Severe Sepsis And The Family: Depressive Symptoms In Spouses Of Patients With Severe Sepsis

Author(s):  
Dimitry Davydow ◽  
Catherine Hough ◽  
Kenneth Langa ◽  
Theodore J. Iwashyna
2014 ◽  
Vol 48 (3) ◽  
pp. 469-476 ◽  
Author(s):  
Rosely Almeida Souza ◽  
Gislaine Desani da Costa ◽  
Cintia Hitomi Yamashita ◽  
Fernanda Amendola ◽  
Jaqueline Correa Gaspar ◽  
...  

Objective: To classify families of elderly with depressive symptoms regarding their functioning and to ascertain the presence of an association between these symptoms, family functioning and the characteristics of the elderly. Method: This was an observational, analytical, cross-sectional study performed with 33 teams of the Family Health Strategy in Dourados, MS. The sample consisted of 374 elderly divided into two groups (with and without depressive symptoms). The instruments for data collection were a sociodemographic instrument, the GeriatricDepression Scale (15 items) and the Family Apgar. Results: An association was observed between depressive symptoms and family dysfunction, female gender, four or more people living together, and physical inactivity. Conclusion: The functional family may represent effective support for the elderly with depressive symptoms, because it offers a comfortable environment that ensures the well-being of its members. The dysfunctional family can barely provide necessary care for the elderly, which can exacerbate depressive symptoms.



2020 ◽  
Vol 37 ◽  
Author(s):  
Claudia Mazzer RODRIGUES-PALUCCI ◽  
Fernanda Aguiar PIZETA ◽  
Sonia Regina LOUREIRO

Abstract The aim of this study was to verify possible associations between maternal depressive symptoms, children’s behavioral problems and perceptions regarding the family interactions, considering the reports of mothers and children. A total of 60 mothers and their school-age children were divided into two equal groups, according to the presence or absence of maternal depression indicators, and evaluated using the following instruments: Sociodemographic Questionnaire, Patient Health Questionnaire-9, Strengths and Difficulties Questionnaire, and scales of family interaction (Escalas de Qualidade nas Interações Familiares). The results indicate that maternal depressive symptoms were associated with children’s behavioral problems and with family interactions reported by mothers and children. Maternal depression and positive family interactions reported by the mothers predicted behavioral problems in children. Positive family interactions reported by the mothers also mediated the association between maternal depression and children’s behavioral problems, highlighting the relevance of interventions with mothers with depression indicators that have school-age children.


2019 ◽  
Vol 37 (1) ◽  
pp. 49-55
Author(s):  
Jessie J Wong ◽  
Nickolas D Frost ◽  
Christine Timko ◽  
Adrienne J Heinz ◽  
Ruth Cronkite

Abstract Background Depression is a debilitating condition that affects the individual and the family. Objective This study sought to identify potential reciprocal influences between family arguments and depressive symptoms among clinically depressed patients over a 23-year span. Methods The present study employed a longitudinal, observational design with 424 depressed patients. Separate cross-lagged path models examined longitudinal associations for women and men over 23 years while adjusting for age, income, and marital and parental status. Results Among depressed men, more severe baseline depressive symptoms predicted more family arguments 10 years later. Among depressed women, more severe baseline depressive symptoms predicted fewer family arguments 1 year later, while more severe depressive symptoms at 10-year follow-up predicted more family arguments at 23-year follow-up. More family arguments predicted more severe depressive symptoms among women and men, with some variation in the time intervals of these associations. Conclusion These findings suggest that while depressive symptoms may temporarily diminish family arguments among women, such symptoms were associated with more family arguments over longer time intervals. Moreover, family arguments put depressed men and women at risk for more severe depressive symptoms. These results support the use of screening for family arguments and interventions to help depressed individuals develop skills to manage interpersonal conflict.


1995 ◽  
Vol 7 (1) ◽  
pp. 183-192 ◽  
Author(s):  
Roger Kobak ◽  
Rayanne Ferenz-Gillies

AbstractThis paper uses a functionalist view of emotion to consider family factors that create risk for depressive symptoms in adolescents. Two adolescent siblings and their mothers were assessed for emotion regulation during autonomy-related communication tasks, whereas their mother's attachment- and intimacy-related functioning was assessed through interview and self-report. The results indicate that older teens' failure to establish autonomous stances during communication and their mothers' dissatisfaction with intimate relationships increase risk for teenagers reporting depressive symptoms. Further, mothers' preoccupation attachment-related issues was found to be associated with less autonomous communication from older teenagers. Implications of these findings and future directions for investigating the family factors associated with adolescent depression are discussed.


