Publication: El impacto del refuerzo ambiental reducido en la predicción de la gravedad de la depresión en cuidadores
Authors
Vázquez, Fernando L. ; López, Lara ; Blanco, Vanessa ; Otero, Patricia ; Torres, Ángela J. ; Ferraces, María José
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Publisher
Universidad de Murcia
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DOI
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info:eu-repo/semantics/article
Description
Abstract
Pese a sus dificultades para realizar actividades agradables y la
alta prevalencia de depresión, no se ha analizado el refuerzo como predic-
tor de la depresión en la población de cuidadores. El objetivo de este estu-
dio fue analizar el refuerzo como predictor del nivel de depresión (sin de-
presión, depresión subclínica, episodio depresivo mayor) en cuidadores.
Evaluadores independientes evaluaron las variables sociodemográficas del
cuidador, la persona cuidada y la situación de cuidado, el refuerzo y la sin-
tomatología depresiva mediante autoinformes, y clínicos expertos evalua-
ron el episodio depresivo mayor mediante la SCID-5-CV, en 592 cuidado-
res (87.2% mujeres; edad media = 55.4 años). La puntuación media en re-
fuerzo fue 28.1. El refuerzo fue menor en cuidadores ≤55 años y de clase
social baja-media/baja. Y mayor en cuidadores sin depresión que en aque-
llos con depresión subclínica y episodio depresivo mayor, y en cuidadores
con depresión subclínica frente a aquellos con episodio depresivo mayor.
Los cuidadores con mayor refuerzo tenían menor probabilidad de depre-
sión subclínica (adjusted OR = 0.78, 95% CI 0.75-0.83) y episodio depresi-
vo mayor (adjusted OR = 0.67, 95% CI 0.62-0.72). El refuerzo fue un fac-
tor de protección frente a la depresión subclínica y el episodio depresivo
mayor en cuidadores.
Reward has not been examined as a predictor of depression in the caregiver population despite the high prevalence of depression. The aim of this study was to analyze reward as a predictor of the level of de- pression (no depression, subclinical depression, major depressive episode) in caregivers. Independent evaluators evaluated the socio-demographic variables of the caregiver and the care recipient, the care situation, reward, and depressive symptomatology through self-reports. Expert clinicians evaluated the prevalence of major depressive episodes using the SCID-5- CV in 592 caregivers (87.2% women, average age = 55.4 years). The aver- age reward score was 28.1. Reward was lower in caregivers younger than 55 years old who belonged to the lower/lower-middle classes. Reward was higher in caregivers without depression than in those with subclinical de- pression or experiencing a major depressive episode. Reward was also higher in caregivers with subclinical depression versus those with a major depressive episode. Caregivers with higher reward had a lower probability of subclinical depression (adjusted OR = 0.78, 95% CI 0.75-0.83) and a major depressive episode (adjusted OR = 0.67, 95% CI 0.62-0.72). Reward was a protective factor against subclinical depression and a major depres- sive episode in caregivers.
Reward has not been examined as a predictor of depression in the caregiver population despite the high prevalence of depression. The aim of this study was to analyze reward as a predictor of the level of de- pression (no depression, subclinical depression, major depressive episode) in caregivers. Independent evaluators evaluated the socio-demographic variables of the caregiver and the care recipient, the care situation, reward, and depressive symptomatology through self-reports. Expert clinicians evaluated the prevalence of major depressive episodes using the SCID-5- CV in 592 caregivers (87.2% women, average age = 55.4 years). The aver- age reward score was 28.1. Reward was lower in caregivers younger than 55 years old who belonged to the lower/lower-middle classes. Reward was higher in caregivers without depression than in those with subclinical de- pression or experiencing a major depressive episode. Reward was also higher in caregivers with subclinical depression versus those with a major depressive episode. Caregivers with higher reward had a lower probability of subclinical depression (adjusted OR = 0.78, 95% CI 0.75-0.83) and a major depressive episode (adjusted OR = 0.67, 95% CI 0.62-0.72). Reward was a protective factor against subclinical depression and a major depres- sive episode in caregivers.
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