An evaluation of an integrated model of relapse in depression.
OBJECTIVE
The present study evaluated an integrated model of the role of psychosocial factors in the prediction of relapse of Major Depressive Disorder over a one-year follow-up period.


METHODS
A range of established variables, including life stress, cognitive-personality vulnerability factors, social support, and coping responses, were simultaneously considered in a series of prediction models, in an adult female sample of remitted depressed individuals.


RESULTS
It was determined that interpersonal marked difficulties, social support, and emotion-oriented and avoidance-oriented coping provided the best-fitting and most parsimonious predictive model for depressive relapse at one-year follow-up.


CONCLUSIONS
The examination of multifactorial models of risk represents a promising avenue for future research and theory development.
Backs-Dermott
Barbara J
BJ
Alberta Health Services - Calgary Region, Canada. barb.backsdermott@albertahealthservices.ca
Dobson
Keith S
KS
Jones
Shannon L
SL
D000223:Adaptation, Psychological; D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D010552:Personality Assessment; D010555:Personality Inventory; D011613:Psychotherapy; D012008:Recurrence; D012307:Risk Factors; D012944:Social Support; D013694:Temperament
D000928:Antidepressive Agents