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Social functioning in depression: a review.

R M Hirschfeld1, S A Montgomery, M B Keller

  • 1Department of Psychiatry & Behavioral Sciences, University of Texas Medical Branch, Galveston 77555-0188, USA.

The Journal of Clinical Psychiatry
|June 1, 2000
PubMed
Summary
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Depression significantly impairs social functioning, often more than other chronic conditions. While treatments can help, not all are equally effective for social issues, and symptom relief doesn't guarantee improved social function.

Area of Science:

  • Psychiatry and Mental Health
  • Social Psychology

Background:

  • Depressive disorders are frequently linked to profound and widespread social functioning impairments.
  • These social deficits in depression can be more severe than those seen in other chronic medical conditions.
  • The personal, social, and economic burden of depression is significantly influenced by impaired social functioning.

Purpose of the Study:

  • To review existing data on social functioning in patients with depression.
  • To offer clinical guidelines and expert opinions in this critical and growing area of research.
  • To highlight the impact of social functioning deficits in depressive disorders.

Main Methods:

  • Conducted a MEDLINE search for English-language articles published between 1988 and 1999.
  • Utilized search terms including 'depression and social functioning', 'depression and social adjustment', 'depression and psychosocial functioning', and 'social functioning and antidepressant'.

Related Experiment Videos

  • Supplemented search by reviewing bibliographies of relevant identified articles.

    • Main Results:

    • Depression is associated with significant and pervasive social functioning impairments, often exceeding those in other chronic illnesses.
    • The substantial impact of depression, including its social functioning deficits, is frequently underestimated.
    • Both pharmacological and psychotherapeutic interventions show potential for improving social impairments, though robust, extended trials are limited.

    Conclusions:

    • Not all treatments for depressive disorders are equally effective in addressing impaired social functioning.
    • Therapeutic efficacy for core depressive symptoms does not automatically translate to improved social functioning.
    • Further research with consistent assessment criteria is needed to guide effective treatment of social deficits in depression.