Depressive disorder at the household level: prevalence and correlates of depressive symptoms among household members.
Depression
depressive disorder
epidemiology
social determinants
social ecology
Journal
Global health action
ISSN: 1654-9880
Titre abrégé: Glob Health Action
Pays: United States
ID NLM: 101496665
Informations de publication
Date de publication:
31 12 2023
31 12 2023
Historique:
medline:
10
8
2023
pubmed:
9
8
2023
entrez:
9
8
2023
Statut:
ppublish
Résumé
Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals' depressive symptoms and their household members' mental health and well-being. We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi. As part of a cluster randomized controlled trial providing depression care to adults with major depressive disorder, we conducted surveys with patients' household members ( We observed that roughly one in five household members (19%) screened positive for a depressive disorder (PHQ-9 > 9). More than half of household members endorsed six or more of the nine symptoms, with 68% reporting feeling 'down, depressed, or hopeless' in the prior two weeks. Elevated depression symptom severity was associated with greater disability (β = 0.17, In the Malawian context, we find that depressive disorder and depression symptoms are shared attributes among household members. This has implications for both screening and treatment, and it suggests that mental health should be approached from the vantage point of the broader social ecology of the household and family unit. ClinicalTrials.gov (NCT04777006) - March 2, 2021.
Sections du résumé
BACKGROUND
Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals' depressive symptoms and their household members' mental health and well-being.
OBJECTIVES
We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi.
METHODS
As part of a cluster randomized controlled trial providing depression care to adults with major depressive disorder, we conducted surveys with patients' household members (
RESULTS
We observed that roughly one in five household members (19%) screened positive for a depressive disorder (PHQ-9 > 9). More than half of household members endorsed six or more of the nine symptoms, with 68% reporting feeling 'down, depressed, or hopeless' in the prior two weeks. Elevated depression symptom severity was associated with greater disability (β = 0.17,
CONCLUSIONS
In the Malawian context, we find that depressive disorder and depression symptoms are shared attributes among household members. This has implications for both screening and treatment, and it suggests that mental health should be approached from the vantage point of the broader social ecology of the household and family unit.
TRIAL REGISTRATION
ClinicalTrials.gov (NCT04777006) - March 2, 2021.
Identifiants
pubmed: 37554074
doi: 10.1080/16549716.2023.2241808
pmc: PMC10413913
doi:
Banques de données
ClinicalTrials.gov
['NCT04777006']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2241808Subventions
Organisme : NIMH NIH HHS
ID : R01 MH117760
Pays : United States
Références
Br J Psychiatry. 2016 Oct;209(4):284-293
pubmed: 27445355
Malawi Med J. 2018 Dec;30(4):236-242
pubmed: 31798801
Int J Ment Health Syst. 2014 Nov 13;8(1):41
pubmed: 25422673
Soc Sci Med. 2005 Feb;60(4):789-97
pubmed: 15571896
BMC Psychiatry. 2015 Oct 26;15:264
pubmed: 26503291
J Affect Disord. 2012 Feb;136(3):660-5
pubmed: 22100129
Int J Soc Psychiatry. 2018 Sep;64(6):578-588
pubmed: 30074421
J Pers Assess. 1990 Winter;55(3-4):610-7
pubmed: 2280326
BMJ Open. 2020 Oct 21;10(10):e036836
pubmed: 33087368
Malawi Med J. 2017 Jun;29(2):84-88
pubmed: 28955412
J Cardiovasc Nurs. 2010 Sep-Oct;25(5):411-9
pubmed: 20714239
Am Psychol. 2004 Nov;59(8):676-684
pubmed: 15554821
J Ment Health. 2019 Apr;28(2):198-205
pubmed: 30270683
BMJ Open. 2022 Jan 11;12(1):e053375
pubmed: 35017247
BMC Psychiatry. 2014 Jun 17;14:180
pubmed: 24938124
Cancer. 1998 Oct 15;83(8):1652-63
pubmed: 9781961
Malawi Med J. 2014 Jun;26(2):34-7
pubmed: 25157314
Bull World Health Organ. 2010 Nov 1;88(11):815-23
pubmed: 21076562
Science. 2020 Dec 11;370(6522):
pubmed: 33303583
J Gen Intern Med. 2003 Dec;18(12):1006-14
pubmed: 14687259
PLoS One. 2020 May 6;15(5):e0231872
pubmed: 32374724
Sci Rep. 2017 Nov 14;7(1):15489
pubmed: 29138432
Med Decis Making. 2008 Jan-Feb;28(1):66-89
pubmed: 18263562
PLoS One. 2019 Nov 5;14(11):e0224799
pubmed: 31689332
Psychol Med. 2014 Feb;44(3):657-66
pubmed: 23721658
Aust N Z J Psychiatry. 2013 Apr;47(4):299-303
pubmed: 23568155
Health Qual Life Outcomes. 2017 Apr 17;15(1):74
pubmed: 28412933
Int J Environ Res Public Health. 2022 Apr 09;19(8):
pubmed: 35457412
J Adolesc Health. 2012 Dec;51(6):544-50
pubmed: 23174463
BMC Psychiatry. 2017 Mar 9;17(1):88
pubmed: 28274223
Int J Ment Health Syst. 2015 May 23;9:21
pubmed: 27408619
BMC Public Health. 2018 Jul 27;18(1):919
pubmed: 30049270
Trials. 2021 Sep 16;22(1):630
pubmed: 34530894
J Affect Disord. 2023 Feb 15;323:581-591
pubmed: 36516913
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Curr HIV/AIDS Rep. 2014 Sep;11(3):291-307
pubmed: 25038748
BMC Psychiatry. 2019 Feb 27;19(1):81
pubmed: 30813922
Front Public Health. 2021 Oct 28;9:729147
pubmed: 34778172
AIDS Patient Care STDS. 2009 Aug;23(8):611-7
pubmed: 19591607
Home Healthc Now. 2020 Jan/Feb;38(1):40-47
pubmed: 31895896
Hum Brain Mapp. 2021 Aug 15;42(12):3750-3759
pubmed: 34089276
Curr Psychiatry Rep. 2015 Jan;17(1):530
pubmed: 25413636
PLoS One. 2021 Mar 5;16(3):e0247974
pubmed: 33667258
Int J Environ Res Public Health. 2019 Jun 02;16(11):
pubmed: 31159499