Depression coping self-efficacy as a predictor of relapse 1 and 2 years following psychiatric hospital-based treatment

Res Theory Nurs Pract. 2004 Summer-Fall;18(2-3):261-75. doi: 10.1891/rtnp.18.2.261.61282.

Abstract

This longitudinal study involved 1 - and 2-year follow-up assessments of participants who received inpatient (n = 25) or partial hospital program (PHP) (n = 24) treatment for depression. The purposes of this study were to (a) compare 2-year follow-up depressive symptom and depression coping self-efficacy scores with posttreatment scores, (b) examine depression coping self-efficacy scores as a predictor of health care visit frequencies following treatment, and (c) examine differences in 2-year depressive symptom and depression coping self-efficacy scores between original treatment groups. Participant (n = 49) health records were reviewed for frequencies and types of health care visits at 1-year posttreatment. Twenty-six (52% response rate) participants completed the Depression Coping Self-Efficacy Scale, Center for Epidemiologic Studies Depression Scale, and Two-Year Follow-Up Questionnaire at 2-years posttreatment. One-year findings indicated posttreatment depression coping self-efficacy scores were associated with frequencies of psychiatric episodes of care. Relapse rates (> 25%) were consistent with previous reports. Despite maintenance of improvements in depressive symptom and depression coping self-efficacy scores, depressive symptom scores remained above cutoff levels at 2 years posttreatment. Two-year findings did not differ based on original treatment type. Findings support further research examining the DCSES as a predictor of relapse and a target for treatment.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Aged, 80 and over
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology
  • Depressive Disorder / rehabilitation*
  • Female
  • Health Services / statistics & numerical data
  • Humans
  • Linear Models
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Midwestern United States
  • Prognosis
  • Recurrence
  • Self Efficacy*
  • Statistics, Nonparametric