Family and extrafamily resources and the 10-year course of treated depression.
A group of 313 depressed patients and 284 controls was assessed at baseline (treatment intake for the patients) and at 1-year, 4-year, and 10-year follow-ups. Stably remitted patients achieved levels of family and extrafamily resources that were comparable with those of the controls. Although partially remitted and nonremitted patients' social resources improved, they continued to show deficits in these areas relative to controls and stably remitted patients. Several indexes of social resources predicted stable remission: more family independence, fewer family arguments and less conflict, and more helpful friends and activities with friends. Assessment of social resources at treatment intake and short-term follow-ups can help identify and provide intervention foci for patients at risk for nonremission of depression.
Center for Health Care Evaluation, Veterans Affairs Health Care System, Palo Alto, California 94304, USA. ms.rhm@forsythe.stanford.edu
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D000328:Adult; D000704:Analysis of Variance; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D017281:Cost of Illness; D003866:Depressive Disorder / Q000534:rehabilitation*; D005192:Family Health; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D012917:Social Adjustment; D012944:Social Support; D013995:Time; D016896:Treatment Outcome