
@article{ref1,
title="Exploring protective factors in a high-risk subsample: the pivotal role of paternal support in preventing depression in a cohort of young adults",
journal="Trends in psychiatry and psychotherapy",
year="2024",
author="Tietbohl-Santos, Bárbara and Montezano, Bruno Braga and Cardoso, Taiane de Azevedo and Mondin, Thaíse Campos and Moreira, Fernanda Pedrotti and Souza, Luciano Dias de Mattos and da Silva, Ricardo Azevedo and Kapczinski, Flavio and Jansen, Karen and Passos, Ives Cavalcante",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Major depressive disorder (MDD) is a global concern due to its widespread prevalence and morbidity. Identifying protective factors in high-risk individuals, including those with a familial predisposition, maltreatment history, and socio-economic vulnerabilities, is crucial. <br><br>METHODS: We assessed a high-risk subsample within a young adult population cohort (n = 791; mean age = 31.94 [SD = 2.18]) across three waves. Using multiple regression models to analyse higher education, feeling supported, spirituality, psychotherapy access, higher socioeconomic status, involvement in activities, cohabitation, and family unity in Waves 1 and 2, and their association with MDD resilience at Wave 3. <br><br>RESULTS: In the high-risk group, MDD incidence was 13.7% (n=24). Paternal support had a protective effect on MDD incidence (OR = 0.366; 95% CI [0.137 to 0.955], p = 0.040) and suicidal attempt risk (OR = 0.380; 95% CI [0.150 to 0.956], p = 0.038). Higher resilience scores were also protective (OR = 0.975; 95% CI [0.953 to 0.997], p = 0.030), correlating with reduced BDI (r = 0.0484; B = -0.2202; 95% CI [-0.3572 to -0.0738]; p = 0.003) and MADRS scores (r = 0.0485; B = -0.2204; 95% CI [-0.3574 to -0.0741]; p = 0.003). <br><br>CONCLUSIONS: Our paper emphasizes reorienting the MDD approach, focusing on positive prevention strategies. It highlights fathers' crucial role in family-based interventions and promoting resilience in high-risk populations.<p /> <p>Language: en</p>",
language="en",
issn="2237-6089",
doi="10.47626/2237-6089-2024-0804",
url="http://dx.doi.org/10.47626/2237-6089-2024-0804"
}