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

Nurses are continually promoting health and healthy lifestyles. This contribution requires that nurses understand client values and priorities. Traditionally, women have had responsibility for their own and their families' health. Nurses must recognize and understand the complex influences shaping the value women place on health. The literature indicates that women want to participate actively in their own health care by assuming more responsibility for their health and well-being. This research evolved as a result of nursing student and faculty interactions with mothers of pre-school children enrolled in a Headstart program. During these experiences, observations related to the needs of the mothers included poor health practices (smoking, being overweight), lack of motivation, statements of feeling depressed, difficulty making decisions, feelings of being overwhelmed by parenting demands, powerlessness, and disenfranchisement. This descriptive, correlational study was designed to determine the value of health, incidence of depression, and characteristics of self-esteem among low-income mothers of pre-school children. This sample of convenience was comprised of 133 low-income mothers who responded to a mailed survey. Three instruments were used in the study: the Wallston and Wallston Health Values Scale, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Rosenberg Self-Esteem Scale. Data were analyzed by collection of frequency of response, which was then converted to a percentage. To determine if differences existed in respect to demographic variables, ANOVA (self-esteem and depression) and Chi Square (health) measures were used. Participation in activities outside the home accounted for a significant difference in self-esteem. Mothers involved in activities reported higher self-esteem. The findings suggest that participation in activities may increase self-esteem and lower depression. Over three-quarters (85%) of mothers placed a high value on health. Based on their high valuing of health and the potential for increasing self-esteem through activity, it can be concluded that the women in this sample will benefit from planned health activities. It is also anticipated that, because of the strong relationship between self-esteem and depression, women who participate in these activities will demonstrate lower levels of depression.
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PMID:Value of health, incidence of depression, and level of self-esteem in low-income mothers of pre-school children. 227 53

This study demonstrates a conceptual linkage between exchange theory and psychoanalytic theory of depression. The effects of diminished resources and the dynamic relationships between depression, quality of the marital relationship, and social participation were investigated with a sample of 229 community residing, married older people (Duke Longitudinal Study) using a combined structural and measurement model with linear structural relations (LISREL) analysis. Findings are that some resources have direct effects on depression, marital quality, and social participation. However, it is through the pathway of depressive moods that ill health, retirement, and stress have their negative effects on the marital relationship. Depressive moods do affect social participation, but psychosomatic symptoms of depression do not affect the amount of social participation nor the marital relationship. Recognizing depressive moods as intervening variables is important because older people tend to deny feeling depressed. Without a conceptual linkage of exchange and depression theories, this pathway would not have been identified.
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PMID:Mental health in older spouses: the dynamic interplay of resources, depression, quality of the marital relationship, and social participation. 229 61

In a study of 11 general practitioners' detection of dementia and depression in 101 elderly patients it was found that general practitioners were more accurate in their detection of dementia than depression. The general practitioners did not identify 12 of the 15 patients assessed as depressed by a Diagnostic Interview for Depression, but their assessments of dementia corresponded quite well with the results of dementia tests. The general practitioners' knowledge of the symptoms and signs of dementia and depression was limited. If the patient talked to the general practitioner about feeling depressed, sad or irritable, the depression recognition rate increased.
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PMID:General practitioners' detection of depression and dementia in elderly patients. 238 3

Rippere (1974-1983) has investigated adults' commonsense beliefs concerning behavioural strategies for coping with depression. The study report here was concerned with the developmental aspects of the concept of 'common knowledge'. It was designed in order to investigate, through conversations with children of various ages, the hypothesis that children may possess a common knowledge concerning the 'things to do' when they are feeling depressed. 120 children distributed across seven age groups (ranging from 4-11 yr) were asked in an open-ended interview "What's the thing to do when you're feeling depressed?". Their responses were subjected to frequency counts and content analysis. Content analysis of the data indicated that 50% of all responses mentioned 'Play' strategies, 12% mentioned 'Help and comfort seeking', and 11% mentioned 'avoidance' activities. There was an inverse relationship between the frequency with which items were mentioned and the number of items mentioned at that frequency. This finding supports the notion of the existence of a canon of commonsense 'things to do' when feeling unhappy, and accords well with the findings of Rippere.
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PMID:Children's strategies for coping with depression. 291 2

Nearly one fourth (N = 21) of the women participants of a water exercise program (N = 88) reported feeling depressed at the time of enrollment. All the depressed women reported improvement after 8 weeks or more in the program. The subjectively depressed participants differed significantly from other class members in physical problems, lifestyle habits, and emotional concerns they hoped to address and in motivation, perceived helpful conversation with peers, and learning from the classes. Subjective symptoms are discussed in light of current information on depressive disorders. The findings contributed to the growing body of research linking exercise with the treatment and prevention of depression. Recommendations for the conduct of similar exercise programs that will be responsive to the needs of subjectively depressed women are offered.
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PMID:Women, subjective depression, and water exercise. 292 35

