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- W2735443471 abstract "Context: The current literature is inconsistent regarding predictors of chronicity/ persistence of depressive episodes. Objective: To analyse the relationships between familial, personal and environmental characteristics over different life periods and the chronicity of depression in a population based sample using structural equation modelling (SEM) analyses. Design: Panel survey with three waves and ten years of follow-up drawn from the general population. Risk factors and comorbidity were assessed with questionnaires. Liability for the outcome was determined using SEM, following a path approach with specification searches. The sample was 651 men and women who had a diagnosis of minor, major depression or dysthymia at the first wave of the Swedish PART (mental health, work and relations) study. The outcome was a episode of minor/ major depression/ dysthymia at the tenth year of follow-up. Results: Most of 26 study factors determined, directly and/or indirectly, depression status at W3. Only somatic trait anxiety, anxiety disorders, past partner loss and other negative life events at W1, depression severity at W2, and life difficulties and other dependent events at W3 had a direct effect on the outcome. Conclusions: There were complex and intertwined psychopathological pathways leading to chronicity of depressive disorders, which could be assembled in two main mechanisms: the internalizing pathway comprised of depression course and anxiety related paths and an externalized/adversity pathway comprised of alcohol use and life events related paths. These pathways were similar to mechanisms proposed in previous studies of the onset of depressive episodes." @default.
- W2735443471 created "2017-07-21" @default.
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- W2735443471 date "2012-03-10" @default.
- W2735443471 modified "2023-09-23" @default.
- W2735443471 title "A Causal Path Model of the Chronicity of Depression" @default.
- W2735443471 hasPublicationYear "2012" @default.
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