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Psychosocial correlates of clinical depression after psychiatric in-patient treatment: methodological issues and baseline differences between recovered and non-recovered patients

Published online by Cambridge University Press:  09 July 2009

Hans O. F. Veiel ,
Christine Kühner ,
Gerhard Brill  and
Wolfgang Ihle
Hans O. F. Veiel*
Affiliation:
Central Institute of Mental Health, Mannheim, Germany; Forensic Psychiatric Institute, B.C., Canada
Christine Kühner
Affiliation:
Central Institute of Mental Health, Mannheim, Germany; Forensic Psychiatric Institute, B.C., Canada
Gerhard Brill
Affiliation:
Central Institute of Mental Health, Mannheim, Germany; Forensic Psychiatric Institute, B.C., Canada
Wolfgang Ihle
Affiliation:
Central Institute of Mental Health, Mannheim, Germany; Forensic Psychiatric Institute, B.C., Canada
*
1Address for correspondence: Dr H. O. F. Veiel, Forensic Psychiatric Institute, 70 Colony Farm Road, Port Coquitlam, B.C., Canada V3C 5X9.
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Synopsis

General methodological and design issues in research on psychosocial outcome predictors of clinical depression are discussed, and the first stage of a study of discharged depressed in-patients is presented. It involved 115 recovered and 75 non-recovered such patients who were compared regarding stress factors, social support, personality and coping styles. While there were few differences between recovered and non-recovered patients with respect to stable personality traits, recovered patients were less likely to have had severe long-term life difficulties, and their coping style differed: it was characterized by more negative appraisals of stressful situations, greater problem avoidance, less palliative activities, and a lesser inclination to solicit social support. Whereas among women without partners, as well as men, non-recovery was also associated with less support from friends, in particular psychological-emotional support in crises, non-recovered women with partners had much more such support. The results are discussed with reference to the existing literature on outcome correlates of clinical depression.

Type
Original Articles
Information
Psychological Medicine , Volume 22 , Issue 2 , May 1992 , pp. 415 - 427
Copyright
Copyright © Cambridge University Press 1992

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