Actions taken to cope with depression in patients seeking specialist care.
OBJECTIVE
To assess the rates and perceived effectiveness of actions used to cope with depression and the factors influencing these in an outpatient sample seeking help for depression.


METHODS
One hundred and seventy-six patients (74 male, 102 female) aged 16-82 years (M = 42, SD = 14.4 years) with a major depressive episode (DSM-IV criteria) were assessed using a number of measures that covered sociodemographics, history of psychiatric illness, actions taken to alleviate depression and their perceived effectiveness. Logistic regression analyses assessed age, gender and illness characteristics associated with the use and perceived effectiveness of strategies adopted to manage depression.


RESULTS
Medical interventions were used and perceived to be effective in alleviating depressive symptoms by most of the sample, as were self-help and complementary therapies. Sociodemographic and illness-related characteristics had a significant influence, with younger age and having experienced an episode of anxiety disorder found to be the strongest predictors for the use of coping strategies. Being female was the strongest predictor for their effectiveness.


CONCLUSIONS
A range of actions for depression, including medical and complementary interventions, were used and found to be helpful in a sample that had sought professional help for depression. Gender, age, depression and anxiety factors were all found to predict the use and perceived effectiveness of these strategies.
School of Psychiatry, University of New South Wales and Mood Disorders Unit, Black Dog Institute, Sydney, Australia. kwilhelm@stvincents.com.au
K
K
Wilhelm
H
H
Niven
P
P
Mitchell
G
G
Malhi
L
L
Wedgwood
M-P
MP
Austin
B
B
Kotze
G
G
Parker
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy; D015897:Comorbidity; D000529:Complementary Therapies; D003865:Major Depressive Disorder / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D012648:Self Care / Q000523:psychology; D012737:Sex Factors; D016896:Treatment Outcome