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10-year course of social adjustment in major depression

Author

Listed:
  • Toshi A. Furukawa

    (Department of Psychiatry and Cognitive-Behavioural Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan, furukawa@med.nagoya-cu.ac.up)

  • Hideki Azuma

    (Department of Psychiatry and Cognitive-Behavioural Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan)

  • Hiroshi Takeuchi

    (Department of Psychiatry and Cognitive-Behavioural Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan)

  • Toshinori Kitamura

    (Department of Clinical Behavioural Sciences (Psychological Medicine), Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan)

  • Kiyohisa Takahashi

    (Aino University, Ibaraki, Japan)

Abstract

Background: It is now widely acknowledged that depression is accompanied by major deficits in social functioning. However, the course of this dysfunction and its relationship with depressive symptoms in the long term is less understood. Methods: The Group for Longitudinal Affective Disorders Study (GLADS) in Japan has conducted a 10-year prospective, serial follow-up of a cohort of mood disorder patients starting treatment for their index episode. The vicissitudes of the social adjustment of patients with major depression were analyzed using the standardized instrument (Social Adjustment Scale — Self-Report) and in conjunction with the measurement of depressive severity (Centre for Epidemiologic Studies Depression). Results: The results showed: (i) psychiatric patients with major depression commencing treatment showed moderate to extremely large social dysfunction at baseline; (ii) this dysfunction declined rapidly in the first six months of treatment but then levelled off and showed fluctuating patterns up to 10 years of follow-up; (iii) the degree of dysfunction varied from domain to domain, most notable in Work and least notable in Economy subscales; and (iv) the influence of persistent depression also varied from domain to domain, stronger in Housework and Leisure and weakest in Work spheres. Conclusion: Future studies of social functioning in depression need to differentiate its various aspects.

Suggested Citation

  • Toshi A. Furukawa & Hideki Azuma & Hiroshi Takeuchi & Toshinori Kitamura & Kiyohisa Takahashi, 2011. "10-year course of social adjustment in major depression," International Journal of Social Psychiatry, , vol. 57(5), pages 501-508, September.
    • Handle: RePEc:sae:socpsy:v:57:y:2011:i:5:p:501-508
    DOI: 10.1177/0020764010371273
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    References listed on IDEAS

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    1. Ormel, J. & Von Korff, M. & Van den Brink, W. & Katon, W. & Brilman, E. & Oldehinkel, T., 1993. "Depression, anxiety, and social disability show synchrony of change in primary care patients," American Journal of Public Health, American Public Health Association, vol. 83(3), pages 385-390.
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