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Social Psychiatry and Psychiatric Epidemiology

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01-07-2011 | Original Paper

Factors associated with life satisfaction in a 6-year follow-up of depressive out-patients

Authors: H. Koivumaa-Honkanen, T. Rissanen, J. Hintikka, K. Honkalampi, K. Haatainen, Saharinen Tarja, H. Viinamäki

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 7/2011

Abstract

Background

The major goal of mental health services is to improve mental health and thus also life satisfaction. However, studies assessing factors associated with life satisfaction during recovery from depression are lacking.

Methods

A 6-year natural follow-up of 121 depressive out-patients was carried out with questionnaires at baseline, 1/2, 1, 2 and 6 years completed. A structured diagnostic interview was conducted. Throughout the follow-up, clinical status was assessed with several psychometric scales for life satisfaction (LS), depression (BDI, HDRS), hopelessness (HS), functional ability (GAF, SOFAS) and general psychopathology (SCL).

Results

Men and women did not differ in their improvement in life satisfaction. Altogether, 77% of the patients at baseline and 22% at the end were dissatisfied. Life satisfaction on 6-year follow-up was associated with baseline lower interpersonal sensitivity (SCL subscale) and concurrently being loved by someone as well as with baseline and concurrent good self-rated health and wealth. The satisfied were better off in terms of all clinical variables, regardless of the measurement time. Depressive symptoms and hopelessness were the strongest concurrent clinical correlates of LS after 6 years.

Conclusions

Mental health was strongly related to life satisfaction throughout the follow-up, while most of the non-clinical factors were not. Alleviating depression and interpersonal sensitivity and supporting social networks should be focused on in psychiatric treatment in order to improve life satisfaction among depressive patients.

Allardt E (1973) About dimensions of welfare: an explanatory analysis of the comparative Scandinavian survey. Helsinki, Finland: Research Group for Comparative Sociology, University of Helsinki (Research Reports no. 1)

American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. Washington, DC

Andrews FM, Withey SB (1976) Social indicators of well-being. Plenum Press, New York

Appelberg K, Romanov K, Honkasalo M-L, Koskenvuo M (1991) Interpersonal conflicts at work and psychosocial characteristics of employees. Soc Sci Med 32:1051–1056PubMedCrossRef

Bagby RM, Parker JDA, Taylor GJ (1994) The 20-item Toronto Alexithymia Scale-I: Item selection and cross-validation of the factor structure. J Psychosom Res 38:23–32PubMedCrossRef

Bagby RM, Taylor GJ, Parker JDA (1994) The 20-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. J Psychosom Res 38:33–40PubMedCrossRef

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571PubMed

Beck AT, Weissman A, Lester D, Trexler L (1974) The measurement of pessimism: the hopelessness Scale. J Consult Clin Psychol 42:861–865PubMedCrossRef

Bernheim SM, Spertus JA, Reid KJ, Bradley EH, Desai RA, Peterson ED, Rathore SS, Normand SL, Jones PG, Rahimi A, Krumholz HM (2007) Socioeconomic disparities in outcomes after acute myocardial infarction. Am Hearth J 153:313–319CrossRef

10.

Bray I, Gunnell D (2006) Suicide rates, life satisfaction and happiness as markers for population mental health. Soc Psychiatry Psychiatr Epidemiol 41:333–337PubMedCrossRef

11.

Campbell A, Converse PE, Rogers WL (1976) The quality of American life. Russell Sage Foundation, New York

12.

Dear K, Henderson S, Korten A (2002) Well-being in Australia. Findings from the National Survey of mental health and well-being. Soc Psychiatry Psychiatr Epidemiol 37:501–509CrossRef

13.

Derogatis LR, Lipman RS, Covi L (1973) The SCL-90: an outpatient psychiatric rating scale–preliminary report. Psychopharmacol Bull 9:13–28PubMed

14.

Diener E (1994) Assessing subjective well-being: progress and opportunities. Soc Indic Res 31:103–157CrossRef

15.

Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23:56–62PubMedCrossRef

16.

Everson-Rose SA, House JS, Mero RP (2004) Depressive symptoms and mortality risk in a national sample: confounding effects of health status. Psychosom Med 66:823–830PubMedCrossRef

17.

Headley B-W, Kelley J, Wearing AJ (1993) Dimensions of mental health: life satisfaction, positive affect, anxiety and depression. Soc Indic Res 29:63–82CrossRef

18.

Heiskanen T, Niskanen L, Hintikka J, Koivumaa-Honkanen HT, Honkalampi K, Haatainen K, Viinamäki H (2006) Metabolic syndrome and depression: a cross-sectional analyses. J Clin Psychiatry 67:1422–1427PubMedCrossRef

19.

