Birth Cohort Changes in the Depressive Symptoms of Chinese Older Adults: A Cross-Temporal Meta-Analysis.

Birth cohort changes in the depressive symptoms of Chinese older adults: a cross-temporal meta-analysis.

Filed under: Depression Treatment

Int J Geriatr Psychiatry. 2013 Feb 18;
Shao J, Li D, Zhang D, Zhang L, Zhang Q, Qi X

OBJECTIVE: With the dramatic changes in Chinese society and economy, the average depressive symptoms of Chinese older adults might have changed across their birth cohort. This study aims to examine the changes in the depressive symptoms of Chinese older adults by analyzing data from 1987 to 2010. METHODS: The study examines the changes in the Center for Epidemiologic Studies Depression Scale scores of older adults for the past 24?years (1987 to 2010) by using cross-temporal meta-analysis. A total of 35,299 older adults were included in the data. RESULTS: The results show the following. (i) Correlations between the mean scores and data collection year are significantly positive. The mean scores in the depressive symptoms of Chinese older adults show an increase of at least 0.53 standard deviations from 1987 to 2010. (ii) The means of the scores in the depressive symptoms of both male and female older adults exhibit a significant increase in the past 24?years, with the rising tendency of women being considerably higher than that of men. (iii) Depressive symptoms show a significant increase for different age groups in the past 24?years, whereas scores for depressive symptoms have no significant difference in terms of age group. CONCLUSIONS: Social changes play an important role in predicting the changes in the depressive symptoms of older adults. Copyright © 2013 John Wiley & Sons, Ltd.
HubMed – depression

Depressive Symptom Trajectories Among Girls in the Juvenile Justice System: 24-month Outcomes of an RCT of Multidimensional Treatment Foster Care.

Filed under: Depression Treatment

Prev Sci. 2013 Feb 17;
Harold GT, Kerr DC, Van Ryzin M, Degarmo DS, Rhoades KA, Leve LD

Youth depression is a significant and growing international public health problem. Youth who engage in high levels of delinquency are at particularly high risk for developing problems with depression. The present study examined the impact of a behavioral intervention designed to reduce delinquency (Multidimensional Treatment Foster Care; MTFC) compared to a group care intervention (GC; i.e., services as usual) on trajectories of depressive symptoms among adolescent girls in the juvenile justice system. MTFC has documented effects on preventing girls’ recidivism, but its effects on preventing the normative rise in girls’ depressive symptoms across adolescence have not been examined. This indicated prevention sample included 166 girls (13-17 years at T1) who had at least one criminal referral in the past 12 months and who were mandated to out-of-home care; girls were randomized to MTFC or GC. Intent-to-treat analyses examined the main effects of MTFC on depression symptoms and clinical cut-offs, and whether benefits were greatest for girls most at risk. Depressive symptom trajectories were specified in hierarchical linear growth models over a 2 year period using five waves of data at 6 month intervals. Depression clinical cut-off scores were specified as nonlinear probability growth models. Results showed significantly greater rates of deceleration for girls in MTFC versus GC for depressive symptoms and for clinical cut-off scores. The MTFC intervention also showed greater benefits for girls with higher levels of initial depressive symptoms. Possible mechanisms of effect are discussed, given MTFC’s effectiveness on targeted and nontargeted outcomes.
HubMed – depression

Factors Associated with Mental Health Service Utilization Among Korean American Immigrants.

Filed under: Depression Treatment

Community Ment Health J. 2013 Feb 16;
Park SY, Cho S, Park Y, Bernstein KS, Shin JK

This study adapted Andersen’s Health Belief Model to examine the predictors of mental health services utilization among Korean American (KA) immigrants. A cross-sectional survey was used to gather data on 363 KA immigrants 18 years and older residing in New York City. Predisposing factors included gender, age, marital status, education, length of stay in the US, and religion; the need factor was depression; and enabling factors included health insurance, English proficiency, income, and perceived need for help. Approximately 8.5 % of participants reported having utilized mental health services, while 23 % reported having depressive symptoms. Shorter duration of residence in the US, lower income, and the presence of perceived need for help were significantly related to use of mental health services. The perceived need for help mediated the relationship between depression and mental health service utilization. Failure to perceive the need for psychological help continues to be a major reason that KA immigrants do not use mental health services.
HubMed – depression

Depression in Marriage: A Model for Etiology and Treatment

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