Factors Associated With Depressive Episode Recurrences in Primary Care: A Retrospective, Descriptive Study

Nuggerud-Galeas, S. ; Oliván Blázquez, B. (Universidad de Zaragoza) ; Perez Yus, M.C. (Universidad de Zaragoza) ; Valle-Salazar, B. ; Aguilar-Latorre, A. ; Magallón Botaya, R. (Universidad de Zaragoza)

Resumen: Introduction and Objective: The early identification of depressive patients having a poor evolution, with frequent relapses and/or recurrences, is one of the priority challenges in this study of high prevalence mental disorders, and specifically in depression. So, this study aims to analyze the factors that may be associated with an increased risk of recurrence of major depression episodes in patients treated in primary care. Methods: A retrospective, descriptive study of cases-controls was proposed. The cases consisted of patients who had been diagnosed with major depression and who had presented recurrences (n = 101), in comparison with patients who had experienced a single major depression episode with no recurrence (n = 99). The variables of the study are age at first episode; number of episodes; perception of severity of the depression episode suffered prior to recurrence; number of residual symptoms; physical and psychiatric comorbidity; history of anxiety disorders; family psychiatric history; high incidence of stressful life events (SLEs); and experiences of physical, psychological, or sexual abuse in childhood. The differences of the variables were compared between the case subjects and the control subjects, using the Mann–Whitney, chi-square, and Fisher’s U statistics. A multivariate analysis (ordinary logistic regression) was performed. Results: The average age of those suffering more than one depressive episode is significantly older (5 years), and a higher percentage of subjects who have experienced more than one depressive episode have a history of anxiety disorders. In the multivariate analysis, the variables that obtained a significant value in the logistic regression analysis were age (OR: 1.03; value: 0.007) and having suffered sexual abuse during childhood (OR: 1.64; value: 0.072). Conclusion: These indicators should be considered by primary care physicians when attending patients suffering from major depression.

Idioma: Inglés

DOI: 10.3389/fpsyg.2020.01230

Año: 2020

Publicado en: Frontiers in Psychology 11 (2020), 1230 [12 pp.]
ISSN: 1664-1078

Factor impacto JCR: 2.99 (2020)

Categ. JCR: PSYCHOLOGY, MULTIDISCIPLINARY rank: 42 / 139 = 0.302 (2020) - Q2 - T1

Factor impacto SCIMAGO: 0.946 - Psychology (miscellaneous) (Q2)

Financiación: info:eu-repo/grantAgreement/ES/DGA/B21-17R
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/PI18-01336

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Psicología Social (Dpto. Psicología y Sociología)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Área (Departamento): Área Psicolog.Evolut.Educac (Dpto. Psicología y Sociología)