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Prevalence and predictors of major depressive disorder in bereaved caregivers at 6 and 13 months

Published online by Cambridge University Press:  28 May 2018

Seon-Young Kim
Affiliation:
Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea Mental Health Clinic, Chonnam National University Hwasun Hospital, Hwasun, Republic of Korea
Seung-Jeon Kim
Affiliation:
Departments of Psychiatry, Dasarang Alcohol Hospital, Gwangju, Republic of Korea
Jae-Min Kim
Affiliation:
Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea
Sung-Wan Kim
Affiliation:
Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea
Il-Seon Shin
Affiliation:
Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea
Hyun-Jeong Shim
Affiliation:
Department of Hemato-Oncology, Chonnam National University Medical School, Gwangju, Republic of Korea
Sang-Hee Cho
Affiliation:
Department of Hemato-Oncology, Chonnam National University Medical School, Gwangju, Republic of Korea
Ik-Joo Chung
Affiliation:
Department of Hemato-Oncology, Chonnam National University Medical School, Gwangju, Republic of Korea
Jin-Sang Yoon
Affiliation:
Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea
Corresponding
E-mail address:

Abstract

Objective

Depressive symptoms are common in bereaved caregivers; however, there have been few prospective studies using a structured interview. This study investigated the prevalence and preloss predictors of major depressive disorder (MDD) in bereaved caregivers of patients in a palliative care unit.

Method

This prospective cohort study collected caregiver sociodemographic and psychological data before the death of a palliative care unit patient, including MDD, care-burden, coping style, and hopeful attitude. Postloss MDD was assessed 6 and 13 months after death, and a multivariate logistic regression analysis was conducted to identify its predictors.

Result

Of 305 caregivers contacted, 92 participated in this study. The prevalence of preloss MDD was 21.8%; the prevalences of postloss MDD were 34.8% and 24.7% at 6 and 13 months, respectively. Preloss MDD predicted postloss MDD at 6 months (odds ratio [OR] = 5.38, 95% confidence interval [CI95%] = 1.29, 22.43); preloss nonhopeful attitude and unemployment status of caregivers predicted postloss MDD at 13 months (OR = 8.77, CI95% = 1.87, 41.13 and OR = 7.10, CI95% = 1.28, 39.36, respectively).

Significance of results

Approximately 35% of caregivers suffered from MDD at 6 months postloss, but the prevalence of MDD decreased to about 25% at 13 months. Preloss MDD significantly predicted postloss MDD at 6 months, whereas hopeful attitude and unemployment at baseline were significantly associated with postloss MDD at 13 months.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2018 

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Kim et al. supplementary material

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