预测西欧社区环境中抑郁症的长期康复情况：来自 ODIN 的证据。
Predicting long-term recovery from depression in community settings in Western Europe: evidence from ODIN.
机构信息
School of Population, Community and Behavioural Sciences, University of Liverpool, Whelan Building, Liverpool, L69 3GB, UK.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2011 Feb;46(2):119-26. doi: 10.1007/s00127-009-0179-1. Epub 2009 Dec 25.
OBJECTIVE
To test the impact of socio-economic and psychological adversity and healthcare on long-term recovery from depression.
METHOD
A community sample of 347 people with depressive disorders was followed up after 9 years. Baseline socio-economic adversity, social support, healthcare use, and psychiatric history were identified. Respondents completed self-report instruments on current depressive status (Beck depression inventory) and longstanding psychosocial adversity (sexual, physical or emotional abuse). Univariate analyses tested for association between recovery and respondent characteristics.
RESULTS
Follow-up was achieved for 182 (52%) of the sample, of whom 75 (41%) indicated recovery from depression. Psychological adversity definitely and socio-economic adversity probably were associated with lack of recovery. Baseline healthcare had no apparent impact on outcome. Rurality and support after life events were associated with recovery. History of depression was associated with non-recovery.
CONCLUSION
Psychological adversity is, and socio-economic adversity may be, associated with long-term non-recovery from depression in community settings.
目的
检验社会经济和心理逆境以及医疗保健对抑郁症长期康复的影响。
方法
对 347 名患有抑郁症的社区患者进行了 9 年的随访。确定了基线社会经济逆境、社会支持、医疗保健使用和精神病史。受访者完成了关于当前抑郁状况（贝克抑郁量表）和长期心理社会逆境（性、身体或情感虐待）的自我报告工具。单变量分析测试了恢复与受访者特征之间的关系。
结果
对样本中的 182 名（52%）进行了随访，其中 75 名（41%）表示从抑郁症中康复。心理逆境肯定与社会经济逆境可能与无法康复有关。基线医疗保健对结果没有明显影响。生活事件后的农村和支持与康复有关。抑郁病史与非康复有关。
结论
在社区环境中，心理逆境是，社会经济逆境可能与抑郁症的长期无法康复有关。
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