scholarly journals Character configuration, major depressive episodes, and suicide-related ideation among Japanese undergraduates

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251503
Author(s):  
Keisuke Takanobu ◽  
Nobuyuki Mitsui ◽  
Shinya Watanabe ◽  
Kuniyoshi Toyoshima ◽  
Yutaka Fujii ◽  
...  
Keyword(s):  
University Students ◽  
Depressive Episode ◽  
Male Students ◽  
Control Group ◽  
Major Depressive ◽  
Data Set ◽  
Patient Health ◽  
Character Inventory ◽  
Major Depressive Episodes ◽  
Depressive Episodes

Aim To enable early identification of university students at high risk for suicide, we examined personality as a predictive factor for major depressive episodes and suicide-related ideation. Methods From 2011 to 2013, we administered the Patient Health Questionnaire-9 (PHQ-9) and the Temperament and Character Inventory (TCI) to 1,997 university students at enrollment (T1). We previously conducted a study using the same data set; this is a re-analysis of the dataset. To prevent contamination of data, participants diagnosed with a depressive episode were excluded at T1. Three years after enrollment (T2), we re-administered the PHQ-9 to the same students. We statistically compared TCI scores at T1 among depressive episode groups and suicide-related ideation groups. Two-way ANOVA and Cochran-Armitage trend tests were used to analyze the relationships between personality traits, depressive episodes, and suicide-related ideation. Results The PHQ-9 summary scores at baseline (T1) were 3.0 (±2.7), with female students scoring 4.6 (±2.9) and male students 2.9 (±2.6, p = 0.025). The major depressive episode group at T2 had lower self-directedness (SD) scores at T1 than the non-depressive episode control group. The suicide-related ideation (SI) group at T2 also had higher harm avoidance (HA), lower SD, and lower cooperativeness (C) scores than the non-SI group at T1. The Cochran-Armitage trend tests revealed significant associations between character configurations composed of SD and C, and both depressive episodes at T2 and SI at T2. Conclusion The temperament feature of high HA at baseline and character configurations of low SD and low C at baseline are the most contributory predictors for the novel development of depressive episodes and SI among Japanese university students.

scholarly journals Major depressive episode among university students in Southern Brazil

2020 ◽  
Vol 54 ◽  
pp. 11 ◽  
Author(s):  
Betina Daniele Flesch ◽  
Gbènankpon Mathias Houvèssou ◽  
Tiago Neuenfeld Munhoz ◽  
Anaclaudia Gastal Fassa
Keyword(s):  
University Students ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Negative Impact ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Southern Brazil ◽  
Major Depressive ◽  
Major Depressive Episodes ◽  
Depressive Episodes

INTRODUCTION: Depression is the leading cause of disability around the world, and it has been increasingly affecting young people. This study evaluates the prevalence and factors associated with major depression in university students, with emphasis on the influence of the academic field, chosen study area and the environment they are inserted. METHODS: A census of students who entered the university in the first semester of 2017 was held at a university in Southern Brazil. The outcome of major depressive episode was evaluated using the Patient Health Questionnaire-9, considered when the individual had five or more depressive symptoms for at least one week. Its prevalence was estimated, and the associated factors were examined by the hierarchical multivariable analysis using the Poisson regression model. RESULTS: A total of 32% (95% confidence interval 29.9–34.2) of university students presented a major depressive episode, and the problem was more frequent among women (prevalence ratio [PR] = 1.59); people aged 21 to 23 years (PR = 1.24); those with a family history of depression (PR = 1.27); minorities’ sexual orientation (homosexuals, PR = 1.64, and bisexuals, PR = 1.69); who lived with friends or colleagues (PR = 1.36); students in the area of applied social and human sciences (PR = 1.28), and linguistics, language and literature, and art (PR = 1.25). The worst academic performance (PR = 2.61), alcohol abuse (PR = 1.25), and illicit drug use (PR = 1.30) were also positively associated with major depressive episode. CONCLUSION: In addition to individual, family, and behavioral aspects, already described as risk factors for major depressive episodes in the general population, academic aspects also influence the occurrence of depression among university students. Considering the high prevalence of major depressive episode and its negative impact on health, public and institutional policies are necessary to focus on students’ mental health promotion and care.

