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Subklinische depressie bij reumapatiënten : de rol van demografische, klinische en psychologische factoren = Minor depression among patients with rheumatic diseases : the role of demographical, clinical and psychological factors

Oonk, L. (2008) Subklinische depressie bij reumapatiënten : de rol van demografische, klinische en psychologische factoren = Minor depression among patients with rheumatic diseases : the role of demographical, clinical and psychological factors.

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Abstract:Numerous studies show that there are certain factors correlated with a raised depression in patients with rheumatic diseases. This study examines a few of these factors, respectively gender, age, physical disability, positive and negative (problematic) social support, in there relation with a minor depression. In the waiting room of the policlinic Rheumatology of the MST at Enschede there were digital surveys completed by patients with rheumatic diseases on computers with touchscreens. Beside demographic variables and the rheumatic disease, patients were asked about their physical functioning by the Assessment Questionnaire (HAQ). For the assessment of a minor depression the Geriatric Depression Scale-15 Dutch version (GDS-15) was used. Positive social support was measured by the Social Support List-Interactions (SSL 12-I) and negative social support by a Dutch translation of the scale developed by Revenson et al. (1991) A total of 239 patients took part at the study. 8.8 percent met the criteria for a minor depression. No significant association was found between different forms of rheumatic diseases and a minor depression. Gender and age also didn’t relate with a minor depression. Hierarchical multiple regression showed that pain, physical functioning, positive and negative social support had a strong relation with symptoms of depression. A total of nine factors and the interaction between positive and negative social support accounted for 39 percent of the variance in the final model. There was also found a buffering effect of social support: positive social support could reduce the negative effect of problematic support. Logistic regression showed that physical functioning was found a significant predictor of a minor depression. However, in this regression there was no social buffer effect: the interaction between positive and negative social support turned out to be not significant. Physical functioning was found to be a predictor of a minor depression in patients with rheumatic diseases. Therefore it is important for physicians to monitor the rheumatic patients with many restrictions in physical functioning on a minor depression by the ROMA system and interfere if necessary. It is also important that rheumatic patients experience positive social support by for example a social worker, so the negative effect of problematic support can be reduced
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:05 communication studies
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/58842
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