Right prefrontal function and coping strategies in patients with remitted major depressive disorder

Coping strategies have an impact on substance use disorders (SUD), relapses, and clinical variables, but knowledge on this area is scarce. We explored the coping strategies used during treatment in patients with dual diagnosis (DD), SUD, and severe mental illness (SMI), and the relation with clinical course and relapses at one-year follow-up. A sample of 223 patients was divided into three groups depending on diagnosis: DD (N = 80; SUD with comorbid schizophrenia or major depressive disorder), SUD only (N = 80), and SMI only (N = 63; schizophrenia or major depressive disorder). MANCOVA analyses reflected differences in self-criticism and problem avoidance, with a higher use of these in the DD and SUD groups. The coping strategies used differed depending on the presence/absence of a SUD, but not depending on psychiatric diagnosis. At one-year follow-up, social support was the only strategy that predicted the presence of relapses in DD patients with schizophrenia (positively), and in SMI patients with major depressive disorder (negatively). Thus, social support was associated with relapses, but the relationship was different depending on psychiatric diagnosis. Further studies should analyze the implications of social support as a coping strategy in different mental disorders, as well as its usefulness in individualized interventions.

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Increased Cortisol Levels in Depression: A Comparative Study Evaluating the Correlation of Hypercortisolemia with Prosocial Coping Mechanisms

Acta Medica Marisiensis ◽

10.1515/amma-2015-0116 ◽

2016 ◽

Vol 62 (1) ◽

pp. 68-72 ◽

Cited By ~ 3

Author(s):

Theodor Moica ◽

Iosif Gabos Grecu ◽

Gabriela Elena Buicu ◽

Melinda Ferencz ◽

Marieta Gabos Grecu ◽

...

Keyword(s):

Major Depressive Disorder ◽

Depressive Disorder ◽

Coping Strategies ◽

Cortisol Level ◽

Serum Cortisol ◽

Coping Mechanisms ◽

Major Depressive ◽

Morning Serum Cortisol ◽

Recurrent Major Depressive Disorder ◽

Healthy Persons

AbstractObjective: The aim of this paper was to evaluate if depressed patients have an increased level of morning serum cortisol compared to healthy persons and to assess the relation between high levels of cortisol and prosocial coping mechanisms, in the context of Recurrent Major Depressive Disorder. Methods: Morning serum cortisol level was measured in 15 depressed patients hospitalized in First Clinic of Psychiatry Tirgu Mures and in 15 healthy controls. We have analyzed 3 behavioral coping strategies with The Strategic Approach of Coping Scale (SACS): social joining (SJ), seeking social support (SSS) and cautious action (CA). Results: 30 participants were included, the mean value of the cortisol for females was Mcort_female= 16.38 μg/dl and for males Mcort_male= 16.31 μg/dl. Independent sample t test showed that the cortisol level in depressed group was higher than the cortisol level in the control group: t = 2.394, p < 0.05 (0.024). In the MDD group the Spearman correlation between the level of serum cortisol and prosocial coping strategies was: rcortisol-SJ= -0.519; rcortisol-SSS= -0.107; rcortisol-CA= -0.382. Conclusions: Although the studied sample patient was small, we can conclude that the patients with Recurrent Major Depressive Disorder have an increased level of morning serum cortisol compared to healthy persons. In these patients there is an inverse correlation between the increased levels of morning cortisol and the frequency of use of the effective prosocial coping strategies, particularly the social joining type.

