TY - JOUR PY - 2023// TI - Correlates of chronic depression in the general population: results from the CoLaus|PsyCoLaus study JO - Social psychiatry and psychiatric epidemiology A1 - Ambresin, Gilles A1 - Strippoli, Marie-Pierre F. A1 - Vandeleur, Caroline L. A1 - de Roten, Yves A1 - Despland, Jean-Nicolas A1 - Preisig, Martin SP - ePub EP - ePub VL - ePub IS - ePub N2 - PURPOSE: Previous population-based studies have partially provided inconsistent results regarding the co-variates of chronic depression, which were likely to be attributable to methodological limitations. The present paper that compared people with chronic major depressive disorder (MDD), non-chronic MDD and no mood disorder in the community focused on specific atypical and melancholic depression symptoms and subtypes of MDD, family history (FH) of mood disorders, measured physical cardio-vascular risk factors (CVRF), personality traits, coping style and adverse life-events.

METHODS: Data stemmed from a population-based cohort including 3618 participants (female 53%, n=1918; mean age 50.9 years, s.d. 8.8 years). Among them 563 had a lifetime history of chronic MDD, 1060 of non-chronic MDD and 1995 of no mood disorder. Diagnostic and FH information were elicited through semi-structured interviews, CVRF were assessed through physical investigations.

RESULTS: The major findings were that chronic MDD was associated with increase in appetite/weight and suicidal ideation/attempts during the most severe episode, higher exposure to life-events in adulthood, higher levels of neuroticism, lower levels of extraversion and lower levels of informal help-seeking behavior but less frequent FH of MDD compared to non-chronic MDD.

CONCLUSION: Chronic MDD is associated with a series of potential modifiable risk factors which are accessible via psychotherapeutic approaches that may improve the course of chronic MDD.

Language: en

LA - en SN - 0933-7954 UR - http://dx.doi.org/10.1007/s00127-023-02462-8 ID - ref1 ER -