing Performance and Progress ...

    African Journals Online (AJOL)

    ... Factors Influencing Performance and Progress of Primary School Pupils in ... found that parents' educational level and income level have a bearing on school ... on school progress and performance, however; home language did play a role.

  15. Factors Influencing Self Employment Media Service Providers ...

    African Journals Online (AJOL)

    Factors Influencing Self Employment Media Service Providers among Tertiary ... role stereotype and common business practices on media self employment in ... Sex, Psycho-social Characteristics, self Employment, Providing Media Services.

  16. Age-Related Factors That Influence Fertility

    Science.gov (United States)

    ... can be found at the NICHD Pregnancy Loss topic page . Committee on Gynecologic Practice of American College of ... 2012, from http://www.nichd.nih.gov/health/topics/pregnancyloss/researchinfo/Pages/default.aspx [top] « Lifestyle Factors That Influence Fertility ...

  17. Factors that negatively influence consumption of traditionally ...

    African Journals Online (AJOL)

    Factors that negatively influence consumption of traditionally fermented milk ... of sub-Saharan Africa and a number of health benefits to human beings are ... Key words: Mursik, Lactic acid bacteria (LAB), probiotic, Preschoolers, Focus group

  18. FACTORS INFLUENCING THE SELECTION OF DENTAL NURSING ...

    African Journals Online (AJOL)

    drclement

    FACTORS INFLUENCING THE SELECTION OF DENTAL NURSING AS A. PROFESSION ... Colleges of Health Technology undergoing external ... questionnaire requested information on age ... individual with good communication skills and ...

  19. Factors that Influence Adolescents to Smoke.

    Science.gov (United States)

    Smith, Karen H.; Stutts, Mary Ann

    1999-01-01

    A survey of the factors that influence adolescents (n=246) to smoke found that family smoking behavior, peer pressure, and prior beliefs were more important in predicting smoking level than were advertising and antismoking information. (Author/JOW)

  20. FACTORS INFLUENCING SUSTAINED MANAGERIAL EFFICIENCY

    Directory of Open Access Journals (Sweden)

    Alexandru Marius RIZESCU

    2017-04-01

    Full Text Available The concept of effectiveness is learnable in economic theory and practice with various forms of manifestation of the results obtained by the managers, such as profitability, the productivity of factors of production, capital efficiency, cost savings, etc. Regarded as the organizing principle and driving activity in the market economy, it has a much richer content and also favorable results of generalizing all derived by managers. Choosing effective in meeting needs with limited resources or powerlessness to maximize resource needs under restrains, are expressions through which efficiency is situated at the heart of economic theory and practice.

  1. Examining whether offspring psychopathology influences illness course in mothers with recurrent depression using a high-risk longitudinal sample.

    Science.gov (United States)

    Sellers, Ruth; Hammerton, Gemma; Harold, Gordon T; Mahedy, Liam; Potter, Robert; Langley, Kate; Thapar, Ajay; Rice, Frances; Thapar, Anita; Collishaw, Stephan

    2016-02-01

    Depression is known to be influenced by psychosocial stressors. For mothers with recurrent depressive illness, the presence of psychopathology in their children may have important effects on their own mental health. Although the impact of maternal depression on child mental health is well-established, no study to date, as far as we are aware, has examined the extent to which offspring psychopathology influences the course of depression in mothers with a history of recurrent depressive illness, what types of child psychopathology impact maternal mental health, or whether risks vary by child gender. Aims were to (a) Use a longitudinal design to examine whether adolescent psychopathology (depression, disruptive behavior disorder; DBD) predicts recurrence of a depressive episode and depression symptom course in women with a history of recurrent depression; and (b) To test if observed effects vary by child gender. 299 mothers with recurrent major depressive disorder and their adolescent offspring were assessed on 2 occasions, 29 months apart. Maternal depression and offspring psychopathology were assessed using semistructured interview measures. Cross-generational links across time were assessed using structural equation modeling. Analyses were adjusted for past severity of maternal depression. Offspring depression symptoms but not DBD symptoms at baseline predicted future episode recurrence in mothers. Depression symptoms in daughters (β = .16, p = .039) but not sons (β = -.07, p = .461), predicted an increase in maternal depression symptoms across time. Psychopathology in daughters is associated with long-term depressive symptoms in women (mothers) with a history of recurrent depression. Findings highlight the importance of careful assessment and management of mental health problems in adolescents for more effective management of maternal depression. This study suggests that offspring symptoms of depression may be important for the recurrence of maternal depression

  2. The Influence of Depression on the Progression of HIV: Direct and Indirect Effects

    Science.gov (United States)

    Schuster, Randi; Bornovalova, Marina; Hunt, Elizabeth

    2012-01-01

    The authors suggest a theoretical model of pathways of HIV progression, with a focus on the contributions of depression--as well as secondary, behavioral and emotional variables. Literature was reviewed regarding (a) comorbid depression and the direct physiological effects on HIV progression and (b) intermediary factors between HIV and disease…

  3. ENERGY EFFICIENCY. TRENDS AND INFLUENCE FACTORS

    Directory of Open Access Journals (Sweden)

    Zizi GOSCHIN

    2006-12-01

    Full Text Available Energy efficiency is correlated with many factors of influence: Gross National Income per capita, energy imports (% of energy use, renewable combustible and waste (% of total, energy use per capita, services as % of GDP and others. In this paper we are testing a model of piecewise linear regression with breakpoint in order to measure the influence of these factors on the variation of GDP per unit of energy use in Europe in the year 2003.

  4. An empirical investigation on factors influencing export of herbal supplements

    Directory of Open Access Journals (Sweden)

    Nazanin Hajmirzahosseini Yazdi

    2014-02-01

    Full Text Available During the past few years, there have been growing interests in business development of herbal supplements in many developing countries especially in Iran. Herbal supplements are used to cure many deceases such as medicating anxiety, acne, weight loss, depression, etc. In this paper, we present an empirical investigation to detect important factors influencing exporting herbal supplements. The proposed study designs a questionnaire consists of 31 questions, distributes it among 210 experts who are professional in the area of production and distribution of herbal supplements and using factor analysis, the study detects eight factors including supportive laws and regulations, organizational atmosphere, marketing structure, knowledge oriented, feasibility study, research and development, competitive strategy and partnership strategies.

  5. Risk Factors for Conduct Problems and Depressive Symptoms in a Cohort of Ukrainian Children

    Science.gov (United States)

    Drabick, Deborah A. G.; Beauchaine, Theodore P.; Gadow, Kenneth D.; Carlson, Gabrielle A.; Bromet, Evelyn J.

    2006-01-01

    Potential risk factors for conduct problems and depressive symptoms were tested in a cohort of 10- to 12-year-old Ukrainian children (N = 544, 47.6% male). Risk factors examined were child emotional lability, child attention problems, poor mother-child communication, coercive maternal discipline, maternal depression, and low marital satisfaction.…

  6. Risk and Protective Factors for Depressive Symptoms in Urban African American Adolescents

    Science.gov (United States)

    Tandon, Darius S.; Solomon, Barry S.

    2009-01-01

    There is limited understanding of risk and protective factors associated with depression among African American adolescents living in impoverished, urban settings. A cross-sectional study was conducted to identify a range of risk and protective factors associated with depressive symptoms among low-income urban African American adolescents. The…

  7. Prevalence of depressive symptoms among college students and the influence of sport activity.

    Science.gov (United States)

    Uglesić, Boran; Lasić, Davor; Zuljan-Cvitanović, Marija; Buković, Damir; Karelović, Deni; Delić-Brkljacić, Diana; Buković, Nevia; Radan, Mirjana

    2014-03-01

    The present study asses the prevalence of depressive symptoms among college students in Split, Croatia, and positive influence of sport activity on decreasing the depression symptoms. Authors screened all 664 college students of the first year of study. All of them were over the 18 years and the mean age was 19.4 +/- 1.2 years. There were 466 females (70.2%) and 178 (26.8%) males. They answered The Beck Depression Inventory (BDI) and questionnaire about their sport activity (no sport activity, recreational and active in sports). For the purpose of the analysis depressive symptoms were defined as a score of > 11. Chi-square and Mann-Whitney test were used for data analysis. 9.4% of the students had significant depression symptoms (score > 11). No one student had score > 26 (symptoms of major depression). Statistically significant lower score on BDI have students who are active in sports (score median = 3) compared to group of recreational (score median = 4) and in correlation to group who are not active in sports (score median = 5) (Kruskal-Wallis: p sports (N = 254) there are only 5.5% with depressions symptoms, while in the group of non active in sports (N = 60) are 18 depressive (chi2-test: p = 0,005). Females are statistically more depressed than males (chi2-test: p = 0.01). In the female group 49 (10.5%) are depressed, and in the male group are 9 (5%). Compared to gender in separate analysis we did not find correlation of decreasing depression symptoms and sport activity among males (chi2-test: p = 0.47), while in females we find that sport activity has significant effect (chi2-test: p = 0.026). Our results shoved moderate values of depression symptoms among college population in Split, Croatia. More females than males experienced depressive symptoms. While sport activity did not have significant influence on the depression in male population, it has significant influence in reducing the depression symptoms among females.

  8. Variation properties of ionospheric eclipse factor and ionospheric influence factor

    Institute of Scientific and Technical Information of China (English)

    ZHAO Chunmei; YUAN Yunbin; OU Jikun; CHEN Jinping

    2005-01-01

    The concepts and calculation methods of ionospheric eclipse factor (IEF) and ionospheric influence factor (IFF) are further illustrated. The temporal and spacial variation properties of IEF and IFF are studied, which shows that the properties are influenced by the geographic position and season. The possibility of improving the precision of using GPS data to determine ionospheric delay based on the above variation properties is also analysed.

  9. Risk factors for depressive symptoms in adolescent pregnancy in a late-teen subsample.

    Science.gov (United States)

    Koleva, Hristina; Stuart, Scott

    2014-04-01

    Depression in adolescent pregnancy is common but underrecognized and can be associated with negative medical outcomes. This brief report examines the relationship between depressive symptoms and various demographic and obstetrical risk factors, as well as the use of antidepressants in pregnant adolescents of late teenage years. Data were derived from a relatively large sample (506 women) recruited from university-based and community mental health centers in Iowa. A cross-sectional analysis did not reveal significant statistical associations between the risk factors and depressive symptoms (Beck Depression Inventory). Antidepressant use was very low (3.7 %), and adolescents with higher depression scores were more likely to take medications. In conclusion, screening for depression in pregnant adolescents should be universal, regardless of demographic and obstetrical risk factors, and promptly addressed.

  10. Depression, the Val66Met polymorphism, age, and gender influence the serum BDNF level

    DEFF Research Database (Denmark)

    Elfving, Betina; Buttenschøn, Henriette N; Foldager, Leslie

    2012-01-01

    Brain-derived neurotrophic factor (BDNF) has been suggested as a candidate gene for depression and numerous studies have investigated the possible association between genetic variants within BDNF and depression. Clinical studies have investigated the serum BDNF levels in individuals with depression....... However, few studies have combined genetic association studies with serum BDNF measurements. The purpose of the present study was therefore to perform an investigation of BDNF using 162 individuals with depression and 289 healthy individuals. All individuals returned a completed questionnaire......, and health indicators in a statistical model. In the present study the serum BDNF levels were increased in the depressive subjects compared to control individuals. Additionally, six SNPs were successfully analyzed, but did not associate with depression. Multiple linear regression models were applied and age...

  11. ANALYSIS OF DEPRESSION AND ANXIETY STATE IN THE PATIENTS WITH GYNECOLOGICAL TUMOR BEFORE AND AFTER OPERATION AND ITS INFLUENCE FACTORS%妇科肿瘤患者手术前后抑郁、焦虑状况及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    苏莉; 杨淑丽; 苗劲蔚

    2016-01-01

    Objective To explore the prevalence rate of depression and anxiety disorders in women patients with gynecological tumor before and after operation and the influence factors.Methods Zung Self-Rating Depression Scale and Self-Rating Anxiety Scale were used to evaluate the psychological state of women patients with gynecological tumor before and after operation.A total of 453 in-patients with gynecological tumor were included,who were admitted for cervical conization or abdominal gynecological operation.Results The prevalence rates of depression and anxiety disorder before operation were significantly higher than those after operation among all the patients surveyed;pre-operative prevalence rate of depression disorder in abdominal surgery group of women with malignant gynecological tumor was significantly higher than that of women receiving cervical conization and abdominal surgery group of women with benign gynecological tumor;pre-operative prevalence rate of anxiety disorder among women over 50 years of age was significantly lower;both pre-operative and post-operative prevalence rate of depression disorder and post -operative prevalence rate of anxiety disorder among jobless women patients were significantly higher than that of other groups of women patients;pre-operative and post-operative prevalence rate of depression disorder and anxiety disorder among women patients with low income were significantly higher than those of other groups of women patients.Conclusion Depression disorder is obviously seen in women patients with gynecological tumor before operation,particularly among those with malignant gynecological tumor.Sophisticated psychological counseling and psychological treatment are needed for those patients.%目的 了解和分析妇科肿瘤患者手术前后抑郁和焦虑状况及影响因素.方法 应用ZUNG抑郁自评量表和焦虑自评量表,对患者手术前后进行精神状态评定.对象为453例妇科肿瘤住院进行宫颈锥切手术

  12. FACTORS INFLUENCING COMPOSTING POULTRY WASTE

    Directory of Open Access Journals (Sweden)

    Michał Kopeć

    2015-11-01

    Full Text Available Organic recycling of waste, taking into account sanitary safety, should be a fundamental method for recovering the nutrients present in the waste for plants and organic matter. It also refers to by-products of animal origin, which are not intended for consumption by humans. In the present research , composting of hydrated poultry slaughterhouse waste with maize straw was carried out. A combination with fodder yeast and post-cellulose lime was also introduced, which modified chemical and physico-chemical properties of the mixtures. The experiment was carried out by recording the biomass temperature for 110 days in 1.2×1.0×0.8 m reactors with perforated bottoms enabling active aeration. The following parameters were taken into consideration in the composted material: carbon, nitrogen, sulfur, respiratory activity, microorganisms, fractions of compost obtained after washing on sieves. Small amounts of fodder yeast favoured the development of microorganisms and caused a sanitary risk in the final product. At the initial stage, the temperature of raw compost in that object was several degrees lower than in the case of the composted mass without yeast addition. The addition of post-cellulose lime at ratios 6.5:1:6.5 (maize straw: poultry slaughterhouse waste: post-cellulose lime caused a change in the time of microbiological activity, and led to its inhibition in the final process. In comparison to objects with poultry waste, the highest degree of hygienization was found in the compost with post-cellulose lime (with pH close to neutral. By adjusting the ratios of substrates we can influence the microbiological activity, but the amounts of individual substrates should be determined taking into account the quality of the obtained compost.

  13. Depression

    DEFF Research Database (Denmark)

    Pouwer, Frans

    2017-01-01

    There is ample evidence that depression is000  a common comorbid health issue in people with type 1 or type 2 diabetes. Reviews have also concluded that depression in diabetes is associated with higher HbA1c levels, less optimal self-care behaviours, lower quality of life, incident vascular...... complications and higher mortality rates. However, longitudinal studies into the course of depression in people with type 1 diabetes remain scarce. In this issue of Diabetologia, Kampling and colleagues (doi: 10.1007/s00125-016-4123-0 ) report the 5 year trajectories of depression in adults with newly diagnosed...... type 1 diabetes (mean age, 28 years). Their baseline results showed that shortly after the diagnosis of type 1 diabetes a major depressive episode was diagnosed in approximately 6% of participants, while 8% suffered from an anxiety disorder. The longitudinal depression data showed that, in a 5 year...

  14. Factors Influencing the Quality of Mobile Applications

    Directory of Open Access Journals (Sweden)

    Alin ZAMFIROIU

    2014-01-01

    Full Text Available Mobile applications are becoming increasingly used. Mobile devices are becoming indispensable for the user. In the material are claiming the sales of mobile devices internationally and the use of mobile applications compared to traditional internet use on desktop systems for the United States. Are presented influences the quality of mobile applications and based on these influencing factors built a model of choice for optimal application of mobile applications and traditional desktop application. At the end of the material presented methods to increase quality by tracking the influence factors during the development of mobile applications.

  15. Factors influencing alginate gel biocompatibility.

    Science.gov (United States)

    Tam, Susan K; Dusseault, Julie; Bilodeau, Stéphanie; Langlois, Geneviève; Hallé, Jean-Pierre; Yahia, L'Hocine

    2011-07-01

    Alginate remains the most popular polymer used for cell encapsulation, yet its biocompatibility is inconsistent. Two commercially available alginates were compared, one with 71% guluronate (HiG), and the other with 44% (IntG). Both alginates were purified, and their purities were verified. After 2 days in the peritoneal cavity of C57BL/6J mice, barium (Ba)-gel and calcium (Ca)-gel beads of IntG alginate were clean, while host cells were adhered to beads of HiG alginate. IntG gel beads, however, showed fragmentation in vivo while HiG gel beads stayed firm. The physicochemical properties of the sodium alginates and their gels were thoroughly characterized. The intrinsic viscosity of IntG alginate was 2.5-fold higher than that of HiG alginate, suggesting a greater molecular mass. X-ray photoelectron spectroscopy indicated that both alginates were similar in elemental composition, including low levels of counterions in all gels. The wettabilities of the alginates and gels were also identical, as measured by contact angles of water on dry films. Ba-gel beads of HiG alginate resisted swelling and degradation when immersed in water, much more than the other gel beads. These results suggest that the main factors contributing to the biocompatibility of gels of purified alginate are the mannuronate/guluronate content and/or intrinsic viscosity.

  16. Factors influencing quality of life in asthmatics

    DEFF Research Database (Denmark)

    Al-kalemji, Abir; Petersen, Karin Dam; Sørensen, Jan

    2013-01-01

    INTRODUCTION: The quality of life (QOL) in persons with asthma is reduced and different factors such as demography, asthma severity and psychiatric comorbidity play an influential role. However, little is known about the interplay of these factors. OBJECTIVE: To describe QOL in relation to asthma...... and analyse for the relative impact of asthma severity, psychiatric comorbidity, lifestyle (smoking and obesity) and demographic determinants on QOL in persons with asthma. METHODS: One thousand one hundred sixty-one subjects from an earlier cohort with and without asthma were sent an asthma screening...... gender and smoking were associated with reduced QOL, suggesting that these factors play an independent role on lowering QOL. Depression did not inflate the relationship between asthma severity and worse QOL, suggesting that asthma severity plays an independent role on everyday life regardless...

  17. Factors of appearance of depressive symptomatology and stress to mental health professionals

    Directory of Open Access Journals (Sweden)

    Panagiotis Kyloudis

    2011-10-01

    Full Text Available Depression is one of the most common psychiatric illnesses nowadays and according to the World Health Organization (WHO it affects millions of people worldwide. It is an illness that has multiple causes, and it is the result of the interaction of genetic, biological and psychosocial factors. Aim: The aim of this project is the study of the elements and the characteristics of stress and depression in mental health professionals and the degree at which they are affected by factors such as the age, the marital status, the job and the level of education. Material – Method: The sample of the study includes 62 mental health professionals (25 men and 37 women, at an average age of 39,4±8,4, nurses (n=35, doctors (n=12 and other jobs in the health section (n=15. An anonymous closed questionnaire DSSI/sAD by Bedford & Foulds was used. The data analysis was realized with multivariate analysis (MANOVA and SPSS 16.0. Results: Patients who visited a special doctor for their symptoms demonstrated higher degrees of anxiety and depression [t(60=2,876, p=0,006] and by those who received special medical treatment [t(60=3,571, p=0,001]. During the data analysis the effect of age seemed statistically important [F(16,41=2,83 p=0,004] and the marital status [F(16,41=2,55 p=0,008] on depression and stress scales respectively. Married patients appeared statistically important anxiety (p=0,001, higher tension (p=0,002 and insomnia (p=0,001. The singles show statistically significant lower score in stress scale (p=0.014 although they tend to resign more often (p=0.001 and working people aged 35-49 experience more intense sorrow than the other age groups (p=0,003, more intense feelings of panic (p=0,018 and tension (p=0,049 and bad mood (p=0,018. Conclusions: The marital status was the most important independent factor which seems to be related in our sample with anxiety and depression, while in a high degree the effect of age at these symptoms was influenced by the

  18. Social Factors Explaining Children's Subjective Happiness and Depressive Symptoms

    Science.gov (United States)

    Uusitalo-Malmivaara, Lotta; Lehto, Juhani E.

    2013-01-01

    In this study happiness and depression in 737 12-year-old Finnish children were predicted by relationships with family members and other people, the number of close friends and their experiences of parental fighting and drinking. There were no differences in happiness between the genders, but the girls were more depressed than the boys. Low…

  19. Male Midlife Depression: Multidimensional Contributing Factors and Renewed Practice Approaches

    Science.gov (United States)

    Grove, Debbie L.

    2012-01-01

    Based on original doctoral research conducted with midlife women and men who completed counselling for depression, this article presents research findings of male participant perspectives and experiences in managing midlife depression and the role of counselling. Hermeneutic inquiry using conversational semistructured interviews generated multiple…

  20. Social Factors Explaining Children's Subjective Happiness and Depressive Symptoms

    Science.gov (United States)

    Uusitalo-Malmivaara, Lotta; Lehto, Juhani E.

    2013-01-01

    In this study happiness and depression in 737 12-year-old Finnish children were predicted by relationships with family members and other people, the number of close friends and their experiences of parental fighting and drinking. There were no differences in happiness between the genders, but the girls were more depressed than the boys. Low…

  1. Factors influencing self-awareness following traumatic brain injury.

    Science.gov (United States)

    Richardson, Cally; McKay, Adam; Ponsford, Jennie L

    2015-01-01

    To examine self-awareness and injury-related, emotional and demographic factors across acute/subacute (3-12 months), medium-term (24-60 months), and long-term (120-240 months) time periods after traumatic brain injury (TBI), because unawareness of injury-related changes can affect engagement in rehabilitation and functional outcomes. A total of 168 individuals with mild to severe TBI and 105 of their close others. Awareness Questionnaire (AQ) and Hospital Anxiety and Depression Scale. Cross-sectional study. There were no significant differences in awareness as a function of time postinjury, except for the AQ motor/sensory domain wherein individuals with TBI at longer time periods displayed increased awareness of deficits than those at earlier time periods. Greater patient-other AQ discrepancy scores (interpreted as lower patient awareness) were associated with longer posttraumatic amnesia duration in the individual with TBI and also with increased self-reported depressive symptoms in the close others. Conversely, smaller AQ discrepancy scores (interpreted as better awareness) were associated with increased self-reported depressive symptoms by the individuals with TBI. This study highlights the limitations of using discrepancy scores to measure awareness, as ratings of injury-related changes are influenced by the mood of the individual with TBI and the close other, as well as by injury severity.

  2. What Factors Influence Wind Perceptions

    Science.gov (United States)

    Stein, Tatiana

    Over the last decade, wind power has emerged as a possible source of energy and has attracted the attention of homeowners and policy makers worldwide. Many technological hurdles have been overcome in the last few years that make this technology feasible and economical. The United States has added more wind power than any other type of electric generation in 2012. Depending on the location, wind resources have shown to have the potential to offer 20% of the nation's electricity; a single, large wind turbine has the capacity to produce enough electricity to power 350 homes. Throughout the development of wind turbines, however, energy companies have seen significant public opposition towards the tall white structures. The purpose of this research was to measure peoples' perceptions on wind turbine development throughout their growth, from proposal to existing phase. Three hypotheses were developed based on the participant's political affiliation, proximity and knowledge of wind turbines. To validate these hypotheses, participants were asked an array of questions regarding their perception on economic, environmental, and social impacts of wind turbines with an online service called Amazon Mechanical Turk. The responses were from residents living in the United States and required them to provide their zip code for subsequent analysis. The analysis from the data obtained suggests that participants are favorable towards wind turbine development and would be supportive of using the technology in their community. Political affiliation and proximity to the nearest wind turbine in any phase of development (proposal, construction, existing) were also analyzed to determine if they had an effect on a person's overall perception on wind turbines and their technology. From the analysis, political affiliation was seen to be an indirect factor to understanding favorability towards wind turbines; the more liberal you are, the more supportive you will be towards renewable energy use

  3. Patient factors that influence warfarin dose response.

    Science.gov (United States)

    White, Pamela J

    2010-06-01

    Warfarin has long been the mainstay of oral anticoagulation therapy for the treatment and prevention of venous and arterial thrombosis. The narrow therapeutic index of warfarin, and the complex number of factors that influence international normalized ratio (INR) response, makes optimization of warfarin therapy challenging. Determination of the appropriate warfarin dose during initiation and maintenance therapy requires an understanding of patient factors that influence dose response: age, body weight, nutritional status, acute and chronic disease states, and changes in concomitant drug therapy and diet. This review will examine specific clinical factors that can affect the pharmacokinetics and pharmacodynamics of warfarin, as well as the role of pharmacogenetics in optimizing warfarin therapy.

  4. Factors contributing to depressive mood states in everyday life: A systematic review.

    Science.gov (United States)

    Pemberton, Rachel; Fuller Tyszkiewicz, Matthew D

    2016-08-01

    Although accumulated evidence suggests that fluctuations in depressed mood are common among individuals with depression, and may be associated with onset, duration, and severity of illness, a systematic appraisal of putative predictors of depressed mood is lacking. A systematic search for relevant studies in the literature was conducted using PsycInfo and PubMed databases via EbscoHost in February 2016. The search was limited to articles using the experience sampling method, an approach suitable for capturing in situ fluctuations in mood states. Forty-two studies met inclusion criteria for the review, from which three key risk factors (poor sleep, stress, and significant life events) and two protective factors (physical activity and quality of social interactions) were identified. The majority of papers supported concurrent and lagged associations between these putative protective/risk factors and depressed mood. Despite support for each of the proposed protective/risk factors, few studies evaluated multiple factors in the same study. Moreover, the time course for the effects of these predictors on depressed mood remains largely unknown. The present review identified several putative risk and protective factors for depressed mood. A review of the literature suggests that poor sleep, negative social interactions, and stressful negative events may temporally precede spikes in depressed mood. In contrast, exercise and positive social interactions have been shown to predict subsequent declines in depressed mood. However, the lack of multivariate models in which the unique contributions of various predictors could be evaluated means that the current state of knowledge prevents firm conclusions about which factors are most predictive of depressed mood. More complex modeling of these effects is necessary in order to provide insights useful for clinical treatment in daily life of the depressed mood component of depressive disorders. Crown Copyright © 2016. Published by

  5. Racial Variation in Depression Risk Factors and Symptom Trajectories among Older Women.

    Science.gov (United States)

    Chang, Shun-Chiao; Wang, Wei; Pan, An; Jones, Richard N; Kawachi, Ichiro; Okereke, Olivia I

    2016-11-01

    To assess racial variation in depression risk factors and symptom trajectories among older women. Using Nurses' Health Study data, participants (29,483 non-Hispanic white and 288 black women) aged 60 years or older, free of depression in 2000, were followed until 2012. Data on race and risk factors, selected a priori, were obtained from biennial questionnaires. Incident depression was defined as depression diagnosis, antidepressant use, or presence of severe depressive symptoms. Group-based trajectories of depressive symptoms were determined using latent variable modeling approaches. Black participants had lower risk (hazard ratio: 0.76; 95% confidence interval: 0.57-0.99) of incident late-life depression compared with whites. Although blacks had higher prevalence than whites of some risk factors at study baseline, distributions of major contributors to late-life depression risk (low exercise, sleep difficulty, physical/functional limitation, pain) were comparable. There was evidence of effect modification by race for relations of region of birth (Southern birthplace), smoking, and medical comorbidity to depression risk; however, wide confidence intervals occurred among blacks because of smaller sample size. Four trajectories were identified: minimal symptoms-stable (58.3%), mild symptoms-worsening (31.4%), subthreshold symptoms-worsening (4.8%), and subthreshold symptoms-improving (5.5%). Probabilities of trajectory types were similar for blacks and whites. Although overall trajectories of late-life depressive symptoms were comparable by race, there was racial variation in depression risk estimates associated with less-studied factors, such as U.S. region of birth. Future work may address unmeasured health and resilience determinants that may underlie observed findings and that could inform clinical assessment of late-life depression risk factors. Copyright © 2016 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  6. The Influence of Health Literacy and Depression on Diabetes Self-Management: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    D. Maneze

    2016-01-01

    Full Text Available Despite an increasing focus on health literacy in the clinical setting and in the literature, there is still ongoing debate about its influence on diabetes self-management. The aim of the study was to examine the relationships of sociodemographic, clinical, and psychological factors on health literacy and diabetes self-management. A cross-sectional survey was undertaken on 224 patients with type 2 diabetes at two diabetes centres in Sydney, Australia. Findings showed that people with low health literacy were more likely to (a have lower educational attainment; (b be migrants; and (c have depressed mood. Unexpectedly, those who met HbA1c threshold of good glucose control were more likely to have low health literacy. Predictors of low diabetes self-management included (a younger age group (AOR: 2.58, 95% CI: 1.24–4.64; (b having postsecondary education (AOR: 2.30, 95% CI: 1.05–5.01; (c low knowledge of diabetes management (AOR: 2.29, 95% CI: 1.25–4.20; and (d having depressed mood (AOR: 2.30, 95% CI: 1.30–4.06. The finding that depressed mood predicted both low health literacy and low diabetes self-management stresses the importance of screening for depression. Increasing people’s understanding of diabetes self-management and supporting those with depression are crucial to enhance participation in diabetes self-management.

