IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v57y2011i5p501-508.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764010371273
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764010371273?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Morteza Alibakhshikenari, 2018. "Symptom Severity of Major Depressive Disorder - Associations with Functional Disability, And Prevalence of Co-Morbid Illnesses," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 11(1), pages 8277-8286, November.
    2. Glenn Ostir & Kenneth Ottenbacher & Linda Fried & Jack Guralnik, 2007. "The Effect of Depressive Symptoms on the Association between Functional Status and Social Participation," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 80(2), pages 379-392, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:57:y:2011:i:5:p:501-508. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.