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Prevalence and predictors of major depressive disorder in bereaved caregivers at 6 and 13 months.
Kim, Seon-Young; Kim, Seung-Jeon; Kim, Jae-Min; Kim, Sung-Wan; Shin, Il-Seon; Shim, Hyun-Jeong; Cho, Sang-Hee; Chung, Ik-Joo; Yoon, Jin-Sang.
Afiliación
  • Kim SY; Department of Psychiatry,Chonnam National University Medical School,Gwangju,Republic of Korea.
  • Kim SJ; Departments of Psychiatry,Dasarang Alcohol Hospital,Gwangju,Republic of Korea.
  • Kim JM; Department of Psychiatry,Chonnam National University Medical School,Gwangju,Republic of Korea.
  • Kim SW; Department of Psychiatry,Chonnam National University Medical School,Gwangju,Republic of Korea.
  • Shin IS; Department of Psychiatry,Chonnam National University Medical School,Gwangju,Republic of Korea.
  • Shim HJ; Department of Hemato-Oncology,Chonnam National University Medical School,Gwangju,Republic of Korea.
  • Cho SH; Department of Hemato-Oncology,Chonnam National University Medical School,Gwangju,Republic of Korea.
  • Chung IJ; Department of Hemato-Oncology,Chonnam National University Medical School,Gwangju,Republic of Korea.
  • Yoon JS; Department of Psychiatry,Chonnam National University Medical School,Gwangju,Republic of Korea.
Palliat Support Care ; 17(3): 300-305, 2019 06.
Article en En | MEDLINE | ID: mdl-29806573
OBJECTIVE: Depressive symptoms are common in bereaved caregivers; however, there have been few prospective studies using a structured interview. This study investigated the prevalence and preloss predictors of major depressive disorder (MDD) in bereaved caregivers of patients in a palliative care unit. METHOD: This prospective cohort study collected caregiver sociodemographic and psychological data before the death of a palliative care unit patient, including MDD, care-burden, coping style, and hopeful attitude. Postloss MDD was assessed 6 and 13 months after death, and a multivariate logistic regression analysis was conducted to identify its predictors.ResultOf 305 caregivers contacted, 92 participated in this study. The prevalence of preloss MDD was 21.8%; the prevalences of postloss MDD were 34.8% and 24.7% at 6 and 13 months, respectively. Preloss MDD predicted postloss MDD at 6 months (odds ratio [OR] = 5.38, 95% confidence interval [CI95%] = 1.29, 22.43); preloss nonhopeful attitude and unemployment status of caregivers predicted postloss MDD at 13 months (OR = 8.77, CI95% = 1.87, 41.13 and OR = 7.10, CI95% = 1.28, 39.36, respectively).Significance of resultsApproximately 35% of caregivers suffered from MDD at 6 months postloss, but the prevalence of MDD decreased to about 25% at 13 months. Preloss MDD significantly predicted postloss MDD at 6 months, whereas hopeful attitude and unemployment at baseline were significantly associated with postloss MDD at 13 months.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aflicción / Prevalencia / Cuidadores / Trastorno Depresivo Mayor Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Palliat Support Care Asunto de la revista: TERAPEUTICA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aflicción / Prevalencia / Cuidadores / Trastorno Depresivo Mayor Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Palliat Support Care Asunto de la revista: TERAPEUTICA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido