Academic Journal
Stressful life events survey.
| العنوان: | Stressful life events survey. |
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| المؤلفون: | Kelsey R. Landrum, Bradley N. Gaynes, Harriet Akello, Jullita Kenala Malava, Josée M. Dussault, Mina C. Hosseinipour, Michael Udedi, Jones Masiye, Chifundo C. Zimba, Brian W. Pence |
| سنة النشر: | 2024 |
| مصطلحات موضوعية: | Neuroscience, Biotechnology, Ecology, Immunology, Cancer, Science Policy, Mental Health, stressful life events, reporting &# 8805, patient health questionaire, life events survey, g ., teaching, females aged 50, cumulative incidence ratio, may improve success, depression care interventions, comorbid depression identified, 10 ncd clinics, depression remission achievement, interventions addressing sles, expressed per 3, may help identify, prior three months, achieving depression remission, malawi , low resource settings, depression remission, resource settings, help identify |
| الوصف: | Depressive disorders are leading contributors to morbidity in low- and middle-income countries and are particularly prevalent among people with non-communicable diseases (NCD). Stressful life events (SLEs) are risk factors for, and can help identify those at risk of, severe depressive illness requiring more aggressive treatment. Yet, research on the impact of SLEs on the trajectory of depressive symptoms among NCD patients indicated for depression treatment is lacking, especially in low resource settings. This study aims to estimate the longitudinal association of SLEs at baseline with depression remission achievement at three, six, and 12 months among adults with either hypertension or diabetes and comorbid depression identified as being eligible for depression treatment. Participants were recruited from 10 NCD clinics in Malawi from May 2019-December 2021. SLEs were measured by the Life Events Survey and depression remission was defined as achieving a Patient Health Questionaire-9 (PHQ-9) score <5 at follow-up. The study population (n = 737) consisted predominately of females aged 50 or higher with primary education and current employment. At baseline, participants reported a mean of 3.5 SLEs in the prior three months with 90% reporting ≥1 SLE. After adjustment, each additional SLE was associated with a lower probability of achieving depression remission at three months (cumulative incidence ratio (CIR) 0.94; 95% confidence interval: 0.90, 0.98, p = 0.002), six months (0.95; 0.92, 0.98, p = 0.002) and 12 months (0.96; 0.94, 0.99, p = 0.011). Re-expressed per 3-unit change, the probability of achieving depression remission at three, six, and 12 months was 0.82, 0.86, and 0.89 times lower per 3 SLEs (the median number of SLEs). Among NCD patients identified as eligible for depression treatment, recent SLEs at baseline were associated with lower probability of achieving depression remission at three, six, and 12 months. Findings suggest that interventions addressing SLEs during integrated NCD and depression ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| Relation: | https://figshare.com/articles/journal_contribution/Stressful_life_events_survey_/25290840 |
| DOI: | 10.1371/journal.pone.0298546.s002 |
| الاتاحة: | https://doi.org/10.1371/journal.pone.0298546.s002 https://figshare.com/articles/journal_contribution/Stressful_life_events_survey_/25290840 |
| Rights: | CC BY 4.0 |
| رقم الانضمام: | edsbas.F05AD986 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1371/journal.pone.0298546.s002 |
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