Work stress as a risk factor for major depressive episode(s)

2004 ◽  
Vol 35 (6) ◽  
pp. 865-871 ◽  
Author(s):  
JIANLI WANG
Keyword(s):  
Multivariate Analysis ◽  
Risk Factor ◽  
Major Depression ◽  
Work Stress ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Working Population ◽  
Major Depressive ◽  
Major Depressive Episodes ◽  
Depressive Episodes

Background. Major depression is a prevalent mental disorder in the general population, with a multi-factorial etiology. However, work stress as a risk factor for major depression has not been well studied.Method. Using a longitudinal study design, this analysis investigated the association between the levels of work stress and major depressive episode(s) in the Canadian working population, aged 18 to 64 years. Data from the longitudinal cohort of the Canadian National Population Health Survey (NPHS) were used (n=6663). The NPHS participants who did not have major depressive episodes (MDE) at baseline (1994–1995 NPHS) were classified into four groups by the quartile values of the baseline work stress scores. The proportion of MDE of each group was calculated using the 1996–1997 NPHS data.Results. The first three quartile groups had a similar risk of MDE. Those who had a work stress score above the 75th percentile had an elevated risk of MDE (7·1%). Using the 75th percentile as a cut-off, work stress was significantly associated with the risk of MDE in multivariate analysis (odds ratio=2·35, 95% confidence interval 1·54–3·77). Other factors associated with MDE in multivariate analysis included educational level, number of chronic medical illnesses and child and adulthood traumatic events. There was no evidence of effect modification between work stress and selected sociodemographic, clinical and psychosocial variables.Conclusions. Work stress is an independent risk factor for the development of MDE in the working population. Strategies to improve working environment are needed to keep workers mentally healthy and productive.

Core Beliefs and History of Major Depressive Episodes in Currently Non-depressed University Students

2008 ◽  
Vol 33 (1) ◽  
pp. 50-58 ◽  
Author(s):  
John R. Z. Abela ◽  
Randy P. Auerbach ◽  
Sabina Sarin ◽  
Zia Lakdawalla
Keyword(s):  
University Students ◽  
Core Beliefs ◽  
Major Depressive ◽  
History Of ◽  
Major Depressive Episodes ◽  
Depressive Episodes

scholarly journals Early life stress explains reduced positive memory biases in remitted depression

2017 ◽  
Vol 45 ◽  
pp. 59-64 ◽  
Author(s):  
J.A. Gethin ◽  
K.E. Lythe ◽  
C.I. Workman ◽  
A. Mayes ◽  
J. Moll ◽  
...  
Keyword(s):  
Life Stress ◽  
Early Life ◽  
Memory Task ◽  
Early Life Stress ◽  
Speed Ratio ◽  
Control Group ◽  
Major Depressive ◽  
Memory Biases ◽  
Major Depressive Episodes ◽  
Depressive Episodes

AbstractBackground:There is contradictory evidence regarding negative memory biases in major depressive disorder (MDD) and whether these persist into remission, which would suggest their role as vulnerability traits rather than correlates of mood state. Early life stress (ELS), common in patients with psychiatric disorders, has independently been associated with memory biases, and confounds MDD versus control group comparisons. Furthermore, in most studies negative biases could have resulted from executive impairments rather than memory difficulties per se.Methods:To investigate whether memory biases are relevant to MDD vulnerability and how they are influenced by ELS, we developed an associative recognition memory task for temporo-spatial contexts of social actions with low executive demands, which were matched across conditions (self-blame, other-blame, self-praise, other-praise). We included fifty-three medication-free remitted MDD (25 with ELS, 28 without) and 24 healthy control (HC) participants without ELS.Results:Only MDD patients with ELS showed a reduced bias (accuracy/speed ratio) towards memory for positive vs. negative materials when compared with MDD without ELS and with HC participants; attenuated positive biases correlated with number of past major depressive episodes, but not current symptoms. There were no biases towards self-blaming or self-praising memories.Conclusions:This demonstrates that reduced positive biases in associative memory were specific to MDD patients with ELS rather than a general feature of MDD, and were associated with lifetime recurrence risk which may reflect a scarring effect. If replicated, our results would call for stratifying MDD patients by history of ELS when assessing and treating emotional memories.