  7. The Influence of Health Literacy and Depression on Diabetes Self-Management: A Cross-Sectional Study.

    Science.gov (United States)

    Maneze, D; Everett, B; Astorga, C; Yogendran, D; Salamonson, Y

    2016-01-01

    Despite an increasing focus on health literacy in the clinical setting and in the literature, there is still ongoing debate about its influence on diabetes self-management. The aim of the study was to examine the relationships of sociodemographic, clinical, and psychological factors on health literacy and diabetes self-management. A cross-sectional survey was undertaken on 224 patients with type 2 diabetes at two diabetes centres in Sydney, Australia. Findings showed that people with low health literacy were more likely to (a) have lower educational attainment; (b) be migrants; and (c) have depressed mood. Unexpectedly, those who met HbA1c threshold of good glucose control were more likely to have low health literacy. Predictors of low diabetes self-management included (a) younger age group (AOR: 2.58, 95% CI: 1.24-4.64); (b) having postsecondary education (AOR: 2.30, 95% CI: 1.05-5.01); (c) low knowledge of diabetes management (AOR: 2.29, 95% CI: 1.25-4.20); and (d) having depressed mood (AOR: 2.30, 95% CI: 1.30-4.06). The finding that depressed mood predicted both low health literacy and low diabetes self-management stresses the importance of screening for depression. Increasing people's understanding of diabetes self-management and supporting those with depression are crucial to enhance participation in diabetes self-management.

  8. Influence of anxiety and depression on quality of life of people with schizophrenia in the eastern region of poland.

    Science.gov (United States)

    Makara-Studzińska, Marta; Wołyniak, Małgorzata; Kryś, Karolina

    2012-01-01

    Schizophrenia is the most severe and most debilitating mental illness, which is one of the first ten causes of disability in youth and elderly people. Regarding many consequences that schizophrenia brings for individual and social functioning of ill people, their assessment of the quality of their lives seems to be interesting. The aim of this study is to evaluate the incidence and severity of anxiety and depression as well as analysis of the impact level of anxiety and depression on life quality of people with schizophrenia. A group of patients with schizophrenia from psychiatric centers was involved in a study. A set of methods, included: author's questionnaire, the quality of life scale WHOQOL-BREF, and the hospital anxiety and depression scale (HADS). Anxiety disorders occurred in more than 78% of respondents, while depressive disorders in more than half of respondents. The more severe anxiety and depressive disorders, the lower values were observed in all tested components of quality of life. The study of quality of life of the mentally ill patients should be conducted on a continuous basis in order to explore the current factors influencing the improvement of their psychophysical welfare. It is necessary to promote prohealthy mental lifestyle.

  9. Depression.

    Science.gov (United States)

    Strock, Margaret

    Approximately ten percent of the population suffers from a depressive illness each year. Although the economic cost is high, the cost in human suffering is immeasurable. To help educate the population about this disorder, this paper presents a definition of depression and its common manifestations. The symptoms that people often experience are…

  10. Depression

    DEFF Research Database (Denmark)

    Johansen, Jon O. J.

    2013-01-01

    Nyhederne er fulde af historier om depression. Overskrifter som: ’Danskerne propper sig med lykkepiller’ eller ‘depression er stadigvæk tabu’ går tit igen i dagspressen. Men hvor er nuancerne, og hvorfor gider vi læse de samme historier igen og igen? Måske er det fordi, vores egne forestillinger er...

  11. Depression and Psychosocial Risk Factors among Community-Dwelling Older Adults in Singapore.

    Science.gov (United States)

    Li, Jinhui; Theng, Yin-Leng; Foo, Schubert

    2015-12-01

    Depression is the most common mental and emotional disorder that emerges in the late stages of life. It is closely associated with poor health, disability, mortality, and suicide. The study examines the risk factors of depression in late life, especially the psychosocial factors, among a sample comprising 162 community-dwelling Singaporean adults aged 65 years and above. An interview-based structured survey was conducted in multiple senior activity centers located in different parts of Singapore. Results from the hierarchical regression analysis show that 32.9% of the variance in geriatric depression can be explained by the three psychosocial factors, among which loneliness, perceived social support, and the emotional regulation component of resilience are significantly associated with depression in older adults. Large-scale studies should be conducted to confirm the findings of the present study, and to further examine the predictive effects of these psychosocial factors on depression among older adults.

  12. Subclinical Hypothyroidism after 131I-Treatment of Graves' Disease: A Risk Factor for Depression?

    Directory of Open Access Journals (Sweden)

    Jing Yu

    Full Text Available Although it is well accepted that there is a close relationship between hypothyroidism and depression, previous studies provided inconsistent or even opposite results in whether subclinical hypothyroidism (SCH increased the risk of depression. One possible reason is that the etiology of SCH in these studies was not clearly distinguished. We therefore investigated the relationship between SCH resulting from 131I treatment of Graves' disease and depression.The incidence of depression among 95 patients with SCH and 121 euthyroid patients following 131I treatment of Graves' disease was studied. The risk factors of depression were determined with multivariate logistic regression analysis. Thyroid hormone replacement therapy was performed in patients with thyroid-stimulating hormone (TSH levels exceeding 10 mIU/L.Patients with SCH had significantly higher Hamilton Depression Scale scores, serum TSH and thyroid peroxidase antibody (TPOAb levels compared with euthyroid patients. Multivariate logistic regression analysis revealed SCH, Graves' eye syndrome and high serum TPO antibody level as risk factors for depression. L-thyroxine treatment is beneficial for SCH patients with serum TSH levels exceeding 10 mIU/L.The results of the present study demonstrated that SCH is prevalent among 131I treated Graves' patients. SCH might increase the risk of developing depression. L-thyroxine replacement therapy helps to resolve depressive disorders in SCH patients with TSH > 10mIU/L. These data provide insight into the relationship between SCH and depression.

  13. The prevalence of depression and associated factors in Ethiopia: findings from the National Health Survey

    Directory of Open Access Journals (Sweden)

    Hailemariam Solomon

    2012-10-01

    Full Text Available Abstract Background Integrating mental health into primarily health care and studying risk for mental health particularly depression needs assessment of different factors including those that impede diagnosis and treatment of mental disorders. But so far the numbers of literature for local context to analyze risk factors for depression and its treatment are scare. The objective of this study was to assess risk factors and health service attendance for depression among adults, in Ethiopia. Methods For this analysis, data from the Ethiopian National health survey was used. The Ethiopian national health survey studied 4,925 adults aged 18 years and older to obtain among other things, data on depression episodes, socio-demographic, chronic diseases, life style factors and treatment receiving for depression episodes in the past twelve months using questionnaire from world health organization (WHO. Prevalence of Depression in respondents based on ICD-10 criteria was estimated and logistic regression analysis was used to identify risk factors for depression and treatment receiving. Results The prevalence of depressive episode was 9.1% (95% CI: 8.39-9.90. In a Univariate analysis, residence, age, marital status, educational status, number of diagnosed chronic non communicable diseases (heart diseases, diabetic mellitus and arthritis and alcohol drinking status were associated with depression. After full adjustment for possible confounding, odds ratios for depression were significantly higher only for older age, divorced and widowed, number of diagnosed chronic non communicable diseases and alcohol drinking status. The proportion of attending health service among those with depression episodes was 22.9%. After full control for all socio-demographic variables the only predictor variable was educational status, being in grade 5–8 had a higher odds (OR=2.6, 95% CI: 1.23-5.43 and 9–12 grade (OR=1.8 95% CI: 1.45-6.12 of attending service for depressive

  14. Prevalence, Associated Factors and Predictors of Depression among Adults in the Community of Selangor, Malaysia

    OpenAIRE

    2014-01-01

    INTRODUCTION: Depression is one of the most common mental health disorders and is an emerging public health problem. The objectives of this paper were to determine the prevalence of depression, its associated factors and the predictors of depression among adults in the community of Selangor. METHODS: A cross sectional study was conducted in three districts in Selangor, from 11th June to 30th December 2012. The sampling frame was obtained from the Department of Statistics Malaysia (DOS) in May...

  15. Disruption of Circadian Rhythms: A Crucial Factor in the Etiology of Depression

    OpenAIRE

    Roberto Salgado-Delgado; Araceli Tapia Osorio; Nadia Saderi; Carolina Escobar

    2011-01-01

    Circadian factors might play a crucial role in the etiology of depression. It has been demonstrated that the disruption of circadian rhythms by lighting conditions and lifestyle predisposes individuals to a wide range of mood disorders, including impulsivity, mania and depression. Also, associated with depression, there is the impairment of circadian rhythmicity of behavioral, endocrine, and metabolic functions. Inspite of this close relationship between both processes, the complex relationsh...

  16. Changing tendency and influencing factors of anxiety and depression for patients with breast cancer during chemotherapy%乳腺癌患者化疗期间焦虑、抑郁的变化趋势及其相关因素

    Institute of Scientific and Technical Information of China (English)

    艾中平; 高晓岚; 吴有凤; 周建荣

    2013-01-01

    Objective:To know about the changing tendency of anxiety and depression,to probe into influencing factors of breast cancer during chemotherapy and to discuss intervention measures.Methods:Anderson symptom survey scale and hospital anxiety and depression scales were used to evaluate 194 patients with breast cancer who planed to adopt(docetaxel,doxorubicin,cyclophosphamide chemotherapy regimen after operation.Evaluation was made on these patients at least 24 h before chemotherapy and every 5-7 d after chemotherapy.Results:Anxiety and depression levels of patients with breast cancer presented a certain changing tendency,which were the most serious at first,then significantly reduced after the first chemotherapy,but reached the peak after the third chemotherapy,then got better gradually.Anxiety and depression levels were always positive correlated during the whole process of chemotherapy and there were different symptoms affecting anxiety and depression levels at different courses of chemotherapy.Conclusions:Nurses should enhance the psychological care for patients with breast cancer during the chemotherapy,give preventative and targeted nursing care to alleviate the patients' anxiety and depression levels.%目的:了解乳腺癌患者化疗期间焦虑、抑郁的变化趋势,探讨影响每一疗程焦虑、抑郁的因素,并探讨干预措施.方法:采用Anderson症状调查量表和医院焦虑抑郁量表对194名采用多西紫杉醇、阿霉素、环磷酰胺化疗方案的乳腺癌患者,在其手术后化疗前和每次化疗结束后5~7 d进行问卷调查.结果:乳腺癌患者化疗期间的焦虑、抑郁水平呈现一定的变化趋势,在手术后化疗前最为严重,至第1次化疗结束后呈下降趋势,但是第3次化疗后再次加重,此后逐渐下降.在化疗期间焦虑和抑郁总呈显著正相关,相关系数在0.625~0.908(P值均<0.05),并且每一疗程均有不同的因素影响患者的焦虑、抑郁水平,其中在第3次

  17. Use of the Beck Depression Inventory for assessing depression in patients hospitalized with severe burn. Disentangling symptoms of depression from injury and treatment factors.

    Science.gov (United States)

    Thombs, Brett D

    2007-08-01

    The objective of this study was to assess whether scores on the Beck Depression Inventory (BDI) are biased by injury severity among hospitalized survivors of burn (N=262). A confirmatory factor analysis (CFA) model was developed with a general depression factor that loaded on all items and somatic and cognitive factors that were orthogonal to the general factor and to each other. The model fit the data well and substantially better than an alternative three-factor model with correlated factors. Percent total body surface area burned (TBSA) was significantly associated with the general depression factor (p=.04), but also with the orthogonal somatic factor (pburn injury. Analysis of item communalities, however, suggested that only approximately 2% of total predicted item variance was associated with bias related to injury severity. It was concluded that, despite a small amount of bias, the BDI is a reasonably accurate clinical tool even in the context of severe burn. Appropriate adjustments for bias, however, should be made in research with the BDI among patients with acute burn.

  18. Risk and protective factors for the development of depressive symptoms in children and adolescents: results of the longitudinal BELLA study.

    Science.gov (United States)

    Klasen, Fionna; Otto, Christiane; Kriston, Levente; Patalay, Praveetha; Schlack, Robert; Ravens-Sieberer, Ulrike

    2015-06-01

    Mental health problems in children and adolescents are frequent, with a high risk of persistence into adulthood. Therefore, the investigation of determinants of onset and course of mental health problems is of high importance. The present paper investigates the impact of protective and risk factors on the development of depressive symptoms in children and adolescents. The BELLA study is the mental health module of the German National Health Interview and Examination Survey for children and adolescents (KIGGS). Based on the first three measurement points of the BELLA study (covering a period of 2 years), the present analysis focused on children and adolescents aged 11-17 years at baseline (n = 1,643; 50.6 % female). A longitudinal growth modelling approach was used. Mental health problems in parents (parent-reports) predicted depressive symptoms in children and adolescents (self-reports) as well as the development of these symptoms over time. Further, child-reported protective factors of self-efficacy, positive family climate and social support were associated with less depressive symptoms at baseline. Additionally, positive changes in protective factors were associated with the development of less depressive symptoms over time. Finally, family climate and social support moderated the detrimental influence of parental psychopathology on child's depressive symptoms. The addressed determinants for the development of depressive symptoms in children and adolescents are highly relevant for prevention and intervention strategies. Future research should investigate specific risk and protective factors focusing in detail on further mental health disorders and their development in children and adolescents.

  19. Sleep homeostatic pressure and PER3 VNTR gene polymorphism influence antidepressant response to sleep deprivation in bipolar depression.

    Science.gov (United States)

    Dallaspezia, Sara; Locatelli, Clara; Lorenzi, Cristina; Pirovano, Adele; Colombo, Cristina; Benedetti, Francesco

    2016-03-01

    Combined Total sleep deprivation (TSD) and light therapy (LT) cause a rapid improvement in bipolar depression which has been hypothesized to be paralleled by changes in sleep homeostasis. Recent studies showed that bipolar patients had lower changes of EEG theta power after sleep and responders to antidepressant TSD+LT slept less and showed a lower increase of EEG theta power then non-responders. A polymorphism in PER3 gene has been associated with diurnal preference, sleep structure and homeostatic response to sleep deprivation in healthy subjects. We hypothesized that the individual variability in the homeostatic response to TSD could be a correlate of antidepressant response and be influenced by genetic factors. We administered three TSD+LT cycles to bipolar depressed patients. Severity of depression was rated on Hamilton Depression Rating Scale. Actigraphic recordings were performed in a group of patients. PER3 polymorphism influenced changes in total sleep time (F=2.24; p=0.024): while PER3(4/4) and PER3(4/5) patients showed a reduction in it after treatment, PER3(5/5) subjects showed an increase of about 40min, suggesting a higher homeostatic pressure. The same polymorphism influenced the change of depressive symptomatology during treatment (F=3.72; p=0.028). Sleep information was recorded till the day after the end of treatment: a longer period of observation could give more information about the possible maintenance of allostatic adaptation. A higher sleep homeostatic pressure reduced the antidepressant response to TSD+LT, while an allostatic adaptation to sleep loss was associated with better response. This process seems to be under genetic control. Copyright © 2015 Elsevier B.V. All rights reserved.

  20. Factors accounting for the association between anxiety and depression, and eczema: the Hordaland health study (HUSK

    Directory of Open Access Journals (Sweden)

    Gotestam Karl

    2010-04-01

    Full Text Available Abstract Background The association between anxiety and depression, and eczema is well known in the literature, but factors underlying this association remain unclear. Low levels of omega-3 fatty acids and female gender have been found to be associated with both depression and eczema. Somatization and health anxiety are known to be associated with anxiety and depression, further, somatization symptoms and health anxiety have also been found in several dermatological conditions. Accordingly, omega-3 fatty acid supplement, female gender, somatization and health anxiety are possible contributing factors in the association between anxiety and depression, and eczema. The aim of the study is to examine the relevance of proposed contributing factors for the association between anxiety and depression, and eczema, including, omega-3 fatty acid supplement, female gender, health anxiety and somatization. Methods Anxiety and depression was measured in the general population (n = 15715 employing the Hospital Anxiety and Depression Scale (HADS. Information on eczema, female gender, omega-3 fatty acid supplement, health anxiety and somatization was obtained by self-report. Results Somatization and health anxiety accounted for more than half of the association between anxiety/depression, and eczema, while the other factors examined were of minor relevance for the association of interest. Conclusions We found no support for female gender and omega-3 fatty acid supplement as contributing factors in the association between anxiety/depression, and eczema. Somatization and health anxiety accounted for about half of the association between anxiety/depression, and eczema, somatization contributed most. The association between anxiety/depression, and eczema was insignificant after adjustment for somatization and health anxiety. Biological mechanisms underlying the mediating effect of somatization are yet to be revealed.

  1. Depression, family and cellular immunity: Influence of family relationships and cellular immunity on the severity of depression.

    Science.gov (United States)

    Zdanowicz, Nicolas; Reynaert, Christine; Jacques, Denis; Tordeurs, David; Lepiece, Brice; Maury, Julien

    2015-09-01

    Exposure to stress activates the hypothalamic-pituitary-adrenal axis through the release of catecholamines, which modify humoral and cellular immunity. On the one hand, this psycho-immunological theory makes it possible to forge links between immunity and depression. On the other hand, we know that family determinants are an important variable in the model of vulnerability to depression. Our study weighs the influence of cellular immunity and family relations on the severity of depression. 498 inpatients with major depressive disorder were enrolled in an open-label trial. In addition to a socio-demographic questionnaire, they completed Olsen's FACES III and the Beck Depression Inventory (BDI). Flow cytometry was used to assess lymphocyte subsets. In terms of immunity, there are correlations between the BDI and percentages of CD3 (p=0.015; r=-0.112), CD4 (pfamily relationships, there is a correlation between the BDI and family of origin, both for cohesion (p=0.007; r=-0.169) and adaptability (p=0.035; r=-0.133) measures. With respect to the relationship between family dynamics and immunity, there are correlations between adaptability in the family of origin and CD3 (p=0.04; r=0.094) and CD4 (p=0.044; r=0.093). A logistic regression model for family variables explained 11.4% of the BDI, compared to 12.7% for immune variables, while a model including the two explained 16%. While both the family and immunity can explain the BDI, it is surprising they have a greater effect in combination than individually. This suggests that the psycho-immunological theory should look at the relation between immunity and family life, notably in relation to the family of origin.

  2. HEARING AND VISUAL IMPAIRMENTSAS RISK FACTORS FOR LATE- LIFE DEPRESSION

    Directory of Open Access Journals (Sweden)

    Roza N. KRSTESKA

    2012-03-01

    Full Text Available Introduction: Late-life depression is one of the most frequent disorders among the seniors and often remains unrecognized. One of the reasons why late-life depression often passes unrecognized is the comorbidity. Hearing and visual impairments are very common condition among the elderly. Thus, depression among the elderly is commonly accompanied by hearing and visual impairment. The epidemiology together with the visual and hearing-related problems still remains poorly investigated.Objective: The aim of the study was to evaluate the relationship between hearing and visual function and the late-life depression.Methods: This was a cross-sectional study with a random sample of 120 participants, 60 patients with late-life depression and 60 community-dwelling older adults aged over 60 and without the symptoms of depression. All participants were examined using a questionnaire designed for the aim of the study to measure the severity of the symptoms (scale with scores from 1 to 3 - from mild to profound degree of self-reported hearing and visual impairment. In addition, existing medical records and the Geriatric Depression Scale were used as well.Results: The patients with late-life depression in larger number suffered from hearing and visual impairment compared to the non - depressed elderly people: hearing impairments (χ2=6.97, df=1, p=0.0083 and visual impairments (χ2=4.37, df=2, p=0.012.Conclusion: These data suggest that the risk of late-life depression is higher among elderly patients with hearing and visual impairment. A comprehensive annual eye exam is the most important step that can be undertaken to help monitor and protect normal visual function in the elderly. It is necessary to conduct routine screening and early treatment of depression in elderly patients with hearing and visual impairment within the primary care practice. Ophthalmologists and otologists should be aware of the need for routine screening for geriatric syndromes in the

  3. 男性体外受精-胚胎移植男性患者抑郁状况及影响因素分析%Analysis of the Influencing Factors and Depression Status of Men Underwent In Vitro Fertiliza-tion and Embryo Transfer Treatment

    Institute of Scientific and Technical Information of China (English)

    陈丹; 何瑛; 李健; 刘花艳; 蒋玲; 张静平

    2016-01-01

    目的:了解男性体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)男性患者的抑郁症状发生情况及其影响因素.方法2013年2-9月在中南大学湘雅二医院不孕生殖中心便利抽取202例接受 IVF-ET 治疗的男性患者,于治疗周期的第1天进行问卷调查,包括一般情况问卷、抑郁自评量表、社会支持评定量表、Olson 婚姻质量问卷(包括婚姻满意度、夫妻交流及性生活).结果男性 IVF-ET 患者的抑郁发生率为49%;单因素分析显示,抑郁组男性 IVF-ET 患者的社会支持总分、客观支持及主观支持得分均低于无抑郁组,婚姻质量3个分量表总分和性生活得分低于无抑郁组,差异均有统计学意义(P <0.01),且不同文化程度、住房面积、月收入、相关治疗费用、父母及自己对治疗的态度、舆论压力及是否有孩子者的抑郁发生率差异均有统计学意义(均 P <0.01);多因素 Logistic 回归分析显示,父母对治疗的态度、相关治疗费用及月收入是男性 IVF-ET 患者出现抑郁症状的重要影响因素(均 P <0.01).结论接受 IVF-ET 治疗的男性患者有较高的抑郁发生率,且受多种因素影响,不孕生殖中心医务人员对该类人群应给予必要的心理支持和帮助.%Objective To explore the prevalence of depression of men who underwent in vitro fertilization and embryo transfer (IVF-ET)and its influencing factors.Methods Totally 202 men who visited the Infertility reproductive centers in the second xiangya hospital of central south university for IVF treat-ments were invited to join this study by randomize sampling method.All men completed Self-Designed Questionnaire,Self-Rating Depression Scale (SDS),Social Support Rating Scale (SSRS)and Olson Marital Inventory (marital satisfaction level,spouse communication and sexual activity)at first day of IVF treat-ment cycle.Results The overall prevalence of depression was 49% for men

  4. [Factors influencing health care needs of solitude elderly].

    Science.gov (United States)

    Lee, Myung-Suk

    2003-10-01

    This study was to identify factors that influence the health care needs of that over 65 years of age in Mokpo, Korea. The data was collected from June 2002 to September 2002. The subjects were 120 homebound solitude elderly(age=76.8). Subjects were interviewed with structured questionnaire in order to identify the health care needs, health variables (perceived health status, risk of malnutrition, K-IADL), psychological variables(self-esteem, depression) and demographic variables. physiological health variables (height, weight, blood pressure, pulse, blood sugar)were assessed after the interview. In general perceived health status was poor, risk of malnutrition was high, number of disease was 3 disease, self-esteem was low but depression was high and health care needs were relatively high. Among the elderly education & counseling needs topped the list. In regression analysis, health care needs were significantly influenced by IADL(23%), duration of solitudes(4%), sex(3%), and education(1%). These variables explained 31% of the variances in health care needs. The result identified that health care needs should be a considered in IADL, female, duration of solitudes and education for the solitude elderly.

  5. Mental vulnerability as a risk factor for depression

    DEFF Research Database (Denmark)

    Østergaard, Ditte; Dalton, Susanne Oksbjerg; Bidstrup, Pernille Envold;

    2012-01-01

    Mental vulnerability (i.e. a tendency to experience psychosomatic symptoms, mental symptoms or interpersonal problems) is associated with various diseases. This study investigated whether mental vulnerability is associated with hospitalization for depression.......Mental vulnerability (i.e. a tendency to experience psychosomatic symptoms, mental symptoms or interpersonal problems) is associated with various diseases. This study investigated whether mental vulnerability is associated with hospitalization for depression....

  6. Factors Influencing the General Well-Being of Low-Income Korean Immigrant Elders

    Science.gov (United States)

    Lee, Kyoung Hag; Yoon, Dong Pil

    2011-01-01

    This study explores factors that influence the general well-being (anxiety, depression, positive well-being, self-control, vitality, and general health) of low-income Korean immigrant elders by interviewing 206 older adults living in Los Angeles County and Orange County, California. Ordinary least squares regression results reveal that lack of…

  7. Personality Characteristics as Predictive Factors for the Occurrence of Depressive Disorder

    Science.gov (United States)

    Bajraktarov, Stojan; Gudeva-Nikovska, Dance; Manuševa, Nensi; Arsova, Slavica

    2017-01-01

    BACKGROUND: The depressive disorder is one of the most frequent mental disorders, which is often associated with severe dysfunctionality. Personality traits are considered as important factors for the occurrence of depressive disorder. AIM: To determine the specificity of personality dimensions as predictive factors of depressive disorder. METHODS: This research was conducted at the University Psychiatric Clinic Skopje as a “case-control” study. TCI-R (temperament and character inventory – revised) was used as the main research instrument. RESULTS: There are specific personality traits expressed through high scores of Harm Avoidance and low scores of Self –Directedness traits as predictive factors related to an incidence of the depressive disorder. CONCLUSION: The results of this study show that certain personal traits, and more specific HA and SD, are with a specific predictability of the depressive disorder. PMID:28293316

  8. Risk factors for and perinatal outcomes of major depression during pregnancy

    DEFF Research Database (Denmark)

    Räisänen, Sari; Lehto, Soili M; Nielsen, Henriette Svarre

    2014-01-01

    age, low or unspecified socioeconomic status (SES), single marital status, smoking, prior pregnancy terminations, anaemia and gestational diabetes regardless of a history of depression. Outcomes of pregnancies were worse among women with major depression than without. The contribution of smoking...... during pregnancy was found to be rare. The strongest risk factor was history of depression prior to pregnancy. Other associated factors were fear of childbirth, low SES, lack of social support and unhealthy reproductive behaviour such as smoking. Outcomes of pregnancies were worse among women with major...... for 1996-2010. PARTICIPANTS: All singleton births (n=511,938) for 2002-2010 in Finland. PRIMARY OUTCOME MEASURES: Prevalence, risk factors and consequences of major depression during pregnancy. RESULTS: Among 511,938 women, 0.8% experienced major depression during pregnancy, of which 46.9% had a history...

  9. A prospective cohort study investigating factors associated with depression during medical internship.

    Science.gov (United States)

    Sen, Srijan; Kranzler, Henry R; Krystal, John H; Speller, Heather; Chan, Grace; Gelernter, Joel; Guille, Constance

    2010-06-01

    Although the prevalence of depression among medical interns substantially exceeds that of the general population, the specific factors responsible are not well understood. Recent reports of a moderating effect of a genetic polymorphism (5-HTTLPR) in the serotonin transporter protein gene on the likelihood that life stress will precipitate depression may help to understand the development of mood symptoms in medical interns. To identify psychological, demographic, and residency program factors that are associated with depression among interns and to use medical internship as a model to study the moderating effects of this polymorphism. A prospective cohort study. Thirteen US hospitals. Seven hundred forty interns entering participating residency programs. Subjects were assessed for depressive symptoms using the 9-item Patient Health Questionnaire (PHQ-9), a series of psychological traits, and the 5-HTTLPR genotype prior to internship and then assessed for depressive symptoms and potential stressors at 3-month intervals during internship. The PHQ-9 depression score increased from 2.4 prior to internship to a mean of 6.4 during internship (P internship to a mean of 25.7% during internship (P internship (female sex, US medical education, difficult early family environment, history of major depression, lower baseline depressive symptom score, and higher neuroticism) and during internship (increased work hours, perceived medical errors, and stressful life events) was associated with a greater increase in depressive symptoms during internship. In addition, subjects with at least 1 copy of a less-transcribed 5-HTTLPR allele reported a greater increase in depressive symptoms under the stress of internship (P = .002). There is a marked increase in depressive symptoms during medical internship. Specific individual, internship, and genetic factors are associated with the increase in depressive symptoms.

  10. Evaluation of the risk factors of depressive disorders comorbid with obstructive sleep apnea

    Science.gov (United States)

    Cai, Liqiang; Xu, Luoyi; Wei, Lili; Sun, Yi; Chen, Wei

    2017-01-01

    Objective Overlap of obstructive sleep apnea (OSA) complicates diagnosis of depressive disorder and renders antidepressant treatment challenging. Previous studies have reported that the incidence of OSA is higher in patients with depression than in the general population. The purpose of this article was to investigate clinical risk factors to predict OSA in depression disorders. Methods A total of 115 patients diagnosed with major depressive disorder (MDD) and bipolar disorder (in a major depressive episode), who underwent overnight polysomnography, were studied retrospectively. They were divided into two groups: non-OSA and OSA. The patients who had apnea–hypopnea index (AHI) <5 were defined as the non-OSA group, whereas the OSA group was defined as those with an AHI ≥5. Logistic regression was used to analyze the association among AHI and clinical factors, including sex, age, body mass index (BMI), Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale, Pittsburgh Sleep Quality Index (PSQI), and diagnosis (MDD or bipolar disorder [in a major depressive episode]). Results In 115 patients, 51.3% had OSA. Logistic regression analysis showed significant associations between AHI and diagnosis (MDD or bipolar disorder [in a major depressive episode]), BMI, HAMD, and PSQI (P<0.05). Conclusion The findings of our study suggested that the rate of depression being comorbid with OSA is remarkably high and revealed that there is a high rate of undetected OSA among depressive disorder patients and untreated OSA among mood disorder patients. The clinical risk factors (diagnosis [MDD or bipolar disorder {in a major depressive episode}], BMI, HAMD, and PSQI) could predict AHI or OSA diagnosis and contribute to OSA screening in depressive disorder patients. PMID:28144146

  11. Influencing factors in MMR immunisation decision making.

    Science.gov (United States)

    Hill, Marie C; Cox, Carol L

    Immunisation decision making is not a straightforward process for parents. Many factors influence parental decision making on whether they immunise their child with the measles, mumps and rubella (MMR) vaccine. The feasibility study described in this article provides insight into influencing factors associated with decisions regarding the immunisation of children by parents. The study findings suggest that the practice nurse is a credible source of information for parents seeking informed decision making. At a time when the incidence of measles and mumps is rising in the UK, the provision of appropriate information by the practice nurse has the potential to increase uptake of the MMR vaccine.

