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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Longitudinal relations between depressive symptoms and alcohol problems have been examined infrequently in community-based studies, and gender-specific findings to date appear to be inconclusive. Study hypotheses were that depressive symptoms predicted subsequent alcohol problems for females, whereas alcohol problems predicted subsequent depressive symptoms for males. The authors examined these relations in a random sample of household adults (aged 19 years or more) from Erie County, New York, assessed in 1986, 1989, and 1993 (n = 1,306). Measures of alcohol problems (in the previous year) incorporated an alcohol abuse/dependence diagnosis and a heavy alcohol use index. The Center for Epidemiologic Studies Depression Scale was used to assess depressive symptoms over a 1-month time frame. Comprehensive logistic regression models incorporated prior depressive symptoms, prior alcohol problems and sociodemographic variables (age, race, education, marital status, employment, total family income, and number of children living at home). For females, depressive symptoms predicted subsequent alcohol problems over 3 years (odds ratio = 3.04, 95% confidence interval 1.35-6.80, p < 0.01) and 4 years (odds ratio = 2.42, 95% confidence interval 1.14-5.12, p < 0.05), but not for 7 years. There was no evidence to support the hypothesis for males. This study clarifies and extends prior investigations of relations between these two prevalent mental health problems in a community-based sample.
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PMID:Gender differences in the relation between depressive symptoms and alcohol problems: a longitudinal perspective. 940 Mar 39

Studies of disability in old age have focused on gross measures of physical functioning. More useful results for prevention might be gleaned from examining risk factors associated with frailty, a concept implying a broader range of more subtle problems in multiple domains. This study conceptualized frailty as involving problems or difficulties in two or more functional domains (physical, nutritive, cognitive, and sensory) and analyzed prospective predictors. Subjects were 574 Alameda County Study respondents age 65-102. One-fourth scored as frail; there was no gender difference. Frail persons reported reduced activities, poorer mental health, and lower life satisfaction. Cumulative predictors over the previous three decades included heavy drinking, cigarette smoking, physical inactivity, depression, social isolation, fair or poor perceived health, prevalence of chronic symptoms, and prevalence of chronic conditions. By modifying these risk factors, it may be possible to postpone the onset of frailty or ameliorate its further development.
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PMID:Antecedents of frailty over three decades in an older cohort. 946 75

On the basis of identity theory and research on sex role socialization, it was predicted that both work interfering with family (W-->F conflict) and family interfering with work (F-->W conflict) are uniquely related to depression, poor physical health, and heavy alcohol use (Hypothesis 1). It also was predicted that gender would moderate these relationships, such that W-->F conflict is more strongly related to the outcomes among women (Hypothesis 2a) and F-->W conflict is more strongly related to the outcomes among men (Hypothesis 2b). Survey data were obtained from 2 random community samples of employed parents (Ns = 496 and 605). Hierarchical regression analyses supported Hypothesis 1 but failed to support Hypotheses 2a and 2b.
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PMID:Work-family conflict, gender, and health-related outcomes: a study of employed parents in two community samples. 954 34

Community research and clinical practice have shown that alcohol and drug use and depression are interrelated. Among Hispanics, acculturation may play a role in these relationships. To investigate these relationships as well as alcohol-related problems, we interviewed 288 Puerto Rican, Dominican, and Colombian men in early adulthood. No significant differences emerged in the proportions of abstainers across the three groups. Colombians drank significantly more frequently and had more alcohol-related problems than Dominicans. Dominicans were at least risk for and least likely to have alcohol-related problems. Puerto Ricans were much more likely to use drugs than the other Hispanic men. Drug use was associated with an increased likelihood of heavy drinking which, in turn, increased the risk of drug use and depression. Acculturation decreased the risk of drug use. Results are discussed in terms of implications for community psychology research and interventions.
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PMID:Alcohol and drug use, and depression among Hispanic men in early adulthood. 972 16

The prognostic implications of comorbid depression for outcome from alcohol dependence are unclear. It has been suggested that drinking may represent self-medication of depressive disorders and, alternatively, that the pharmacological properties of alcohol induce episodes of depression. In the present study, these questions were investigated by following 84 alcohol-dependent individuals seeking treatment (34% women) for 3 years in a naturalistic, prospective design. During the follow-up period, depressive and drinking outcomes were significantly related. However, there was no evidence that drinking reliably preceded depressive episodes or that depressive episodes precipitated heavy drinking. Despite their high co-occurrence, this study did not find evidence of a strong, direct causal relationship between these phenomena.
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PMID:Implications of depression on outcome from alcohol dependence: a 3-year prospective follow-up. 1002 17

