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- Title
Predicting Factors of Relapse among Persons with a Major Depressive Disorder.
- Authors
Mahakittikun, Khwanjit; Thapinta, Darawan; Sethabouppha, Hunsa; Kittirattanapaiboon, Phunnapa
- Abstract
Major depressive disorder is the diagnosis used when an individual has chronic depression that may reoccur, whereby the affected person may experience a relapse of the illness. In order to prevent relapse of a major depressive disorder, it is essential to identify predictors of a potential relapse. Thus, this case-controlled study sought to examine psychosocial factors that might predict an impending relapse among persons with a major depressive disorder. Seventy-four individuals, diagnosed with a major depressive disorder, participated in the study. The data were analyzed via descriptive statistics and binary logistic regression. The results revealed stressful life events, self-efficacy for coping with depression, and expressed emotion of family members as significant predictors of an impending relapse of a major depressive disorder. Together these three independent variables explained 52% (Cog and Snell R²) or 69.3% (Nagelkerke R²) of the variance of relapse among the subjects. Although the power of each independent variable in predicting the likelihood of a relapse of the illness was not high, the results support cognitive theory that hypothesizes stressful life events increase one's likelihood of having a depressive relapse. The findings also support those of previous studies wherein self-efficacy for coping with depression and expressed emotion of family members have been found to be factors that may influence the relapse of a major depressive disorder.
- Subjects
THAILAND; ANTIDEPRESSANTS; MENTAL depression; MENTAL depression risk factors; DISEASE relapse; PSYCHOLOGICAL adaptation; ATTITUDE testing; CHI-squared test; COGNITION; STATISTICAL correlation; DISEASE susceptibility; EMPLOYMENT; FAMILIES; HOSPITAL admission &; discharge; OUTPATIENT services in hospitals; LIFE change events; MARITAL status; MATHEMATICAL models; PATIENTS; PROBABILITY theory; PSYCHIATRIC hospitals; PSYCHOTHERAPY patients; QUESTIONNAIRES; RESEARCH evaluation; RESEARCH funding; SCALES (Weighing instruments); SELF-efficacy; SELF-perception; PSYCHOLOGICAL stress; T-test (Statistics); LOGISTIC regression analysis; THEORY; STATISTICAL power analysis; EDUCATIONAL attainment; CASE-control method; DESCRIPTIVE statistics
- Publication
Pacific Rim International Journal of Nursing Research, 2013, Vol 17, Issue 1, p68
- ISSN
1906-8107
- Publication type
Article