title: Depression coping self-efficacy as a predictor of relapse 1 and 2 years following psychiatric hospital-based treatment.
abstract: This longitudinal study involved 1 - and 2-year follow-up assessments of participants who received inpatient (n = 25) or partial hospital program (PHP) (n = 24) treatment for depression. The purposes of this study were to (a) compare 2-year follow-up depressive symptom and depression coping self-efficacy scores with posttreatment scores, (b) examine depression coping self-efficacy scores as a predictor of health care visit frequencies following treatment, and (c) examine differences in 2-year depressive symptom and depression coping self-efficacy scores between original treatment groups. Participant (n = 49) health records were reviewed for frequencies and types of health care visits at 1-year posttreatment. Twenty-six (52% response rate) participants completed the Depression Coping Self-Efficacy Scale, Center for Epidemiologic Studies Depression Scale, and Two-Year Follow-Up Questionnaire at 2-years posttreatment. One-year findings indicated posttreatment depression coping self-efficacy scores were associated with frequencies of psychiatric episodes of care. Relapse rates (> 25%) were consistent with previous reports. Despite maintenance of improvements in depressive symptom and depression coping self-efficacy scores, depressive symptom scores remained above cutoff levels at 2 years posttreatment. Two-year findings did not differ based on original treatment type. Findings support further research examining the DCSES as a predictor of relapse and a target for treatment.
authors.affiliation: Department of Nursing, Mayo Clinic, Rochester, MN 55905, USA. tucker.sharon@mayo.edu
authors.forename: Sharon
authors.initials: S
authors.lastname: Tucker
authors.forename: Susan
authors.initials: S
authors.lastname: Brust
authors.forename: Pamela
authors.initials: P
authors.lastname: Pierce
authors.forename: Carol
authors.initials: C
authors.lastname: Fristedt
authors.forename: V Shane
authors.initials: VS
authors.lastname: Pankratz
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D016014:Linear Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D011379:Prognosis; D012008:Recurrence; D020377:Self Efficacy; D018709:Statistics, Nonparametric