A health needs assessment was developed to facilitate implementation of a comprehensive school-based adolescent clinic. Students were asked about their willingness to use a school-based clinic for certain health and emotional problems. 600 students in grades 9-12 completed anonymous self-administered questionnaires. 28% of respondents reported recently feeling depressed; 12% reported a prior suicide attempt. 25% of students felt they were overweight. Of 56% who had experienced intercourse at least once, only 1/3 had ever used birth control. 21% smoked cigarettes and 27% marijuana, 24% used other drugs, and 38% used alcohol. Students who reported depression and past suicide attempts were significantly (p 0.001) more willing to use the clinic for counseling needs than students not so reporting. Those with perceived weight problems reported more willingness to use a school clinic for nutrition information than those who did not feel overweight. Currently sexually active students were also more willing (p 0.001) than nonsexually active students to use the clinic for sexuality information and sexually transmitted disease screens. Respondents who used drugs, alcohol, or cigarettes, however, were no more willing than non-substance-using peers to use clinic services for relevant health information. As a group, adolescents have some unique age-related health problems. Because adolescence represents a time when health behaviors and attitudes are being formed, it is a crucial time for health intervention. These findings suggest that high school students with unmet health needs are willing to receive health care and education at a school-based clinic.
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PMID:Adolescents' willingness to use a school-based clinic in view of expressed health concerns. 337 87

To test the hypothesis that some foods are eaten to alter mood, the relationship between mood and intake of chocolate was investigated in 40 women. Twenty self-identified chocolate 'addicts' and 20 controls rated hunger, mood, intensity of craving and amount of chocolate eaten in a diary for seven consecutive days. The 'addicts' reported a significantly greater number of eating episodes and consumed a larger amount of chocolate than controls. 'Addicts' also rated depression, guilt and craving higher and feeling content and relaxed as lower before eating than controls. However, eating chocolate resulted in increased feelings of guilt in the 'addicts' and no significant changes in feeling depressed or relaxed. On indices of disordered eating and depression, 'addicts' scored significantly higher than controls; however, eating chocolate did not improve mood. Although chocolate is a food which provides pleasure, for those who consider intake of this food to be excessive, any pleasure experienced is short lived and accompanied by feelings of guilt.
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PMID:Mood modulation by food: an exploration of affect and cravings in 'chocolate addicts'. 775 35

Approximately 15% of persons age 65 and older have major depression. Risk factors include a recent loss (eg, widowhood or mastectomy), living alone, co-morbidities (eg, hypertension, stroke, cognitive deficits), and drug interactions. Warning signs of depression may include weight loss, sleep problems, feelings of guilt or worthlessness, loss of interest in sexual relations, or changes in activities of daily living. The diagnosis of depression is easy to miss if the physician doesn't look for it, because older persons often don't mention feeling depressed. Yet undetected depression can be deadly for older patients, who have the highest rate of suicide among all Americans. Plans for suicide may be direct or covert, as in not eating or not taking heart medication.
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PMID:Late-life depression: how to make a difficult diagnosis. 906 22

Women (N = 1,215) and their infants were followed from birth, and maternal reports of depressive symptoms were obtained at 1, 6, 15, 24, and 36 months. Women who never reported symptoms of depression were compared with those who reported symptoms sometimes or chronically. Women with chronic symptoms of depression were the least sensitive when observed playing with their children from infancy through 36 months. Children whose mothers reported feeling depressed performed more poorly on measures of cognitive-linguistic functioning and were rated as less cooperative and more problematic at 36 months. Depression-group differences in school readiness and verbal comprehension were accounted for by maternal sensitivity. Depression-group differences in expressive language and ratings of cooperation were moderated by maternal sensitivity; maternal sensitivity predicted better outcomes more noticeably among children whose mothers reported feeling depressed.
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PMID:Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. NICHD Early Child Care Research Network. 1049 55

In a survey of 120 sophomore and junior undergraduate college students, we found that those who admitted to cutting class for no reason during the previous month had a lower mean GPA than those who reported no voluntary absences. Cutting class was related to reports of getting drunk, speeding, breaking the law, and visiting home, although reports of speeding, getting drunk, and breaking the law were not related to GPA. The 11 students who reported feeling depressed had a lower GPA than those without depression, while the 18 students who had not visited their families in the previous month had higher GPAs than those who had visited their families. Implications for scale development are discussed.
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PMID:Voluntary class absences and other behaviors in college students: an exploratory analysis. 1102 9


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