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Schizophrenia and major depression: Resilience, coping styles, personality traits, self-esteem and quality of life

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.2125 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S192-S193

Author(s):

S. Di Marco ◽

A. Feggi ◽

E. Cammarata ◽

L. Girardi ◽

F. Bert ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Major Depressive Disorder ◽

Depressive Disorder ◽

Coping Strategies ◽

Self Esteem ◽

Major Depressive ◽

Perceived Quality Of Life ◽

Schizophrenic Patients

IntroductionResilience is commonly defined as positive adaptation to adverse events or as the ability to maintain or regain mental health after exposure to difficulties. According to the bio-psycho-social model, resilience is influenced by self-esteem, coping strategies and personality traits. In schizophrenic patients, resilience seems to affect real-life functioning, while in mood disorders, resilience influences the longitudinal course of the disorder, reducing the frequency of relapses and improving drugs response.ObjectivesThe aim of this study is to asses levels of resilience and self-esteem, coping strategies, perceived quality of life and temperament characteristics in a sample composed by patients with major depressive disorder and patients affected by schizophrenia.MethodsWe collected a sample composed by 40 patients with major depressive disorder and 40 patients affected by schizophrenia patients recruited at the “Maggiore della Carità” Hospital in Novara, Italy. The assessment protocol included: Resilience Scale for Adults (RSA), Coping Orientation to Problems Experienced Inventory–Brief (BRIEF–COPE), Rosenberg Self-esteem Scale (RSES), Paykel List Of Stressful Events, Temperamental and Character Inventory (TCI) and Short form 36 (SF-36). Comparison of qualitative data was performed by means of the χ2, a t-test was performed for continuous normal-distribution variables otherwise a non-parametric Mann–Whitney test was performed. Statistical significance was set at P ≤ 0.05.ConclusionsIn patients with major depressive disorder resilience were associated with a good self-perception of physical and mental health, higher self-esteem levels and problem-focused/emotion focused coping strategies. In schizophrenic patients, sample there was no positive correlation between resilience and perceived quality of life. Further implications will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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The Impact of Decreased Capacity to Experience Pleasure on Leisure Coping Strategies among Individuals with Major Depressive Disorder

Leisure Sciences ◽

10.1080/01490400.2018.1458667 ◽

2018 ◽

pp. 1-19 ◽

Cited By ~ 4

Author(s):

Shinichi Nagata ◽

Bryan P. McCormick ◽

Jennifer Piatt

Keyword(s):

Major Depressive Disorder ◽

Depressive Disorder ◽

Coping Strategies ◽

Major Depressive ◽

The Impact

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Coping Strategies in Patients Diagnosed with Major Depressive Disorder

10.53350/pjmhs211593043 ◽

2021 ◽

Vol 15 (9) ◽

pp. 3043-3045

Author(s):

Muhammad Rafique Hingoro ◽

Muhammad Najeeb Memon ◽

Muhammad Ilyas Siddiqui ◽

Jamil Junejo ◽

Muneer Sadiq ◽

...

Keyword(s):

Major Depressive Disorder ◽

Depressive Disorder ◽

Coping Strategies ◽

Cross Sectional Study ◽

Pharmacological Therapy ◽

Urban Setting ◽

University Hospital ◽

Negative Consequences ◽

Major Depressive ◽

Cross Sectional

OBJECTIVE: To determine the coping strategies adopted by patients diagnosed with major depressive disorder (MDD) and their association with various socio-demographic variables. METHODOLOGY: This descriptive cross-sectional study was done on diagnosed patients of major depressive disorder presenting to the out-patient department of Liaquat University Hospital and Sir Cowasjee Jehangir Institute of Psychiatry, Hyderabad during 6 months from November 2019 to April 2020. All the cases aged >18 years, both gender and diagnosed with major depressive disorder were included. Depression coping questionnaire (DCQ) was administered to check for coping strategies employed. All the data was entered and analyzed by using statistical package for social sciences SPSS version 20. RESULTS: A majority of the sample comprised of middle-aged female patients, living in nuclear families in the urban setting with a middle socioeconomic status. The mean time delay in presenting to the OPD was 116±13 day. As per strategies the majority of the cases were taking pharmacological therapy and even fewer were under any other therapy. 92.75% of the patients admitted to employing coping strategies; a majority (78.57%) of whom deemed them useful. CONCLUSION: Coping strategies are adopted by many of the patients the belief of them being useful is prevalent. Different strategies are common among different sociodemographic groups, however, most of the coping strategies employed are negative and lead to negative consequences in the long run. Key words: Depression, coping, adopted, socio-demographic factors

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