Evidence map›Paper›PMID 30388131›Full record

ArticlePloS one2018

The association between the number of previous episodes and modifiable vulnerability factors in remitted patients with recurrent depression.

Margo de Jonge, Claudi L H Bockting, Patricia van Oppen, Henricus L Van, Jaap Peen, Martijn J Kikkert, Jack J M Dekker

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Margo de JongeDepartment of Research, Arkin, Amsterdam, The Netherlands.ORCID 0000-0002-5144-1119
Claudi L H BocktingDepartment of Clinical Psychiatry, University of Amsterdam, Amsterdam, The Netherlands.
Patricia van OppenDepartment of Research, GGZ inGeest, Amsterdam, The Netherlands.
Henricus L VanDepartment of Research, Arkin, Amsterdam, The Netherlands.
Jaap PeenDepartment of Research, Arkin, Amsterdam, The Netherlands.
Martijn J KikkertDepartment of Research, Arkin, Amsterdam, The Netherlands.
Jack J M DekkerDepartment of Research, Arkin, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRemitted patients with a history of several previous major depressive episodes have a higher risk of relapse/recurrence than patients with fewer previous episodes, and the probability of another episode increases progressively with each successive episode. This study examines the association between the number of previous episodes and modifiable vulnerability factors in remitted patients with recurrent depression.

methodsPatients with recurrent depression (DSM-IV-diagnosed) who were in remission (N = 214) were recruited between September 2011 and July 2016. The association was examined between the number of previous episodes and the following factors: i.e. interpersonal functioning, daily stress, sense of mastery, coping and dysfunctional beliefs.

resultsA history of more previous episodes was associated with higher levels of interpersonal problems (P < .001), daily stress (P = .04) and a lower sense of mastery (P = .05). Interpersonal problems were most strongly associated with more previous episodes in a Generalized Linear Regression model. In the domain of interpersonal problems, the subscales that showed the strongest relationship were domineering/controlling, vindictive/self-centred, socially inhibited and self-sacrificing.

conclusionsPatients with a history of more depressive episodes reported higher levels of interpersonal problems, daily stress and a lower sense of mastery. Future studies should examine these factors in a longitudinal cohort and look at whether the effect of interventions to prevent relapse can be explained by targeting these psychological factors.

trial registrationNetherlands Trial Register: 2599.

Indexed as

Adaptation, PsychologicalAdultCognitionCohort StudiesFemaleHumansMajor Depressive DisorderMaleRecurrenceRisk FactorsStress, Psychological

Identifiers

PMID30388131
PMCPMC6214532

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