Social and physical health risk factors for first-onset major depressive disorder in a community sample

Using prospective data on 3,170 respondents aged 18 years and over who were at risk for a first-onset major depression from the New Haven site of the Epidemiologic Catchment Area (ECA) study, these analyses assessed the effects of social status, physical health status, and social isolation on first-...

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Bibliographic Details
Published in:Social Psychiatry and Psychiatric Epidemiology 1994-07, Vol.29 (4), p.165-171
Main Authors: BRUCE, M. L, HOFF, R. A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Age of Onset
Aged
Biological and medical sciences
Depression
Depressive Disorder - psychology
Employment
Health Status
Humans
Marital Status
Medical sciences
Middle Aged
Mood disorders
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Sex Factors
Social Class
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Summary:Using prospective data on 3,170 respondents aged 18 years and over who were at risk for a first-onset major depression from the New Haven site of the Epidemiologic Catchment Area (ECA) study, these analyses assessed the effects of social status, physical health status, and social isolation on first-onset depression in a 1-year period, controlling for demographic characteristics and baseline psychiatric factors. Among the assessed potential risk factors, poverty status [odds ratio (OR = 2.034, P < 0.05)] and confinement to a bed or chair (OR = 4.015, P < 0.05) were independently associated with an increased risk for a first-onset depressive episode when controlling for gender, age, past history of substance abuse, and subclinical depressive symptoms. The effects of poverty, and to a lesser degree homebound status, were substantially reduced when controlling for degree of isolation from friends and family, suggesting that social isolation mediates some of the relationships between social and physical statuses and major depression.
ISSN:0933-7954
1433-9285
DOI:10.1007/bf00802013