  12. Screening for postpartum depression and associated factors among women in China: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Xinli Chi

    2016-11-01

    Full Text Available AbstractAbstractObjectives: This study examined what percentage of Chinese mothers during a three-year postpartum period were screened for postpartum depression and explored the correlation between postpartum depression and various socio-demographic, psychological, and cultural factors. Study design: Cross-sectional survey.Methods: A total of 506 mothers 23 years of age and older who were within three years postpartum completed the online survey. The survey collected information such as family economic status, a history of depression, preparation for pregnancy, relationships with husbands and family members, adult attachment types (Adult Attachment Scale, AAS, and depression (The Center for Epidemiologic Studies Depression Scale, CESD.Results: Approximately 30% of mothers 1–3 years postpartum reported symptoms above the CESD cut-off score (≥16 scores associated with the risk for depression (28.0% in the first year, 30.8% in the second year, and 31.8% in the third year. Factors significantly associated with depression in participants in the correlation analysis were education level; family income; preparation for pregnancy; a history of depression; amount of time spent with their husbands; relationships with husbands, parents, and parents-in-law; and a close, dependent, and/or anxious attachment style. Multiple regression analyses revealed that a history of depression; less preparation for pregnancy; poorer relationships with husbands, parents, and parents-in-law; and a more anxious attachment style were strongly related to a higher risk of postpartum depression. Conclusions: The overall percentage of mothers after delivery who were vulnerable to depression in China remains high. Various factors were significant predictors of postpartum depression. The research findings have several valuable implications for intervention practices. For example, attachment styles and depression history in the assessments of perinatal depression could improve

  13. Decreased levels of brain-derived neurotrophic factor in the remitted state of unipolar depressive disorder

    DEFF Research Database (Denmark)

    Hasselbalch, Jacob; Knorr, U; Bennike, B;

    2012-01-01

    Decreased levels of peripheral brain-derived neurotrophic factor (BDNF) have been associated with depression. It is uncertain whether abnormally low levels of BDNF in blood are present beyond the depressive state and whether levels of BDNF are associated with the course of clinical illness....

  14. Are There Gender-Specific Risk Factors for Suicidal Activity among Patients with Schizophrenia and Depression?

    Science.gov (United States)

    Kaplan, Kalman J.; Harrow, Martin; Faull, Robert N.

    2012-01-01

    Are there gender-specific risk factors for suicidal activity among patients with schizophrenia and depression? A total of 74 schizophrenia patients (51 men, 23 women) and 77 unipolar nonpsychotic depressed patients (26 men, 51 women) from the Chicago Follow-up Study were studied prospectively at 2 years posthospitalization and again at 7.5 years.…

  15. Factors Associated with Depressive Symptoms in Parents of Children with Autism Spectrum Disorders

    Science.gov (United States)

    Meltzer, Lisa J.

    2011-01-01

    Parents of children with autism spectrum disorders (ASDs) have higher rates of depressive symptoms than parents of typically developing (TD) children or parents of children with other developmental disorders. The purpose of this study was to examine child and parent sleep as factors associated with depressive symptoms in parents of children with…

  16. Family-Level Factors, Depression, and Anxiety among African American Children: A Systematic Review

    Science.gov (United States)

    Washington, Tyreasa; Rose, Theda; Coard, Stephanie Irby; Patton, Desmond Upton; Young, Shelton; Giles, Sasha; Nolen, Marlon

    2017-01-01

    Background: The reported prevalence of depression and anxiety among African American children and adolescents and their negative sequalae suggest a need to further explore factors that may be protective of depression and anxiety among this population. Objective: The aim of this review was to examine empirical studies that focus on the association…

  17. Alcohol Use Disorders and Depression: Protective Factors in the Development of Unique versus Comorbid Outcomes

    Science.gov (United States)

    Mason, W. Alex; Hawkins, J. David; Kosterman, Rick; Catalano, Richard F.

    2010-01-01

    This study examines protective factors for young adult alcohol use disorders, depression, and comorbid alcohol use disorders and depression. Participants were recruited from all fifth-grade students attending 18 Seattle elementary schools. Of the 1,053 students eligible, 808 (77%) agreed to participate. Youths were surveyed when they were 10 years…

  18. Family-Level Factors, Depression, and Anxiety among African American Children: A Systematic Review

    Science.gov (United States)

    Washington, Tyreasa; Rose, Theda; Coard, Stephanie Irby; Patton, Desmond Upton; Young, Shelton; Giles, Sasha; Nolen, Marlon

    2017-01-01

    Background: The reported prevalence of depression and anxiety among African American children and adolescents and their negative sequalae suggest a need to further explore factors that may be protective of depression and anxiety among this population. Objective: The aim of this review was to examine empirical studies that focus on the association…

  19. Early Detection of Depression and Associated Risk Factors in Adults with Mild/Moderate Intellectual Disability

    Science.gov (United States)

    McGillivray, Jane A.; McCabe, Marita P.

    2007-01-01

    The aim of this study was to determine the presentation and risk factors for depression in adults with mild/moderate intellectual disability (ID). A sample of 151 adults (83 males and 68 females) participated in a semi-structured interview. According to results on the Beck Depression Inventory II, 39.1% of participants evinced symptoms of…

  20. Alcohol Use Disorders and Depression: Protective Factors in the Development of Unique versus Comorbid Outcomes

    Science.gov (United States)

    Mason, W. Alex; Hawkins, J. David; Kosterman, Rick; Catalano, Richard F.

    2010-01-01

    This study examines protective factors for young adult alcohol use disorders, depression, and comorbid alcohol use disorders and depression. Participants were recruited from all fifth-grade students attending 18 Seattle elementary schools. Of the 1,053 students eligible, 808 (77%) agreed to participate. Youths were surveyed when they were 10 years…

  1. The role of daily mobility in mental health inequalities: the interactive influence of activity space and neighbourhood of residence on depression.

    Science.gov (United States)

    Vallée, Julie; Cadot, Emmanuelle; Roustit, Christelle; Parizot, Isabelle; Chauvin, Pierre

    2011-10-01

    The literature reports an association between neighbourhood deprivation and individual depression after adjustment for individual factors. The present paper investigates whether vulnerability to neighbourhood features is influenced by individual "activity space" (i.e., the space within which people move about or travel in the course of their daily activities). It can be assumed that a deprived residential environment can exert a stronger influence on the mental health of people whose activity space is limited to their neighbourhood of residence, since their exposure to their neighbourhood would be greater. Moreover, we studied the relationship between activity space size and depression. A limited activity space could indeed reflect spatial and social confinement and thus be associated with a higher risk of being depressed, or, conversely, it could be linked to a deep attachment to the neighbourhood of residence and thus be associated with a lower risk of being depressed. Multilevel logistic regression analyses of a representative sample consisting of 3011 inhabitants surveyed in 2005 in the Paris, France metropolitan area and nested within 50 census blocks showed, after adjusting for individual-level variables, that people living in deprived neighbourhoods were significantly more depressed that those living in more advantaged neighbourhoods. We also observed a statistically significant cross-level interaction between activity space and neighbourhood deprivation, as they relate to depression. Living in a deprived neighbourhood had a stronger and statistically significant effect on depression in people whose activity space was limited to their neighbourhood than in those whose daily travels extended beyond it. In addition, a limited activity space appeared to be a protective factor with regard to depression for people living in advantaged neighbourhoods and a risk factor for those living in deprived neighbourhoods. It could therefore be useful to take activity space

  2. Depression

    Science.gov (United States)

    ... Different people have different symptoms. Some symptoms of depression include: Persistent sad, anxious, or “empty” mood Feelings of hopelessness or pessimism Feelings of guilt, worthlessness, or helplessness ...

  3. Depression

    Science.gov (United States)

    ... caring for children and aging parents, abuse, and poverty may trigger depression in some people. Medical illness – ... federal government website managed by the Office on Women’s Health in the Office of the Assistant Secretary ...

  4. Chronic depression is associated with a pronounced decrease in serum brain-derived neurotrophic factor over time

    NARCIS (Netherlands)

    Bus, B. A. A.; Molendijk, M. L.; Tendolkar, I.; Penninx, B. W. J. H.; Prickaerts, J.; Elzinga, B. M.; Oude Voshaar, R. C.

    2015-01-01

    One of the leading neurobiological hypotheses on depression states that decreased expression of brain-derived neurotrophic factor (BDNF) contributes to depression. This is supported by consistent findings of low serum BDNF levels in depressed patients compared with non-depressed controls. Whereas it

  5. Brooding and Pondering: Isolating the Active Ingredients of Depressive Rumination with Exploratory Factor Analysis and Structural Equation Modeling

    Science.gov (United States)

    Armey, Michael F.; Fresco, David M.; Moore, Michael T.; Mennin, Douglas S.; Turk, Cynthia L.; Heimberg, Richard G.; Kecmanovic, Jelena; Alloy, Lauren B.

    2009-01-01

    Depressive rumination, as assessed by Nolen-Hoeksema's Response Styles Questionnaire (RSQ), predicts the onset, chronicity, and duration of depressed mood. However, some RSQ items contain depressive content and result in a heterogeneous factor structure. After the a priori elimination of items potentially confounded with depressed item content,…

  6. Prevalence of and Risk Factors for Depressive Symptoms in Korean Women throughout Pregnancy and in Postpartum Period

    Directory of Open Access Journals (Sweden)

    Jeong-hwan Park, PhD, RN

    2015-09-01

    Conclusions: To assist women suffering from postpartum depression and prevent its effects, women should be screened for prenatal depression during all three trimesters. For Korean women with high risk factors for prenatal depression, we suggest that the Korean government establish healthcare policies related to depression screening as routine prenatal care and mental health referral systems.

  7. Depression and Alzheimer's disease: is stress the initiating factor in a common neuropathological cascade?

    DEFF Research Database (Denmark)

    Aznar, Susana; Knudsen, Gitte M

    2011-01-01

    . This suggests the existence of common neuropathological mechanisms behind depression and AD. Here we propose that the brain changes associated with depressive episodes that compromise the brain's ability to cope with stress may constitute risk factors for development of AD. Furthermore, in individuals...... with a genetic linkage to depression, there may be an increased vulnerability towards the initiation of a detrimental neurodegenerative cascade. The following review will deal with the various observations reported within the different neurobiological systems known to be involved and affected in depression, like...

  8. To What Factors Do Rural-Dwelling Hispanics Attribute Depressive Symptoms?

    Directory of Open Access Journals (Sweden)

    Ipsit V. Vahia

    2013-01-01

    Full Text Available This study is a retrospective chart review comparing rural-dwelling Caucasian and Hispanic outpatients’ attribution of depressive symptoms. Based on the data gathered at intake, Hispanics were more likely to attribute depression to curse/spell and supernatural causes, while Caucasians were more likely to attribute symptoms to hereditary factors or job stress. Among both groups, higher CESD score was associated with problems with significant others or how they got along with others. Among Hispanics, depression severity was additionally associated with problems related to job or finances. Our findings point to a consequential role for clinical inquiry into attributed causes of depressive symptoms.

  9. Factors Related to Depressive Symptoms in Mothers of Technology-Dependent Children.

    Science.gov (United States)

    Toly, Valerie Boebel; Musil, Carol M

    2015-07-01

    Mothers caring for technology-dependent children at home often suffer clinically significant and unrecognized depressive symptoms. The study aim was to determine factors related to elevated depressive symptoms and provide information to target interventions that assists mothers in self-management of their mental health. Secondary data analysis from a descriptive, correlational study of 75 mothers was performed. Hierarchical multiple regression analysis results indicate that younger, unpartnered mothers with lower normalization efforts and personal resourcefulness, and less care hours, had increased depressive symptoms. The importance of personal resourcefulness and the potential for a resourcefulness training intervention to reduce depressive symptoms are discussed.

  10. INFLUENCE FACTORS FOR LEASING MARKET CONTRACTS

    Directory of Open Access Journals (Sweden)

    Oana BĂRBULESCU

    2016-11-01

    Full Text Available This paper aims to investigate the relationship between leasing contracts and some factors that influence the value of these contracts. In order to do this, we have decided on some quantitative marketing research by appealing to statistics for accomplishing the objectives that we have set: to find a correlation between the turnover percentage assigned to leasing expenses and several influence factors. This study indicated that the more contracts are signed by a firm, the more likely is to assign a bigger fraction of the income to each new leasing contract. The study confirmed that bigger companies are relying more on leasing as a way of financing than small companies. This study also discovered that companies with more employees are using larger contracts in order to sustain their activity. The findings are expected to contribute to adjusting the offers by the leasing companies, taking into consideration these factors and to using these factors in order to better predict the market evolution.

  11. Factors influencing the life satisfaction in the older Korean women living alone.

    Science.gov (United States)

    Kim, Sook-Young; Sok, Sohyune R

    2013-04-01

    The population of Korea is aging rapidly. The older population varies in characteristics in accordance with a wide-range of circumstances; therefore, categorizing the overall older population as a homogeneous group, could misrepresent their issues. For that reason, the study of older people should be focused on the diversity of characteristics among the older population. The aims of this study were to examine and identify the factors related to life satisfaction in older Korean women living alone. This study was a cross-sectional survey design. The participants comprised of 243 older women over the age of 65, who met eligibility criteria. Measures were a demographic characteristics form, the Health Self-Rating Scale, the Self-Esteem Scale (RSES), the Korean Geriatric Depression Scale Short Form, and the Life Satisfaction Instrument. Degrees of the perceived health status, self-esteem, and depression were higher than the median. Life satisfaction was lower than the median. Predictors that determine life satisfaction in older Korean women living alone were depression, perceived health status, self-esteem, and monthly allowance. All these predictors, or factors, had an explanatory power of 48.2% for life satisfaction among older Korean women living alone. Of all these predictor factors, depression had the largest impact. The major factor influencing the life satisfaction in older Korean women living alone was depression. These findings suggest that there is a need to develop nursing strategies aimed at decreasing depression in order to increase life satisfaction in older women living alone.

  12. Interplay between pro-inflammatory cytokines and growth factors in depressive illnesses

    Directory of Open Access Journals (Sweden)

    Marie-Claude eAudet

    2013-05-01

    Full Text Available The development of depressive disorders had long been attributed to monoamine variations, and pharmacological treatment strategies likewise focused on methods of altering monoamine availability. However, the limited success achieved by treatments that altered these processes spurred the search for alternative mechanisms and treatments. Here we provide a brief overview concerning a possible role for pro-inflammatory cytokines and growth factors in major depression, as well as the possibility of targeting these factors in treating this disorder. The data suggest that focusing on one or another cytokine or growth factor might be counterproductive, especially as these factors may act sequentially or in parallel in affecting depressive disorders. It is also suggested that cytokines and growth factors might be useful biomarkers for individualized treatments of depressive illnesses.

  13. Anger Management and Factors that Influence Anger in Physicians

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    Emel Koçer

    2011-03-01

    Full Text Available Objective: There are limited data regarding anger and its management with respect to physicians and many other professionals. Our objective was to evaluate anger expression and control in physicians. Material and Methods: The physicians of the Düzce School of Medicine were the participants in the study. Physicians were assigned to either an internal medicine or a surgery study group. Each group contained physicians from several specialties. The Spielberger State-Trait Anger Expression Inventory, and the Beck Anxiety and Depression Inventories were administered to all participants. The physicians (n=158 were evaluated and compared with controls (n=105 in terms of anger control and sociodemographic variables. Results: Anger-control scores were higher in physicians (p<0.01 and in those who willingly chose the medical profession (p<0.05. Age, number of years as a physician, and the specialty were negatively correlated with anger management in physicians working in the surgical disciplines (p<0.01. Only Beck anxiety and depression scores were positively correlated with anger-trait scores and anger-in scores for physicians working in the internal medicine disciplines (p<0.01.Conclusion: Physicians were relatively successful in coping with anger. A willingness to choose the medical profession was a factor influencing anger control. Age was the major factor affecting anger management in physicians.

  14. Depression from childhood into late adolescence: Influence of gender, development, genetic susceptibility, and peer stress.

    Science.gov (United States)

    Hankin, Benjamin L; Young, Jami F; Abela, John R Z; Smolen, Andrew; Jenness, Jessica L; Gulley, Lauren D; Technow, Jessica R; Gottlieb, Andrea Barrocas; Cohen, Joseph R; Oppenheimer, Caroline W

    2015-11-01

    Depression is a debilitating mental illness with clear developmental patterns from childhood through late adolescence. Here, we present data from the Gene Environment Mood (GEM) study, which used an accelerated longitudinal cohort design with youth (N = 665) starting in 3rd, 6th, and 9th grades, and a caretaker, who were recruited from the general community, and were then assessed repeatedly through semistructured diagnostic interviews every 6 months over 3 years (7 waves of data) to establish and then predict trajectories of depression from age 8 to 18. First, we demonstrated that overall prevalence rates of depression over time, by age, gender, and pubertal status, in the GEM study closely match those trajectories previously obtained in past developmental epidemiological research. Second, we tested whether a genetic vulnerability-stress model involving 5-HTTLPR and chronic peer stress was moderated by developmental factors. Results showed that older aged adolescents with SS/SL genotype, who experienced higher peer chronic stress over 3 years, were the most likely to be diagnosed with a depressive episode over time. Girls experiencing greater peer chronic stress were the most likely to develop depression. This study used repeated assessments of diagnostic interviewing in a moderately large sample of youth over 3 years to show that depression rates increase in middle to late adolescence, or postpubertally, and that the gender difference in depression emerges earlier in adolescence (age 12.5), or postpubertally. Additionally, genetically susceptible older adolescents who experience chronic peer stress were the most likely to become depressed over time.

  15. [Influence of anxiety and depression status of family members on the general psychological status of perioperative patients with lung cancer].

    Science.gov (United States)

    Wu, Xianning; Chen, Mingjiu; Su, Dan; Yu, Fenglei

    2011-12-01

    Facing the double pressures caused by cancer and surgery, many patients will appear series psychological problems like nervous, fear, pessimism, anxiety and so on. The aim of this study is to explone the anxiety, depression status of family members, the general psychological status of perioperative patients with lung cancer and the influence of the former on the latter. Total 97 patients and 97 patient family members from the thoracic department of the Second Xiangya Hospital of Central South University were enrolled as the study subjects. The general information, the anxiety and depression status of the family members, and the general psychological status of perioperative patients with lung cancer were investigated using self-made general information questionnaire, self-rating anxiety scale (SAS), self-rating depression scale (SDS) and symptom check-list 90 (SCL-90). The scores of seven factors, including total scores (153.28±41.98), somatization (1.78±0.42), compulsion (1.96±0.52), depression (1.77±0.67), anxiety (1.82±0.56), hostility (1.68±0.87), panic (1.44±0.75) and psychosis (1.56±0.51) in SCL-90 were remarkerbly higher than those in domestic norm (Pfamily members was positively correlated with the compulsion, anxiety and bigoted factors of SCL-90 in the patients (Pfamily members was negatively correlated with the compulsion and psychosis factors of SCL-90 in the patients (PFamily members have different degrees of anxiety and depression, which have certain effects on the general psychological status of perioperative patients with lung cancer.

  16. Influence of Depressive State on Levels of Homocysteine and Thyroid Hormone in Patients with Hypertension

    Directory of Open Access Journals (Sweden)

    Wei-wei WANG

    2015-12-01

    Full Text Available Abstract Objective: To explore the influence of depressive state on the levels of homocysteine (Hcy and thyroid hormone in patients with hypertension.Methods: Totally 179 patients with primary hypertension were selected and divided into depression group (n=97 and non-depression group (n=82 according to whether to be complicated with depressive disorder. The venous blood was drawn for detecting the level of Hcy of 2 groups by enzymatic cycling assay, and serum free triiodothyronine (FT3, free thyroxine (FT4 and thyrotropic hormone (TSH by chemiluminiscence. The correlation between Hamilton depression scale (HAMD scores and levels of plasma Hcy and serum FT3, FT4 and TSH was analyzed.Results: Compared with non-depression group, the level of plasma Hcy increased and the levels of FT3 and FT4 decreased in depression group (P<0.05, but there was no statistical difference between 2 groups (P>0.05. HAMD scores in depression group had a positive correlation with the level of plasma Hcy (r=0.593, P=0.024, a negative correlation with the level of serum FT3 (r=-0.421,P=0.011, and no relationships with the levels of serum FT4 and TSH (r=-0.137, P=0.334; r=0.058, P=0.576.Conclusion: Hypertensive patients complicated with depression have abnormal level of Hcy and thyroid hormones. Moreover, the depressive degree of patients is positively correlated with the level of Hcy and negatively with the level of FT3.

  17. A factor analysis to detect factors influencing building national brand

    Directory of Open Access Journals (Sweden)

    Naser Azad

    Full Text Available Developing a national brand is one of the most important issues for development of a brand. In this study, we present factor analysis to detect the most important factors in building a national brand. The proposed study uses factor analysis to extract the most influencing factors and the sample size has been chosen from two major auto makers in Iran called Iran Khodro and Saipa. The questionnaire was designed in Likert scale and distributed among 235 experts. Cronbach alpha is calculated as 84%, which is well above the minimum desirable limit of 0.70. The implementation of factor analysis provides six factors including “cultural image of customers”, “exciting characteristics”, “competitive pricing strategies”, “perception image” and “previous perceptions”.

  18. Is insomnia a perpetuating factor for late-life depression in the IMPACT cohort?

    Science.gov (United States)

    Pigeon, Wilfred R; Hegel, Mark; Unützer, Jürgen; Fan, Ming-Yu; Sateia, Michael J; Lyness, Jeffrey M; Phillips, Cindy; Perlis, Michael L

    2008-04-01

    Insomnia and depressive disorders are significant health problems in the elderly. Persistent insomnia is a risk factor for the development of new-onset and recurrent major depressive disorder (MDD). Less clear is whether persistent insomnia may perpetuate MDD andlor dysthymia. The present longitudinal study examines the relationship of insomnia to the continuation of depression in the context of an intervention study in elderly subjects. Data were drawn from Project IMPACT, a multisite intervention study, which enrolled 1801 elderly patients with MDD and/or dysthymia. In the current study, subjects were assigned to an insomnia-status group (Persistent, Intermediate, and No Insomnia) based on insomnia scores at both baseline and 3-month time points. Logistic regressions were conducted to determine whether Persistent Insomnia was prospectively associated with increased risk of remaining depressed and/or achieving a less than 50% clinical improvement at 6 and at 12 months compared with the No Insomnia reference group. The Intermediate Insomnia group was compared with the other 2 groups to determine whether a dose-response relationship existed between insomnia type and subsequent depression. Eighteen primary clinics in 5 states. Older adults (60+) with depression. Overall, patients with persistent insomnia were 1.8 to 3.5 times more likely to remain depressed, compared with patients with no insomnia. The findings were more robust in patients receiving usual care for depression than in patients receiving enhanced care. Findings were also more robust in subjects who had MDD as opposed to those with dysthymia alone. These findings suggest that, in addition to being a risk factor for a depressive episode, persistent insomnia may serve to perpetuate the illness in some elderly patients and especially in those receiving standard care for depression in primary care settings. Enhanced depression care may partially mitigate the perpetuating effects of insomnia on depression.

  19. A Factor Analytic Study of the Beck Depression Inventory for Female College Students.

    Science.gov (United States)

    Hedl, John J., Jr.

    Previous factor studies of the Beck Depression Inventory (BDI) have not analyzed the item data as a function of sex, or reported more than one factor solution. To further study the factor structure of the BDI, items were factor analyzed and multiple solutions were examined for simple structure, parsimony, and psychological meaningfulness. A sample…

  20. On factors influencing students’ listening abilities

    Institute of Scientific and Technical Information of China (English)

    胡天秀

    2012-01-01

    As we all know,listening,speaking,reading,and writing are four basic skills in language teaching and learning.Listening plays an important role in improving other skills.There are some factors influencing students’ listening abilities.So it’s important for teachers to improve students’ listening abilities.

  1. Factors Influencing High School Students' Career Aspirations

    Science.gov (United States)

    Tang, Mei; Pan, Wei; Newmeyer, Mark D.

    2008-01-01

    This article explores the factors influencing high school students' career aspirations with a study analyzing 141 high school students. The Social Cognitive Career Development Model was utilized to examine the interactive relationships among learning experiences, career self-efficacy, outcome expectations, career interests, and career choices. The…

  2. Factors influencing laser cutting of wood

    Science.gov (United States)

    V.G. Barnekov; C.W. McMillin; H.A. Huber

    1986-01-01

    Factors influencing the ability of lasers to cut wood may be generally classified into these three areas: 1) characteristics of the laser beam; 2) equipment and processing variables; and 3) properties of the workpiece. Effects of beam power, mode, polarization, and stability are discussed as are aspects of optics, location of focal point, feed speed, gas-jet assist...

  3. Factors influencing the process of farm liquidation

    Directory of Open Access Journals (Sweden)

    Michał Dudek

    2010-01-01

    Full Text Available In the paper the logit analysis was used in order to define the factors influencing farm liquidation. The prevalence of this phenomenon and its regional differences were analysed. Significant and negative impact of the number of people in a family farm and the number of machinery and technical equipment, as well as the positive impact of the farmer’ age are reported.

  4. Social Factors Influencing Child Health in Ghana.

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    Emmanuel Quansah

    Full Text Available Social factors have profound effects on health. Children are especially vulnerable to social influences, particularly in their early years. Adverse social exposures in childhood can lead to chronic disorders later in life. Here, we sought to identify and evaluate the impact of social factors on child health in Ghana. As Ghana is unlikely to achieve the Millennium Development Goals' target of reducing child mortality by two-thirds between 1990 and 2015, we deemed it necessary to identify social determinants that might have contributed to the non-realisation of this goal.ScienceDirect, PubMed, MEDLINE via EBSCO and Google Scholar were searched for published articles reporting on the influence of social factors on child health in Ghana. After screening the 98 articles identified, 34 of them that met our inclusion criteria were selected for qualitative review.Major social factors influencing child health in the country include maternal education, rural-urban disparities (place of residence, family income (wealth/poverty and high dependency (multiparousity. These factors are associated with child mortality, nutritional status of children, completion of immunisation programmes, health-seeking behaviour and hygiene practices.Several social factors influence child health outcomes in Ghana. Developing more effective responses to these social determinants would require sustainable efforts from all stakeholders including the Government, healthcare providers and families. We recommend the development of interventions that would support families through direct social support initiatives aimed at alleviating poverty and inequality, and indirect approaches targeted at eliminating the dependence of poor health outcomes on social factors. Importantly, the expansion of quality free education interventions to improve would-be-mother's health knowledge is emphasised.

  5. Factors associated with risk of depression and relevant predictors of screening for depression in clinical practice: a cross-sectional study among HIV-infected individuals in Denmark

    DEFF Research Database (Denmark)

    Slot, Maria; Sodemann, Morten; Gabel, Charlotte

    2015-01-01

    offered a clinical evaluation by a consultant psychiatrist. Logistic regression was used to determine predictors associated with risk of depression. RESULTS: Symptoms of depression (BDI-II score ≥ 14) were observed in 75 patients (35%), and symptoms of moderate to major depression (BDI-II score ≥ 20......OBJECTIVES: Depression and psychiatric disorders are frequent among HIV-infected individuals. The aim of this study was to determine the prevalence of depression and describe the psychiatric history of HIV-infected individuals in an out-patient clinic in Denmark and to identify factors of clinical...... importance that may be used to identify patients at risk of depression. METHODS: In 2013, 212 HIV-infected patients were included in a questionnaire study. We used the Beck Depression Inventory II (BDI-II) to assess the prevalence and severity of depressive symptoms. Patients with a BDI-II score ≥ 20 were...

  6. Problem solving III: factors influencing classroom problem

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    Sayonara Salvador Cabral da Costa

    1997-05-01

    Full Text Available This paper presents a review of the literature in the area of problem solving, particularly in physics, focusing only on factors that influence classroom problem solving. Fifty-seven papers have been analyzed in terms of theoretical basis, investigated factors/methodology and findings/relevant factors, which were organized in a table that served as support for a synthesis made by the authors. It is the third of a four-paper series reviewing different aspects of the problem solving subject.

  7. Are sleep disturbances risk factors for anxiety, depressive and addictive disorders?

    Science.gov (United States)

    Gillin, J C

    1998-01-01

    This paper reviews recent literature which suggests that sleep disturbance in members of the general population, whether or not they have ever had a formal psychiatric disorder, is a risk factor for the onset of a formal psychiatric diagnosis at a later time. Based upon the current literature, the strongest link is between subjective insomnia, lasting at least 2 weeks, and the later onset of depression. Less well-established data suggest that lifetime reports of at least 2 weeks of insomnia, hypersomnia, or both hypersomnia and insomnia, are risk factors for the later development of depression, anxiety disorders or substance abuse. More tentatively, preliminary data suggest that increasing subjective sleep disturbance may signal a relapse in remitted depressed patients. Sleep disturbances are common manifestations of major depressive and anxiety disorders. Therefore, sleep complaints may be among the most robust prodromal symptoms reflecting partial depressive or anxiety disorders, which eventually declare themselves as full-blown clinical episodes.

  8. Factors that influence women's dispositions toward science

    Science.gov (United States)

    Atria, Catherine Graczyk

    Females have been underrepresented in the study of science and science careers for decades although advancements have been made in closing this gender gap, the gap persists particularly in the physical sciences. Variables which influence a woman's desire to pursue and maintain a science course of study and career must be discovered. The United States lags behind other industrialized countries in the fields of science, math, and engineering. Females comprise an estimated half of the population; their potential contributions cannot be ignored or overlooked. This retrospective research study explores the personal experiences of ten women enrolled in science majors, with science related career plans. The goal of this study is to describe the factors that influence the participants' interest in science. The findings, the effect of science coursework, science teachers' personality and manner, other influential educational personnel, role models and mentors, external influences exclusive of school, parental influence, locus of control and positive attitudes toward science confirm what other researchers have found.

