Predicting long-term recovery from depression in community settings in Western Europe: evidence from ODIN

• Published in: Social Psychiatry and Psychiatric Epidemiology Vol. 46; no. 2; pp. 119 - 126
• Main Authors: Dowrick, Christopher, Shiels, C., Page, H., Ayuso-Mateos, J. L., Casey, P., Dalgard, O. S., Dunn, G., Lehtinen, V., Salmon, P., Whitehead, M.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01.02.2011; Springer; Springer Nature B.V
• Subjects: Adult; Adult and adolescent clinical studies; Biological and medical sciences; Comorbidity; Convalescence - psychology; Data Collection; Depression; Depressive Disorder - diagnosis; Depressive Disorder - epidemiology; Depressive Disorder - psychology; Epidemiology; Europe - epidemiology; Female; Follow-Up Studies; Health Services - utilization; Humans; Life Change Events; Longitudinal Studies; Male; Medical prognosis; Medical sciences; Medicine; Medicine & Public Health; Mental depression; Mood disorders; Original Paper; Outcome Assessment (Health Care); Personality Disorders - diagnosis; Personality Disorders - epidemiology; Personality Disorders - psychology; Primary care; Prognosis; Prospective Studies; Psychiatric Status Rating Scales; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Psychosocial Deprivation; Public health; R&D; Research & development; Risk Factors; Sex crimes; Sexual abuse; Social Support; Socioeconomic factors; Sociology; Treatment Outcome; United Kingdom; Norway; Europe; Finland; Western Europe; United Kingdom > UK; Madrid Spain; Spain; Depression; Adversity predictors; Recovery; Community; Mood disorder; Social environment; Human; Socioeconomic status; Use; Mental health; Victimization; Health service; Long term; Sociodemographic factor; Follow up study; Predictive factor; Public health; Social support
• ISSN: 0933-7954; 1433-9285
• DOI: 10.1007/s00127-009-0179-1

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.