Holi MM, Sammallahti PR, Aalberg VA (1998) A Finnish validation study of the SCL-90. Acta Psychiatr Scand 97:42–46PubMedCrossRef

20.

Honkalampi K, Saarinen P, Hintikka J, Virtanen V, Viinamäki H (1999) Factors associated with alexithymia in patients suffering from depression. Psychother Psychosom 68:270–275PubMedCrossRef

21.

Horley J (1984) Life satisfaction, happiness and morale: two problems with the use of subjective well-being indicators. Gerontologist 24:124–127PubMed

22.

Joukamaa M, Miettunen J, Kokkonen P, Koskinen M, Julkunen J, Kauhanen J et al (2001) Psychometric properties of the Finnish 20-item Toronto Alexithymia Scale. Nord J Psych 55:123–127CrossRef

23.

Jormfeldt H (2010) Attitudes towards health among patients and staff in mental health services: a comparison of ratings of importance of different items on health. Soc Psychiatry Psychiatr Epidemiol 45:225–231PubMedCrossRef

24.

Katschnig H, Freeman H, Sartorious N. Quality of life in mental disorders. 2nd edn. Wiley, England

25.

Kaprio J, Sarna S, Koskenvuo M, Rantasalo I (1978) The Finnish twin registry: baseline characteristics, section II: history of symptoms and illnesses, use of drugs, physical characteristics, smoking, alcohol and physical activity. Public Health Publication M 37. Helsinki, University of Helsinki, Department of Public Health

26.

Koivumaa-Honkanen HT (1998) Life satisfaction as a health predictor. Kuopio University Publications D. Medical Sciences 143. Kuopio

27.

Koivumaa-Honkanen H, Honkanen R, Antikainen R, Hintikka J, Laukkanen E, Honkalampi K, Viinamäki H (2001) Self-reported life satisfaction and recovery from depression in a 1-year prospective study. Acta Psychiatr Scand 103:38–44PubMedCrossRef

28.

Koivumaa-Honkanen HT, Honkanen R, Antikainen R, Hintikka J, Viinamäki H (1999) Self-reported life satisfaction and treatment factors in patients with schizophrenia, major depression and anxiety disorder. Acta Psychiatr Scand 99:377–384PubMedCrossRef

29.

Koivumaa-Honkanen H, Honkanen R, Koskenvuo M, Viinamäki H, Kaprio J (2002) Life dissatisfaction as a predictor of fatal injury in a 20-year follow-up. Acta Psychiatr Scand 105:444–450PubMedCrossRef

30.

Koivumaa-Honkanen H, Honkanen R, Viinamäki H, Heikkilä K, Kaprio J, Koskenvuo M (2001) Life satisfaction and suicide: a 20-year follow-up study. Am J Psychiatry 158:433–439PubMedCrossRef

31.

Koivumaa-Honkanen H, Honkanen R, Viinamäki, Heikkilä K, Kaprio J, Koskenvuo M (2000) Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. Am J Epidemiol 152:983–991

32.

Koivumaa-Honkanen H, Kaprio J, Honkanen R, Viinamäki H, Koskenvuo M (2004) Life Satisfaction and depression in a 15-year follow-up of healthy adults. Soc Psychiatry Psyichiatr Epidemiol 39:994–999CrossRef

33.

Koivumaa-Honkanen H, Kaprio J, Honkanen R, Viinamäki H, Koskenvuo M (2005) The stability of life satisfaction in a 15-year follow-up of adult Finns healthy at baseline. BMC Psychiatry 5:4PubMedCrossRef

34.

Koivumaa-Honkanen H, Koskenvuo M, Honkanen R, Viinamäki H, Heikkilä K, Kaprio J (2004) Life dissatisfaction and subsequent work disability in an 11-year follow-up. Psychol Med 34:221–228PubMedCrossRef

35.

Koivumaa-Honkanen H, Tuovinen TK, Honkalampi K, Antikainen R, Hintikka J, Haatainen K, Viinamäki H (2008) Mental health and well-being in a 6-year follow-up of patients with depression assessed by patients and clinicians. Soc Psychiatry Psychiatric Epidemiol 43(9):688–696CrossRef

36.

Koivumaa-Honkanen H-T, Viinamäki H, Honkanen R, Tanskanen A, Antikainen R, Niskanen L, Jääskeläinen J, Lehtonen J (1996) Correlates of life satisfaction among psychiatric patients. Acta Psychiatr Scand 94:372–378PubMedCrossRef

37.

Korkeila M, Kaprio J, Rissanen A, Koskenvuo M, Sörensen TIA (1998) Predictors of major weight gain in adult Finns: stress, life satisfaction and personality traits. Int J Obes 22:949–957CrossRef

38.

