Low emotion-oriented coping and informal help-seeking behaviour as major predictive factors for improvement in major depression at 5-year follow-up in the adult community.

Détails

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Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_EA41EE6E9631
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Low emotion-oriented coping and informal help-seeking behaviour as major predictive factors for improvement in major depression at 5-year follow-up in the adult community.
Périodique
Social psychiatry and psychiatric epidemiology
Auteur(s)
Rodgers S., Vandeleur C.L., Strippoli M.F., Castelao E., Tesic A., Glaus J., Lasserre A.M., Müller M., Rössler W., Ajdacic-Gross V., Preisig M.
ISSN
1433-9285 (Electronic)
ISSN-L
0933-7954
Statut éditorial
Publié
Date de publication
09/2017
Peer-reviewed
Oui
Volume
52
Numéro
9
Pages
1169-1182
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Given the broad range of biopsychosocial difficulties resulting from major depressive disorder (MDD), reliable evidence for predictors of improved mental health is essential, particularly from unbiased prospective community samples. Consequently, a broad spectrum of potential clinical and non-clinical predictors of improved mental health, defined as an absence of current major depressive episode (MDE) at follow-up, were examined over a 5-year period in an adult community sample.
The longitudinal population-based PsyCoLaus study from the city of Lausanne, Switzerland, was used. Subjects having a lifetime MDD with a current MDE at baseline assessment were selected, resulting in a subsample of 210 subjects. Logistic regressions were applied to the data.
Coping styles were the most important predictive factors in the present study. More specifically, low emotion-oriented coping and informal help-seeking behaviour at baseline were associated with the absence of an MDD diagnosis at follow-up. Surprisingly, neither formal help-seeking behaviour, nor psychopharmacological treatment, nor childhood adversities, nor depression subtypes turned out to be relevant predictors in the current study.
The paramount role of coping styles as predictors of improvement in depression found in the present study might be a valuable target for resource-oriented therapeutic models. On the one hand, the positive impact of low emotion-oriented coping highlights the utility of clinical interventions interrupting excessive mental ruminations during MDE. On the other hand, the importance of informal social networks raises questions regarding how to enlarge the personal network of affected subjects and on how to best support informal caregivers.

Mots-clé
Adaptation, Psychological, Adult, Aged, Depressive Disorder, Major/epidemiology, Depressive Disorder, Major/psychology, Depressive Disorder, Major/therapy, Emotions, Female, Follow-Up Studies, Help-Seeking Behavior, Humans, Male, Middle Aged, Prospective Studies, Switzerland/epidemiology, Treatment Outcome, Coping styles, Depression, Epidemiology, Help-seeking behaviours, Prospective study
Pubmed
Web of science
Open Access
Oui
Création de la notice
15/08/2017 12:09
Dernière modification de la notice
27/09/2019 8:53
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