PMID- 20146833
OWN - NLM
STAT- MEDLINE
DCOM- 20110202
LR  - 20220316
IS  - 1469-8978 (Electronic)
IS  - 0033-2917 (Linking)
VI  - 40
IP  - 12
DP  - 2010 Dec
TI  - Impact of severity and type of depression on quality of life in cases identified 
      in the community.
PG  - 2069-77
LID - 10.1017/S0033291710000164 [doi]
AB  - BACKGROUND: The impact of different levels of depression severity on quality of 
      life (QoL) is not well studied, particularly regarding ICD-10 criteria. The ICD 
      classification of depressive episodes in three levels of severity is also 
      controversial and the less severe category, mild, has been considered as 
      unnecessary and not clearly distinguishable from non-clinical states. The present 
      work aimed to test the relationship between depression severity according to 
      ICD-10 criteria and several dimensions of functioning as assessed by Medical 
      Outcome Study (MOS) 36-item Short Form general health survey (SF-36) at the 
      population level. METHOD: A sample of 551 participants from the second phase of 
      the Outcome of Depression International Network (ODIN) study (228 controls 
      without depression and 313 persons fulfilling ICD criteria for depressive 
      episode) was selected for a further assessment of several variables, including 
      QoL related to physical and mental health as measured with the SF-36. RESULTS: 
      Statistically significant differences between controls and the depression group 
      were found in both physical and mental markers of health, regardless of the level 
      of depression severity; however, there were very few differences in QoL between 
      levels of depression as defined by ICD-10. Regardless of the presence of 
      depression, disability, widowed status, being a woman and older age were 
      associated with worse QoL in a structural equation analysis with covariates. 
      Likewise, there were no differences according to the type of depression 
      (single-episode versus recurrent). CONCLUSIONS: These results cast doubt on the 
      adequacy of the current ICD classification of depression in three levels of 
      severity.
FAU - Nuevo, R
AU  - Nuevo R
AD  - Department of Psychiatry, Hospital Universitario de la Princesa, Universidad 
      Autonoma de Madrid, Madrid, Spain.
FAU - Leighton, C
AU  - Leighton C
FAU - Dunn, G
AU  - Dunn G
FAU - Dowrick, C
AU  - Dowrick C
FAU - Lehtinen, V
AU  - Lehtinen V
FAU - Dalgard, O S
AU  - Dalgard OS
FAU - Casey, P
AU  - Casey P
FAU - Vazquez-Barquero, J L
AU  - Vazquez-Barquero JL
FAU - Ayuso-Mateos, J L
AU  - Ayuso-Mateos JL
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20100211
PL  - England
TA  - Psychol Med
JT  - Psychological medicine
JID - 1254142
SB  - IM
MH  - Adult
MH  - Case-Control Studies
MH  - Depression/*physiopathology/psychology
MH  - Disabled Persons/psychology
MH  - Female
MH  - Health Status
MH  - Health Surveys
MH  - Humans
MH  - Male
MH  - Mental Health
MH  - Middle Aged
MH  - *Quality of Life
MH  - *Severity of Illness Index
EDAT- 2010/02/12 06:00
MHDA- 2011/02/03 06:00
CRDT- 2010/02/12 06:00
PHST- 2010/02/12 06:00 [entrez]
PHST- 2010/02/12 06:00 [pubmed]
PHST- 2011/02/03 06:00 [medline]
AID - S0033291710000164 [pii]
AID - 10.1017/S0033291710000164 [doi]
PST - ppublish
SO  - Psychol Med. 2010 Dec;40(12):2069-77. doi: 10.1017/S0033291710000164. Epub 2010 
      Feb 11.