Article1999

Significance of prior episodes of depression in two patient populations.

James C. Coyne · Carolyn M. Pepper · Heather A. Flynn

69 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Mental Health Treatment and Access Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Treatment of Major Depression

Abstract

Perhaps the single best predictor of current depression is a prior episode of depression. This study examined the significance of prior depressive episodes in a weighted sample of 425 primary medical care (PC) patients. It also compared the 53 PC patients with major depression with 93 depressed psychiatric patients with respect to percentage of recurrences versus 1st episodes. PC patients with prior depression were over 8 times more likely to be currently depressed than those without such a history. Having at least 1 prior episode of depression was modestly more sensitive, but less specific, than an elevated Center for Epidemiologic Studies--Depression Scale score in predicting current depression. Most currently depressed patients in both PC (85%) and psychiatry (78%) had prior episodes of depression. These findings highlight the importance of assessing history of depression in research and clinical practice.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1977The CES-D Scale 1979The social origins of depression 1977ASSESSING DEPRESSIVE SYMPTOMS IN FIVE PSYCHIATRIC POPULATIONS: A VALIDATION STUDY 1958Survey Methods in Social Investigation.1984The NIMH Epidemiologic Catchment Area Program 1985Comparison of the Lay Diagnostic Interview Schedule and a Standardized Psychiatric Diagnosis 1995Issues in personality as diathesis for depression: The case of sociotropy-dependency and autonomy-self-criticism.

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2004Thinking interactionally about depression: A radical restatement.2003Couples treatment for major depression: critique of the literature and suggestions for some different directions 2000Predicting negative spousal attitudes toward depressed persons: A test of Coyne's Interpersonal Model.2001Not agent blue: Effects of marital functioning on depression and implications for treatment.2001Validity and efficiency of screening for history of depression by self-report.

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