  9. Uncovering Factors Influencing Interpersonal Health Communication.

    Science.gov (United States)

    Donné, Lennie; Jansen, Carel; Hoeks, John

    2017-01-01

    Talking to friends, family, or peers about health issues might, among other things, increase knowledge of social norms and feelings of self-efficacy in adopting a healthier lifestyle. We often see interpersonal health communication as an important mediating factor in the effects of health campaigns on health behavior. No research has been done so far, however, on factors that influence whether and how people talk about health issues without being exposed to a health campaign first. In this exploratory study, we interviewed 12 participants about their communication behavior concerning six different health themes, like smoking and exercising. The results suggest that at least four types of interpersonal health communication can be distinguished, each influenced by different factors, like conversational partner and objective of the conversation. Future research should take this diversity of interpersonal health communication into account, and focus on designing health campaigns that aim to trigger dialogue within target populations.

  10. Factor analysis of the hospital anxiety and depression scale among a Huntington's disease population

    DEFF Research Database (Denmark)

    Dale, Maria; Maltby, John; Martucci, Rossana

    2015-01-01

    INTRODUCTION: Depression and anxiety are common in Huntington's disease, a genetic neurodegenerative disorder. There is a need for measurement tools of mood to be validated within a Huntington's disease population. The current study aimed to analyze the factor structure of the Hospital Anxiety......, with two group factors, comprising four depression and four anxiety items, provided the best fit of the data. The salience of loadings on the bifactor model suggested that loadings were high on the general factor (accounting for 64% of the variance) and low on the group factors (21% for anxiety and 15......% for depression). CONCLUSIONS: The findings suggest that eight items from the scale perform well among the sample. Consistent with recent developments in modeling the Hospital Anxiety and Depression Scale, a bifactor interpretation for an eight-item version outperformed other extant models. Our findings provide...

  11. Theoretical difference between impact factor and influence factor

    Directory of Open Access Journals (Sweden)

    Đilda Pečarić

    2010-06-01

    Full Text Available Bibliometric constructions of "knowledge maps" and "cognitive structures of science" do not differentiate between impact and influence factors. The difference can be constructedaccording to different meaning and interpretation of the terms reference and citation. Reference is "acknowledgment which one author gives to another", whereas citation is "acknowledgment which one document receives from another". Development of Information Science according to period and subject area is analyzed on the corpus of citation literature retrieved from doctoral dissertations in Information Science from 1978 to 2007 at Croatian universities. The research aim is to indicate the difference between document impact factor and author's influence factor (i.e. reference ability to produce effects on actions, behavior, and opinions of authors of doctoral theses. The influence factor serves to distinguish the key role of cited authors in time and according to the duration of the influence (the average age for cited papers of dominant authors in different periods is between eight and ten years. The difference between linear and interactive communication seems vital for the interpretation of cited half-life, i.e. the attitude of one science community towards used information resources and cognitive heritage. The analyzed corpus of 22,210 citations can be divided into three communication phases according to influence factor criteria: in the phase of dialogue and interactive communication 25% of bibliographic units are cited in the first four years; in the second phase another 25% of units are cited from the fifth to the ninth year; after ten years, in the dominant linear communication phase, approximately 30% of units are cited.

  12. The association between depression, socio-economic factors and dietary intake in mothers having primary school children living in Rey, south of Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Payab Moloud

    2012-12-01

    Full Text Available Abstract Background According to the WHO report released in 2000, about 121 million people worldwide suffer from depression. The present study aimed to explore factors influencing depression in mothers from Rey, South of Tehran, Iran; who had elementary school children. Methods The cross-sectional survey was conducted in spring 2010. Four hundred thirty mothers who had elementary school children, were selected through a two stage cluster sampling. Beck Depression Inventory (BDI was used to assess depression in the mothers and a 24-hour food recall was used to collect information regarding their dietary intake. General information regarding economic condition and socio-economic status were also gathered using a questionnaire. The data was analyzed using chi-square, one-way analysis of variance and simple regression tests. Results In our study, 51.4% of the mothers suffered from depression. There was an inverse correlation between the educational level of the mothers and the heads of household, their occupational status, their marital status, their socio-economic condition and depression. Conversely, any increase in the family size worsened the depression. The daily intake of different macronutrients, except for fat, was lower in individuals of depressed group. Conclusion The present study emphasized the fact that more attention should be paid to the educational level and economic condition of the family in order to reduce maternal depression. Family size also plays an important role in this regard.

  13. The association between depression, socio-economic factors and dietary intake in mothers having primary school children living in Rey, South of Tehran, Iran

    Science.gov (United States)

    2012-01-01

    Background According to the WHO report released in 2000, about 121 million people worldwide suffer from depression. The present study aimed to explore factors influencing depression in mothers from Rey, South of Tehran, Iran; who had elementary school children. Methods The cross-sectional survey was conducted in spring 2010. Four hundred thirty mothers, who had elementary school children, were selected through a two stage cluster sampling. Beck Depression Inventory (BDI) was used to assess depression in the mothers and a 24-hour food recall was used to collect information regarding their dietary intake. General information regarding economic condition and socio-economic status were also gathered using a questionnaire. The data was analyzed using chi-square, one-way analysis of variance and simple regression tests. Results In our study, 51.4% of the mothers suffered from depression. There was an inverse correlation between the educational level of the mothers and the heads of household, their occupational status, their marital status, their socio-economic condition and depression. Conversely, any increase in the family size worsened the depression. The daily intake of different macronutrients, except for fat, was lower in individuals of depressed group. Conclusion The present study emphasized the fact that more attention should be paid to the educational level and economic condition of the family in order to reduce maternal depression. Family size also plays an important role in this regard. PMID:23497656

  14. The association between depression, socio-economic factors and dietary intake in mothers having primary school children living in Rey, South of Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Payab Moloud

    2012-12-01

    Full Text Available Abstract Background According to the WHO report released in 2000, about 121 million people worldwide suffer from depression. The present study aimed to explore factors influencing depression in mothers from Rey, South of Tehran, Iran; who had elementary school children. Methods The cross-sectional survey was conducted in spring 2010. Four hundred thirty mothers, who had elementary school children, were selected through a two stage cluster sampling. Beck Depression Inventory (BDI was used to assess depression in the mothers and a 24-hour food recall was used to collect information regarding their dietary intake. General information regarding economic condition and socio-economic status were also gathered using a questionnaire. The data was analyzed using chi-square, one-way analysis of variance and simple regression tests. Results In our study, 51.4% of the mothers suffered from depression. There was an inverse correlation between the educational level of the mothers and the heads of household, their occupational status, their marital status, their socio-economic condition and depression. Conversely, any increase in the family size worsened the depression. The daily intake of different macronutrients, except for fat, was lower in individuals of depressed group. Conclusion The present study emphasized the fact that more attention should be paid to the educational level and economic condition of the family in order to reduce maternal depression. Family size also plays an important role in this regard.

  15. What Factors Influence Knowledge Sharing in Organizations?

    DEFF Research Database (Denmark)

    Razmerita, Liana; Kirchner, Kathrin; Nielsen, Pia

    2016-01-01

    Purpose: Enterprise social media platforms provide new ways of sharing knowledge and communicating within organizations to benefit from the social capital and valuable knowledge that employees have. Drawing on social dilemma and self-determination theory, the aim of the study is to understand what...... factors drive employees’ participation and what factors hamper their participation in enterprise social media. Design/methodology/approach: Based on a literature review, a unified research model is derived integrating demographic, individual, organizational and technological factors that influence...... knowledge sharing framework helps to understand what factors impact engagement on social media. Furthermore the article suggests different types of interventions to overcome the social dilemma of knowledge sharing. Originality/value: The study contributes to an understanding of factors leading...

  16. Investigating important factors influencing purchasing from chains

    Directory of Open Access Journals (Sweden)

    Naser Azad

    2012-04-01

    Full Text Available In this paper, we survey important factors, influencing customers to buy more from one of well known food market operating in capital city of Iran named Shahrvand. The survey studies the effects of six factors including customer's perception, persuasive factors, brand, customers' expectations, product's characteristics and special features of store on attracting more customers. We have distributed questionnaire among 196 customers who regularly visit stores and analyzed details of the data. The results indicate that customers' perception is the most important item, which includes eight components. Years of experience is the most important item in our survey followed by impact of color and working hours. Diversity of services is another factor, which plays the most important role followed by quality of services. Next, fidelity and brand are other most important factors and the name of store and risk are in lower degree of importance.

  17. Factor analysis of the Hospital Anxiety and Depression Scale from a large cancer population.

    Science.gov (United States)

    Smith, Adam B; Selby, Peter J; Velikova, Galina; Stark, Dan; Wright, E Penny; Gould, Ann; Cull, Ann

    2002-06-01

    The Hospital Anxiety and Depression Scale (HADS) is widely used as a tool for assessing psychological distress in patients and non-clinical groups. Previous studies have demonstrated conflicting results regarding the factor structure of the questionnaire for different groups of patients, and the general population. This study investigated the factor structure of the HADS in a large heterogeneous cancer population of 1474 patients. It also sought to investigate emerging evidence that the HADS conforms to the tripartite model of anxiety and depression (Clark & Watson, 1993), and to test the proposal that detection rates for clinical cases of anxiety and depression could be enhanced by partialling out the effects of higher order factors from the HADS (Dunbar et al., 2000). The results demonstrated a two-factor structure corresponding to the Anxiety and Depression subscales of the questionnaire. The factor structure remained stable for different subgroups of the sample, for males and females, as well as for different age groups, and a subgroup of metastatic cancer patients. The two factors were highly correlated (r =.52) and subsequent secondary factor analyses demonstrated a single higher order factor corresponding to psychological distress or negative affectivity. We concluded that the HADS comprises two factors corresponding to anhedonia and autonomic anxiety, which share a common variance with a primary factor namely psychological distress, and that the subscales of the HADS, rather than the residual scores (e.g. Dunbar et al., 2000) were more effective at detecting clinical cases of anxiety and depression.

  18. Action mechanisms of a new erythrocyte-derived depressing factor

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    To investigate the action mechanisms of a new erythrocyte-derived depressing factor (EDDF), the focus is placed on the effect of EDDF on both cytosolic and nuclear free calcium (Ca2+) transportation in vascular smooth muscle cell (VSMC), as well as the apoptosis and cell cycle of VSMC of rats. EDDF has been extracted from human erythrocytes. The changes of Ca2+ levels in cytoplasm ([Ca2+]i) and nucleus ([Ca2+]n) have been observed using a laser scanning confocal microscope together with fluo-3/AM as a calcium indicator. Flow cytometric technique was used to study the effect of EDDF on cell cycle and apoptosis of VSMC. [Ca2+]i and [Ca2+]n were significantly decreased through several different pathways: (ⅰ) it reduced the Ca2+ influx by blocking L-type voltage-dependent calcium channel (L-VDC) and R-type voltage-dependent calcium channel (R-VDC); (ⅱ) it inhibited the Ca2+ release from inositol 1, 4, 5-trisphosphate (IP3) sensitive calcium store; and (ⅲ) activated Ca2+-ATPase of sarcoplasmic reticulum (SR) and promoted the transportation of Ca2+ from cytoplasm to SR. However, EDDF seemed to have little inhibitory effect on the Ca2+ release from ryonodine sensitive calcium pool. It was also found that EDDF (104 g/mL) significantly decreased the proportion of S phase of human umbilical vein (HUV) and inhibited the proliferation of VSMC induced by angiotensin Ⅱ (AngⅡ, 105 mol/L). The apopotosis did not occur when VSMC was cultured under normal condition. While VSMC apoptosis was induced by AngII (10-5 mol/L) and EDDF (104 g/mL) seemed to have little effect on it. The inhibitory effect of EDDF on the elevation of [Ca2+]i and [Ca2+]n of VSMC might play an essential role in its action mechanisms and the ways it affects the Ca2+ handling of VSMC demonstrate that EDDF was different from other endogenous blood pressure regulators and some known antihypertensive drugs. EDDF could inhibit the proliferation of VSMC, which indicated that it might be beneficial to the

  19. Serum brain-derived neurotrophic factor levels and personality traits in patients with major depression

    OpenAIRE

    Nomoto, Hiroshi; Baba, Hajime; Satomura, Emi; Maeshima, Hitoshi; Takebayashi, Naoko; Namekawa, Yuki; Suzuki, Toshihito; Arai, Heii

    2015-01-01

    Background Brain-derived neurotrophic factor (BDNF) is a member of the neurotrophin family of growth factors. Previous studies have demonstrated lower serum BDNF levels in patients with major depressive disorder (MDD) and reported an association between BDNF levels and depression-related personality traits in healthy subjects. The aim of the present study was to explore for a possible association between peripheral BDNF levels and personality traits in patients with MDD. Methods In this cross...

  20. Influencing factors of mental health of medical students in China.

    Science.gov (United States)

    Yang, Fan; Meng, Heng; Chen, Hui; Xu, Xin-hao; Liu, Zhuo; Luo, Ai; Feng, Zhan-chun

    2014-06-01

    This study investigated the mental health status of medical students in China, and analyzed the influencing factors in order to provide evidence for mental health education for medical students. A stratified cluster sampling method was used to recruit medical students from Huazhong University of Science and Technology, China. The questionnaire survey on general information and Symptom Checklist 90 (SCL-90) were used for investigation and analysis. The results showed among the 1137 valid questionnaires, 278 (24.45%) participants had SCL-90 score ≥ 160. The top three mental problems of medical students were obsessive-compulsive disorder, interpersonal sensitivity and depression in terms of the factor score ≥ 2.5 and the number of participants who reflected on the diseases. The third-year medical students had the worst mental health status, and fifth-year medical students had the best mental health status. Students from rural area had more psychological problems than those from urban area; furthermore, students with high professional satisfaction, those who were the single child of the family, non-poor students, and those whose parents had high education level had better mental health status. It was concluded that the mental health of medical students is not optimistic in China. Medical students have some mental health problems of different degrees. Factors that influence the mental health of medical students include academic pressure, professional satisfaction level and family environment.

  1. FACTORS RELATING TO DEPRESSION AMONG OLDER PEOPLE LIVING IN CIMAHI, WEST JAVA PROVINCE, INDONESIA

    Directory of Open Access Journals (Sweden)

    Kiki Gustryanti

    2017-02-01

    Full Text Available Background: Depression is commonly found in older people. The prevalence of depression among older people, particularly in Indonesia is increasing worldwide. Objective: This study was aimed to identify the factors relating to depression among older people living in Cimahi, West Java Province, Indonesia. Method: A cross sectional design was used with a total of 267 older people aged from 60 to 79 years old. A multi-stage random sampling has been used in five Public Health Centers in Cimahi. The instruments comprised socio-demographic questionnaires, General Health Perceptions questionnaire, Chula Activities of Daily Living Index (CADLI, and Geriatric Depression Scale-15 (GDS-15. Data analysis was conducted using descriptive statistic, chi-square, and point-biserial. Results: The result revealed that 56.2% respondents was no depression and 43.8% respondents was depression. The results also showed that age, marital status, family history of depression, perceived health status, and activities of daily living was significant relationship with depression a mong older people (p<.01; p<.05. Conclusion: This finding can be used as a reference to implement new strategies to decrease depression among older people.

  2. A comparison of a single genetic factor, two stress factors, and one psychosocial coping factors as predictors of depression in an Australian community sammple

    Directory of Open Access Journals (Sweden)

    Sharpley, Christopher F.

    2014-12-01

    Full Text Available Aim. Although both have shown significant effects upon depression in clinical samples, no direct comparison has been reported of the relative power of psychological resilience and the short form of the serotonin transporter gene 5-HTTLPR as predictors of depression in a community sample. Material and methods. In a sample set by a priori power analysis, 67 adult females and 59 adult males were used to enable a comparison between a single genetic factor, childhood stressors, recent stressors, psychological resilience and depression. Results. None of genotype, childhood or recent stressors was significantly associated with depression scores, but resilience was a significant inverse predictor of depression scores and also of the presence of clinically significant depression. Discussion. These data suggest that measures of an individual’s ability to resist or recover from stress may be useful in assessing vulnerability to depression when used with ‘at risk’ individuals in everyday practice.

  3. Is Sickness Presenteeism a Risk Factor for Depression?

    DEFF Research Database (Denmark)

    Conway, Paul Maurice; Hogh, Annie; Rugulies, Reiner Ernst

    2014-01-01

    OBJECTIVE:: To examine the prospective association between sickness presenteeism (SP), that is, working while ill, and the onset of depression. METHODS:: We carried out a two-wave (2006 to 2008) questionnaire-based study among 1271 employees from 60 Danish workplaces. Sickness presenteeism...

  4. Is Military Deployment a Risk Factor for Maternal Depression?

    Science.gov (United States)

    2013-01-01

    Health Registry Team, including Anna Bukowinski, Connie DeScisciolo, Gia Gumbs, Sydney Lee, Carter Sevick, and Katherine Snell, from the Department...679–684. 39. Quevedo LA, Silva RA, Godoy R, et al. The impact of ma- ternal post-partum depression on the language development of children at 12 months

  5. Factors Predicting Rural Chinese Adolescents' Anxieties, Fears and Depression

    Science.gov (United States)

    Li, Huijun; Zhang, Ying

    2008-01-01

    This study examined age, gender, birth order and self-perceived level of achievement and popularity, as predictors of anxieties, fears and depression in Chinese adolescents. A sample of 398 rural Chinese adolescents participated in this study. Gender, academic performance and popularity have been found to make the greatest contributions to the…

  6. Influence of organizational factors on safety

    Energy Technology Data Exchange (ETDEWEB)

    Haber, S.B.; Metlay, D.S.; Crouch, D.A.

    1990-01-01

    There is a need for a better understanding of exactly how organizational management factors at a nuclear power plant (NPP) affect plant safety performance, either directly or indirectly, and how these factors might be observed, measured, and evaluated. The purpose of this research project is to respond to that need by developing a general methodology for characterizing these organizational and management factors, systematically collecting information on their status and integrating that information into various types of evaluative activities. Research to date has included the development of the Nuclear Organization and Management Analysis Concept (NOMAC) of a NPP, the identification of key organizational and management factors, and the identification of the methods for systematically measuring and analyzing the influence of these factors on performance. Most recently, two field studies, one at a fossil fuel plant and the other at a NPP, were conducted using the developed methodology. Results are presented from both studies highlighting the acceptability, practicality, and usefulness of the methods used to assess the influence of various organizational and management factors including culture, communication, decision-making, standardization, and oversight. 6 refs., 3 figs., 1 tab.

  7. Factors Influencing Colorectal Cancer Screening Participation

    Directory of Open Access Journals (Sweden)

    Antonio Z. Gimeno García

    2012-01-01

    Full Text Available Colorectal cancer (CRC is a major health problem worldwide. Although population-based CRC screening is strongly recommended in average-risk population, compliance rates are still far from the desirable rates. High levels of screening uptake are necessary for the success of any screening program. Therefore, the investigation of factors influencing participation is crucial prior to design and launches a population-based organized screening campaign. Several studies have identified screening behaviour factors related to potential participants, providers, or health care system. These influencing factors can also be classified in non-modifiable (i.e., demographic factors, education, health insurance, or income and modifiable factors (i.e., knowledge about CRC and screening, patient and provider attitudes or structural barriers for screening. Modifiable determinants are of great interest as they are plausible targets for interventions. Interventions at different levels (patient, providers or health care system have been tested across the studies with different results. This paper analyzes factors related to CRC screening behaviour and potential interventions designed to improve screening uptake.

  8. Organizational factors and depression management in community-based primary care settings

    Directory of Open Access Journals (Sweden)

    Kilbourne Amy M

    2009-12-01

    Full Text Available Abstract Background Evidence-based quality improvement models for depression have not been fully implemented in routine primary care settings. To date, few studies have examined the organizational factors associated with depression management in real-world primary care practice. To successfully implement quality improvement models for depression, there must be a better understanding of the relevant organizational structure and processes of the primary care setting. The objective of this study is to describe these organizational features of routine primary care practice, and the organization of depression care, using survey questions derived from an evidence-based framework. Methods We used this framework to implement a survey of 27 practices comprised of 49 unique offices within a large primary care practice network in western Pennsylvania. Survey questions addressed practice structure (e.g., human resources, leadership, information technology (IT infrastructure, and external incentives and process features (e.g., staff performance, degree of integrated depression care, and IT performance. Results The results of our survey demonstrated substantial variation across the practice network of organizational factors pertinent to implementation of evidence-based depression management. Notably, quality improvement capability and IT infrastructure were widespread, but specific application to depression care differed between practices, as did coordination and communication tasks surrounding depression treatment. Conclusions The primary care practices in the network that we surveyed are at differing stages in their organization and implementation of evidence-based depression management. Practical surveys such as this may serve to better direct implementation of these quality improvement strategies for depression by improving understanding of the organizational barriers and facilitators that exist within both practices and practice networks. In addition

  9. Examining the Factor Structure of Anxiety and Depression Symptom Items Among Adolescents in Santiago, Chile.

    Science.gov (United States)

    Bares, Cristina B; Andrade, Fernando; Delva, Jorge; Grogan-Kaylor, Andrew

    2011-01-01

    The co-occurrence of emotional disorders among adolescents has received considerable empirical attention. This study aims to contribute to the understanding of co-occurring anxiety and depression by examining the factor structure of the Youth Self-Report used with a sample of low-income adolescents from Santiago, Chile. Data from two independent, randomly selected subsamples were analyzed using exploratory and confirmatory factor analyses. Results indicate the best fit for the data is a two-factor model of anxiety and depression symptoms, which factors anxiety and depression into separate latent constructs. Because the findings show that anxiety and depression are not measured by the same factor in this international sample, the results imply that a valid and useful distinction exists between these constructs. That these constructs are found to be separate factors suggests that anxiety and depression may have separate etiologies and consequences, which might be best addressed by separate intervention components. These findings are consistent with the viewpoint that anxiety and depression constructs have similar emotional features and, despite sharing a common underlying internalizing disorder, distinct items capture aspects of each construct.

  10. Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia.

    Science.gov (United States)

    Fadzil, Ariff; Balakrishnan, Kartini; Razali, Rosdinom; Sidi, Hatta; Malapan, Thinakaran; Japaraj, Robert Peter; Midin, Marhani; Nik Jaafar, Nik Ruzyanei; Das, Srijit; Manaf, Mohd Rizal Abdul

    2013-04-01

    Anxiety and depression are prevalent during pregnancy. Estimates of the prevalence of anxiety and depression during pregnancy vary according to the criteria used, variable methodologies and population characteristics. A cross-sectional survey design was used. A total of 175 antenatal mothers participated. Their socio-demographic and obstetric histories were recorded. The Hospital Anxiety and Depression Scale (HADS) and Mini International Neuropsychiatric Interview (M.I.N.I.) were used. The prevalence of anxiety and depression disorders among antenatal mothers using diagnostic clinical interview were 9.1% and 8.6%, respectively. Factors associated with antenatal anxiety were marital status (being unmarried), positive history of mental illness, gestational age (<20 weeks), unplanned pregnancy and depressive comorbidity. However, only gestational age of less than 20 weeks and depressive disorder remained significant factors in the multivariate analysis. The prevalence rate of antenatal depression detected by HADS screening was comparable to the rate from diagnostic interview, but there was a slight overestimation for antenatal anxiety. Nonetheless, HADS as a screening tool offers a practical solution for detecting these two conditions in a busy antenatal clinic or a large epidemiological survey. In view of the deleterious effects of antenatal anxiety and depression on mothers and children, these two conditions should be screened and managed appropriately. Copyright © 2013 Wiley Publishing Asia Pty Ltd.

  11. Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes

    Science.gov (United States)

    Wang, Xu; Shen, Biyu; Wang, Xueqin

    2017-01-01

    Aim. To assess the depressive symptoms status of chronic kidney diseases in Nantong, China, with type 2 diabetes and to identify factors associated with depressive symptoms. Methods. In this cross-sectional analytic study, 210 type 2 diabetic patients were recruited from the Second Affiliated Hospital of Nantong University. Depressive symptoms were assessed with the depression subscale of the Hospital Anxiety and Depression Scale (HAD-D). The quality of life was measured with the RAND 36-Item Health Survey (SF-36). And the independent risk factors of depressive symptoms were assessed by using a stepwise forward model of logistic regression analysis. Results. The mean age of the study subjects was 57.66 years (SD: 11.68). Approximately 21.4% of subjects reported depressive symptoms (n = 45). Forward stepwise logistic regression analysis showed that female gender (P = 0.010), hypertension (P = 0.022), Stage IV (P = 0.003), and Stage V (P hypertension are at a marked increased risk of depressive symptoms. Providing optimal care for the psychological health of this population is vital.

  12. Depression symptom trajectories and associated risk factors among adolescents in Chile.

    Directory of Open Access Journals (Sweden)

    Lexine A Stapinski

    Full Text Available Adolescence is a key period for studying the development of depression, with studies in Europe and North America showing a pattern of elevated risk that begins in early adolescence and continues to increase as adolescents age. Few studies have examined the course of adolescent depression and associated risk factors in low and middle-income countries. This longitudinal cohort study examined depression symptom trajectories and risk factors in a sample of socio-economically disadvantaged adolescents in Chile (n = 2,508. Data were collected over an 18-month period as part of a clinical trial for secondary students aged 12 to 18 (median age 14. Clinical levels of depression were prevalent in this sample at baseline (35% for girls and 28% for boys; yet latent growth models of symptom trajectories revealed a pattern of decreasing symptoms over time. There was evidence of an anxiety-depression developmental pathway for girls, with elevated anxiety levels initially predicting poorer depression outcomes later on. Poor problem-solving skills were associated with initial depression levels but did not predict the course of depressive symptoms. Critically, the declining symptom trajectories raise important methodological issues regarding the effects of repeated assessment in longitudinal studies.

  13. The prevalence and risk factors for depression symptoms in a rural Chinese sample population.

    Directory of Open Access Journals (Sweden)

    Xinghu Zhou

    Full Text Available BACKGROUND: It is essential to understand how we can prevent and treat the epidemic of depression. Several studies have reported the prevalence of depressive symptoms in the urban population in China, but there is a lack of information regarding the prevalence of depression in rural populations. OBJECTIVE: To understand the prevalence of depression in a rural Chinese population and to analyze the risk factors for depression. METHODS: This study used a cross-sectional approach. A total of 11,473 subjects were surveyed and completed the Patient Health Questionnaire-9 (PHQ-9 and the World Health Organization Quality of Life Brief scales. Living conditions, per capita income, marital status, and information about dietary health and chronic disease status were assessed. RESULTS: The prevalence of depressive symptoms in the population was 5.9%. The prevalence in women (8.1% was higher compared with men (3.5% and also increased with age. The per capita income level, amount of sleep obtained per day, education level, weekly consumption of meat and beans or bean products, salt intake, and chronic disease status were associated with depressive symptoms. The quality of life of individuals with a score less than 10 points on the PHQ-9 was significantly better compared with individuals with a score greater than 10. CONCLUSION: The prevalence of depressive symptoms among rural population is higher than some southern cities in China. Dietary patterns may be an important risk factor linked to this disorder in the Chinese rural population.

  14. Prevalence and Associated Factors of Depressive Symptoms among Chinese Underground Coal Miners

    Directory of Open Access Journals (Sweden)

    Li Liu

    2014-01-01

    Full Text Available Although underground coal miners are quite susceptible to depressive symptoms due to a highly risky and stressful working environment, few studies have focused on this issue. The purpose of the study was to evaluate the prevalence of depressive symptoms and to explore its associated factors in this population. A cross-sectional survey was conducted in a coal-mining population in northeast China. A set of self-administered questionnaires was distributed to 2500 underground coal miners (1,936 effective respondents. Depressive symptoms, effort-reward imbalance (ERI, overcommitment (OC, perceived physical environment (PPE, work-family conflict (WFC, and some demographic and working characteristics were measured anonymously. The prevalence of depressive symptoms was 62.8%, and the mean level was 20.00 (9.99. Hierarchical linear regression showed that marital status, education, monthly income, and weekly working time were significantly associated with depressive symptoms. A high level of depressive symptoms was significantly associated with high ERI, PPE, WFC, and OC. Accordingly, most Chinese underground coal miners probably have depressive symptoms that are mainly predicted by some occupational psychosocial factors. Efforts should be made to develop strategies to reduce ERI and OC, improve physical working environment, and care for workers’ family well-being, thereby mitigating the risk of depression among Chinese underground coal miners.

  15. Comorbidity of PTSD in anxiety and depressive disorders: prevalence and shared risk factors.

    Science.gov (United States)

    Spinhoven, Philip; Penninx, Brenda W; van Hemert, Albert M; de Rooij, Mark; Elzinga, Bernet M

    2014-08-01

    The present study aims to assess comorbidity of posttraumatic stress disorder (PTSD) in anxiety and depressive disorders and to determine whether childhood trauma types and other putative independent risk factors for comorbid PTSD are unique to PTSD or shared with anxiety and depressive disorders. The sample of 2402 adults aged 18-65 included healthy controls, persons with a prior history of affective disorders, and persons with a current affective disorder. These individuals were assessed at baseline (T0) and 2 (T2) and 4 years (T4) later. At each wave, DSM-IV-TR based anxiety and depressive disorder, neuroticism, extraversion, and symptom severity were assessed. Childhood trauma was measured at T0 with an interview and at T4 with a questionnaire, and PTSD was measured with a standardized interview at T4. Prevalence of 5-year recency PTSD among anxiety and depressive disorders was 9.2%, and comorbidity, in particular with major depression, was high (84.4%). Comorbidity was associated with female gender, all types of childhood trauma, neuroticism, (low) extraversion, and symptom severity. Multivariable significant risk factors (i.e., female gender and child sexual and physical abuse) were shared among anxiety and depressive disorders. Our results support a shared vulnerability model for comorbidity of anxiety and depressive disorders with PTSD. Routine assessment of PTSD in patients with anxiety and depressive disorders seems warranted.

