Relations entre certaines caractéristiques des sujets et la réponse à la thérapie cognitive de la dépression avec des personnes âgées

1997 ◽  
Vol 16 (1) ◽  
pp. 70-83 ◽  
Author(s):  
Philippe Cappeliez ◽  
David Latour ◽  
Manal Guirguis
Keyword(s):  
Social Support ◽  
Group Intervention ◽  
Depressive Symptomatology ◽  
Perceived Social Support ◽  
Response Prediction ◽  
Subjective Health ◽  
Endogenous Depression ◽  
Favourable Outcome ◽  
Therapy Outcomes ◽  
Subjective Health Status

ABSTRACTAvailable research supports the therapeutic usefulness of cognitive therapy for depressed older adults. Few studies have addressed the issue of response prediction. This research investigates the associations between several pre-intervention characteristics of subjects and therapy outcomes in the context of a group intervention. The characteristics under study were severity of depressive symptommatology, endogenous depression profile, subjective health status, perceived social support, and frequency of cognitive depressive symptoms representing a negative view of oneself. A more severe depressive symptomatology and a more negative health perception were associated with a less favourable outcome of therapy. Although the majority of endogenous patients benefitted from the intervention, only a minority reached the level of symptom remission at the end of treatment. A more pronounced cluster of symptoms characterized by negative thoughts about oneself tended to be associated with a worse outcome. Perceived social support was unrelated to therapy outcome.

Caregiver depression: The contributing role of depression in patients, stigma, social support and religiosity

2018 ◽  
Vol 64 (6) ◽  
pp. 578-588 ◽  
Author(s):  
Yee Chin Chai ◽  
Raynuha Mahadevan ◽  
Chong Guan Ng ◽  
Lai Fong Chan ◽  
Farahidah Md Dai
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Caregiver Burden ◽  
Depressive Symptomatology ◽  
Perceived Social Support ◽  
Religious Commitment ◽  
Univariate Analysis ◽  
Mental Illnesses ◽  
Caregiver Depression ◽  
Personal Stigma

Background: Depression has been well studied as part of caregiver burden among patients with severe mental illnesses. Curiously, though, there has been little data in terms of caregiver burden with specific focus on depression among caregivers of patients with major depressive disorder (MDD). Aim: This study aims to determine the rate of depression among caregivers of person with depression and its psychosocial correlates, which include stigma, perceived social support, religious commitment and the severity of the patient’s symptoms. Methods: A cross-sectional study was conducted among 165 patients diagnosed with MDD using the Mini-International Neuropsychiatric Interview (M.I.N.I.) together with their caregivers. Apart from gathering social demographic data, patients were administered the 16-item Quick Inventory of Depressive Symptomatology–Self-Rated Version (QIDS-SR 16), whereas the caregivers were required to answer Patient Health Questionnaire–9 (PHQ-9), Multidimensional Scale of Perceived Social Support (MSPSS), Duke University Religion Index (DUREL) and Depression Stigma Scale (DSS). Those who scored ⩾5 on PHQ-9 were further assessed with interviewer-rated M.I.N.I. to diagnose the presence of depression. Results: A total of 47 (28.5%) caregivers were found to have depressive symptoms. Out of that total, 13 (7.9%) were diagnosed to have MDD using M.I.N.I. From univariate analysis, factors associated with depression in caregivers were the severity of symptoms in patients ( p < .001), personal stigma in caregivers ( p = .037), the patients’ current depressive episode ( p = .026) and lower perceived social support from friends ( p = .048). From multivariate analysis, only the patients’ severity of depressive symptoms ( p < .001) and personal stigma in caregivers ( p = .048) were significantly associated with the caregivers’ depressive symptoms. Conclusion: Our findings suggested that the severity of patient depression and personal stigma of the caregivers were significant factors correlated with caregiver depression. Therefore, beyond optimizing the treatment of depression in patients, the issue of stigma among caregivers also needs to be addressed as a potential target of intervention.

scholarly journals Health and suffering are associated with social support: a cross-sectional study of women and mothers with exhaustion and pain

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anja Gebhardt ◽  
Ann Langius-Eklöf ◽  
Susanne Andermo ◽  
Maria Arman
Keyword(s):  
Social Support ◽  
Health Care ◽  
Meaning In Life ◽  
Perceived Social Support ◽  
Reference Sample ◽  
Subjective Health ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Her Family ◽  
Two Samples