Meyer C, Rumpf H-J, Hapke U, John U (2004) Impact of psychiatric disorders in the general population: satisfaction with life and the influence of comorbidity and disorder duration. Soc Psychiatry Psychiatr Epidemiol 39:435–441PubMedCrossRef

39.

Michaud CM, Murray CJ, Bloom BR (2001) Burden of disease—implications for future research. JAMA 285:535–539PubMedCrossRef

40.

Pedersen G, Karterud S (2004) Is SCL-90R helpful for the clinician in assessing DSM-IV symptom disorders? Acta Psychiatr Scand 110:215–224PubMedCrossRef

41.

Ravindran A, Matheson K, Griffiths J, Meralt Z, Anisman H (2002) Stress, coping, uplifts and quality of life in subtypes of depression. A conceptual frame and emerging data. J Affect Disord 71:121–130PubMedCrossRef

42.

Romanov K, Appelberg K, Honkasalo M-L, Koskenvuo M (1996) Recent interpersonal conflict at work and psychiatric morbidity: a prospective study of 15, 530 employees aged 24–64. J Psychosom Res 56:328–336

43.

Rutz W (2006) Social psychiatry and public mental health: present situation and future objectives. Time for rethinking and renaissance? Acta Psychiatr Scand Suppl 429:95–100PubMedCrossRef

44.

Spitzer RL, Gibbon M, Williams JWB, Endicott J (1966) Global assessment of functioning (GAF) scale. In: Sederer LI, Dickey B (eds) Outcome assessment in clinical practice. Williams and Wilkins, Baltimore

45.

Spitzer RL, Forman JBW, Gibbon M (1987) In: Structured clinical interview for DSM-III-R (SCID). New York State Psychiatric Institute, Biometrics Research, New York

46.

Sung S-C, Yeh M-Y (2007) Factors related to quality of life in depressive outpatients in Taiwan. Psychiatry Clin Neurosci 61:610–615PubMedCrossRef

47.

Swami V, Chamarro-Premuzic T, Sinniah D, Maniam T, Kannan K, Stanistreet D, Furham A (2007) General health mediates the relationship between loneliness, life satisfaction and depression. A study with Malaysian medical students. Soc Psychiatry Psychiatr Epidemiol 42:161–166PubMedCrossRef

48.

Terraccione A, Löckenhoff CE, Zonderman AB, Ferrucci L, Costa PT (2008) Personality predictors of longevity: Activity, emotional stability, and conscientiousness. Psychosom Med 70:621–627CrossRef

49.

Trivedi M, Rush J, Wisniewski S, Warden D, McKinney W, Downing M et al (2006) Factors Associated with health-related quality of life among outpatients with major depressive disorder: A STAR*D Report. J Clin Psychiatry 67:185–195PubMedCrossRef

50.

Üstün T, Ayuso-Mateos J, Chatterji S et al (2004) Global burden of depressive disorders in the year 2000. Br J Psychiatry 184:386–392PubMedCrossRef

51.

Vaillant G (2003) Mental health. Am J Psychiatry 160:1373–1384PubMedCrossRef

52.

Viinamäki H, Haatainen K, Honkalampi K, Tanskanen A, Koivumaa-Honkanen H, Antikainen R, Valkonen-Korhonen M, Hintikka J (2006) Which factors are important predictors of non-recovery from major depression? A 2-year prospective observational study. Nord J Psychiatry 60:410–416PubMedCrossRef

53.

World Health Organization Constitution (1947) WHO Chronicle 1:29

54.

Zimmerman M, McGlinchey JB, Posternak MA, Friedman M, Attiullah N, Boerescu D (2006) How should remission from depression be defined? The depressed patient’s perspective. Am J Psychiatry 163:148–150PubMedCrossRef

55.

Zimmerman M, McGlinchey JB, Posternak MA, Friedman M, Boerescu D, Attiullah N (2008) Remission in depressed outpatients: More than just symptom resolution? J Psych Res 42:797–801CrossRef

56.

Zimmerman M, Ruggero CJ, Chelminski I, Young D, Posternak MA, Friedman M, Boerescu D, Attiullah N (2006) Developing brief scales for use in clinical practice: the reliability and validity of single-item self-report measures of depression symptom severity, psychosocial impairment due to depression and quality of life. J Clin Psychiatry 67:1536–1541PubMedCrossRef

Title: Factors associated with life satisfaction in a 6-year follow-up of depressive out-patients
Authors: H. Koivumaa-Honkanen
T. Rissanen
J. Hintikka
K. Honkalampi
K. Haatainen
Saharinen Tarja
H. Viinamäki
Publication date: 01-07-2011
Publisher: Springer-Verlag
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 7/2011
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-010-0225-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Factors associated with life satisfaction in a 6-year follow-up of depressive out-patients

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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