  16. What factors contribute to the risk of depression in epilepsy?--Tasmanian Epilepsy Register Mood Study (TERMS).

    Science.gov (United States)

    Lacey, Cameron J; Salzberg, Michael R; D'Souza, Wendyl J

    2016-03-01

    To model the factors associated with depression in a community sample of people with epilepsy. The factors investigated were derived from proposed risk factors for depression from patients with epilepsy, other chronic illness, and the general population. Multivariate analysis using general linear regression models of factors associated with depression in the Tasmanian Epilepsy Register Mood Study (TERMS), a cross-sectional community sample of 440 patients with epilepsy. A model with acceptable fit was created that explained 66% of the variance of depression. Associated factors included in this model were neuroticism, physical functioning, social support, past history of depression, and stressful life events. In this cross-sectional study designed specifically to investigate depression in epilepsy, we showed that general risk factors for depression in other illness and in the general population are also important in patients with epilepsy, with little support for disease-related risk factors. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  17. Study on health-related quality of life and its influencing factors in patients with different types post-stroke depression%不同临床类型脑卒中后抑郁症患者健康相关生存质量及其影响因素

    Institute of Scientific and Technical Information of China (English)

    郝贵峰; 李修奎; 胡晋怀; 张继香; 王师华; 季涛; 刘伟; 吕晶

    2012-01-01

    目的 探讨不同临床类型脑卒中后抑郁症(post-stroke depression,PSD)患者健康相关生存质量(health-related quality of life,HRQOL)及其影响因素.方法 筛选在临沂市人民医院康复科住院康复期首发缺血性脑卒中患者203例(单纯脑卒中患者105例,PSD患者98例)进行问卷测试.将患者依据临床类型分为4组,完全前循环梗死(TACI)组62例,部分前循环梗死(PACI)组58例,后循环梗死(POCI)组55例,腔隙性梗死(LACI)组28例.结果 (1)PSD发生率:PSD总体发生率为48.28%;TACI组、PACI组、POCI组和LACI组PSD发生率分别为56.45%、53.45%、47.27%和21.43%,组间差异具有显著性(x2=10.386;P =0.016);(2)PSD患者和单纯脑卒中患者除上肢功能和视力无显著性差异外,HRQOL其他各项因子及整体差异具有显著性(P<0.05或P<0.01);(3)4种不同临床类型PSD患者的HRQOL,除上肢功能和视力外,其他各项因子及总得分差异均有显著性(P<0.05或P<0.01);(4)在PSD患者中,女性、未婚或丧偶、高中以上文化程度、农村、家庭月收入<2000元和由护工照顾的患者较相应对照组患者及神经功能缺损程度越高和抑郁程度越严重的患者HRQOL明显差(P<0.05或P<0.01).结论 PSD发生率较高,不同临床类型脑卒中患者PSD发生率显著不同;PSD患者较单纯脑卒中患者HRQOL明显差;不同临床类型PSD患者HRQOL不同;女性、未婚或丧偶、高中以上文化程度、来自农村、家庭月收入<2000元、神经功能缺损程度越高、由护工照顾及抑郁程度越重等是影响PSD患者HRQOL的不利因素.%Objective To investigate the health-related quality of life (HRQOL) and its influencing factors in patients with different clinical-types post-stroke depression (PSD). Methods 203 patients with first-episode ischemic stroke in rehabilitation department of people's hospital of linyi city were divided into total anterior circulation infarct group

  18. Influence of Social Support on Older Adults with Cognitive Impairment, Depressive Symptoms, or Both Coexisting

    Science.gov (United States)

    Millan-Calenti, Jose C.; Sanchez, Alba; Lorenzo-Lopez, Laura; Cao, Ricardo; Maseda, Ana

    2013-01-01

    The influence of social support dimensions (the extent of contact with others, the satisfaction with contacts, and the availability of help if sick or disabled) in elderly people with cognitive impairment (COG), depressive symptoms (DEP), or the co-occurrence of these symptoms (COG-DEP) was assessed in a cross-sectional analysis of a…

  19. Shared Genetic Influences on Negative Emotionality and Major Depression/Conduct Disorder Comorbidity

    Science.gov (United States)

    Tackett, Jennifer L.; Waldman, Irwin D.; Van Hulle, Carol A.; Lahey, Benjamin B.

    2011-01-01

    Objective: To investigate whether genetic contributions to major depressive disorder and conduct disorder comorbidity are shared with genetic influences on negative emotionality. Method: Primary caregivers of 2,022 same- and opposite-sex twin pairs 6 to 18 years of age comprised a population-based sample. Participants were randomly selected across…

  20. INFLUENCE OF PERSONALITY ON THE OUTCOME OF TREATMENT IN DEPRESSION : SYSTEMATIC REVIEW AND META-ANALYSIS

    NARCIS (Netherlands)

    Newton-Howes, Giles; Tyrer, Peter; Johnson, Tony; Mulder, Roger; Kool, Simone; Dekker, Jack; Schoevers, Robert

    2014-01-01

    There continues to be debate about the influence of personality disorder on the outcome of depressive disorders and is relative interactions with treatment. To determine whether personality disorder, both generically and in terms of individual clusters, leads to a worse outcome in patients with depr

  1. Influence of Electro-Acupuncture on the Side Effects of Fluoxetine on Depression Patients

    Institute of Scientific and Technical Information of China (English)

    LIU Lan-ying; LU Qian; WANG Ling-ling; WANG Xin-zhong

    2009-01-01

    The authors set up two groups, the treatment group and the control group, to observe the influence of electro-acupuncture on the side effects produced by fluoxetine in the treatment of depression. The result showed that electro-acupuncture had a certain action in reducing the side effects of fluoxetine and it is more effective along with the prolonging of the administration duration.

  2. Common Genetic and Environmental Influences on Major Depressive Disorder and Conduct Disorder

    Science.gov (United States)

    Subbarao, Anjali; Rhee, Soo Hyun; Young, Susan E.; Ehringer, Marissa A.; Corley, Robin P.; Hewitt, John K.

    2008-01-01

    The evidence for common genetic and environmental influences on conduct disorder (CD) and major depressive disorder (MDD) in adolescents was examined. A sample of 570 monozygotic twin pairs, 592 dizygotic twin pairs, and 426 non-twin siblings, aged 12-18 years, was recruited from the Colorado Twin Registry. For the past year data, there was a…

  3. Shared Genetic Influences on Negative Emotionality and Major Depression/Conduct Disorder Comorbidity

    Science.gov (United States)

    Tackett, Jennifer L.; Waldman, Irwin D.; Van Hulle, Carol A.; Lahey, Benjamin B.

    2011-01-01

    Objective: To investigate whether genetic contributions to major depressive disorder and conduct disorder comorbidity are shared with genetic influences on negative emotionality. Method: Primary caregivers of 2,022 same- and opposite-sex twin pairs 6 to 18 years of age comprised a population-based sample. Participants were randomly selected across…

  4. Influences on loneliness, depression, sexual-risk behaviour and suicidal ideation among Thai transgender youth.

    Science.gov (United States)

    Yadegarfard, Mohammadrasool; Ho, Robert; Bahramabadian, Fatemeh

    2013-01-01

    This study examined the influence of age, education level and number of sex partners on levels of loneliness, depression, suicidal ideation and sexual-risk behaviour in Thai male-to-female transgender youth. A total of 190 participants filled in the study's questionnaire, designed to tap the primary variables of age, level of education, number of sex partners, loneliness, depression, suicidal ideation and sexual-risk behaviour. Results reveal that level of education has a significant influence on depression and loneliness, the number of sex partners has a significant influence on sexual-risk behaviour and suicidal ideation and age has a significant influence on sexual-risk behaviour and suicidal ideation. Participants with higher levels of education reported more loneliness than participants who did not graduate from high school. In addition, participants who did not graduate from high school reported more depression than participants with some university credit. Furthermore, participants aged 15 to 19 years, compared with those of 20 to 25 years, reported higher level of sexual-risk behaviour and higher levels of suicidal ideation.

  5. Influence of Social Support on Older Adults with Cognitive Impairment, Depressive Symptoms, or Both Coexisting

    Science.gov (United States)

    Millan-Calenti, Jose C.; Sanchez, Alba; Lorenzo-Lopez, Laura; Cao, Ricardo; Maseda, Ana

    2013-01-01

    The influence of social support dimensions (the extent of contact with others, the satisfaction with contacts, and the availability of help if sick or disabled) in elderly people with cognitive impairment (COG), depressive symptoms (DEP), or the co-occurrence of these symptoms (COG-DEP) was assessed in a cross-sectional analysis of a…

  6. Influence of depressive mood on quality of life ratings of women with epilepsy of childbearing age.

    Science.gov (United States)

    Todorova, Koraliya S; Kaprelyan, Ara G

    2013-01-01

    Depressive disorders are the most frequent psychiatric comorbidity in epilepsy. Depressive mood affects negatively quality of life (QOL) ratings, sometimes having greater impact than seizure-related variables. Women with epilepsy are a specific subgroup at risk of comorbid depression in consequence of certain biopsychosocial demands. The AIM of this study was to assess the relative contribution of mood, seizure-related and demographic variables on QOL scores in women with epilepsy of childbearing age. A psychiatric assessment was carried out of 65 women with epilepsy (aged 18-55, mean 37.23 +/- 11.83 yrs). Comorbid depressive disorder was diagnosed according to ICD-10 criteria. Its severity was evaluated on the Hamilton Depression Rating Scale (HAMD-17). A questionnaire for demographic and seizure-related variables was completed. Two self-assessment questionnaires were administered: the Seizure Severity Questionnaire (SSQ) and the Quality of Life in Epilepsy Inventory-31 (QOLIE-31). The data were analysed using SPSS for Windows (version 17.0). Univariate correlation and multiple stepwise regression analyses were performed to explore the association between possible prognostic variables (independent variables) and QOLIE-31 overall and subscale scores (dependent variables). Analysis showed that demographic factors: employment and education; seizure-related factors: seizure severity, seizure frequency, antiepileptic drug therapy and comorbid depressive disorder were the variables significantly associated with QOLIE-31 overall score (p Paying attention to the psychological needs of women with epilepsy will have a positive effect on their QOL.

  7. Factors influencing the feasibility of laparoscopy colectomy

    Institute of Scientific and Technical Information of China (English)

    He Zhiyun; Zhang Zhongtao

    2014-01-01

    Objective The objective was to review the factors affecting the feasibility of performing successful laparoscopic colectomy.Data sources The literatures about the risk factors closely related to the ability to perform laparoscopic colectomy on different surgical diseases of the colon cited in this review were obtained from PubMed published in English from 2006 to 2012.Study selection Original articles regarding the risk factors that affect the ability to perform laparoscopic colectomy were selected.Results Obesity,diabetes,inflammatory bowel diseases,advanced age,emergency operation,and pelvic anatomy are all important risk factors that increase the risk of developing serious complications such as hemorrhage,anastomotic leak,and skin and soft tissue infections following laparoscopic colectomy.These factors also increase the likelihood of conversion to an open operation.In this study,we reviewed the recent original articles about the relationship of laparoscopic colectomy with these risk factors.We also describe some strategies that limit the likelihood of these complications and the likelihood of conversion to an open operation.Conclusions Obesity,diabetes,inflammatory bowel diseases,age,emergency operation,and pelvic anatomy are all important risk factors that increase the risk of either serious complications or conversion to open operation with laparoscopic colectomy.Evaluation of these risk factors preoperatively should influence the decision to perform colectomy using laparoscopic techniques.

  8. Factors influencing behavior in the forced swim test.

    Science.gov (United States)

    Bogdanova, Olena V; Kanekar, Shami; D'Anci, Kristen E; Renshaw, Perry F

    2013-06-13

    The forced swim test (FST) is a behavioral test in rodents which was developed in 1978 by Porsolt and colleagues as a model for predicting the clinical efficacy of antidepressant drugs. A modified version of the FST added the classification of active behaviors into swimming and climbing, in order to facilitate the differentiation between serotonergic and noradrenergic classes of antidepressant drugs. The FST is now widely used in basic research and the pharmaceutical screening of potential antidepressant treatments. It is also one of the most commonly used tests to assess depressive-like behavior in animal models. Despite the simplicity and sensitivity of the FST procedure, important differences even in baseline immobility rates have been reported between different groups, which complicate the comparison of results across studies. In spite of several methodological papers and reviews published on the FST, the need still exists for clarification of factors which can influence the procedure. While most recent reviews have focused on antidepressant effects observed with the FST, this one considers the methodological aspects of the procedure, aiming to summarize issues beyond antidepressant action in the FST. The previously published literature is analyzed for factors which are known to influence animal behavior in the FST. These include biological factors, such as strain, age, body weight, gender and individual differences between animals; influence of preconditioning before the FST: handling, social isolation or enriched environment, food manipulations, various kinds of stress, endocrine manipulations and surgery; schedule and routes of treatment, dosage and type of the drugs as well as experimental design and laboratory environmental effects. Consideration of these factors in planning experiments may result in more consistent FST results.

  9. Factors associated with higher levels of depressive symptoms among international university students in the Philippines.

    Science.gov (United States)

    Lee, Romeo B; Maria, Madelene Sta; Estanislao, Susana; Rodriguez, Cristina

    2013-11-01

    Over the years, the number of international university students has been increasing in the Philippines. Depression tends to be common among this demographic sector, because of the varying challenges and expectations associated with studying abroad. Depression can be prevented if its symptoms, particularly those at higher levels, are identified and addressed early and effectively. This survey examined the social and demographic factors that are significantly associated with higher levels of depressive symptoms. One hundred twenty-six international university students were interviewed using the University Students Depression Inventory. Of the 13 factors analyzed, 3 were found with statistically significant associations with more intense levels of depressive symptoms. These factors were: level of satisfaction with one's financial condition, level of closeness with parents, and level of closeness with peers. In identifying international students with greater risk for depression, characteristics related to their financial condition and primary group relationships can be considered. There is a need to carry out more studies to confirm this initial evidence. The findings can help guide further discourse, research and program to benefit international students with higher levels of depressive symptoms.

  10. Factors Influencing Tacit Knowledge in Construction

    Directory of Open Access Journals (Sweden)

    Jawahar Nesan

    2012-11-01

    Full Text Available Increased complexity of the construction business and consequentuse of new management concepts and technologies ledconstruction organisations to focus more on the transfer of explicitknowledge. However, it is the tacit knowledge that determinesthe construction companies’ competitiveness in a business thatis driven by turbulent market conditions and customers’ everincreasingdemands. This paper highlights the importance of tacitknowledge sharing in construction, explores the challenges andopportunities to efficiently share tacit knowledge, and based on theliterature review identifies some critical factors that influence tacitknowledge in construction. It is argued that employees’ knowledgesharing (learning behaviours are influenced by work practices thatare borne by respective organisational behaviours. Organisational,cultural, and project characteristics that facilitate knowledgesharing among construction employees are explored and thepractices that influence the construction employee behaviour insharing tacit knowledge are highlighted.

  11. Factors Influencing Tacit Knowledge in Construction

    Directory of Open Access Journals (Sweden)

    Jawahar Nesan

    2012-11-01

    Full Text Available Increased complexity of the construction business and consequentuse of new management concepts and technologies ledconstruction organisations to focus more on the transfer of explicitknowledge. However, it is the tacit knowledge that determinesthe construction companies’ competitiveness in a business thatis driven by turbulent market conditions and customers’ everincreasingdemands. This paper highlights the importance of tacitknowledge sharing in construction, explores the challenges andopportunities to efficiently share tacit knowledge, and based on theliterature review identifies some critical factors that influence tacitknowledge in construction. It is argued that employees’ knowledgesharing (learning behaviours are influenced by work practices thatare borne by respective organisational behaviours. Organisational,cultural, and project characteristics that facilitate knowledgesharing among construction employees are explored and thepractices that influence the construction employee behaviour insharing tacit knowledge are highlighted.

  12. Microencapsulation techniques, factors influencing encapsulation efficiency.

    Science.gov (United States)

    Jyothi, N Venkata Naga; Prasanna, P Muthu; Sakarkar, Suhas Narayan; Prabha, K Surya; Ramaiah, P Seetha; Srawan, G Y

    2010-05-01

    Microencapsulation is one of the quality preservation techniques of sensitive substances and a method for production of materials with new valuable properties. Microencapsulation is a process of enclosing micron-sized particles in a polymeric shell. There are different techniques available for the encapsulation of drug entities. The encapsulation efficiency of the microparticle or microsphere or microcapsule depends upon different factors like concentration of the polymer, solubility of polymer in solvent, rate of solvent removal, solubility of organic solvent in water, etc. The present article provides a literature review of different microencapsulation techniques and different factors influencing the encapsulation efficiency of the microencapsulation technique.

  13. Factors Influencing Consumer Behavior of Smartphone Users

    OpenAIRE

    Nagarkoti, Bishal

    2014-01-01

    The aim of the study is to know about the factors influencing consumer behavior of Smartphone users. Under this study, the main focus is to identify whether Smartphone users buy Smartphone because of their need or wish, reasons to buy expensive smart phones, how social and personal factors affect them to make purchasing decision, for what purposes they use Smartphone, where and how long a day, change in usage of com-puters due to Smartphone and how high is the phone bill after using Smartphon...

  14. FACTORS INFLUENCING BENDING RIGIDITY OF SUBMERGED VEGETATION

    Institute of Scientific and Technical Information of China (English)

    WU Long-hua; YANG Xiao-li

    2011-01-01

    The bending rigidity of submerged vegetation is closely related with vegetative drag force.This work aims at determining the effects of flow conditions and characteristics of vegetation on the bending rigidity of submerged vegetation.Based on the dimensional analysis method,the factors influencing the bending rigidity of individual submerged vegetation were analyzed.The relationship between the relative bending rigidity and its influencing factors was investigated by experimental observation,and a relative bending rigidity expression for submerged vegetation was obtained by means of multiple linear regression method.The results show that the submerged vegetation has three states under different inflow conditions,and the each critical relative bending rigidity of individual submerged vegetation was determined for the different states of submerged vegetation.

  15. Investigating different factors influencing on brand equity

    Directory of Open Access Journals (Sweden)

    Afsane Zamanimoghadam

    2014-07-01

    Full Text Available The purpose of this paper is to determine and prioritize factors influencing on brand equity in consumer’s point of view for a case study of Samsung appliance consumers in city of Tehran, Iran. The study investigates the effects of four factors in terms of the customer's perspective, price, advertisement, family and brand image, by dimensions of brand equity, perceived quality, brand awareness, brand association, brand loyalty, on brand equity. The research method is based on a descriptive-survey research. The questionnaire includes Samsung consumers in city of Tehran, Iran. To test the hypotheses, SPSS and LISREL software packages are used. For data analysis, descriptive statistics and inferential statistical tests including structural equation modeling and path analysis are used. The results of the survey have indicated that family and brand image influence positively on brand equity but the effects of advertisement and price on brand equity were not confirmed.

  16. Incidence and predictive factors of depressive symptoms in Alzheimer's disease: the REAL.FR study.

    Science.gov (United States)

    Arbus, C; Gardette, V; Cantet, C E; Andrieu, S; Nourhashémi, F; Schmitt, L; Vellas, B

    2011-08-01

    Many patients develop psychiatric and behavioral disturbances in the course of Alzheimer's disease (AD). Among these disturbances, depressive symptoms are frequent and affect nearly 40% of patients. The natural history and course of such symptoms in AD, and in particular the predictive factors, are little known. We studied the incidence and risk factors for the development of the first depressive symptoms in AD. Multicenter prospective study. Three hundred twelve AD patients from the French Network on AD (REAL.FR) without depression and without antidepressant treatment at baseline were followed up and assessed every 6 months for 4 years. During follow-up, all events occurring between two visits were carefully recorded. We used the Neuropsychiatric Inventory (NPI) for comprehensive evaluation of behavioral and psychological symptoms and depressive symptoms in particular. A multivariate analysis was performed using a backward stepwise Cox proportional hazards model. The incidence of depressive symptoms was 17.45% person/years, 95%CI (13.88-21.02). Among non-time dependent variables, duration of disease (RR=0.51; 95%CI: 0.30-0.85, p=0.0102) and the number of comorbid conditions (RR=0.45; 95%CI: 0.24-0.83, p=0.0115) were protective factors against the development of depressive symptoms. Agitation/aggression (RR=1.96; 95%CI: 1.19-3.23, p=0.0078) and sleep disturbances (RR=2.65; 95%CI: 1.40-5.00, p=0.0026) were time-dependent variables predictive of depressive symptoms. Better knowledge of predictive factors of mood disturbances in AD will enable clinicians to set up appropriate management of their patients. As published longitudinal studies are few, further works should be carried out to improve knowledge of the pattern and course of depression and depressive symptoms in AD.

  17. The association between major depressive disorder in childhood and risk factors for cardiovascular disease in adolescence.

    Science.gov (United States)

    Rottenberg, Jonathan; Yaroslavsky, Ilya; Carney, Robert M; Freedland, Kenneth E; George, Charles J; Baji, Ildikó; Dochnal, Roberta; Gádoros, Júlia; Halas, Kitti; Kapornai, Krisztina; Kiss, Eniko; Osváth, Viola; Varga, Hedvig; Vetró, Agnes; Kovacs, Maria

    2014-02-01

    Depression in adults is associated with risk factors for cardiovascular disease (CVD). It is unclear, however, when the association between clinical depression and cardiac risk factors develops or how early in life this association can be detected. In an ongoing study of pediatric depression, we compared CVD risk factors including smoking, obesity, physical activity level, sedentary behavior, and parental history of CVD across three samples of adolescents: probands with established histories of childhood-onset major depressive disorder (n = 210), never-depressed siblings of probands (n = 195), and controls with no history of any major psychiatric disorder (n = 161). When assessed during adolescence, 85% of the probands were not in a major depressive episode. Nevertheless, at that assessment, probands had a higher prevalence of regular smoking (odds ratio [OR] = 12.54, 95% confidence interval [CI] = 4.36-36.12) and were less physically active than controls (OR = 0.59, CI = 0.43-0.81) and siblings (OR = 0.70, CI = 0.52-0.94) and had a higher rate of obesity than did controls (OR = 3.67, CI = 1.42-9.52). Parents of probands reported high rates of CVD (significantly higher than did parents of controls), including myocardial infarction and CVD-related hospitalization (ORs = 1.62-4.36, CIs = 1.03-15.40). Differences in CVD risk factors between probands and controls were independent of parental CVD. Major depression in childhood is associated with an unfavorable CVD risk profile in adolescence, and risks for pediatric depression and CVD may coincide in families. Effective prevention and treatment of childhood depression may be a means to reduce the incidence of adult CVD.

  18. Prenatal Exposure to Maternal Depression and Cortisol Influences Infant Temperament

    Science.gov (United States)

    Davis, Elysia Poggi; Glynn, Laura M.; Schetter, Christine Dunkel; Hobel, Calvin; Chicz-Demet, Aleksandra; Sandman, Curt A.

    2007-01-01

    Background: Accumulating evidence indicates that prenatal maternal and fetal processes can have a lasting influence on infant and child development. Results from animal models indicate that prenatal exposure to maternal stress and stress hormones has lasting consequences for development of the offspring. Few prospective studies of human pregnancy…

  19. [Socializing groups as protective factor against depression in elderly people. Barranquilla, Colombia].

    Science.gov (United States)

    Tuesca-Molina, Rafael; Fierro Herrera, Norma; Molinares Sosa, Alexandra; Oviedo Martínez, Fernando; Polo Arjona, Yesid; Polo Cueto, José; Sierra Manrique, Ivan

    2003-01-01

    The depression is a principal problem of public health. The principal aim of this study is to determine the role of the social groups as factor protective in elderly, to evaluate the agreement by American Psychiatric Association Criterions and Hamilton Depression test, and also to determine other socio-cultural risk factors associated with depressive syndrome in elderly. Cross-sectional survey. The sample consisted of 602 elderly people (eligible subjects) were men (223) and women (379) between 60 and 94 years (males and females), residents in the south-west of Barranquilla, Colombia. A previously tested, self answer questionnaire was used, therefore, we needed a report consent. Risk measures: Odds Ratio (OR-95% Confidence intervalue), Kappa test to agreement by the nine criteria of the American Psychiatric Association and Hamilton test so, screening testing. The participation in social groups was a protector factor. (Odds Ratio = 0.5; 95% CI 0.34-0.73, p = 0.001). The rate 29.9% was obtained with prevalence of depression in elderly (21.4%-39.4%) affecting principally males (32.7%). The agreement by Kappa test = 0.63 was very important or good. Sensibility = 56.1% (48.5%-63.4%) Specificity = 0.93% (97.8%-99.8%) and Predictive Positive Value = 97.1% (91.2%-99.3%). This survey was to determine risk factors related to depression in elderly in anyway can be potentially modifiable. The familiar disfunction by moderate and serious, the lack as blindness and deafness, the loneliness, the housingness and low incomes were obtained with risk factors associated to depression. The participation in a social group is a protective factor to depression syndrome in elders. The nine criteria of the American Psychiatric Association to allow the depressed patient exactly as sick even though is not necessary to screening because this test is low sensibility for used in a population elderly.

  20. Factors Influencing Impulse Buying in Retail Stores

    OpenAIRE

    Giorgadze, Nino

    2014-01-01

    Impulse buying is a widely pervasive phenomenon. Statistics shows that more and more shoppers are experiencing irresistible urge to purchase unplanned and in most cases unnecessary product. Existing researches fall short in identifying most suitable tools that marketers can adopt in order to promote impulsive sales. Therefore, this thesis provides deep analysis of those, controllable factors that influence impulse buying. Particularly four external cues are examined: product display, promotio...

  1. Major Factors influences the 2008 Stock Market

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ 2007 was an unusual year for China's stock market, as the index climbed from 2675 points up to 6124 by the end of the year, setting new records again and again throughout 2007. What will happen to the stock market in the coming 2008? Let's havea look at some of the main factors that will influence the stock market this year, perhaps we can find out if 2008 will be another memorable year full of surprises.

  2. Evaluation of the risk factors of depressive disorders comorbid with obstructive sleep apnea

    Directory of Open Access Journals (Sweden)

    Cai LQ

    2017-01-01

    Full Text Available Liqiang Cai,1 Luoyi Xu,1 Lili Wei,1 Yi Sun,2 Wei Chen1,3 1Department of Psychiatry, Sir Run Run Shaw Hospital, Collaborative Innovation Center for Brain Science, Zhejiang University School of Medicine, 2Department of Electroencephalogram, Sir Run Run Shaw Hospital, 3Key Laboratory of Medical Neurobiology, Chinese Ministry of Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China Objective: Overlap of obstructive sleep apnea (OSA complicates diagnosis of depressive disorder and renders antidepressant treatment challenging. Previous studies have reported that the incidence of OSA is higher in patients with depression than in the general population. The purpose of this article was to investigate clinical risk factors to predict OSA in depression disorders.Methods: A total of 115 patients diagnosed with major depressive disorder (MDD and bipolar disorder (in a major depressive episode, who underwent overnight polysomnography, were studied retrospectively. They were divided into two groups: non-OSA and OSA. The patients who had apnea–hypopnea index (AHI <5 were defined as the non-OSA group, whereas the OSA group was defined as those with an AHI ≥5. Logistic regression was used to analyze the association among AHI and clinical factors, including sex, age, body mass index (BMI, Hamilton Depression Rating Scale (HAMD, Hamilton Anxiety Rating Scale, Pittsburgh Sleep Quality Index (PSQI, and diagnosis (MDD or bipolar disorder [in a major depressive episode].Results: In 115 patients, 51.3% had OSA. Logistic regression analysis showed significant associations between AHI and diagnosis (MDD or bipolar disorder [in a major depressive episode], BMI, HAMD, and PSQI (P<0.05.Conclusion: The findings of our study suggested that the rate of depression being comorbid with OSA is remarkably high and revealed that there is a high rate of undetected OSA among depressive disorder patients and untreated OSA among mood

  3. Type 2 diabetes mellitus as a risk factor for the onset of depression

    DEFF Research Database (Denmark)

    Nouwen, Arie; Winkley, Kirsty; Twisk, Jos W R

    2010-01-01

    examined the association of diabetes and the onset of depression by reviewing the literature and conducting a meta-analysis of longitudinal studies on this topic. METHODS: EMBASE, MEDLINE and PsycInfo were searched for articles published up to September 2009. All studies that examined the relationship......AIMS/HYPOTHESIS: An earlier meta-analysis showed that diabetes is a risk factor for the development and/or recurrence of depression. Yet whether this risk is different for studies using questionnaires than for those relying on diagnostic criteria for depression has not been examined. This study...... between type 2 diabetes and the onset of depression were included. Pooled relative risks were calculated using fixed and random effects models. RESULTS: Eleven studies met our inclusion criteria for this meta-analysis. Based on the pooled data, including 48,808 cases of type 2 diabetes without depression...

  4. Factors influencing the eicosanoids synthesis in vivo.

    Science.gov (United States)

    Szefel, Jarosław; Kruszewski, Wiesław Janusz; Sobczak, Ewa

    2015-01-01

    External factors activate a sequence of reactions involving the reception, transduction, and transmission of signals to effector cells. There are two main phases of the body's reaction to harmful factors: the first aims to neutralize the harmful factor, while in the second the inflammatory process is reduced in size and resolved. Secondary messengers such as eicosanoids are active in both phases. The discovery of lipoxins and epi-lipoxins demonstrated that not all arachidonic acid (AA) derivatives have proinflammatory activity. It was also revealed that metabolites of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) such as resolvins, protectins, and maresins also take part in the resolution of inflammation. Knowledge of the above properties has stimulated several clinical trials on the influence of EPA and DHA supplementation on various diseases. However, the equivocal results of those trials prevent the formulation of guidelines on EPA and DHA supplementation. Prescription drugs are among the substances with the strongest influence on the profile and quantity of the synthesized eicosanoids. The lack of knowledge about their influence on the conversion of EPA and DHA into eicosanoids may lead to erroneous conclusions from clinical trials.

