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Correlates associated with unipolar depressive disorders in a Latino population.
Correa-Fernández, Virmarie; Carrión-Baralt, José R; Alegría, Margarita; Albizu-García, Carmen E.
Afiliação
  • Correa-Fernández V; Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. vcorrea@mdanderson.org
Psychopathology ; 46(3): 163-71, 2013.
Article em En | MEDLINE | ID: mdl-23006435
BACKGROUND: This study reports the comparison and associations of demographic, clinical and psychosocial correlates with three unipolar depressive disorders: dysthymia (DYS), major depression (MD) and double depression (DD), and examines to which extent these variables predict the disorders. SAMPLING AND METHOD: Previously collected data from 563 adults from a community in Puerto Rico were analyzed. One hundred and thirty individuals with DYS, 260 with MD and 173 with DD were compared by demographic variables, psychiatric and physical comorbidity, familial psychopathology, psychosocial stressors, functional impairment, self-reliance, problem recognition and formal use of mental health services. Multinomial regression was used to assess the association of the predictor variables with each of the three disorders. RESULTS: Similarities outweighed the discrepancies between the disorders. The main differences observed were between MD and DD, while DYS shared common characteristics with both MD and DD. After other variables were controlled, anxiety, functional impairment and problem recognition most strongly predicted a DD diagnosis, while age predicted a DYS diagnosis. CONCLUSION: MD, DYS and DD are not completely different disorders, but they do differ in key aspects that might be relevant for nosology, research and practice. A dimensional system that incorporates specific categories of disorders would better reflect the different manifestations of unipolar depressive disorders.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Transtorno Distímico / Transtorno Depressivo Maior Tipo de estudo: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: Psychopathology Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Transtorno Distímico / Transtorno Depressivo Maior Tipo de estudo: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: Psychopathology Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Suíça