Family Support and Depressive Symptoms: A 23-Year Follow-Up

被引:33
作者
Kamen, Charles [1 ]
Cosgrove, Victoria [2 ]
McKellar, John
Cronkite, Ruth [3 ,4 ,5 ]
Moos, Rudolf
机构
[1] Stanford Univ, Dept Psychiat & Behav Sci, Stanford, CA 94305 USA
[2] Stanford Univ, VA Palo Alto Hlth Care Syst, Stanford, CA 94305 USA
[3] VA Palo Alto Hlth Care Syst, Ctr Hlth Care Evaluat, Palo Alto, CA USA
[4] Stanford Univ, Ctr Primary Care & Outcomes Res, Stanford, CA 94305 USA
[5] Stanford Univ, Dept Sociol, Stanford, CA 94305 USA
关键词
depression; family support; gender; treatment; longitudinal; SOCIAL SUPPORT; EXPRESSED EMOTION; MAJOR DEPRESSION; LIFE EVENTS; RESOURCES; PREDICTORS; DISORDERS; THERAPY; RISK;
D O I
10.1002/jclp.20765
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We examined change in family support and depressive symptoms over the course of 23 years and included the potential moderators of gender and participation in treatment. A sample of 373 depressed individuals provided data in five waves, with baseline, 1-year, 4-year, 10-year, and 23-year follow-ups. Multilevel modeling was used to evaluate longitudinal relationships between variables. Higher family support was associated with less depression at baseline and predicted a steeper trajectory of recovery from depression over 23 years. This relationship was moderated by gender, such that women with supportive families reported the most rapid recovery from depression. Evaluating family context may be clinically relevant when beginning treatment with a depressed patient, particularly for female patients. (C) 2011 Wiley Periodicals, Inc. J Clin Psychol 67:215-223, 2011.
引用
收藏
页码:215 / 223
页数:9
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