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The effect of strategies of personal resilience on depression recovery in an Australian cohort : a mixed methods study
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Griffiths, Frances, Boardman, Felicity K., Chondros, Patty, Dowrick, Christopher, Densley, Konstancja, Hegarty, Kelsey and Gunn, Jane (2015) The effect of strategies of personal resilience on depression recovery in an Australian cohort : a mixed methods study. Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, Volume 19 (Number 1). pp. 86-106. doi:10.1177/1363459314539774 ISSN 1363-4593.
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Official URL: http://dx.doi.org/10.1177/1363459314539774
Abstract
Strategies of personal resilience enable successful adaptation in adversity. Among patients experiencing depression symptoms, we explored which personal resilience strategies they find most helpful, and tested the hypothesis that use of these strategies improves depression recovery. We used interview and survey data from the Diagnosis, Management and Outcomes of Depression in Primary Care 2005 cohort of patients experiencing depression symptoms in Victoria, Australia. 564 participants answered a computer assisted telephone interview question at 12 months follow-up, about what they found most helpful for their depression, stress or worries. Depressive disorder and severity were measured at annual follow-up using the Composite International Diagnostic Interview and the PHQ-9 self-rating questionnaire. Using interview responses we categorised participants as users or not of strategies of personal resilience, specifically, drawing primarily on expanding their own inner resources or pre-existing relationships: 316 (56%) were categorised as primarily users of personal resilience strategies. Of these, 193 (61%) reported expanding inner resources, 79 (25%) drawing on relationships, and 44 (14%) reported both. There was no association between drawing on relationships and depression outcome. There was evidence supporting an association between expanding inner resources and depression outcome: 25% of users having major depressive disorder one year later compared to 38% of non-users (adjusted OR 0.59, CI 0.36-0.97). This is the first study to show improved outcome for depression for those who identify as most helpful the use of personal resilience strategies. The difference in outcome is important as expanding inner resources includes a range of low intensity, yet commonly available strategies.
| Item Type: | Journal Article | ||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) |
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| Library of Congress Subject Headings (LCSH): | Depression, Mental -- Treatment, Depression, Mental -- Australia, Resilience (Personality trait) | ||||||
| Journal or Publication Title: | Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine | ||||||
| Publisher: | Sage Publications Ltd. | ||||||
| ISSN: | 1363-4593 | ||||||
| Official Date: | January 2015 | ||||||
| Dates: |
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| Volume: | Volume 19 | ||||||
| Number: | Number 1 | ||||||
| Number of Pages: | 21 | ||||||
| Page Range: | pp. 86-106 | ||||||
| DOI: | 10.1177/1363459314539774 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Date of first compliant deposit: | 27 December 2015 | ||||||
| Date of first compliant Open Access: | 27 December 2015 | ||||||
| Funder: | Beyondblue (Organization), National Health and Medical Research Council (Australia) (NHMRC) , Australian Primary Health Care Research Institute (APHCRI) | ||||||
| Grant number: | 299869 (NHMRC), 454463 (NHMRC), 566511 (NHMRC), 1002908 (NHMRC) |
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