95383 20230526092851.0 doi 10.3389/fpsyg.2020.01230 sideral 119192 ART-2020-119192 eng Nuggerud-Galeas, S. Factors Associated With Depressive Episode Recurrences in Primary Care: A Retrospective, Descriptive Study 2020 Access copy available to the general public Unrestricted 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. info:eu-repo/grantAgreement/ES/DGA/B21-17R info:eu-repo/grantAgreement/ES/ISCIII/PI18-01336 info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.99 2020 PSYCHOLOGY, MULTIDISCIPLINARY 42 / 139 = 0.302 2020 Q2 T1 0.946 2020 Psychology (miscellaneous) 2020 Q2 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Oliván Blázquez, B. Universidad de Zaragoza (orcid)0000-0001-6565-9699 Perez Yus, M.C. Universidad de Zaragoza (orcid)0000-0001-5566-9746 Valle-Salazar, B. Aguilar-Latorre, A. (orcid)0000-0003-2683-7346 Magallón Botaya, R. Universidad de Zaragoza (orcid)0000-0002-5494-6550 4009 740 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Social 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 4009 735 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicolog.Evolut.Educac 11 (2020), 1230 [12 pp.] Front. psychol. Frontiers in Psychology 1664-1078 226244 http://zaguan.unizar.es/record/95383/files/texto_completo.pdf Versión publicada 448138 http://zaguan.unizar.es/record/95383/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:95383 articulos driver 2023-05-26-08:13:00 ARTICLE