  5. Investigation of current status of depression,quality of life and influencing factors among men who have sex with men in Lianzhou%连州市男男性行为人群抑郁及生存质量现状及其影响因素

    Institute of Scientific and Technical Information of China (English)

    潘雪梅; 陈振波; 郑文娟; 黄金梅; 邓友良; 陈卓彤

    2016-01-01

    Objective To investigate current status of depressive symptoms and quality of life among men who have sex with men ( MSM) in Lianzhou;to analyze related influencing factors. Methods Respondent-driven sampling method was combine with snow-ball sampling and network recruiting methods to recruited MSM for questionnaire-based survey from Oct 2014 to Aug 2015. Results A total of 312 MSM were recruited with average age of (30. 53 ± 11. 52) years . The average score of depression was (16. 37 ± 8. 77) points, 159 MSM were confirmed to have depressive symptoms (accounting for 50. 96%). The depression rate was higher for MSM who had lower educational background, higher income , seeking male sexual partners in parks ,had female sexual partners , not using condoms in last 6 months or recent homosexual intercourse(all P<0. 05). The overall score of the quality of life was (14. 07 ± 1. 73) points, the scores for physiology , psychology, social relations and environment was (14. 98 ± 1. 95) points, (14. 01 ± 2. 42) points, (13. 73 ± 2. 56) points and (13. 46 ± 1. 98) points,respectively. Regression analysis showed that MSM who had first sexual inter-course younger than 20 years old, not covered by marriage or intervention service or with knowledge about HIV had higher quality of life. Conclusion Propaganda advocacy and intervention efforts should be enhanced, convenience and accessibility of testing services should be improved to promote quality of life of the MSM.%目的:了解连州市男男性行为者( MSM )抑郁症状及生存质量现状,分析相关影响因素。方法2014年10月-2015年8月,通过同伴推动法( RDS),结合“滚雪球法”、网络征幕等多种方法招募MSM,进行面对面的问卷调查。结果共招募312名MSM,平均年龄(30.53±11.52)岁,抑郁均分为(16.37±8.77)分,检出可能及肯定有抑郁症状159人(占50.96%);文化程度低、月收入高及寻找男性性伴的场所为公园类者

  6. A Review of Factors Influencing Health Inequalities

    Directory of Open Access Journals (Sweden)

    Hassan Almaspoor Khanghah

    2016-01-01

    Full Text Available ​Background and Objectives : Inequity in health is a universal term which is used for showing current differences, variations and inequalities of people in accessing to health services. The current study aimed to assess the factors influencing health inequalities to present the results to the researchers and health care professionals. Material and Methods : In this review, several databases including PubMed, Proquest, Scopus, Google Scholar search engine, SID and IranDoc were searched within 2000-2014 period. We found 746 articles and refined them step by step according to the aim of the study by reviewing the titles, abstracts and full texts. Finally, 16 articles were selected for further study Results: In the present study, identified determinants in health inequalities were as follows: 1- Economic and income factors 2- Political factors, social and public policy 3- Cultural and social values 4- social and demographic factors 5- Behavioral, psychological and biological factors. Although, other factors like governmental, international, social cohesion, incidents and even the health system itself were involved in health inequalities, but the listed determinants were among the most important determinants in health inequalities in the conducted studies. Conclusion : Given the importance of people's health and inequalities in health, the approach should focus on reducing the inequalities in all policies and development programs and the role of these factors should be taken into consideration by managers and policy-makers

  7. Decreased plasma brain-derived neurotrophic factor levels in institutionalized elderly with depressive disorder.

    Science.gov (United States)

    Chu, Chin-Liang; Liang, Chih-Kuang; Chou, Ming-Yueh; Lin, Yu-Te; Pan, Chih-Chuan; Lu, Ti; Chen, Liang-Kung; Chow, Philip C

    2012-06-01

    To compare the differences in plasma brain-derived neurotrophic factor (BDNF) levels among institutionalized ethnic Chinese elderly participants with major depression, those with subclinical depression, and a nondepressed control group. A cross-sectional study. The veterans' home in southern Taiwan. One hundred sixty-seven residents. Questionnaires including the Minimum Data Set Nursing Home 2.1, Chinese-language version, and the short-form Geriatric Depression Scale, Chinese-language version. Depressive disorder was diagnosed by a well-trained psychiatrist using DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision) criteria. We measured plasma BDNF levels in the following 3 groups: nondepressive subjects (n = 122), subclinically depressive subjects (n = 33), and subjects with major depression (n = 12). Plasma BDNF was assayed using the sandwich ELISA method. We noted a significantly negative association between age and plasma BDNF in the regression model. There was no significant correlation between BDNF plasma levels and body weight or platelet counts. We found that plasma BDNF was significantly lower in the major depressive group (mean, 115.1 pg/mL; SD, 57.2) than in the nondepressive group (mean, 548.8 pg/mL; SD, 370.6; P depressive group (mean, 231.8 pg/mL; SD, 92.4; P depressive disorder but also in those with subclinical depression. This makes the plasma BDNF level a potential biological marker for clinical or subclinical depression. Copyright © 2012 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

  8. Prevalence of and factors associated with poststroke depression: a Malaysian study.

    Science.gov (United States)

    Glamcevski, Mihajlo Tome; Pierson, Jane

    2005-01-01

    This study investigated the prevalence of depression 3-6 months poststroke and examined specific factors associated with depression in a stroke population of the University Malaya Medical Centre, Kuala Lumpur, Malaysia. It was hypothesised that poststroke depression (PSD) is prevalent in the poststroke population of University Hospital Malaysia and that PSD is significantly correlated with demographics, educational background, medical history, rehabilitation attendance, traditional medicine use, prestroke and poststroke activities, religiousness, activities of daily living, and social support. The study group comprised 80 patients admitted to the hospital with stroke of any etiology. Mean patient age was 56.8 years (standard deviation +/- 12.5 years). The results were derived by comparing the 80 stroke patients with 80 controls matched for age, sex, race, and medication use. Results were also derived from comparisons between depressed and nondepressed members of the stroke population (n = 80). The diagnosis of depression was based on the Zung Self-Rating Scale and confirmed by a psychiatrist, based on DSM-IV criteria. Interviews were conducted based on a 26-item questionnaire, modified Barthel Index, and Social Resources Scale were used to assess which factors correlated with depression. Depression was found to be common among Malaysians 3-6 months after stroke. A total of 66% of the patients were depressed, with depression considered mild in 51% and moderate to severe in 15%. It was demonstrated that the occurrence of depression was significantly correlated with age, ethnicity, noncontinuance of prestroke lifestyles, and poor performance in the activities of daily living rating.

  9. Acculturation and other risk factors of depressive disorders in individuals with Turkish migration backgrounds.

    Science.gov (United States)

    Janssen-Kallenberg, Hanna; Schulz, Holger; Kluge, Ulrike; Strehle, Jens; Wittchen, Hans-Ulrich; Wolfradt, Uwe; Koch-Gromus, Uwe; Heinz, Andreas; Mösko, Mike; Dingoyan, Demet

    2017-07-19

    Acculturation is a long-term, multi-dimensional process occurring when subjects of different cultures stay in continuous contact. Previous studies have suggested that elevated rates of depression among different migrant groups might be due to patterns of acculturation and migration related risk factors. This paper focused on prevalence rates of depressive disorders and related risk factors among individuals with Turkish migration backgrounds. A population-based sample of 662 individuals with Turkish migration backgrounds were interviewed by bilingual interviewers using a standardised diagnostic interview for DSM-IV-TR and ICD-10 diagnoses (CIDI DIA-X Version 2.8). Associations between 12-month prevalence rates of depressive disorders with potential risk factors were assessed, including gender, age, socioeconomic status, acculturation status and migration status. 12-month prevalence rates of any depressive disorder were 29.0%, 14.4% of major depressive disorder (MDD) and 14.7% of dysthymia. Older age and low socioeconomic status were most consistently related to higher risks of depressive disorders. Acculturation status showed associations with subtypes of depressive disorder. Associations differed between men and women. Symptom severity of MDD was linked to gender, with females being more affected by severe symptoms. The prevalence of depressive disorders is high in individuals with Turkish migration backgrounds, which can be partly explained by older age, low socioeconomic status and acculturation pressures. Only a limited number of risk factors were assessed. Acculturation in particular is a complex process which might not be sufficiently represented by the applied measures. Further risk factors have to be identified in representative samples of this migrant group.

  10. Prevalence, severity and risk factors for depressive symptoms and insomnia in college undergraduates.

    Science.gov (United States)

    Gress-Smith, Jenna L; Roubinov, Danielle S; Andreotti, Charissa; Compas, Bruce E; Luecken, Linda J

    2015-02-01

    Although the college years represent a high-risk period for depressive symptoms and insomnia, little research has explored their prevalence, comorbidities and risk factors within this developmental period. Two studies were conducted; the first evaluated the prevalence and comorbidity of depressive symptoms and insomnia in 1338 students (ages 18-23 years) from a large Southwestern University. Mild depressive symptoms were endorsed by 19% of students and 14.5% reported moderate to severe symptoms. Forty-seven percent of students reported mild insomnia and 22.5% endorsed moderate to severe insomnia severity. A second study investigated perceived stress as a potential mediator of the relation between self-reported childhood adversity and concurrent depressive symptoms and insomnia. Undergraduates (N = 447) from a Southwestern and Southeastern University reported prior childhood adversity, current perceived stress, insomnia and depressive symptoms. Self-reported childhood adversity predicted higher levels of depressive symptoms and insomnia severity, partially mediated by perceived stress. Results support the high prevalence of depressive symptoms and insomnia among undergraduates. The risk for depressive and insomnia symptoms may be increased among students who experienced greater levels of childhood adversity.

  11. Illiteracy, Financial Insecurity and Loneliness as Key Factors for Depression in Elderly Population of Punjab

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    R. Kaur

    2014-06-01

    Full Text Available Geriatric depression is a common phenomenon in most of the elderly people worldwide as they all experience the same range of normal emotions. Current study is an endeavor in this context as studies on geriatric depression in Punjabi population are not available at all. A total of 210 elderly people above 60 years of age willingly participated in this study. Demographic data was collected by personal interview (after taking written consent from subjects under study. Statistical computations revealed that 11.43% elderly people suffered from severe depression. The statistical t-value (2.49 shows that there are significant differences in depression score between the rural areas and urban areas elderly population. Differences in depression between rural areas and old age homes are non-significant (t-value of 0.20 and difference in depression scores between urban and old age homes are again significant with t-value of 2.29.Results concluded that elderly people living in old age homes and rural areas are more depressed as compared to urban areas residents. Financial insecurity, loneliness, widow(er hood and illiteracy are major contributing factors in geriatric depression in Punjabi population of India.

  12. Children's symptoms of posttraumatic stress and depression after a natural disaster: comorbidity and risk factors.

    Science.gov (United States)

    Lai, Betty S; La Greca, Annette M; Auslander, Beth A; Short, Mary B

    2013-03-20

    The current study examined rates of comorbidity among children's symptoms of posttraumatic stress (PTS) and depression after a natural disaster, Hurricane Ike. We also compared children with comorbid symptoms to children without comorbid symptoms, examining recovery, severity of symptoms, and risk factors. Children (n=277; 52% girls; 38% Hispanic, 28% White, 19% Black; grades 2-4) were assessed at 8 and 15 months postdisaster. Children completed measures of PTS and depressive symptoms at both time points and measures of exposure and recovery stressors at 8 months postdisaster. At 8 months postdisaster, 13% of children reported elevated PTS-only, 11% depression-only, and 10% comorbid symptoms of PTS and depression. At 15 months postdisaster, 7% of children reported elevated PTS-only, 11% depression-only, and 7% comorbid symptoms of PTS and depression. Children with comorbid symptoms of PTS and depression had poorer recovery, more severe symptoms, and they reported greater exposure and recovery stressors. We lacked information on children's predisaster functioning and diagnostic interview of psychological distress symptoms. Children with comorbid symptoms need to be identified early postdisaster. Levels of stressors should be monitored postdisaster, as highly stressed youth have difficulties recovering and may need help. Interventions should be tailored for children with comorbid symptoms of PTS and depression. Copyright © 2012 Elsevier B.V. All rights reserved.

  13. Disruption of Circadian Rhythms: A Crucial Factor in the Etiology of Depression

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    Roberto Salgado-Delgado

    2011-01-01

    Full Text Available Circadian factors might play a crucial role in the etiology of depression. It has been demonstrated that the disruption of circadian rhythms by lighting conditions and lifestyle predisposes individuals to a wide range of mood disorders, including impulsivity, mania and depression. Also, associated with depression, there is the impairment of circadian rhythmicity of behavioral, endocrine, and metabolic functions. Inspite of this close relationship between both processes, the complex relationship between the biological clock and the incidence of depressive symptoms is far from being understood. The efficiency and the timing of treatments based on chronotherapy (e.g., light treatment, sleep deprivation, and scheduled medication indicate that the circadian system is an essential target in the therapy of depression. The aim of the present review is to analyze the biological and clinical data that link depression with the disruption of circadian rhythms, emphasizing the contribution of circadian desynchrony. Therefore, we examine the conditions that may lead to circadian disruption of physiology and behavior as described in depressive states, and, according to this approach, we discuss therapeutic strategies aimed at treating the circadian system and depression.

  14. Overexpression of brain-derived neurotrophic factor in the hippocampus protects against post-stroke depression.

    Science.gov (United States)

    Chen, Hao-Hao; Zhang, Ning; Li, Wei-Yun; Fang, Ma-Rong; Zhang, Hui; Fang, Yuan-Shu; Ding, Ming-Xing; Fu, Xiao-Yan

    2015-09-01

    Post-stroke depression is associated with reduced expression of brain-derived neurotrophic factor (BDNF). In this study, we evaluated whether BDNF overexpression affects depression-like behavior in a rat model of post-stroke depression. The middle cerebral artery was occluded to produce a model of focal cerebral ischemia. These rats were then subjected to isolation-housing combined with chronic unpredictable mild stress to generate a model of post-stroke depression. A BDNF gene lentiviral vector was injected into the hippocampus. At 7 days after injection, western blot assay and real-time quantitative PCR revealed that BDNF expression in the hippocampus was increased in depressive rats injected with BDNF lentivirus compared with depressive rats injected with control vector. Furthermore, sucrose solution consumption was higher, and horizontal and vertical movement scores were increased in the open field test in these rats as well. These findings suggest that BDNF overexpression in the hippocampus of post-stroke depressive rats alleviates depression-like behaviors.

  15. Overexpression of brain-derived neurotrophic factor in the hippocampus protects against post-stroke depression

    Directory of Open Access Journals (Sweden)

    Hao-hao Chen

    2015-01-01

    Full Text Available Post-stroke depression is associated with reduced expression of brain-derived neurotrophic factor (BDNF. In this study, we evaluated whether BDNF overexpression affects depression-like behavior in a rat model of post-stroke depression. The middle cerebral artery was occluded to produce a model of focal cerebral ischemia. These rats were then subjected to isolation-housing combined with chronic unpredictable mild stress to generate a model of post-stroke depression. A BDNF gene lentiviral vector was injected into the hippocampus. At 7 days after injection, western blot assay and real-time quantitative PCR revealed that BDNF expression in the hippocampus was increased in depressive rats injected with BDNF lentivirus compared with depressive rats injected with control vector. Furthermore, sucrose solution consumption was higher, and horizontal and vertical movement scores were increased in the open field test in these rats as well. These findings suggest that BDNF overexpression in the hippocampus of post-stroke depressive rats alleviates depression-like behaviors.

  16. Overexpression of brain-derived neurotrophic factor in the hippocampus protects against post-stroke depression

    Institute of Scientific and Technical Information of China (English)

    Hao-hao Chen; Ning Zhang; Wei-yun Li; Ma-rong Fang; Hui Zhang; Yuan-shu Fang; Ming-xing Ding; Xiao-yan Fu

    2015-01-01

    Post-stroke depression is associated with reduced expression of brain-derived neurotrophic factor (BDNF). In this study, we evaluated whether BDNF overexpression affects depression-like behavior in a rat model of post-stroke depression. The middle cerebral artery was occluded to produce a model of focal cerebral ischemia. These rats were then subjected to isolation-housing combined with chronic unpredictable mild stress to generate a model of post-stroke depression. ABDNF gene lentiviral vector was injected into the hippocampus. At 7 days after injection, western blot assay and real-time quantitative PCR revealed that BDNF expression in the hippo-campus was increased in depressive rats injected with BDNF lentivirus compared with depressive rats injected with control vector. Furthermore, sucrose solution consumption was higher, and horizontal and vertical movement scores were increased in the open ifeld test in these rats as well. These ifndings suggest that BDNF overexpression in the hippocampus of post-stroke depressive rats alleviates depression-like behaviors.

  17. Disruption of circadian rhythms: a crucial factor in the etiology of depression.

    Science.gov (United States)

    Salgado-Delgado, Roberto; Tapia Osorio, Araceli; Saderi, Nadia; Escobar, Carolina

    2011-01-01

    Circadian factors might play a crucial role in the etiology of depression. It has been demonstrated that the disruption of circadian rhythms by lighting conditions and lifestyle predisposes individuals to a wide range of mood disorders, including impulsivity, mania and depression. Also, associated with depression, there is the impairment of circadian rhythmicity of behavioral, endocrine, and metabolic functions. Inspite of this close relationship between both processes, the complex relationship between the biological clock and the incidence of depressive symptoms is far from being understood. The efficiency and the timing of treatments based on chronotherapy (e.g., light treatment, sleep deprivation, and scheduled medication) indicate that the circadian system is an essential target in the therapy of depression. The aim of the present review is to analyze the biological and clinical data that link depression with the disruption of circadian rhythms, emphasizing the contribution of circadian desynchrony. Therefore, we examine the conditions that may lead to circadian disruption of physiology and behavior as described in depressive states, and, according to this approach, we discuss therapeutic strategies aimed at treating the circadian system and depression.

  18. The two-factor structure of sleep complaints and its relation to depression and anxiety.

    Science.gov (United States)

    Koffel, Erin; Watson, David

    2009-02-01

    Although sleep complaints are common in depression and anxiety, there is little agreement as to how they should be organized and assessed. It is also unclear whether sleep complaints show specificity with certain disorders or whether they are nonspecific symptoms. The authors examined the structure of sleep complaints and the relations of these complaints to depression and anxiety in 3 samples: college students, older adults, and psychiatric patients. Exploratory and confirmatory factor analyses indicated that sleep complaints consistently defined 2 distinct dimensions: Insomnia and Lassitude. The Insomnia factor included indicators of early, middle, and late insomnia, as well as poor sleep quality. The Lassitude factor included measures of hypersomnia, fatigue, and sleepiness. Both factors were significantly related to symptoms and diagnoses of depression and anxiety. However, Lassitude was more strongly related to symptoms of depression and anxiety than was Insomnia. In addition, Lassitude showed specificity to measures and diagnoses of depression compared with anxiety disorders. This specificity can be explained by Lassitude's relation with negative and positive emotionality, both of which are components of depression.

  19. Prevalence Rate and Risk Factors of Depression in Outpatients with Premature Ejaculation

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    Xiansheng Zhang

    2013-01-01

    Full Text Available The purpose of this study is to investigate the prevalence rate and risk factors of depression in outpatients who were diagnosed with PE. Therefore, between September 2009 and September 2011, 1801 outpatients at andrology clinics were enrolled and consented to participate in our survey by completed a verbal questionnaire. It included the following: (1 demographic data (e.g., age, body mass index, (2 PE duration, medical history, and sexual history, (3 self-estimated intravaginal ejaculatory latency times, (4 the Zung Self-rating Depression Scale (SDS, and (5 the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI and (6 the International Index of Erectile Function (IIEF-5. The results showed that a total of 1,206 patients were diagnosed with PE. The prevalence rate of depression in these PE patients was 26.78%. Depression was associated with PE duration, NIH-CPSI score, and IIEF-5 score. Risk factors for depression specifically included PE durations for 13–24, 25–60, or ≥61 months, CPSI scores of 15–30 or ≥31, and IIEF-5 scores <22. These findings suggested that several associated factors (PE duration, CPSI scores, and IIEF-5 scores were the risk factors of depression in men with PE.

  20. Depression.

    Science.gov (United States)

    McCarron, Robert M; Vanderlip, Erik R; Rado, Jeffrey

    2016-10-04

    This issue provides a clinical overview of depression, focusing on screening, diagnosis, treatment, and practice improvement. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic in collaboration with the ACP's Medical Education and Publishing divisions and with the assistance of additional science writers and physician writers.

  1. [The influence of 3-oxypyridine antioxidants on depression in patients with diabetes mellitus].

    Science.gov (United States)

    Volchegorskiĭ, I A; Mester, N V

    2007-01-01

    The authors studied the influence of 3-oxypyridine derivates (emoxypine and mexidol) on the degree of depressive symptoms in patients with diabetes mellitus; the data were matched with the dynamics of blood lipoperoxidation. The study found that administration of emoxypine (150 mg every day) or mexidol (300 mg a day) during 14 days lowered the level of circulating lipoperoxidation products and diminished manifestations of depression, which was accompanied by improvement in cognitive functions and quality of life; the degree of the changes was similar. These clinical effects of 3-oxypyridine derivates were independent of the dynamics of glycemia and lipidemia.

  2. Psychological and Familial Factors of Depression in Relation to Adolescent Smoking Behavior

    Science.gov (United States)

    Roohafza, Hamidreza; Omidi, Razieh; Alinia, Tahereh; Heidari, Kamal; Farshad, Marziyeh; Davari, Hossein; Abtin, Zahra; Shahriari, Ezat; Taslimi, Mahshid; Sadeghi, Masoumeh

    2017-01-01

    Background: Several common factors have been identified for smoking and depression. The The present study explores the relation of psychological and familial factors with depression, by student smoking behavior. Materials and Methods: A total of 5500 middle- and high-school students were selected in Isfahan province in 2010. A self-administered questionnaire collected data on background characteristics, smoking status, depression, and risk factors. Univariate analysis multiple logistic regressions were conducted to compare between depressed and nondepressed people by adolescent smoking status. Odds ratios and the corresponding 95% confidence intervals (CIs) were reported. Results: Fathers lower education attainment was accompanied adolescents higher depression prevalence. Parental smoking and sibling smoking increased the depression likelihood by 1.41 (95% CI: 1.18, 1.68) and 1.43 folds (95% CI: 1.04–1.94) for never-smokers. Positive attitude toward smoking increased the probability of depression by 1.18 among never-smokers. Never-smokers lacking refusal skill had 1.23 (1.03–1.47) higher chance of depression. A higher level of self-efficacy related to lower chance of depression. Taking risky behavior, increased the depression likelihood by 1.56 (95% CI: 1.29–1.89) in never-smokers, by 1.85 (95% CI: 1.37–2.44) in experimental smokers, and by 1.14 times (95% CI: 1.01–1.72) in current smokers. Family conflict increased depression chance by 2.25 times (95% CI: 1.89–2.66) in never-smokers, by 1.95 (95% CI: 1.46–2.61) in experimental smokers, and by 2.06 times (95% CI: 1.38–3.08) in current smokers. Conclusions: Targeting self-efficacy level, risky behavior, and family conflict can drop the comorbidity of smoking and depression simultaneously. This may help public health practitioners and policymakers to develop common strategies in reducing adolescents smoking and depression comorbidity. PMID:28217648

  3. CREDIT LEVEL INFLUENCING FACTORS AT HUNGARIAN FARMS

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    Toth Jozsef

    2012-12-01

    Full Text Available In this paper we estimate the impact of different factors on creditability of agricultural farms. According to the literature the collateral (tangible assets, the farm size, productivity, and subsidies should have significant effects on farm loans. We use data from the Hungarian Farm Accountancy Data Network to test our two hypotheses and theoretical assumptions for the period 2001-2010. Because of using panel data, we do our estimations using fixed effects econometrics model to test our assumptions. The results indicate that the chosen factors have significant influence on total liabilities and short- and long-term loans as well. With specially interest of subsidies the growing level of supports decrease the need of other financial tools. At output factors (inclusive farm size have significant and positive effect, same as collateral (tangible assets.

  4. Depression and Associated Factors in Patients with Type 2 Diabetes Mellitus.

    Science.gov (United States)

    Hashim, N A; Ariaratnam, S; Salleh, M R; Said, M A; Sulaiman, A H

    2016-06-01

    To determine the prevalence of major depressive disorder and its association with socio-demographic and clinical factors in patients with type 2 diabetes mellitus. This was a cross-sectional study of patients with type 2 diabetes mellitus who attended the hospital-based primary care clinics at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. The patients were interviewed using the Mini-International Neuropsychiatric Interview to diagnose depression based on the DSM-IV criteria. The socio-demographic and clinical data were obtained by interviewing the patients and subsequently verified against their respective case notes. A total of 204 patients were recruited. The prevalence of major depressive disorder was 15.7%. Major depressive disorder was significantly associated with younger age of patients (mean ± standard deviation, 57.8 ± 15.1 years, p = 0.04), younger age at diagnosis of diabetes mellitus (46.2 ± 13.0 years, p = 0.01), having secondary education (p = 0.02), and having a history of depression (p = 0.002). Multivariate analysis showed that current age (p = 0.04), duration of diabetes mellitus (p = 0.04), age at diagnosis of diabetes mellitus (p = 0.01), and secondary education (p = 0.01) were significant factors. The prevalence of major depressive disorder was high among patients with type 2 diabetes mellitus. Screening of patients with type 2 diabetes mellitus for depression should be performed periodically or routinely, especially in the primary care setting.

  5. Systematic review of factors associated with depression and anxiety disorders among older adults with Parkinson's disease.

    Science.gov (United States)

    Sagna, Atami; Gallo, Joseph J; Pontone, Gregory M

    2014-07-01

    Depression and anxiety disorders have a substantial impact on the quality of life, the functioning and mortality of older adults with Parkinson's disease (PD). The purpose of this systematic review was to examine the factors associated with the prevalence of depression and anxiety disorders among individuals with PD aged 60 years and older. Following a literature search in PubMed, PsycINFO, CINAHL, and EMBASE, 5 articles met the inclusion criteria (adults aged 60 years and older, individuals with PD, and with depression and anxiety disorders, and English-language peer reviewed articles) and were included in this review. These studies were conducted in the U.S (n = 3), in Italy (n = 1) and the U.K (n = 1). Findings indicated that autonomic symptoms, motor fluctuations, severity and frequency of symptoms, staging of the disease, and PD onset and duration were associated with the prevalence of depression and anxiety disorders among older adults suffering from PD. Despite the limited number of studies included in the review, depression and anxiety disorders are often unrecognized and untreated and the comorbidity greatly exacerbates PD symptoms. The identification of factors associated with the development of depression and anxiety disorders could help in designing preventive interventions that would decrease the risk and burden of depression and anxiety disorders among older adults with PD.

  6. 非霍奇金淋巴瘤患者主要照顾者抑郁状况及相关影响因素分析%Depression status of primary caregivers of non-Hodgkin lymphoma pa-tients and its influencing factors

    Institute of Scientific and Technical Information of China (English)

    沈琴琴; 沈一平

    2014-01-01

    Objective To study and explore the depression status of primary caregivers of non-Hodgkin lymphoma pa-tients, and its influencing factors. Methods From June 2011 to December 2013, in Chinese Medicine Hospital of Zhe-jiang Province, 120 primary caregivers of non-Hodgkin lymphoma patients were selected, surveyed by self-designed general information questionnaire, the self rating depressions cale (SDS), and the results were taken statistical analysis. Results The incidence of depression was 40%(48/120), and SDS were (57.59±4.62) scores, which were higher than those of the domestic norms, the differences were statistically significant (P<0.01). The univariate analysis results showed that depression was associated with age, family income level, education level, the average time of daily care, duration of care, relationship with the patients, course of disease, the TNM classification, efficacy of disease, and whether the pa-tients informed the disease, the differences were statistically significant (P<0.05 or P<0.01). Logistic regression results showed that education level, duration of care, family income level, the TNM classification, and the course of disease were the main factors of depression for primary caregivers (OR =1.826, 0.603, 0.505, 1.540, 1.343, P<0.05 or P<0.01). Conclusion The primary caregivers of non-Hodgkin lymphoma patients exist more severe depression, the nursing staff should pay attention to the psychological intervention of primary caregivers of non-Hodgkin lymphoma patients.%目的:探讨非霍奇金淋巴瘤患者主要照顾者抑郁状况,并分析其影响因素。方法选取2011年6月~2013年12月于浙江省中医院住院治疗的120例非霍奇金淋巴瘤患者的主要照顾者,采用自编一般调查问卷、Zung抑郁自评量表(SDS)对主要照顾者进行问卷调查,并对调查结果进行统计学分析。结果非霍奇金淋巴瘤患者主要照顾者抑郁发生率为40豫(48/120), SDS得分为(57.59±4.62)分

  7. Internal factors influencing the knowledge continuity ensuring

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    Hana Urbancová

    2012-01-01

    Full Text Available The aim of the systematic ensuring of knowledge continuity is the continuity of an organisation’s development, the quality of managerial positions and the continuity of decision-making. By ensuring knowledge continuity, organisations may gain a performance-enhancing factor. The objective of the article is to identify the level of impact of decisive internal factors determining knowledge continuity ensuring and contributing to the efficiency of the organisations. Knowledge continuity ensuring as an internal force, however, can together with the right employees, help adapt more quickly to external conditions that organisations can hardly control. Monitoring and ensuring knowledge continuity can contribute to a higher quality of processes in general, in particular processes exploiting knowledge, and thus help improve the level of management. The first part of the article presents theoretical views on the aspects of knowledge continuity ensuring in organisations while the second part analyses the findings of the surveys carried out among managers in organisations in the Czech Republic. Based on the summary of the outcomes obtained it is possible to say that internal factors influence knowledge continuity ensuring in organisations, however, the level of impact of individual factors is determined by their size. The findings regarding the impact of each of the factors show that the most significant barriers to knowledge continuity ensuring are those associated with the human factor.