The aim of the study is to examine the relationship among self-efficacy expectancies and two important clinical aspects of alcohol abuse, namely the severity of abuse and strength of the perceived psychological benefits from drinking. The self-efficacy expectancies were measured by the Situational Confidence Questionnaire (Annis, 1984) in a group of alcoholic men (N = 203). A systematic and significant relationship was identified between the subjects' confidence in coping with high-risk factors for heavy drinking and their severity of abuse. The subjects' level of confidence decreased proportionally with an increase in their abuse. Furthermore, the subjects' perceived psychological benefits from drinking covaried with their self-efficacy. A significant association was found between lower self-efficacy scores and experiencing great psychological benefits from drinking such as improved social skills, less depression and tension, and improved cognition. A combination of the two variables, severity of abuse and strength of perceived benefits, shows a systematic and differentiated picture among the subgroups. Clinical implications based on the results are presented.
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PMID:The relationship among self-efficacy expectancies, severity of alcohol abuse, and psychological benefits from drinking. 1018 75

Different medical, social, and environmental regional characteristics were investigated as possible predictors of suicide rates in 60 self-governing communes in Slovenia. The distribution pattern of regional suicide rates for Slovenia shows some similarity to that of the rest of Europe, especially in terms of the substantial variation of suicide density within the country. On the basis of the multivariate analysis, prevalence of alcohol psychosis, percentage of Catholics, and low duration of sunshine appeared to be the most important predictors of regional suicide rates in Slovenia. The rate of murders was proven to be a highly useful clue of suicide potential among younger groups, whereas income per capita of population was associated with suicide risk in old age. The principal component analysis provided three suicide risk patterns: a socio-economic risk pattern (Catholic religion in poor community), a behavioral one (antisocial features, including heavy drinking), and a depression-related risk pattern with a climatic component (lack of sunshine). Different approaches are necessary for the different risk patterns listed above. Psychiatry, especially clinical psychiatry, can only deal with components of two of the patterns, namely, depression and antisocial behavior.
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PMID:Suicide mortality in Slovenia: regional variation. 1033 13

This study of over 1,000 adolescents focused on common and distinctive correlates of four subgroups--no problem, depressed only, heavy drinking only, and mixed (depressed and heavy drinking). Correlates were evaluated from the domains of personal dispositions (e.g., temperament), interpersonal relations (e.g., parent and peer), stressful life events, and other problem behaviors (e.g., delinquency, substance use). The no-problem subgroup differed from the other three subgroups in the direction of healthier functioning on almost all measures. The mixed subgroup reported the most pervasive, low levels of functioning, with the highest levels of childhood externalizing problems and stressful life events, the lowest levels of family social support, and high levels of delinquency and substance use. The depressed-only subgroup reported a more internalized pattern characterized by childhood avoidance problems, a difficult temperament (e.g., inflexibility, withdrawal, low task orientation), interpersonal stressors, and poor coping strategies. The heavy-drinking-only subgroup was characterized by higher drinking levels by primary caregivers and lower levels of family cohesion as reported by primary caregivers. The 1-year prospective findings were generally consistent with the concurrent findings in that variables that were associated with transitions toward and away from depression and heavy drinking were associated with specific transitions (e.g., childhood externalizing problems were associated with the transition from no problem to heavy drinking).
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PMID:Depression and heavy alcohol use among adolescents: concurrent and prospective relations. 1062 28

The purpose of this study was to examine the role of paternal alcohol problems, antisocial behavior, and depression in predicting parental attitudes toward their 12-month-old infants. Families were recruited from birth records and the final sample consisted of 216 families, 101 in the control group and 115 families with alcoholic fathers (92 with light drinking partners and 23 with heavy drinking partners). Results indicated that fathers' alcoholism was associated with higher paternal aggravation with the infant. Further, fathers' depression mediated the relationship between fathers' current alcohol problems and aggravation. Fathers' alcoholism was indirectly associated with maternal aggravation and warmth through the relationship with maternal antisocial behavior and depression. Results suggest that at least during early infancy, parental psychopathology associated with fathers' alcohol problems may play a more important role in predicting parental attitudes toward their infants than alcoholism per se. Results are further discussed in terms of their implications for parenting and later development among infants of alcoholics.
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PMID:Paternal alcoholism, parental psychopathology, and aggravation with infants. 1075 11

Patients (N = 108) in a study of cocaine-specific coping skills training (CST), which was found to reduce cocaine use during a 3-month follow-up, were followed for an additional 9 months. CST involved coping skills training in the context of high-risk situations. Control treatment used meditation-relaxation. Both were added to comprehensive private substance abuse treatment. Patients in CST who relapsed had significantly fewer cocaine use days than did the control group during the first 6 months, then both conditions did equally well. Patients in CST also drank alcohol more frequently in the last 6 months than did contrast patients but did not differ in heavy drinking days. For cocaine use outcomes, no interaction of treatment was found with gender, education, route of administration, drug use severity, sociopathy, or depression. Implications include the need to investigate different lengths and combinations of treatment.
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PMID:Brief coping skills treatment for cocaine abuse: 12-month substance use outcomes. 1088 69


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