scholarly journals Negative Self-Referential Processing Predicts the Recurrence of Major Depressive Episodes

2016 ◽  
Vol 5 (1) ◽  
pp. 174-181 ◽  
Author(s):  
Joelle LeMoult ◽  
Katharina Kircanski ◽  
Gautam Prasad ◽  
Ian H. Gotlib
Keyword(s):  
Depressive Symptoms ◽  
Life Events ◽  
Depressive Episode ◽  
Negative Life Events ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Major Depressive ◽  
Referential Processing ◽  
Major Depressive Episodes ◽  
Depressive Episodes

Most individuals who develop major depressive disorder (MDD) will experience a recurrent depressive episode; we know little, however, about cognitive mechanisms that increase the likelihood of recurrence. In the current study we examined whether negatively biased self-referential processing, negative life events, baseline depressive symptoms, and psychotropic medication use predicted the onset of a subsequent depressive episode in a longitudinal study of women with a history of recurrent MDD. Higher levels of depressive symptoms at baseline predicted experiencing a greater number of negative life events, which, in turn, tended to predict recurrence of depression. It is important that after accounting for other associations, negatively biased self-referential processing contributed unique variance to the likelihood of experiencing a depressive episode over the next 3 years. Thus, negatively biased self-referential processing appears to be a significant risk factor for the recurrence of depressive episodes and may be an important target for interventions aimed at preventing future episodes.

scholarly journals Underdiagnosis of Major Depressive Episodes in Hemodialysis Patients: The Need for Screening and Patient Education

2021 ◽  
Vol 10 (18) ◽  
pp. 4109
Author(s):  
Wojciech Orzechowski ◽  
Wiktor Buczek ◽  
Joanna Emma Szczerba ◽  
Ryszard Gellert ◽  
Andrzej Rydzewski ◽  
...  
Keyword(s):  
Depressive Episode ◽  
Major Depressive Episode ◽  
Coping Styles ◽  
Well Being ◽  
Major Depressive ◽  
Dialysis Vintage ◽  
Metacognitive Beliefs ◽  
Perception Of Self ◽  
Major Depressive Episodes ◽  
Depressive Episodes

This article aims to identify the reasons why patients with major depressive episode (MDE) do not seek treatment for their mental disorder. 89 out of 208 persons screened were diagnosed with major depressive episode using the Mini-International Neuropsychiatric Interview. 85 individuals with untreated depression filled out the following questionnaires: Beck Depression Inventory, List of Explanations of Well-Being (LEWB), Brief Measure to Assess Perception of Self-Influence on the Course of the Disease, Coping Inventory for Stressful Situations, Brief Method of Evaluating Coping with Disease, and Metacognitions Questionnaire. There were 43 women (50.6%) and 42 men (49.4%), aged 24 to 93 years (Mean (M) = 68.26 years; Standard Deviation (SD) = 14.19 years), with dialysis vintage ranging from 1 month to 33 years (M = 70.63 months; SD = 75.26 months). Among study patients, 70.6% declared that depression was the cause of their poor well-being, 75.3% attributed their depressive symptoms to kidney failure, and 49.4%, more specifically, to hemodialysis. A total of 64.7% of patients had a low perception of self-influence on the course of their kidney disease, and 58.5% presented a coping style focused on emotions. The most frequent dysfunctional metacognitive beliefs were negative beliefs about not controlling one’s own thoughts. This attitude was related to the low perception of self-influence on the course of the disease, maladaptive coping styles, and dysfunctional metacognitive beliefs.