  8. High glycemic index diet as a risk factor for depression: analyses from the Women’s Health Initiative1

    Science.gov (United States)

    Gangwisch, James E; Hale, Lauren; Garcia, Lorena; Malaspina, Dolores; Opler, Mark G; Payne, Martha E; Rossom, Rebecca C; Lane, Dorothy

    2015-01-01

    Background: The consumption of sweetened beverages, refined foods, and pastries has been shown to be associated with an increased risk of depression in longitudinal studies. However, any influence that refined carbohydrates has on mood could be commensurate with their proportion in the overall diet; studies are therefore needed that measure overall intakes of carbohydrate and sugar, glycemic index (GI), and glycemic load. Objective: We hypothesized that higher dietary GI and glycemic load would be associated with greater odds of the prevalence and incidence of depression. Design: This was a prospective cohort study to investigate the relations between dietary GI, glycemic load, and other carbohydrate measures (added sugars, total sugars, glucose, sucrose, lactose, fructose, starch, carbohydrate) and depression in postmenopausal women who participated in the Women’s Health Initiative Observational Study at baseline between 1994 and 1998 (n = 87,618) and at the 3-y follow-up (n = 69,954). Results: We found a progressively higher dietary GI to be associated with increasing odds of incident depression in fully adjusted models (OR for the fifth compared with first quintile: 1.22; 95% CI: 1.09, 1.37), with the trend being statistically significant (P = 0.0032). Progressively higher consumption of dietary added sugars was also associated with increasing odds of incident depression (OR for the fifth compared with first quintile: 1.23; 95% CI: 1.07, 1.41; P-trend = 0.0029). Higher consumption of lactose, fiber, nonjuice fruit, and vegetables was significantly associated with lower odds of incident depression, and nonwhole/refined grain consumption was associated with increased odds of depression. Conclusions: The results from this study suggest that high-GI diets could be a risk factor for depression in postmenopausal women. Randomized trials should be undertaken to examine the question of whether diets rich in low-GI foods could serve as treatments and primary preventive

  9. Shuganjieyu capsule increases neurotrophic factor expression in a rat model of depression

    Institute of Scientific and Technical Information of China (English)

    Jinhua Fu; Yingjin Zhang; Renrong Wu; Yingjun Zheng; Xianghui Zhang; Mei Yang; Jingping Zhao; Yong Liu

    2014-01-01

    Shuganjieyu capsule has been approved for clinical treatment by the State Food and Drug Ad-ministration of China since 2008. In the clinic, Shuganjieyu capsule is often used to treat mild to moderate depression. In the rat model of depression established in this study, Shuganjieyu capsule was administered intragastrically daily before stress. Behavioral results conifrmed that depressive symptoms lessened after treatment with high-dose (150 mg/kg) Shuganjieyu capsule. Immunohistochemistry results showed that high-dose Shuganjieyu capsule signiifcantly increased phosphorylation levels of phosphorylation cyclic adenosine monophosphate response element binding protein and brain-derived neurotrophic factor expression in the medial prefrontal cortex and hippocampal CA3 area. Overall, our results suggest that in rats, Shuganjieyu capsule effec-tively reverses depressive-like behaviors by increasing expression levels of neurotrophic factors in the brain.

  10. "Nudges" to Prevent Behavioral Risk Factors Associated With Major Depressive Disorder.

    Science.gov (United States)

    Woodend, Ashleigh; Schölmerich, Vera; Denktaş, Semiha

    2015-11-01

    Major depressive disorder-colloquially called "depression"-is a primary global cause of disability. Current preventive interventions, such as problem-solving therapy, are effective but also expensive. "Nudges" are easy and cheap interventions for altering behavior. We have explored how nudging can reduce three behavioral risk factors of depression: low levels of physical activity, inappropriate coping mechanisms, and inadequate maintenance of social ties. These nudges use cognitive biases associated with these behavioral risks, such as valuing the present more than the future, following the herd or the norm, making different choices in light of equivalent conditions, and deciding on the basis of salience or attachment to status quo.

  11. Depression: the 'invisible grey fog' influencing the midlife health of African Canadian women.

    Science.gov (United States)

    Etowa, Josephine; Keddy, Barbara; Egbeyemi, Julius; Eghan, Felicia

    2007-06-01

    Depression is a topic that is often avoided in discussions among Black women for a myriad of reasons. The purpose of this study was to investigate the midlife health of Black women living in the province of Nova Scotia, Canada. This paper will present one of the key findings of this research; midlife depression. It will examine the factors associated with depression among mid-life African Canadian women and how these women deal with depression. A triangulation of qualitative and quantitative methods guided by the principles of participatory action research (PAR) was used in the study. Data collection methods included 50 in-depth interviews of mid-life African Canadian women aged 40-65, focus groups, and workshops as well as the CES-D structured instrument. Purposive sampling method was the primary recruitment strategy and 113 people participated in the study. Although the women rarely openly discussed depression, they described depression as emotional feelings that range from "feeling blue" to being clinically depressed. Women viewed midlife depression as the consequence of a complex set of circumstances and stressors that they face. At midlife, Black women frequently recognize the importance of greater self-care and the need to pay more attention to their health, but they are reluctant to do so because they have to be "strong" in order to deal with their daily experiences of racism. Racism, among other things, leads to accumulated stress and undermines Black women's ability to cope and make healthy life choices. This signifies the implications of these research findings for clinical practice.

  12. The Two-Factor Structure of Sleep Complaints and Its Relation to Depression and Anxiety

    OpenAIRE

    Koffel, Erin; Watson, David

    2009-01-01

    Although sleep complaints are common in depression and anxiety, there is little agreement as to how they should be organized and assessed. It is also unclear whether sleep complaints show specificity with certain disorders or if they are nonspecific symptoms. We examined the structure of sleep complaints and the relations of these complaints to depression and anxiety in three samples: college students, older adults, and psychiatric patients. Exploratory and confirmatory factor analyses indica...

  13. Racial and Ethnic Differences in Factors Associated With Early Postpartum Depressive Symptoms

    Science.gov (United States)

    Howell, Elizabeth A.; Mora, Pablo A.; Horowitz, Carol R.; Leventhal, Howard

    2015-01-01

    OBJECTIVE To explore racial differences in reporting of early postpartum depressive symptoms. To explore whether racial differences in early postpartum experience (such as mother’s health status and social context) might account for racial differences in reported postpartum depressive symptoms. METHODS This was a telephone survey of 655 white, African-American, and Hispanic mothers between 2 and 6 weeks postpartum. Mothers reported on demographic factors, physical symptoms, daily function, infant behaviors, social support, skills in managing infant and household, access, and trust in the medical system. We explored racial differences in report of early postpartum depressive symptoms using bivariate and multivariate statistics. RESULTS African-American and Hispanic women more commonly reported postpartum depressive symptoms (43.9% and 46.8%, respectively) than white women (31.3%, P < .001). Similar factors (physical symptom burden, lack of social support, and lack of self-efficacy) were associated with early postpartum depressive symptoms in white, African-American, and Hispanic mothers. In a comprehensive model including other demographic factors, history of depression, physical symptoms, daily function, infant behavior, social support, skills in managing infant and household, access, and trust, the adjusted odds ratio for reported postpartum depressive symptoms remained elevated for African-American women at 2.16 (95% confidence interval 1.26–3.70) and Hispanic women at 1.89 (95% confidence interval 1.19–3.01) as compared with white women. CONCLUSION African-American and Hispanic mothers are at higher risk for reporting early postpartum depressive symptoms as compared with white mothers. Factors associated with these symptoms are similar among African-American, Hispanic, and white mothers. PMID:15932842

  14. Depression, Anxiety, and Suicidal Ideation Among Chinese Americans: A Study of Immigration-Related Factors

    OpenAIRE

    2013-01-01

    The aim of this study was to identify anxiety, depression, and suicidal ideation disparities among Chinese Americans and how immigration-related factors affected the outcomes. We tried to explain the differences as a function of the Chinese culture. Data were derived from the National Latino and Asian American Study, the first national epidemiological survey of these populations in the United States. We used only the Chinese sample (N = 600) and focused on depressive disorder, anxiety disorde...

  15. How does gender influence immigrant and refugee women's postpartum depression help-seeking experiences?

    Science.gov (United States)

    O'Mahony, J M; Donnelly, T T

    2013-10-01

    The number of migrants arriving in Canada from non-European countries has grown significantly over the past three decades. How best to assist these escalating numbers of immigrant and refugee women to adapt to their new environment and to cope with postpartum depression (PPD) is a pressing issue for healthcare providers. Evidence has shown that immigrant and refugee women experience difficulties in accessing care and treatment for PPD. This qualitative study was conducted with 30 immigrant and refugee women using in-depth interviews to obtain information about the women's PPD experiences. The primary aim was to explore how cultural, social, political, historical and economic factors intersect with race, gender and class to influence the ways in which immigrant and refugee women seek help to manage PPD. Results reveal that immigrant and refugee women experience many complex gender-related challenges and facilitators in seeking equitable help for PPD treatment and prevention. We will demonstrate that (a) structural barriers and gender roles hinder women's ability to access necessary mental healthcare services and (b) insecure immigration status coupled with emotional and economic dependence may leave women vulnerable and disadvantaged in protecting themselves against PPD.

  16. Prevalence of depression and its associated factors using Beck Depression Inventory among students of School of Health and Nutrition, Tabriz, Iran in 2009

    Directory of Open Access Journals (Sweden)

    Saeid Safiri

    2013-12-01

    Full Text Available BACKGROUND: Depression is a debilitating disease which is caused by social and environmental factors in additionto genetic factors. University students are among the young and vulnerable population to depression and theirpopulation is increasing with increase in universities and higher education institutions. Therefore, any disturbance instudent's mental and physical health is a serious threat for the next generation. In this study, we aimed to estimate theprevalence of depression and its related factors in students of School of Health and Nutrition at Tabriz University ofMedical Sciences, Iran. METHODS: This was a cross-sectional survey on 175 students selected by stratified random sampling, educating indifferent fields at School of Health and Nutrition in 2009. The data collection tool was the short form of the standardBeck Depression Inventory (BDI which is used for screening depression. The collected data were analyzed by softwareStata Statistical Software, Release 10.0 (Stata Corporation, College Station, TX, USA. RESULTS: The results showed that 62.7% of the students had depression and from these 10.9% suffered from severedepression. Significantly higher depression rates were seen in students with worrisome about the future. Marriedstudents, those interested in their field of study, those performing prayers and regularly reading the Quran hadsignificantly lower rates of depression. CONCLUSIONS: Due to the high prevalence of depression, screening strategies should be implemented to identifydepressed students. Counseling services should be available and accessible to students at risk.

  17. Effect of Mirtazapine Treatment on Serum Levels of Brain-Derived Neurotrophic Factor and Tumor Necrosis Factor-α in Patients of Major Depressive Disorder with Severe Depression.

    Science.gov (United States)

    Gupta, Rachna; Gupta, Keshav; Tripathi, A K; Bhatia, M S; Gupta, Lalit K

    2016-01-01

    This study evaluated the clinical efficacy of mirtazapine and its effect on serum brain-derived neurotrophic factor (BDNF) and tumor necrosis factor-α (TNF-α) levels in patients of major-depressive disorder (MDD) with severe depression. Patients (aged 18-60) with MDD diagnosed by DSM-IV criteria, and Hamilton Rating Scale for Depression (HAM-D) score ≥25 were included (n = 30). Mirtazapine was given in the doses of 30 mg/day. All patients were followed up for 12 weeks for the evaluation of clinical efficacy, safety along with serum BDNF and TNF-α levels. HAM-D score at the start of treatment was 30.1 ± 1.92, which significantly (p treatment. In responders, mean serum BDNF levels at the start of treatment were 2.32 ± 0.3 ng/ml, which significantly (p treatment and mean serum TNF-α levels at the start were 5.18 ± 0.67 pg/ml, which significantly decreased to 4.36 ± 0.72 pg/ml (p treatment. Our results suggest that mirtazapine is effective and well tolerated in severely depressed patients and treatment response is associated with an increase in serum BDNF and a decrease in serum TNF-α levels. © 2016 S. Karger AG, Basel.

  18. Frequency of and Risk Factors for Depression among Participants in the Swiss HIV Cohort Study (SHCS)

    Science.gov (United States)

    Jaccard, René; Shaw, Susy Ann; Stoeckle, Marcel; Bernasconi, Enos; Barth, Jürgen; Calmy, Alexandra; Berney, Alexandre; Jenewein, Josef; Weber, Rainer

    2015-01-01

    Objectives We studied the incidence and prevalence of, and co-factors for depression in the Swiss HIV Cohort Study. Methods Depression-specific items were introduced in 2010 and prospectively collected at semiannual cohort visits. Clinical, laboratory and behavioral co-factors of incident depression among participants free of depression at the first two visits in 2010 or thereafter were analyzed with Poisson regression. Cumulative prevalence of depression at the last visit was analyzed with logistic regression. Results Among 4,422 participants without a history of psychiatric disorders or depression at baseline, 360 developed depression during 9,348 person-years (PY) of follow-up, resulting in an incidence rate of 3.9 per 100 PY (95% confidence interval (CI) 3.5–4.3). Cumulative prevalence of depression during follow-up was recorded for 1,937/6,756 (28.7%) participants. Incidence and cumulative prevalence were higher in injection drug users (IDU) and women. Older age, preserved work ability and higher physical activity were associated with less depression episodes. Mortality (0.96 per 100 PY, 95% CI 0.83–1.11) based upon 193 deaths over 20,102 PY was higher among male IDU (2.34, 1.78–3.09), female IDU (2.33, 1.59–3.39) and white heterosexual men (1.32, 0.94–1.84) compared to white heterosexual women and homosexual men (0.53, 0.29–0.95; and 0.71, 0.55–0.92). Compared to participants free of depression, mortality was slightly elevated among participants with a history of depression (1.17, 0.94–1.45 vs. 0.86, 0.71–1.03, P = 0.033). Suicides (n = 18) did not differ between HIV transmission groups (P = 0.50), but were more frequent among participants with a prior diagnosis of depression (0.18 per 100 PY, 95%CI 0.10–0.31; vs. 0.04, 0.02–0.10; P = 0.003). Conclusions Depression is a frequent co-morbidity among HIV-infected persons, and thus an important focus of care. PMID:26492488

  19. Frequency of and Risk Factors for Depression among Participants in the Swiss HIV Cohort Study (SHCS.

    Directory of Open Access Journals (Sweden)

    Alexia Anagnostopoulos

    Full Text Available We studied the incidence and prevalence of, and co-factors for depression in the Swiss HIV Cohort Study.Depression-specific items were introduced in 2010 and prospectively collected at semiannual cohort visits. Clinical, laboratory and behavioral co-factors of incident depression among participants free of depression at the first two visits in 2010 or thereafter were analyzed with Poisson regression. Cumulative prevalence of depression at the last visit was analyzed with logistic regression.Among 4,422 participants without a history of psychiatric disorders or depression at baseline, 360 developed depression during 9,348 person-years (PY of follow-up, resulting in an incidence rate of 3.9 per 100 PY (95% confidence interval (CI 3.5-4.3. Cumulative prevalence of depression during follow-up was recorded for 1,937/6,756 (28.7% participants. Incidence and cumulative prevalence were higher in injection drug users (IDU and women. Older age, preserved work ability and higher physical activity were associated with less depression episodes. Mortality (0.96 per 100 PY, 95% CI 0.83-1.11 based upon 193 deaths over 20,102 PY was higher among male IDU (2.34, 1.78-3.09, female IDU (2.33, 1.59-3.39 and white heterosexual men (1.32, 0.94-1.84 compared to white heterosexual women and homosexual men (0.53, 0.29-0.95; and 0.71, 0.55-0.92. Compared to participants free of depression, mortality was slightly elevated among participants with a history of depression (1.17, 0.94-1.45 vs. 0.86, 0.71-1.03, P = 0.033. Suicides (n = 18 did not differ between HIV transmission groups (P = 0.50, but were more frequent among participants with a prior diagnosis of depression (0.18 per 100 PY, 95%CI 0.10-0.31; vs. 0.04, 0.02-0.10; P = 0.003.Depression is a frequent co-morbidity among HIV-infected persons, and thus an important focus of care.

  20. Psychosocial risk factors distinguishing melancholic and nonmelancholic depression: a comparison of six systems.

    Science.gov (United States)

    Parker, G; Hadzi-Pavlovic, D; Mitchell, P; Hickie, I; Wilhelm, K; Brodaty, H; Boyce, P; Roy, K

    1991-12-01

    We examined six systems or scales designed to distinguish melancholia from residual nonmelancholic depressive disorders in a sample of 305 patients. A count of the number of significant psychosocial risk factors showed that a clinical diagnosis was the most differentiating (19 significant risk factors), followed by the Newcastle index (13), DSM-III (10), and the CORE system (10)--the last essentially assessing psychomotor change; Research Diagnostic Criteria (RDC) (7) and an endogeneity symptom scale (2) were the least differentiating. A subsample of "composite melancholics" was derived, comprising 138 who met "melancholia" criteria for DSM-III, RDC, and CORE, and they were contrasted with residual depressives. The composite melancholics were older, had had a briefer depressive episode, and differed significantly on 12 risk factors, essentially being less likely to report deprivational experiences such as deficient parenting and dysfunctional marital relationships. We suggest that such a risk factor strategy is of potential use in refining the clinical definition of melancholia.

  1. Confirmatory factor analysis of the Portuguese Depression Anxiety Stress Scales-21.

    Science.gov (United States)

    Apóstolo, João Luís Alves; Tanner, Barry Allen; Arfken, Cynthia Lee

    2012-01-01

    To determine which of three published models best characterizes the factor structure of the Portuguese version of the Depression Anxiety Stress Scales-21 and to assess its validity and reliability. Confirmatory factor analysis of Depression Anxiety and Stress Scale-21 for 1,297 adult, primary care outpatients (66.7% female, Mage = 48.57 years) comparing 3 models. The relationship between the Depression Anxiety Stress Scales-21 and the Positive and Negative Affect Schedule was analyzed. The correlated 3-factor model fit the data best. The scale demonstrated good internal consistency, with alpha scores of the subscales ranging from 0.836 to 0.897. Correlation with the Positive and Negative Affect Schedule was positive and moderate with the negative affect scale; it was negative and limited with the positive affect. These findings support the correlated 3-factor structure. The test demonstrated adequate reliability and construct validity, which supports its use for screening in primary care settings with Portuguese speakers.

  2. Prevalence, associated factors and predictors of depression among adults in the community of Selangor, Malaysia.

    Science.gov (United States)

    Kader Maideen, Siti Fatimah; Sidik, Sherina Mohd; Rampal, Lekhraj; Mukhtar, Firdaus

    2014-01-01

    Depression is one of the most common mental health disorders and is an emerging public health problem. The objectives of this paper were to determine the prevalence of depression, its associated factors and the predictors of depression among adults in the community of Selangor. A cross sectional study was conducted in three districts in Selangor, from 11th June to 30th December 2012. The sampling frame was obtained from the Department of Statistics Malaysia (DOS) in May 2012, using the National Population and Housing Census 2010. Adults aged 18 years and above, living in the selected living quarters were approached to participate in the study and requested to complete a set of questionnaires. A total of 1,556 out of 2,152 participants participated in this study, giving an overall study response rate of 61.90%. Patient Health Questionnaire 9 (PHQ-9) was used to determine the presence of depression. The prevalence of depression was 10.3%, based on the PHQ-9 cut off point of 10 and above. Based on multiple logistic regression analysis, the predictors of depression were presence of anxiety, serious problems at work, unhappy relationship with children, high perceived stress, domestic violence, unhappy relationship with spouse, low self-esteem, unhappy relationship with family, serious financial constraint and presence of chronic diseases. When reanalyzed after removing anxiety, high perceived stress and low self-esteem, additional predictors of depression were found to be serious marital problems and religiosity. The prevalence of depression in this study is similar to that found in other studies. Findings from this study are being used as baseline data to develop an effective program to assist in the management of common mental health disorders in the community, in particular depression. The identification of predictors of depression in the community is important to identify the target population for the program.

  3. Prevalence, associated factors and predictors of depression among adults in the community of Selangor, Malaysia.

    Directory of Open Access Journals (Sweden)

    Siti Fatimah Kader Maideen

    Full Text Available INTRODUCTION: Depression is one of the most common mental health disorders and is an emerging public health problem. The objectives of this paper were to determine the prevalence of depression, its associated factors and the predictors of depression among adults in the community of Selangor. METHODS: A cross sectional study was conducted in three districts in Selangor, from 11th June to 30th December 2012. The sampling frame was obtained from the Department of Statistics Malaysia (DOS in May 2012, using the National Population and Housing Census 2010. Adults aged 18 years and above, living in the selected living quarters were approached to participate in the study and requested to complete a set of questionnaires. RESULTS: A total of 1,556 out of 2,152 participants participated in this study, giving an overall study response rate of 61.90%. Patient Health Questionnaire 9 (PHQ-9 was used to determine the presence of depression. The prevalence of depression was 10.3%, based on the PHQ-9 cut off point of 10 and above. Based on multiple logistic regression analysis, the predictors of depression were presence of anxiety, serious problems at work, unhappy relationship with children, high perceived stress, domestic violence, unhappy relationship with spouse, low self-esteem, unhappy relationship with family, serious financial constraint and presence of chronic diseases. When reanalyzed after removing anxiety, high perceived stress and low self-esteem, additional predictors of depression were found to be serious marital problems and religiosity. CONCLUSION: The prevalence of depression in this study is similar to that found in other studies. Findings from this study are being used as baseline data to develop an effective program to assist in the management of common mental health disorders in the community, in particular depression. The identification of predictors of depression in the community is important to identify the target population for the

  4. Prevalence, Associated Factors and Predictors of Depression among Adults in the Community of Selangor, Malaysia

    Science.gov (United States)

    Kader Maideen, Siti Fatimah; Mohd. Sidik, Sherina; Rampal, Lekhraj; Mukhtar, Firdaus

    2014-01-01

    Introduction Depression is one of the most common mental health disorders and is an emerging public health problem. The objectives of this paper were to determine the prevalence of depression, its associated factors and the predictors of depression among adults in the community of Selangor. Methods A cross sectional study was conducted in three districts in Selangor, from 11th June to 30th December 2012. The sampling frame was obtained from the Department of Statistics Malaysia (DOS) in May 2012, using the National Population and Housing Census 2010. Adults aged 18 years and above, living in the selected living quarters were approached to participate in the study and requested to complete a set of questionnaires. Results A total of 1,556 out of 2,152 participants participated in this study, giving an overall study response rate of 61.90%. Patient Health Questionnaire 9 (PHQ-9) was used to determine the presence of depression. The prevalence of depression was 10.3%, based on the PHQ-9 cut off point of 10 and above. Based on multiple logistic regression analysis, the predictors of depression were presence of anxiety, serious problems at work, unhappy relationship with children, high perceived stress, domestic violence, unhappy relationship with spouse, low self-esteem, unhappy relationship with family, serious financial constraint and presence of chronic diseases. When reanalyzed after removing anxiety, high perceived stress and low self-esteem, additional predictors of depression were found to be serious marital problems and religiosity. Conclusion The prevalence of depression in this study is similar to that found in other studies. Findings from this study are being used as baseline data to develop an effective program to assist in the management of common mental health disorders in the community, in particular depression. The identification of predictors of depression in the community is important to identify the target population for the program. PMID:24755607

  5. Influences of biological and adoptive mothers' depression and antisocial behavior on adoptees' early behavior trajectories.

    Science.gov (United States)

    Kerr, David C R; Leve, Leslie D; Harold, Gordon T; Natsuaki, Misaki N; Neiderhiser, Jenae M; Shaw, Daniel S; Reiss, David

    2013-07-01

    Research clearly demonstrates that parents pass risk for depression and antisocial behavior on to their children. However, most research confounds genetic and environmental mechanisms by studying genetically related individuals. Furthermore, most studies focus on either depression or antisocial behavior in parents or children, despite evidence of co-occurrence and shared etiology, and few consider the early origins of these problems in childhood. We estimated the influence of biological and adoptive mothers' depression and antisocial behavior on growth in child externalizing and internalizing behaviors across early childhood using data from a prospective adoption study. Participants were 346 matched triads of physically healthy children (196 boys; 150 girls), biological mothers (BM), and adoptive mothers (AM). Latent growth curve models were estimated using AM reports of child internalizing and externalizing behaviors at ages 18, 27, and 54 months. Predictors of intercept (18 months) but not slope were identified. BM lifetime histories of major depressive disorder predicted child externalizing behaviors and BM antisocial behavior predicted child internalizing behavior. AM depressive symptoms and antisocial behavior were associated with both child outcomes. AM paths, but not BM paths were partially replicated using adopted fathers' reports of child outcomes. BM obstetric complications, prenatal depressive symptoms, and postnatal adoptive family contact with BM did not account for BM paths. This adoption study distinguished risks conferred by biological mothers' depression and antisocial behavior to children's behaviors from those associated with adoptive mothers' related symptoms. Future studies should examine gene-environment interplay to explain the emergence of serious problem trajectories in later childhood.

  6. Contextual factors influencing research use in nursing.

    Science.gov (United States)

    French, Beverley

    2005-01-01

    Contextual factors are perceived to be significant barriers to research-utilisation-related activity, but little is known about how context impacts on specific research-based decisions, or how the individual interacts with the organisation in the requirement for research-based change. This study describes the impact of contextual factors on the practical reasoning of nurse specialists in the construction of policy for practice. Three groups of clinical nurse specialists were observed during a series of meetings convened to construct evidence-based guidelines for nursing practice. Transcripts of the meetings were analysed to identify and categorise the physical, social, political, and economic influences on 31 nursing issues. Multiple contextual factors influenced each decision made, with decisions about nursing practice bounded by setting and system considerations, relationships with others in the care team, and resource constraints. Practitioners were involved in weighing up alternative scenarios, contexts, and contingencies for each decision, requiring strategies to adapt and reconstruct the nature of care, to influence others, and to affect organisational decision-making processes. The practical accomplishment of evidence-based practice required diverse skills: translating between evidence and practice; mediating the values, preferences, and working practices of multiple stakeholders; negotiating organisational complexity and the management of boundaries; and coordinating inter-organisational and inter-agency working. Nurse specialists in this study had a significant role in instigating, fuelling, and coordinating policy review, predominantly by communication across professional and organisational boundaries. Clinical specialists acting as organisational boundary spanners require skills in the informal cultural work of organising, facilitating, and maintaining links across professional, team, and organisational boundaries. If their role in the negotiation of

  7. Influence of selected factors on induced syneresis

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    Jovanović Snežana T.

    2004-01-01

    Full Text Available Syneresis is the process of whey separation induced by gel contraction resulting in rearranging or restructuring of casein matrix formed during enzymatic coagulation. Numerous factors can influence the process of syneresis. The influences of pH, calcium concentration, temperature of coagulation of milk and applied heat treatment on the syneresis induced by different intensity of centrifugal force have been investigated. Coagulated samples were centrifuged at 1000, 2000 and 3000 rpm for 5 min, respectively. Reconstituted skim milk powder (control sample and reconstituted non-fat milk heat treated at 87ºC/10 min (experimental sample are coagulated at temperatures of 30ºC and 35ºC, at pH value of 5.8 and 6.2, and with the addition of 100, 200 and 400 mg/l of CaCl2, respectively. Centrifugation at 1000 rpm of both control and experimental samples didn’t recover any sera, regardless of the applied coagulation conditions. This indicates that the intensity of centrifugal force wasn’t strong enough to disrupt gel structure and cause syneresis. When the intensity of centrifugal force was increased up to 2000 rpm, the syneresis was induced, but the degree of syneresis depended on the applied factors of coagulation, primary on the applied heat treatments and temperature of coagulation. The amount of added CaCl2 didn’t have a significant influence on the induced syneresis at 2000 rpm. The induced syneresis was very significant for both control and experimental samples when the intensity of centrifugal force of 3000 rpm was applied. It was also noted that curd produced from heat treated milk in which milk protein coaggregates were formed, released less sera regardless of the applied coagulation factors.

  8. Factors associated with adherence to medication among depressed patients from Saudi Arabia: a cross-sectional study

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    Al Jumah K

    2014-10-01

    patients in Saudi Arabia. Medication-taking behavior among depressed patients is influenced by several factors, mainly patients’ beliefs regarding antidepressants. This study has improved the understanding of the factors associated with adherence to antidepressants. Keywords: patient compliance, predictors, antidepressants, patients’ beliefs, depression, psychiatry

  9. Factors influencing aircraft ground handling performance

    Science.gov (United States)

    Yager, T. J.

    1983-01-01

    Problems associated with aircraft ground handling operations on wet runways are discussed and major factors which influence tire/runway braking and cornering traction capability are identified including runway characteristics, tire hydroplaning, brake system anomalies, and pilot inputs. Research results from tests with instrumented ground vehicles and aircraft, and aircraft wet runway accident investigation are summarized to indicate the effects of different aircraft, tire, and runway parameters. Several promising means are described for improving tire/runway water drainage capability, brake system efficiency, and pilot training to help optimize aircraft traction performance on wet runways.