Abstract Background Despite women are generally overrepresented in behavioral, mental, and musculoskeletal disorders, motherhood as a central part of women’s life is poorly understood in relation to exhaustion and long-lasting pain. Mothers’ health impairments imply suffering both for herself and her family. A profound understanding of health is needed taking mothers’ subjective health experience, their suffering and life situation into account to give women, their families and society better prerequisites to alleviate exhaustion and long-lasting pain. The aim of the study was to describe health and suffering of women and mothers undergoing rehabilitation for long-lasting pain and exhaustion and its correlation with perceived social support. Methods The study had a cross-sectional design with an exploratory approach. A main sample consisted of 166 women undergoing rehabilitation for exhaustion and long-lasting pain and a reference sample included 129 women working and studying within health care professions. Both samples included women with and without children. Women’s subjective health and suffering was assessed from a caring science perspective using the recently developed and validated Health and Suffering Scale. Two additional scales measuring exhaustion and social support were distributed among the two samples. Descriptive statistics and multiple linear regression models, including health and suffering and perceived social support, were analyzed. Results Mothers undergoing rehabilitation for pain and exhaustion reported significantly poorer health and more suffering compared to healthy mothers, but similar health and suffering when compared with childless women in rehabilitation. Health and suffering were correlated with perceived social support among both healthy and exhausted mothers. In both samples, the correlation between health and suffering and social support was stronger among mothers than among women without children. Conclusions Women and mothers living with exhaustion and long-lasting pain show signs of unbearable suffering and perceived insufficient social support. Social support from various sources particularly helps mothers to create meaning in life and make their suffering bearable. Hence, health care must address the fact that mothers are dependent on their immediate social environment and that this dependency interacts with their health and suffering on an existential level.

scholarly journals Effects of Different Types of Perceived Social Support on Changes in Subjective Health among Older Adults: A Focus on Gender Differences

2021 ◽  
Vol 23 (4) ◽  
pp. 323-332
Author(s):  
Miok Ha ◽  
Seungja Kang
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Older Women ◽  
Emotional Support ◽  
Perceived Social Support ◽  
Subjective Health ◽  
Instrumental Support ◽  
Health Promotion Programs ◽  
Different Types ◽  
Over Time

Purpose: This longitudinal study aimed to investigate which types of perceived social support are associated with changes in subjective health over time among Korean older adults. We further explored whether these associations vary by older adults' gender.Methods: The current study examined 3,650 older adults drawn from additional survey data of the 6th and 7th waves of the Korean Retirement and Income Study (KReIS). Data were analyzed using hierarchical linear regression analyses.Results: Higher perceived instrumental and emotional supports significantly associated with less decline in subjective health over 2 years. Gender only moderated the association between emotional support and changes in subjective health. That is, higher emotional support associated with less decline in subjective health among older women, but not among older men.Conclusion: These findings suggest that instrumental support is the strongest predictor of older adults' changes in health over time, indicating the need for public supports for those who lack instrumental support from their social ties. Health promotion programs for older women should aim to enhance their perceived emotional support to protect them from faster declines in subjective health over time.

scholarly journals Predictors of Prenatal Depression: A Cross-Sectional Study in Rural Pakistan

2021 ◽  
Vol 12 ◽  
Author(s):  
Rukhsana Khan ◽  
Ahmed Waqas ◽  
Zille Huma Mustehsan ◽  
Amna Saeed Khan ◽  
Siham Sikander ◽  
...  
Keyword(s):  
Social Support ◽  
Pregnant Women ◽  
Life Events ◽  
Stressful Life Events ◽  
Depressive Symptomatology ◽  
Perceived Social Support ◽  
Stressful Events ◽  
Prenatal Depression ◽  
Stressful Life ◽  
Personal Factors