Depression in Primary Care 1: Elderly Patients' Disclosure of Depressive Symptoms to Their Doctors

2001 ◽  
Vol 13 (3) ◽  
pp. 359-365 ◽  
Author(s):  
Daniel W. O'Connor ◽  
Richard Rosewarne ◽  
Ann Bruce
Keyword(s):  
Depressive Symptoms ◽  
Depressive Episode ◽  
Older Patients ◽  
Medical Practitioner ◽  
Female Gender ◽  
Major Depressive ◽  
General Medical Practitioner ◽  
Icd 10 ◽  
Major Depressive Episodes ◽  
Depressive Episodes

Background: This article examines some of the factors responsible for older patients' decision to report current depressive symptoms to their general medical practitioner. A companion article considers factors contributing to general practitioners' (GPs') recognition of major depressive episode when it was present. Methods: A survey was conducted of a stratified sample of 1,021 patients aged 70+ years of 30 GPs in Melbourne, Australia, to gauge the prevalence of depressive symptoms, the frequency with which patients had informed GPs of their symptoms, and GPs' recognition of major depressive episodes. Patients and informants were questioned using the Canberra Interview for the Elderly, which generates rigorous ICD-10 research diagnoses. Results: Logistic regression analysis showed that symptom disclosure was associated in descending order of importance with higher depressive scores, previous contact with a psychiatrist, and female gender. Even so, 48% of persons with ICD-10 moderate or severe depressive episode had not reported any current complaints to their doctor at the time of interview. Conclusion: Older patients often do not report depressive symptoms to their medical practitioner. Men and patients lacking “psychological mindedness” may be at special risk.

scholarly journals Association between Depression and Renal Hyperfiltration in a General Chinese Population

2019 ◽  
Vol 44 (6) ◽  
pp. 1441-1452
Author(s):  
Miao Lin ◽  
Huibin Huang ◽  
Jin Yao ◽  
Jixing Liang ◽  
Liantao Li ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Structured Interview ◽  
Multivariable Logistic Regression Analysis ◽  
Major Depressive ◽  
Renal Hyperfiltration ◽  
A Minor ◽  
Major Depressive Episodes ◽  
Depressive Episodes

Background: Depression is prevalent in patients with all stages of CKD and is associated with adverse outcome. Abnormally elevated GFR, or hyperfiltration, may play a crucial role in the initiation and progression of CKD. However, the association between depression and hyperfiltration is not known. The aim of this study is to investigate the relationship between depression and hyperfiltration. Methods: This was an observational cross-sectional study. A total of 3,716 volunteers (1,303 males and 2,413 females) aged 40–75 years without CKD from a community in China were included for the study. Depressive symptoms and the presence of a minor or major depressive episode were assessed with the 9-item Patient Health Questionnaire (PHQ-9) and Diagnostic and Statistical Manual of Mental Disorders (4th edition)-based structured interview, respectively. Results: The mean age of the participants in the present study was 53.8 ± 9.0 years. 115 participants had clinically relevant depression, and 122 participants had a minor or major depressive episode. In a multivariable logistic regression analysis adjusted for potential confounders, the association between clinically relevant depression and renal hyperfiltration remained significant in men but not in women. As compared with men without depression (PHQ <5) or depressive episodes, those with clinically relevant depression (PHQ ≥10) had a significantly higher risk of renal hyperfiltration. The fully adjusted OR (95% CI) was 4.81 (1.62–14.30, p = 0.005), those with a major depressive episode had a higher risk of renal hyperfiltration (OR 7.45; 95% CI 2.04–27.21, p = 0.002). Conclusion: Depressive symptoms and major depressive episodes are associated with renal hyperfiltration in middle-aged and elderly Chinese men without CKD. Future studies are needed to verify and clarify the role of depression in the development of abnormally high eGFR and CKD.

Sign in / Sign up

Export Citation Format

Share Document