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Subjective ratings of emotional health as a risk factor for major depression in a community sample

Published online by Cambridge University Press:  03 January 2018

Rani A. Hoff ,
Martha Livingston Bruce ,
Stanislav V. Kasl  and
Selby C. Jacobs
Rani A. Hoff*
Affiliation:
Yale University School of Medicine, Department of Psychiatry
Martha Livingston Bruce
Affiliation:
Cornell University Medical College, Department of Psychiatry
Stanislav V. Kasl
Affiliation:
Yale University School of Medicine, Department of Epidemiology and Public Health
Selby C. Jacobs
Affiliation:
Yale University School of Medicine, Department of Psychiatry
*
Dr Rani A. Hoff, NEPEC, Building 8, West Haven VA Medical Center, 950 Campbell Avenue, West Haven, CT 06516, USA
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Abstract

Background

Although subjective ratings of health have been shown to be accurate predictors of physical health outcomes, there is little research on the association between subjective emotional health (SEH) and psychiatric outcomes.

Method

This paper utilises data from the Epidemiologic Catchment Area study to explore the relationship between baseline SEH and the risk for major depression in the next year. Both recurrent and incident episodes of depression are outcomes of interest.

Results

The age- and gender-adjusted relationship between SEH and depression is quite significant, and remains so after adjusting for other factors associated with major depression. The more positive the SEH rating, the lower the risk of an episode of depression in the next year.

Conclusions

Some possible explanations for this association are explored, including possible confounders that were not accounted for and the possibility that SEH ratings pose an independent risk for major depression.

Information

Type
Papers
Information
The British Journal of Psychiatry , Volume 170 , Issue 2 , February 1997 , pp. 167 - 172
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual for Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
Anthony, R. & Patronis, K. (1991) Suspected risk factors for depression anrnjng adults 18–44 years old. Epidemiology, 2, 123–132.Google Scholar
Beck, A. (1976) Cognitive Therapy and Emotional Disorders, New York: International Universities Press.Google Scholar
Bruce, M. & Leaf, P. (1991) Poverty and psychiatric status. Archives of General Psychiatry, 48, 470–474.Google Scholar
Bruce, M., Leaf, P. & Holf, R. (1994) Social and physical health risk factors for first onset major depressive disorder in a community sample. Social Psychiatry and Psychiatric Epidemiology, 29, 165–171.CrossRefGoogle Scholar
Eaton, W. & Kessler, L. (eds) (1985) Epidemiologic Methods in Psychiatry: The NIMH Epidemiologic Catchment Area Program, New York: Academic Press.Google Scholar
Hamman, C. (1988) Self-cognitions, stressful events, and the prediction of depressed in children of depressed mothers. Journal of Abnormal Child Psychology 18, 347–360.CrossRefGoogle Scholar
Hamman, C., Mayol, A., deMayo, R., et al (1988) Initial symptom levels and the life-event-depression relationship. Journal of Abnormal Psychology. 95, 114–122.Google Scholar
Hozler, C., Spitznagel, E., Jordan, K., et al (1985) Sampling in the household population. In Epidemiologic Field Methods in Psychiatry: the NIMH Epidemiologic Catchment Area Program (eds Eaton, W. & Kessler, L.), pp. 23–48. New York: Academic Press.Google Scholar
Hurh, W. & Kim, K. (1990) Correlates of Korean immigrants' mental health. Journal of Nervous and Mental Disease, 178, 703–711.CrossRefGoogle ScholarPubMed
Idler, E. (1992) Self-assessed health and mortality: a review of studies. In International Review of Health Psychology (eds Maes, S., Leventhal, H. & Johnston, M.), pp 33–54 New York: Wiley.Google Scholar
Leaf, P., Myers, J. & McEvoy, L. (1991) Procedures used in the Epidemiologic Catchment Area Studies. In Psychiatric Disorders in American (eds Robins, L. & Regier, D.), pp 11–32. New York: Free Press.Google Scholar
Mechanic, D. (1978) Effects of psychological distress on perceptions of physical health and use of medical and psychiatric facilities. Journal of Human Stress, 4, 26–32.Google Scholar
Mechanic, D. & Hansell, S. (1987) Adolescent competence, psychological well-being, and self-assessed physical health. Journal of Health and Social Behavior, 28, 364–374.Google Scholar
Pyszczynski, T. & Greenberg, J. (1987) Self regulatory perseveration and the depressive self-focussing style: selfawareness theory of reactive depression. Psychological Bulletin, 102, 122–138.Google Scholar
Robins, L., Helzar, J., Croughan, J., et al (1981) National Institute of Mental Health Diagnostic Interview Schedule: Its history characteristics, and validity. Archives of General Psychiatry, 38, 381–389.CrossRefGoogle ScholarPubMed
Salovey, P. & Birnbaum, D. (1989) Influence of mood on health-relevant cognitions. Journal of Personality and Social Psychology, 57, 539–551.Google Scholar
Weissman, M. (1988) Psychopathology in children of depressed patients: direct interview studies. In Relatives at Risk for Mental Disorders (eds Dunner, D. Gershon, E. & Barrett, J.), pp 143–159 New York: Raven Press.Google Scholar
Weissman, M., Leckman, J., Merikangas, K., et al (1984) Depression and anxiety in parents and children. Archives of General Psychiatry, 41, 845–852.CrossRefGoogle ScholarPubMed
Weissman, M., Leckman, J., Merikangas, K., Wickamaratne, P., et al (1986) Understanding the clinical heterogeneity of major depression using family data. Archives af General Psychiatry. 431, 430–434.Google Scholar
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