Objective: To determine the prevalence and association of prenatal depression with socioeconomic, demographic and personal factors among pregnant women living in Kallar Syedan, Rawalpindi, Pakistan.Methods: Five hundred women in the second and third trimester of pregnancy, living in Kallar Syedan, a rural area of district Rawalpindi Pakistan, were included in the study. Depression was assessed using “Patient health questionnaire” (PHQ9) in Urdu, with a cut-off score of 10. Multi-dimensional scale of perceived social support (MSPSS) was used to assess perceived social support. Life Events and Difficulties Schedule (LEDS) were used to measure stressful life events in past 1 year. Tool to assess intimate partner violence (IPV) was based on WHO Multi Country Study on “Women's Health and Domestic Violence against Women.”Results: Prevalence of prenatal depression was found to be 27%. Number of pregnancies was significantly associated with prenatal depression (p &lt; 0.01). Women living in a joint family and those who perceived themselves as moderately satisfied or not satisfied with their life in the next 4 years were found to be depressed (p &lt; 0.01, OR 6.9, CI 1.77–26.73). Depressive symptomatology in women who experienced more than five stressful life events in last 1 year was three times higher (p &lt; 0.001, OR 3.2, CI 1.68–5.98) than in women with 1–2 stressful events. Women who were supported by their significant others or their family members had 0.9 times (p &lt; 0.01, OR 0.9, CI 0.85–0.96) less chance of getting depressed. Pregnant women who were psychologically abused by their partners were 1.5 times more depressed (p &lt; 0.05 CI 1.12–2.51). Odds of having depression was also high in women who had less mean score of MSSI (p &lt; 0.05, OR 1.1, CI 1.01–1.09). Women who had suitable accommodation had 0.5 times less chance of having depression than others (p &lt; 0.05, OR 0.5, CI 0.27–0.92).Conclusion: Over a quarter of the women in the study population reported prenatal depression, which were predicted predominantly by psychosocial variables.

scholarly journals A Group Parenting Intervention for Depressed Fathers (LTP + Dads): A Feasibility Study from Pakistan

Children ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 26
Author(s):  
Muhammad I. Husain ◽  
Imran B. Chaudhry ◽  
Ameer B. Khoso ◽  
Ming W. Wan ◽  
Tayyeba Kiran ◽  
...  
Keyword(s):  
Social Support ◽  
Feasibility Study ◽  
Low Income ◽  
Group Intervention ◽  
Rating Scale ◽  
Perceived Social Support ◽  
Depression Scale ◽  
Self Esteem ◽  
Recruitment Rate ◽  
Stress Index

Background: Globally, paternal depression is a neglected and under-researched area. Aims: To feasibility test Learning Through Play Plus Dads (LTP+ Dads), a group parenting psychoeducation program adapted for depressed Pakistani fathers of children under 3 years of age. Methods: Fathers with depression were recruited in Karachi, Pakistan, for a pre-post feasibility study. Ten sessions of group LTP+ Dads were offered over three months. Clinical assessments were administered at baseline, three (end of intervention), and six (follow-up) months and included the Edinburgh Postnatal Depression Scale, 17-item Hamilton Depression Rating Scale, Brief Disability Questionnaire, Multidimensional Scale of Perceived Social Support, Euro-Qol-5 Dimensions, Rosenberg Self-esteem Scale, Parenting Stress Index, and Knowledge, Attitude and Practices questionnaire. Results: Of the 78 fathers approached, 34 consented to screening and 18 were eligible to participate. Participants had a mean age of 33 years, with a mean of 3.61 children. Most were unemployed and were from low-income households with low education backgrounds. The intervention was feasible and acceptable based on a recruitment rate of 100% of eligible participants and a 100% attendance rate for five of the 10 sessions. Fathers showed, on average, a reduction in depressive symptoms, an increase in most areas of knowledge, and positive attitudes about child development. Perceived social support, self-esteem, and functioning scores also increased. Conclusions: A low-cost, culturally adapted group intervention was found to be feasible and acceptable. Changes in depression, parenting-related, and other outcomes are promising and inform a future larger trial. Trial Registration: The trial was registered on Clinicaltrials.gov on 9 December 2020 (identifier: NCT04660253).

scholarly journals Influence of Coping, Social Support, and Depression on Subjective Health Status Among HIV-Positive Adults With Different Sexual Identities

2009 ◽  
Vol 34 (4) ◽  
pp. 133-144 ◽  
Author(s):  
Katie E. Mosack ◽  
Lance S. Weinhardt ◽  
Jeffrey A. Kelly ◽  
Cheryl Gore-Felton ◽  
Timothy L. McAuliffe ◽  
...  
Keyword(s):  
Social Support ◽  
Health Status ◽  
Subjective Health ◽  
Hiv Positive ◽  
Subjective Health Status ◽  
Sexual Identities ◽  
Hiv Positive Adults
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