2012 ◽  
Vol 40 (8) ◽  
pp. 2335-2341 ◽  
Author(s):  
Dimitry S. Davydow ◽  
Catherine L. Hough ◽  
Kenneth M. Langa ◽  
Theodore J. Iwashyna

2019 ◽  
Vol 36 (11-12) ◽  
pp. 3537-3553 ◽  
Author(s):  
Katherine B. Ehrlich ◽  
Michelle R. vanDellen ◽  
Julia W. Felton ◽  
C. W. Lejuez ◽  
Jude Cassidy

Husbands and wives often provide different reports about the qualities of their relationship—a pattern of reporting that is often discounted as measurement error. In the present study, we tested three research questions related to perceptions of marital conflict in a sample of 123 married couples. First, we tested whether individual and partner attachment and depressive symptoms were associated with reports of conflict. Then, we examined whether these characteristics also explain absolute and directional discrepancies in reports of marital conflict. Finally, we examined how discrepancies in reports of marital conflict might be related to discrepancies in other dyadic reports within the family. Analyses revealed that individuals’ attachment avoidance and anxiety, but not depressive symptoms, were linked to their own perceptions of marital conflict. Further, partners’ attachment anxiety was positively associated with one’s own perceptions of marital conflict. Additional analyses revealed that wives’ attachment avoidance was positively associated with absolute discrepancies about conflict. Wives’ attachment avoidance predicted directional discrepancies, such that they reported relatively more conflict than their husbands reported as their attachment avoidance increased. Husbands’ attachment anxiety was marginally associated with overreporting conflict relative to their wives’ reports. Finally, discrepancies in spouses’ reports of marital conflict were associated with mother–adolescent and father–adolescent discrepancies in reports of parent–adolescent conflict. Results highlight the importance of measuring both partners’ perceptions of the relationship in order to capture meaningful variation in multi-informant reports.


1989 ◽  
Vol 10 (10) ◽  
pp. 313-319
Author(s):  
William R. Beardslee

Depression is a family illness. The pediatrician's involvement is as a physician for the family. Initially, his or her role is as a diagnostician for the family. The presence of depressive symptoms in either a parent or a child requires investigation and may signal distress in other members of the family as well as the individual with symptoms. Often, even for parents, depressive symptoms will be first evident to the pediatrician. This provides a significant responsibility and the opportunity to function as a physician for the family in distress. An ongoing collaborative relationship with a psychiatrist or other mental health professional will aid in the treatment of disorder in the parents. Furthermore, in the absence of acute illness, there is an opportunity to discuss and help the family to understand the illness and to encourage resiliencies within the child or children. There is also the opportunity for continued follow-up, both of the parental distress and of the children's adaptive functioning.


2020 ◽  
pp. 1-11
Author(s):  
Marie-Louise Kullberg ◽  
Charlotte van Schie ◽  
Eleonore van Sprang ◽  
Dominique Maciejewski ◽  
Catharina A. Hartman ◽  
...  

Abstract Background Childhood abuse and neglect often occurs within families and can have a large influence on mental well-being across the lifespan. However, the sibling concordance of emotional abuse and neglect (i.e. together referred to as emotional maltreatment; EM), physical abuse (PA) and sexual abuse (SA) and the long-term impact on the context of siblings' maltreatment experiences are unclear. To examine the influence of EM, PA and SA on adult depressive symptoms within the family framework we differentiate between (a) the family-wide (mean level of all siblings) effects and (b) the individual deviation from the mean family level of maltreatment. Methods The sample (N = 636) consists of 256 families, including at least one lifetime depressed or anxious individual and their siblings. Multilevel modeling was used to examine the family-wide and relative individual effects of childhood maltreatment (CM). Results (a) Siblings showed most similarity in their reports of EM followed by PA. SA was mostly reported by one person within a family. In line with these observations, the mean family levels of EM and PA, but not SA, were associated with more depressive symptoms. In addition, (b) depression levels were more elevated in individuals reporting more EM than the family mean. Conclusions Particularly in the case of more visible forms of CM, siblings' experiences of EM and PA are associated with the elevated levels of adult depressive symptoms. Findings implicate that in addition to individual maltreatment experiences, the context of siblings' experiences is another crucial risk factor for an individuals' adult depressive symptomatology.


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