Life stressors and resources and the 23-year course of depression

Cronkite, Ruth C.; Woodhead, Erin L.; Finlay, Andrea K.; Timko, Christine; Hu, Kirsten Unger; Moos, Rudolf H.

doi:10.1016/j.jad.2013.04.022

Cited by 27 publications

(30 citation statements)

References 68 publications

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“…The sample for this study was participants used in Cronkite et al’s (2013) study. The sample was followed for 23 years with assessments at 1, 4, 10, and 23 years post-baseline.…”

Section: Methodsmentioning

confidence: 99%

“…Cronkite et al (2013) used semi-parametric group-based modeling to identify 3 distinct trajectories of depression: low baseline severity with rapid decline (least severe), moderate baseline severity with rapid decline (moderate severity), and high baseline severity with modest and slow decline (most severe). Trajectories were identified for all individuals who completed multiple assessments, with most having completed all 5 assessments over the 23-year longitudinal study (i.e., 68% of all the participants who were employed at baseline).…”

Section: Methodsmentioning

confidence: 99%

“…This is a critical gap because such studies will serve to determine which aspects of employment can help employed individuals be resilient in the face of depression and less vulnerable to depression symptoms across the life course. In a community sample of depressed individuals who were followed for 23 years, three unique depression trajectories were previously identified by Cronkike et al’s (2013); they were: low baseline severity with rapid decline, moderate baseline severity with rapid decline, and high baseline severity with modest and slow decline. The current study of the same sample sought to examine (1) associations at baseline of past-year employment status and work-related events with depression severity, (2) how employment status at baseline is related to different lifetime trajectories of depression, and (3) among participants employed at baseline, associations between occupational prestige and work environment characteristics (i.e., hypothesized risk and protective factors) and baseline depression severity, and their multivariate relationship to lifetime course of depression.…”

Section: Introductionmentioning

confidence: 99%

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Employment characteristics, work environment, and the course of depression over 23 years: Does employment help foster resilience?

et al. 2018

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Background Depression is the leading cause of disability and represents a significant challenge to stable employment and professional success. Importantly, employment may also operate as a protective factor against more chronic courses of depression as it can function as a form of behavioral activation and scaffold recovery by facilitating community integration. The current study examined work-related characteristics as protective or risk factors for subsequent long-term depression trajectories. Methods Relations between employment characteristics and lifetime course of depression were examined among 424 adults in the community who entered treatment for depression. The sample was followed for 23 years with assessments at 1, 4, 10, and 23 years post-baseline. At baseline, participants were asked about employment history and status along with work-related events and aspects of their work environments. Depression was measured at each assessment, and 3 different life course trajectories of depression were identified. Results Employment at baseline was associated with lower levels of depression at baseline and less severe life courses of depression. Among employed participants, higher occupational prestige, a more supportive work environment (greater involvement, cohesion, perceived support), and lower work stress (less pressure and more control, role clarity, and autonomy) may protect against more severe, intractable depression over time and may have bolstered functioning. Conclusions Findings have potential to be harnessed for clinical translation to better inform vocational rehabilitation counseling and human resources programs. Specifically, clinician assessment of work setting can guide patient decision making about how to reduce vulnerability to depression and foster resilience via employment.

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“…The sample for this study was participants used in Cronkite et al’s (2013) study. The sample was followed for 23 years with assessments at 1, 4, 10, and 23 years post-baseline.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Employment characteristics, work environment, and the course of depression over 23 years: Does employment help foster resilience?

et al. 2018

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“…7 To date, many studies have used these methods to examine trajectories of depressive symptoms in general population samples. 10–34 Few studies, however, have examined heterogeneity in trajectories of illness course among clinical MDD cases, 35–39 and those that did were limited by either small sample sizes, 35,38 short follow-up periods, 37,38 or infrequent outcome measurements. 35,39 …”

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confidence: 99%

Heterogeneity in 10-Year Course Trajectories of Moderate to Severe Major Depressive Disorder

et al. 2016

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“…PTSD and depression can be triggered by stressful life events [42][43][44] that are characterized by activation in the physiological and neuroendocrine systems. [45][46][47] Increased anterior insula activation is commonly observed in anxiety and PTSD 18 and has also been reported in patients with vulvar pain.…”

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confidence: 99%

Depression and Posttraumatic Stress Disorder Among Women with Vulvodynia: Evidence from the Population-Based Woman to Woman Health Study

Iglesias-Ríos

Harlow

Reed

2015

Journal of Women's Health

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Background: Psychological disorders may affect the pain experience of women with vulvodynia, but evidence remains limited. The present study aimed to describe the magnitude of the association of depression and posttraumautic stress disorder (PTSD) with the presence of vulvodynia in a nonclinical population from southeastern Michigan. Methods: Baseline data from 1,795 women participating in the Woman to Woman Health Study, a multiethnic population-based study, was used for this analysis. Validated screening questionnaires were conducted to assess vulvodynia, depression, and PTSD. Modified Poisson regression models with a robust variance estimation were used to estimate prevalence ratios (PR) and their 95% confidence intervals (CI) for the association between vulvodynia status and two mental health conditions, depression and PTSD. Results: In the adjusted models, women who screened positive for depression had a 53% higher prevalence of having vulvodynia (PR = 1.53; 95% CI: 1.12, 2.10) compared with women who screened negative for depression. Women who screened positive for PTSD had more than a two-fold increase in the prevalence of having vulvodynia (PR = 2.37; 95% CI: 1.07, 5.25) compared with women who screened negative for PTSD. Conclusions: The increased prevalence of vulvodynia among those screening positive for depression or PTSD suggests that these disorders may contribute to the likelihood of reporting vulvodynia. Alternatively, vulvodynia, depression, and PTSD may have a common pathophysiological and risk profile. Prospective studies are needed to improve our understanding of the temporal relation between mental health conditions and vulvar pain.

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Life stressors and resources and the 23-year course of depression

Abstract: Background: Life stressors and personal and social resources are associated with depression in

Cited by 27 publications

References 68 publications

Employment characteristics, work environment, and the course of depression over 23 years: Does employment help foster resilience?

Employment characteristics, work environment, and the course of depression over 23 years: Does employment help foster resilience?

Heterogeneity in 10-Year Course Trajectories of Moderate to Severe Major Depressive Disorder

Depression and Posttraumatic Stress Disorder Among Women with Vulvodynia: Evidence from the Population-Based Woman to Woman Health Study

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