  10. Influence of Serotonin Transporter Gene Polymorphisms and Adverse Life Events on Depressive Symptoms in the Elderly: A Population-Based Study

    Science.gov (United States)

    Davin, Annalisa; Monti, Maria Cristina; Polito, Letizia; Vaccaro, Roberta; Abbondanza, Simona; Gnesi, Marco; Villani, Simona; Guaita, Antonio

    2015-01-01

    Background Depression is common in the elderly. The role of genetic and environmental factors in modulating depressive symptoms is not clear. Methods We evaluated the influence of serotonin transporter gene polymorphisms and recent adverse life events on depressive symptoms in an elderly Italian population. We used data from “InveCe.Ab”, a population-based study of 1321 subjects aged 70–74 years. We used the 15-item Geriatric Depression Scale (GDS) to assess depressive symptoms–a GDS score ≥5 points (GDS≥5) indicated the presence of clinically relevant symptoms–and performed 5-HTTLPR and rs25531 genotyping to obtain the triallelic polymorphism of the serotonin transporter. We used the Geriatric Adverse Life Events Scale to measure adverse life events, and logistic regression models to evaluate the role of genotype and recent adverse life events in depressive symptoms, controlling for potential confounders and independent predictors. Results Two hundred subjects (15.76%) had a GDS≥5. The 5-HTTLPR triallelic polymorphism was significantly associated with GDS≥5. Only S′S′ carriers showed an increased risk of depressive symptoms (ORadj = 1.81, p = .022); one extra adverse life event increased this risk by 14% (p = .061) independently of genotype. Other factors significantly related to GDS≥5 were: female gender (ORadj = 2.49, p depression (ORadj = 4.73, p depressive symptoms by 57% (p = .005) only in the L′L′ carriers, while antidepressant intake was directly related to GDS≥5 in the L′S′ carriers (ORadj = 2.46, p = .036) and borderline significant in the S′S′ carriers (ORadj = 2.41, p = .081). Discussion The S′S′ genotype and recent exposure to adverse life events were independently associated with depressive symptoms. The S′S′ genotype, compared with the environment, exerted a predominant effect on depressive symptoms, suggesting that it reduces the efficacy of antidepressant therapy. We conclude that genetics may be an

  11. Factor structure of the Japanese version of the Edinburgh Postnatal Depression Scale in the postpartum period.

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    Chika Kubota

    Full Text Available BACKGROUND: The Edinburgh Postnatal Depression Scale (EPDS is a widely used screening tool for postpartum depression (PPD. Although the reliability and validity of EPDS in Japanese has been confirmed and the prevalence of PPD is found to be about the same as Western countries, the factor structure of the Japanese version of EPDS has not been elucidated yet. METHODS: 690 Japanese mothers completed all items of the EPDS at 1 month postpartum. We divided them randomly into two sample sets. The first sample set (n = 345 was used for exploratory factor analysis, and the second sample set was used (n = 345 for confirmatory factor analysis. RESULTS: The result of exploratory factor analysis indicated a three-factor model consisting of anxiety, depression and anhedonia. The results of confirmatory factor analysis suggested that the anxiety and anhedonia factors existed for EPDS in a sample of Japanese women at 1 month postpartum. The depression factor varies by the models of acceptable fit. CONCLUSIONS: We examined EPDS scores. As a result, "anxiety" and "anhedonia" exist for EPDS among postpartum women in Japan as already reported in Western countries. Cross-cultural research is needed for future research.

  12. Stressful Events and Depression among Chinese Adolescents: The Mitigating Role of Protective Factors

    Science.gov (United States)

    Zhang, Wenxin; Li, Hailei; Gong, Yanming; Ungar, Michael

    2013-01-01

    This study examines the role of salient external factors (family, peer and school caring relations) and internal factors (goals and aspirations, problem solving and self-efficacy, empathy, and self-awareness) in protecting adolescents experiencing interpersonal problems and academic pressure from depression. A total of 1,297 eighth and ninth grade…

  13. Risk Factors for Preschool Depression: The Mediating Role of Early Stressful Life Events

    Science.gov (United States)

    Luby, Joan L.; Belden, Andy C.; Spitznagel, Edward

    2006-01-01

    Background: Family history of mood disorders and stressful life events are both established risk factors for childhood depression. However, the role of mediators in risk trajectories, which are potential targets for intervention, remains understudied. To date, there have been no investigations of mediating relationships between risk factors and…

  14. Comparison of risk factors for the onset and maintenance of depression

    NARCIS (Netherlands)

    Bottomley, Christian; Nazareth, Irwin; Torres-Gonzalez, Francisco; Svab, Igor; Maaroos, Heidi-Ingrid; Geerlings, Mirjam I.; Xavier, Miguel; Saldivia, Sandra; King, Michael

    2010-01-01

    Background Factors associated with depression are usually identified from cross-sectional studies. Aims We explore the relative roles of onset and recovery in determining these associations. Method Hazard ratios for onset and recovery were estimated for 39 risk factors from a cohort study of 10045 g

  15. 伴与不伴精神病性症状抑郁症患者临床特征及影响因素分析%Analysis of clinical features and its influencing factors of depression patients with and without psy-chotic symptoms

    Institute of Scientific and Technical Information of China (English)

    李秀英; 陈宏; 辛建

    2016-01-01

    influencing factors of depression pa⁃tients with and without psychotic symptoms. Methods According to the presence of psychotic symptoms, 374 patients with major depression were divided into psychotic major depression ( PMD group,79 case) and nonpsychotic major depression ( NMD group,268 case) . All patients completed social demographic question⁃naire ( including gender,age,marital status,educational level,family history,positive family history of psychi⁃atric disorder,disease onset age,frequency of attack,times of hospitalization,etc.) and Hamilton's depression scale (HAMD⁃24). Results Positive family history(PMD group 47/79,NMD group 104/268, P<0.01), psychiatric disorder positive family history(PMD group 19/79,NMD group 26/268, P<0.01) and times of hospitalization(PMD group(2.52±1.29),NMD group(1.39±1.31), P<0.01) in the PMD group were signifi⁃cantly higher than the NMD group.HAMD total scores(PMD total score(47.85±8.69),NMD total score (43.44±8.51), P<0.01),the factor score of anxiety/somatization(PMD group(11.40±3.28),NMD group (9.19±3.54), P<0.01) and cognitive impairment(PMD group(12.24±3.77),NMD group(9.45±3.68), P<0.01) in the PMD group were significantly higher than the NMD group.Disease onset age(PMD group(30.09 ±5.17),NMD group(35.95±9.06), P<0.01),the course of the disease(PMD group(1.58±0.76),NMD group(3.02±2.87), P<0.01),the factor score of day and night change(PMD group(0.76±0.46),NMD group(1.01±0.51), P<0.01) in PMD group were significantly lower than the NMD. Logistic regression anal⁃ysis showed the major depression with positive family history of mental disorders( β=3.278) ,attack in early age( β=-2.524),seriously cognitive dysfunction in patients( β=3.836) may indicate the psychotic symp⁃ toms( P<0.05).Conclusion PMD patients more positive family history,psychiatric disorder positive family history,likely to be hospitalization,severe symptoms and attack in early age compared with NMD. With posi⁃tive family history of mental

  16. Actor-partner interdependence analysis in depressed patient-caregiver dyads: Influence of emotional intelligence and coping strategies on anxiety and depression.

    Science.gov (United States)

    Marguerite, Serres; Laurent, Boyer; Marine, Alessandrini; Tanguy, Leroy; Karine, Baumstarck; Pascal, Auquier; Xavier, Zendjidjian

    2017-08-30

    Major depressive disorder (MDD) is a leading cause of suffering for both patients and their natural caregivers. A preliminary study highlights the association of emotional intelligence (EI) and coping strategies with quality of life. However, there is a lack of studies concerning dyadic (i.e., patient and natural caregiver) characteristics' impact on anxious and depressive symptoms. In a sample of MDD patients-caregivers dyads, we explored the influence of EI and coping strategies on anxious and depressive symptoms using the actor-partner interdependence model (APIM). The cross-sectional study included 79 MDD patient-caregiver dyads. Self-reported data, completed by patients and their primary caregivers, were collected including socio-demographic, EI using TEIQue-SF, coping strategies using BriefCope, depressive symptoms using Beck Depression Inventory, anxious symptoms using STAI. The APIM was used to test the dyadic effects of EI and coping strategies on anxious and depressive symptoms, using structural equation modelling. Patients and caregivers reported both anxious and depressive symptoms. Coping strategies, such as problem solving, positive thinking and avoidance, exhibited evidence of actor (degree to which the individual's coping strategies are associated with their own anxiety or depression level) and partner effect (degree to which the individual's coping strategies are associated with the anxiety or depression level of the other member of the dyad). The caregivers' EI was associated with a decrease of their own depression level contrary to patients for which the results were not significant. The patients' and caregivers' EI was associated with a decrease of their own level of anxiety. EI and coping strategies were moderately associated with anxious and depressive symptomatology among MDD patient-caregiver dyads. These results suggest that targeted interventions could be proposed to both patients and caregivers. Copyright © 2017 Elsevier B.V. All rights

  17. Hell is other people? Gender and interactions with strangers in the workplace influence a person's risk of depression.

    Science.gov (United States)

    Fischer, Sebastian; Wiemer, Anita; Diedrich, Laura; Moock, Jörn; Rössler, Wulf

    2014-01-01

    We suggest that interactions with strangers at work influence the likelihood of depressive disorders, as they serve as an environmental stressor, which are a necessary condition for the onset of depression according to diathesis-stress models of depression. We examined a large dataset (N = 76,563 in K = 196 occupations) from the German pension insurance program and the Occupational Information Network dataset on occupational characteristics. We used a multilevel framework with individuals and occupations as levels of analysis. We found that occupational environments influence employees' risks of depression. In line with the quotation that 'hell is other people' frequent conflictual contacts were related to greater likelihoods of depression in both males and females (OR = 1.14, pcoping difficult and increase the risk of depression. In other occupations, these experiences have neutral tones and allow for functional coping strategies. Functional strategies are more often found in women than in men.

  18. Factors influencing the cardiac MIBG accumulation

    Energy Technology Data Exchange (ETDEWEB)

    Takatsu, Hisato; Fujiwara, Hisayoshi [Gifu Univ. (Japan). School of Medicine

    1997-02-01

    Following factors possibly influencing the cardiac MIBG accumulation were examined mainly in mice. 1. The specific activity of the MIBG (meta-iodo-benzyl guanidine) on the neuronal and non-neuronal fractions. 2. Motor restriction stress on MIBG accumulation and washout. 3. Loading and restriction of sodium chloride on the accumulation and effect of suppression of renin-angiotensin system. 4. Examinations in Dahl rats. 125I- or 131I-MIBG was intravenously administered to mice at 74 kBq. At 30 min or 4 hr after administration, mice were sacrificed and their left ventricles were dissected out for measurement of radioactivity in a liquid scintillation counter. Salt-sensitive and -resistant Dahl rats were given with 37 MBq of 123I-MIBG and cardiac radioactivity was measured externally for calculation of washout. Factors examined were found highly correlated with the accumulation of MIBG and measurement of its washout was considered useful for evaluating sympathetic activity. (K.H.)

  19. A survey on factors influencing city branding

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    Seyed Mohsen Mahmoudzadeh

    2014-10-01

    Full Text Available Nowadays, the issue of “globalization” is entering to all areas in the world. In addition to products and companies, cities and countries also have the opportunity to see themselves as important actors in international arena. Places define their positions in different fields like business, leisure and recreation, educational opportunities, living, etc. This paper presents an empirical study to introduce city branding as one of the solutions to join globalization process. The method of this research is based on the “descriptive-analytic” and utilize the available literature and experts’ opinions to prioritize the influencing factors of city branding. We use Delphi consensus methods and technique of analytical hierarchy process to evaluate the factors. Finally, the results of the study indicate that security, transportation and mental creativity are the weakest fields and business and shopping facilities are strong fields of city branding in metropolitan of Tehran.

  20. A study of factors influencing advanced puberty

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    Yong Jun Park

    2010-02-01

    Full Text Available Purpose : The purpose of this study was to evaluate the timing of puberty and the factors inducing advanced puberty in elemental school students of low grades. Methods : The 1st, 2nd, and 3rd grade elemental students from the Goyang province were randomly selected, and their sexual maturation rate was assessed by physical examination. After obtaining an informed consent, a questionnaire was administered to the parents; eating habits, lifestyle, use of growth-inducing medication, and present illness of the students were evaluated to determine the factors that induced advanced puberty. The data were statistically analyzed. Results : We selected 170 children and the girls:boys sex ratio was 1.2:1. Two 9-year-old boys were in genital stage 2. Two (14.3% 6-year-old girls, 6 (19.4% 7-year-old girls, 15 (39.6% 8-year-old girls, and 4 (57.1% 9-year-old girls were in breast stage 2. The average pubertal timing predicted for girls was 9.11¡?#?.86; years. The main factors influencing pubertal timing were obesity scale, frequency of eating fast food, and the use of growth-inducing medication. A high rating on the obesity scale and high frequency of eating fast food indicated advanced stage of puberty. Growth-inducing medication induced puberty through obesity. Conclusion : We proposed that predictive average pubertal timing in girls was 9.11¡?#?.86; years, which was consistent with the previously reported findings from abroad. The significant influencing factors in advanced puberty were obesity scale and frequency of fast food.

  1. Factors of academic procrastination: The role of perfectionism, anxiety and depression

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    Eva Kranjec

    2016-06-01

    Full Text Available This study investigated dimensions of perfectionism, anxiety, and depression as factors of academic procrastination. Our main research interest was to examine the role of specific dimensions of perfectionism as moderators in the relationship between anxiety and depression and academic procrastination. Four scales were administered on the sample of 403 students: perfectionism scale FMPS, academic procrastination scale APS-SI, depression scale CESD and anxiety scale STAI-X2. The results showed significant positive relationships between maladaptive dimensions of perfectionism, anxiety, depression, and academic procrastination. In addition, results showed significant negative associations between adaptive dimensions of perfectionism and academic procrastination. Certain dimensions of perfectionism, anxiety, and depression proved to be significant predictors of academic procrastination. The dimensions of perfectionism and academic procrastination were also significantly related to anxiety and depression, which both predicted academic procrastination. The relationship between anxiety levels and academic procrastination was moderated by personal standards (as adaptive dimension of perfectionism, while the relationship between depression levels and academic procrastination was moderated by the maladaptive dimension of parents’ expectations.

  2. Unemployment and depression among emerging adults in 12 states, Behavioral Risk Factor Surveillance System, 2010.

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    McGee, Robin E; Thompson, Nancy J

    2015-03-19

    The high rate of unemployment among emerging adults (aged 18 to 25 years) is a public health concern. The risk of depression is higher among the unemployed than among the employed, but little is known about the relationship between unemployment and mental health among emerging adults. This secondary data analysis assessed the relationship between unemployment and depression among emerging adults. Data from the 2010 Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. Responses to the Patient Health Questionnaire-8 provided data about the prevalence of depression. Bivariate relationships were assessed using χ(2) tests, and multivariable adjusted odds ratios were calculated with logistic regressions. Sociodemographic variables were sex, race/ethnicity, marital status, and education. In addition, logistic regression models adjusted for health insurance status, disability, smoking, and body mass index. The analyses were completed using SAS 9.3 survey procedures to account for the complex sampling design. Almost 12% of emerging adults were depressed (PHQ-8 ≥10) and about 23% were unemployed. Significantly more unemployed than employed emerging adults were classified with depression. In the final model, the odds of depression were about 3 times higher for unemployed than employed emerging adults. The relationship between unemployment and depression is significant among emerging adults. With high rates of unemployment for this age group, this population may benefit from employment- and mental-health-focused interventions.

  3. Depression and Insomnia in Patients With Psoriasis and Psoriatic Arthritis Taking Tumor Necrosis Factor Antagonists.

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    Wu, Chun-Ying; Chang, Yun-Ting; Juan, Chao-Kuei; Shen, Jui-Lung; Lin, Yu-Pu; Shieh, Jeng-Jer; Liu, Han-Nan; Chen, Yi-Ju

    2016-05-01

    Psoriasis patients with moderate to severe disease often present with depression and insomnia. Treatment targeting both psoriasis and psychological comorbidities is needed to improve the quality of life of these patients.In this nationwide cohort study, a total of 980 patients with psoriatic arthritis or psoriasis who had received nonbiological disease-modifying antirheumatic drugs and biologics therapy between 2009 and 2012 were identified. The prevalence rates of patients taking medications for depression and insomnia were compared before and after biologics therapy. Logistic regression method was used to investigate the risk factors for depression and insomnia. Further stratified analyses were performed to examine the prevalence of use of medications for depression and insomnia among different patient subgroups.The prevalence of patients taking regular antidepressants before starting biologics therapy was about 20%. There was a more than 40% reduction in this prevalence after biologics therapy for 2 years. Age higher than 45 years, female sex, presence of comorbidities, and psoriatic arthritis were independently associated with depression and insomnia. Further stratified analyses revealed a more rapid and significant reduction in depression/insomnia in those undergoing continuous biologics therapy, younger than 45 years, without psoriatic arthritis and not taking concomitant methotrexate, when compared with their counterparts.The results suggest that biologics therapy may be associated with reduced rates of depression and insomnia, and a reduced rate of regular antidepressants use in psoriasis patients.

  4. Importance of social and cultural factors for attitudes, disclosure and time off work for depression: findings from a seven country European study on depression in the workplace.

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    Evans-Lacko, Sara; Knapp, Martin

    2014-01-01

    Depression is experienced by a large proportion of the workforce and associated with high costs to employers and employees. There is little research on how the social costs of depression vary by social and cultural context. This study investigates individual, workplace and societal factors associated with greater perceived discomfort regarding depression in the workplace, greater likelihood of employees taking time off of work as a result of depression and greater likelihood of disclosure of depression to one's employer. Employees and managers (n = 7,065) were recruited from seven European countries to participate in the IDEA survey. Multivariable logistic regression models were used to examine associations between individual characteristics and country contextual characteristics in relation to workplace perceptions, likelihood of taking time off work and disclosing depression to an employer. Our findings suggest that structural factors such as benefit systems and flexible working hours are important for understanding workplace perceptions and consequences for employees with depression. However, manager responses that focus on offering help to the employee with depression appear to have stronger associations with positive perceptions in the workplace, and also with openness and disclosure by employees with depression. This study highlights the importance of individual, workplace and societal factors that may be associated with how people with depression are perceived and treated in the workplace, and, hence, factors that may be associated with openness and disclosure among employees with depression. Some responses, such as flexible working hours, may be helpful but are not necessarily sufficient, and our findings also emphasise the importance of support and openness of managers in addition to flexible working hours.

  5. Importance of Social and Cultural Factors for Attitudes, Disclosure and Time off Work for Depression: Findings from a Seven Country European Study on Depression in the Workplace

    Science.gov (United States)

    Evans-Lacko, Sara; Knapp, Martin

    2014-01-01

    Objectives Depression is experienced by a large proportion of the workforce and associated with high costs to employers and employees. There is little research on how the social costs of depression vary by social and cultural context. This study investigates individual, workplace and societal factors associated with greater perceived discomfort regarding depression in the workplace, greater likelihood of employees taking time off of work as a result of depression and greater likelihood of disclosure of depression to one's employer. Methods Employees and managers (n = 7,065) were recruited from seven European countries to participate in the IDEA survey. Multivariable logistic regression models were used to examine associations between individual characteristics and country contextual characteristics in relation to workplace perceptions, likelihood of taking time off work and disclosing depression to an employer. Results Our findings suggest that structural factors such as benefit systems and flexible working hours are important for understanding workplace perceptions and consequences for employees with depression. However, manager responses that focus on offering help to the employee with depression appear to have stronger associations with positive perceptions in the workplace, and also with openness and disclosure by employees with depression. Conclusion This study highlights the importance of individual, workplace and societal factors that may be associated with how people with depression are perceived and treated in the workplace, and, hence, factors that may be associated with openness and disclosure among employees with depression. Some responses, such as flexible working hours, may be helpful but are not necessarily sufficient, and our findings also emphasise the importance of support and openness of managers in addition to flexible working hours. PMID:24622046

  6. Influence and Significance of Venlafaxine on Basic Fibroblast Growth Factor(bFGF),Vascular Endothelialgrowth Factor (VEGF),Matrix Metalloproteinases-9(MMP-9)Levels in the First-episode Patients with Major Depressive Disorder%文拉法辛对首发抑郁障碍患者血清bFGF、VEGF、MMP-9的影响及意义

    Institute of Scientific and Technical Information of China (English)

    韩毅; 陈涛平; 王丽莉; 左津淮

    2015-01-01

    目的探讨文拉法辛对首发抑郁障碍患者血清碱性成纤维细胞生长因子(basic fibroblast growth factor,bFGF)、血管内皮细胞生长因子(vascular endothelialgrowth factor,VEGF)、基质金属蛋白酶-9(matrix metal oproteinases-9,MMP)水平的影响及意义。方法采用酶联免疫(ELISA)方法检测38例抑郁患者文拉法辛治疗前及治疗4w后和34名正常对照bFGF、VEGF、MMP-9水平;采用24项汉密尔顿抑郁量表(HAMD24)、汉密尔顿焦虑量表(HMMA)评定治疗前及治疗4w后的抑郁、焦虑症状,应用TESS副反应量表记录药物副反应。结果实验组血清bFGF、VEGF、MMP-9水平治疗前及治疗4w后差异无统计学意义(跃0.05)但均高于对照组,差异有统计学意义(0.05). The cor elation coef icients between the serum bFGF,VEGF,MMP-9 in level and total scores of HAMD-24 and HAMA in patients were not significant ( >0.05). Conclusion bFGF, VEGF, MMP-9 may be involved in the pathophysiology of depression.

  7. Does Depressive Symptomatology Influence Teenage Patients and Their Mothers’ Experience of Doctor-Patient Relationship in Two Balkan Countries?

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    Vaitsa Giannouli

    2014-04-01

    Full Text Available Doctor-patient relationship is considered to be a special relationship and a keystone of medical care. A fundamental factor in this sort of relationship is the communication, which is strictly examined between the two involving parts, without taking into consideration in the case of children and teenagers the possible influence of their parents. The mothers more often accompany their children to the doctor and they become a third part of the doctor-patient relationship. In Greece during February-May 2013, 196 mothers and their teenage children (suffering from acute or chronic illnesses completed two questionnaires: the Center for Epidemiological Studies-Depression Scale (CES-D and a series of questions on a Likert scale from the Patient Satisfaction Questionnaire (PSQ about the experienced satisfaction with the characteristics of this communication. In Bulgaria during July-August 2013, 60 mothers and their children completed the same questionnaires. The results revealed an unexpected finding only for the Greek sample - the quality of relationship between doctor and patient (for both Greek mothers and adolescents was negatively associated with their scores on CES-D (i.e. low level of depression together with low satisfaction derived from the relationship with the doctor, while no differences were found between the participants’ groups (mothers, children, acute or chronic disease. This surprising finding of high depression-high satisfaction was not found in the Bulgarian sample and therefore needs further investigation.

  8. Factors influencing seed germination in Cerrado grasses

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    Rosana Marta Kolb

    2016-03-01

    Full Text Available Few studies address the ecology of herbs of Cerrado grasslands, which are ecosystems where the long dry season, high temperatures, insolation, fire and invasive grasses greatly influencing germination and the establishment of plants. We assessed germination of 13 species of Poaceae from Cerrado grasslands under nursery conditions or in germination chambers, the latter with i recently collected seeds and seeds after six months storage, ii under constant and alternating temperatures, and iii in the presence and absence of light. Germinability, mean germination time (MGT and required light were quantified to elucidate factors involved in successful germination. Germinability was low for most grasses, probably because of low seed viability. For most species, germinability and MGT were not altered by seed storage. Germination percentages were higher at alternating temperatures and in the presence of light, factors that are more similar to natural environmental situations compared with constant temperature or the absence of light. Our findings indicate that alternating temperatures and light incidence are key factors for germination of species of Poaceae. The maintenance of these environmental factors, which are crucial for the conservation of Cerrado grasslands, depends on appropriate management interventions, such as fire management and the control of biological invasion.

  9. An Instrumental Variable Probit (IVP Analysis on Depressed Mood in Korea: The Impact of Gender Differences and Other Socio-Economic Factors

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    Lara Gitto

    2015-08-01

    Full Text Available Background Depression is a mental health state whose frequency has been increasing in modern societies. It imposes a great burden, because of the strong impact on people’s quality of life and happiness. Depression can be reliably diagnosed and treated in primary care: if more people could get effective treatments earlier, the costs related to depression would be reversed. The aim of this study was to examine the influence of socio-economic factors and gender on depressed mood, focusing on Korea. In fact, in spite of the great amount of empirical studies carried out for other countries, few epidemiological studies have examined the socio-economic determinants of depression in Korea and they were either limited to samples of employed women or did not control for individual health status. Moreover, as the likely data endogeneity (i.e. the possibility of correlation between the dependent variable and the error term as a result of autocorrelation or simultaneity, such as, in this case, the depressed mood due to health factors that, in turn might be caused by depression, might bias the results, the present study proposes an empirical approach, based on instrumental variables, to deal with this problem. Methods Data for the year 2008 from the Korea National Health and Nutrition Examination Survey (KNHANES were employed. About seven thousands of people (N= 6,751, of which 43% were males and 57% females, aged from 19 to 75 years old, were included in the sample considered in the analysis. In order to take into account the possible endogeneity of some explanatory variables, two Instrumental Variables Probit (IVP regressions were estimated; the variables for which instrumental equations were estimated were related to the participation of women to the workforce and to good health, as reported by people in the sample. Explanatory variables were related to age, gender, family factors (such as the number of family members and marital status and socio

  10. Study on Factors of Causing Maritime Students’ Depression%航海学子抑郁及其相关影响因素的研究

    Institute of Scientific and Technical Information of China (English)

    谢特秀

    2015-01-01

    采用抑郁自评量表等对186名航海学子进行调查。不同地区、不同年龄、不同年级的航海学子抑郁水平没有显著的差异;抑郁与人格和应对方式有显著的相关关系;进一步回归分析结果表明,有8个因素对抑郁的预测作用十分明显,具体为人格因素的神经质、应对方式的喝酒、积极思维、计划、回避、情感支持、工具性支持、主动应对。%This study applies the self-rating depression scale ( SDS) to inquire 186 maritime students. The inquiry results show that the factors such as age, district and grade fail to influence the level of maritime students’ depression significantly and the factors such as personality,coping style and depression are significant to influence the level of maritime students’ depression. Further regression analysis shows personality factors ( mainly neuroticism) and the coping styles ( drinking,positive thinking,planning,avoiding,seeking emotional support and tool support,and coping initiatively) have obvious function on forecasting depression.

  11. Lower Urinary Tract Symptoms, Depression, Anxiety and Systemic Inflammatory Factors in Men: A Population-Based Cohort Study.

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    Sean Martin

    Full Text Available The relationship between lower urinary tract symptoms (LUTS and common mental health disorders such as depression and anxiety in men remains unclear. Inflammation has recently been identified as an independent risk factor for LUTS and depression. This study aimed to assess the association between depression, anxiety and LUTS, and the moderating influence of systemic inflammation, in the presence of other biopsychosocial confounders.Participants were randomly-selected from urban, community-dwelling males aged 35-80 years at recruitment (n = 1195; sample response rate:67.8%. Of these, 730 men who attended baseline (2002-5 and follow-up clinic visits (2007-10, with complete outcome measures, and without prostate or bladder cancer and/or surgery, neurodegenerative conditions, or antipsychotic medications use, were selected for the present study. Unadjusted and multi-adjusted regression models of incident storage and voiding LUTS and incident depression and anxiety were combined with serum inflammatory markers (high-sensitive C-reactive protein (hsCRP, tumor necrosis factor-alpha (TNF-α, interleukin-6 (IL-6, myeloperoxidase (MPO, soluble e-selectin (e-Sel and socio-demographic, lifestyle, and health-related factors. Hierarchical multiple regression was used to assessed the moderating effect of inflammatory markers.The incidence of storage, voiding LUTS, depression and anxiety was 16.3% (n = 108, 12.1% (n = 88, 14.5% (n = 108, and 12.2% (n = 107. Regression models demonstrated that men with depression and anxiety at baseline were more likely to have incident storage, but not voiding LUTS (OR: 1.26, 99%CI: 1.01-4.02; and OR:1.74; 99%CI:1.05-2.21, respectively. Men with anxiety and storage LUTS at baseline were more likely to have incident depression (OR: 2.77, 99%CI: 1.65-7.89; and OR:1.45; 99%CI:1.05-2.36, respectively, while men with depression and voiding LUTS were more likely to have anxiety at follow-up (OR: 5.06, 99%CI: 2.81-9.11; and OR:2

  12. 单相抑郁症的相关影响因素分析%Study on the influence of life events on major depression

    Institute of Scientific and Technical Information of China (English)

    张思佳; 杨艳杰; 乔正学

    2012-01-01

    Objective To disscuss the influence of life events on major depression. Methods Data of 201 patients with depressive disorders and 201 normal individuals as control were analysed by using questionnaires,LES and Hamilton' s depression scales. Then the influence of life events on major depression using non-parameter test and multiple regression analysis were studied. Results All of the positive, negative and overall life events score in illness group were higher than those in the control group. There was no significant difference in getting life e-vents score and depression scores between the male and female depression disorder groups. The positive life events score, depressing duration, job stability and similar medical history of lineal relatives were correlated negatively with the depression levels of the major depression. Conclusion Positive life events score, depressing duration, job stability and similar medical history of lineal relatives are the influencing factors of the major depression.%目的 探讨生活事件对单相抑郁症的影响.方法 采用一般问卷,生活事件量表,汉密尔顿抑郁量表对201例抑郁症患者和201例正常对照人群进行调查,应用非参数检验及多元回归分析探讨生活事件对单相抑郁症的影响.结果 病例组的正性生活事件得分、负性生活事件得分、生活事件总分均高于对照组;男性及女性抑郁症患者生活事件得分及抑郁得分无统计学差异;正性生活事件,患病时间,工作是否稳定,直系亲属有相似病史与单相抑郁症患者抑郁程度呈负相关.结论 正性生活事件,患病时间,工作是否稳定,直系亲属有相似病史是单相抑郁症的影响因素.

  13. Factors associated with depression in pediatric cancer patients, and participation of nursing in its detection

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