Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jun 5:11:1230.
doi: 10.3389/fpsyg.2020.01230. eCollection 2020.

Factors Associated With Depressive Episode Recurrences in Primary Care: A Retrospective, Descriptive Study

Shysset Nuggerud-Galeas  1   2 , Bárbara Oliván Blázquez  1   3 , María Cruz Perez Yus  1   3 , Begoña Valle-Salazar  1   4 , Alejandra Aguilar-Latorre  1 , Rosa Magallón Botaya  1   2   4
Affiliations

Factors Associated With Depressive Episode Recurrences in Primary Care: A Retrospective, Descriptive Study

Shysset Nuggerud-Galeas et al. Front Psychol. .

Erratum in

Abstract

Introduction and objective: The early identification of depressive patients having a poor evolution, with frequent relapses and/or recurrences, is one of the priority challenges in this study of high prevalence mental disorders, and specifically in depression. So, this study aims to analyze the factors that may be associated with an increased risk of recurrence of major depression episodes in patients treated in primary care.

Methods: A retrospective, descriptive study of cases-controls was proposed. The cases consisted of patients who had been diagnosed with major depression and who had presented recurrences (n = 101), in comparison with patients who had experienced a single major depression episode with no recurrence (n = 99). The variables of the study are age at first episode; number of episodes; perception of severity of the depression episode suffered prior to recurrence; number of residual symptoms; physical and psychiatric comorbidity; history of anxiety disorders; family psychiatric history; high incidence of stressful life events (SLEs); and experiences of physical, psychological, or sexual abuse in childhood. The differences of the variables were compared between the case subjects and the control subjects, using the Mann-Whitney, chi-square, and Fisher's U statistics. A multivariate analysis (ordinary logistic regression) was performed.

Results: The average age of those suffering more than one depressive episode is significantly older (5 years), and a higher percentage of subjects who have experienced more than one depressive episode have a history of anxiety disorders. In the multivariate analysis, the variables that obtained a significant value in the logistic regression analysis were age (OR: 1.03; value: 0.007) and having suffered sexual abuse during childhood (OR: 1.64; value: 0.072).

Conclusion: These indicators should be considered by primary care physicians when attending patients suffering from major depression.

Keywords: depression; influencing factors; primary care; recurrence; retrospective.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Abravanel B. T., Sinha R. (2015). Emotion dysregulation mediates the relationship between lifetime cumulative adversity and depressive symptomatology. J. Psychiatr. Res. 61 89–96. 10.1016/j.jpsychires.2014.11.012 - DOI - PMC - PubMed
    1. Andrews B. (1995). Bodily shame as a mediator between abusive experiences and depression. J. Abnorm. Psychol. 104 277–285. 10.1037//0021-843x.104.2.277 - DOI - PubMed
    1. Aragonès E., Piñol J. L., Labad A., Masdéu R. M., Pino M., Cervera J. (2004). Prevalence and determinants of depressive disorders in primary care practice in Spain. Int. J. Psychiatry Med. 34 21–35. 10.2190/C25N-W4NY-BN8W-TXN2 - DOI - PubMed
    1. Asensio-Martínez A., Oliván-Blázquez B., Montero-Marín J., Masluk B., Fueyo-Díaz R., Gascón-Santos S., et al. (2020). Relation of the psychological constructs of resilience, mindfulness, and self-compassion on the perception of physical and mental health. Psychol. Res. Behav. Manag. 12 1155–1166. - PMC - PubMed
    1. Bellón J. A., Moreno-Küstner B., Torres-González F., Montón-Franco C., GildeGómez-Barragán M. J., Sánchez-Celaya M., et al. (2008). Predicting the onset and persistence of episodes of depression in primary health care. The predictD-Spain study: methodology. BMC Public Health 8:256. 10.1186/1471-2458-8-256 - DOI - PMC - PubMed

LinkOut - more resources