Testing the relationship between a self-management intervention for recurrent depression and health outcomes
Bonnie M Hagerty1, Melissa A Bathish1
1School of Nursing, University of Michigan, Ann Arbor, United States of America.
Applied Nursing Research : ANR
|November 4, 2018
Summary
The Self-Regulated Illness Management of Depression (SRIM-D) intervention significantly improved depression, self-efficacy, and quality of life in adults with chronic depression. This theory-based approach offers a valuable tool for managing recurrent depressive symptoms.
Area of Science:
- Mental Health
- Psychiatry
- Behavioral Science
Background:
- Depression is a major global cause of disability, affecting millions with recurrent, chronic illness.
- Effective self-management strategies are crucial, yet few are theory-based and accessible with or without professional support.
Purpose of the Study:
- To evaluate the Self-Regulated Illness Management of Depression (SRIM-D) intervention's impact on depression, self-efficacy, social support, and quality of life.
- SRIM-D was developed based on metacognition and self-regulation theories to address recurrent depression.
Main Methods:
- Twenty-three adults with major depressive disorder (MDD) participated in a three-week intervention.
- The intervention included a workbook and sessions focused on self-regulation strategies for recurrent depression, with assessments pre- and six-months post-intervention.
Main Results:
- Significant reductions in depressive symptoms were observed six months post-intervention (p < .0001).
- Improvements in self-efficacy (p < .01) and quality of life (p > .01) were also significant.
- Social support showed a minor, non-significant decrease.
Conclusions:
- The SRIM-D intervention effectively improved key health outcomes for individuals with chronic, recurrent depression.
- This theory-based self-management approach is applicable for individuals with or without access to professional mental health care.
Related Concept Videos
01:05Long-term Depression
33.3K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
33.3K
02:12Relationship Formation
46.2K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
46.2K
03:12Freezing Point Depression and Boiling Point Elevation
40.1K
Boiling Point Elevation
The boiling point of a liquid is the temperature at which its vapor pressure is equal to ambient atmospheric pressure. Since the vapor pressure of a solution is lowered due to the presence of nonvolatile solutes, it stands to reason that the solution’s boiling point will subsequently be increased. Vapor pressure increases with temperature, and so a solution will require a higher temperature than will pure solvent to achieve any given vapor pressure, including one...
The boiling point of a liquid is the temperature at which its vapor pressure is equal to ambient atmospheric pressure. Since the vapor pressure of a solution is lowered due to the presence of nonvolatile solutes, it stands to reason that the solution’s boiling point will subsequently be increased. Vapor pressure increases with temperature, and so a solution will require a higher temperature than will pure solvent to achieve any given vapor pressure, including one...
40.1K
01:28Depressants
436
Depressant drugs, including alcohol and sedative-hypnotics, diminish central nervous system activity by enhancing the action of gamma-aminobutyric acid (GABA), a neurotransmitter that reduces brain activity and promotes relaxation. These substances can have various therapeutic uses but also pose significant risks, especially when misused or combined.
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
436
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
3.9K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.9K
01:28Ending Relationships
189
The dissolution of intimate relationships presents complex emotional and psychological challenges, particularly when emotional bonds are strong, the relationship is long-standing, and perceived alternatives are limited. This distress often intensifies in romantic breakups, where the initiator may experience greater turmoil than the rejected partner. Contributing factors include residual attachment, guilt over causing pain, and uncertainty about how to manage the situation. The stress is further...
189