The impact of decreased environmental reward in predicting depression severity in caregivers

  1. Vázquez González, Fernando Lino 1
  2. López, Lara 1
  3. Blanco, Vanessa 1
  4. Otero, Patricia 2
  5. Ángela J. Torres 1
  6. Ferraces, María José 1
  1. 1 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

  2. 2 Universidade da Coruña
    info

    Universidade da Coruña

    La Coruña, España

    ROR https://ror.org/01qckj285

Revista:
Anales de psicología

ISSN: 0212-9728,  1695-2294

Ano de publicación: 2019

Título do exemplar: October

Volume: 35

Número: 3

Páxinas: 357-363

Tipo: Artigo

DOI: 10.6018/ANALESPS.35.3.329131 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Anales de psicología

Resumo

Pese a sus dificultades para realizar actividades agradables y la alta prevalencia de depresión, no se ha analizado el refuerzo como predictor de la depresión en la población de cuidadores. El objetivo de este estudio fue analizar el refuerzo como predictor del nivel de depresión (sin depresión, depresión subclínica, episodio depresivo mayor) en cuidadores. Evaluadores independientes evaluaron las variables sociodemográficas del cuidador, la persona cuidada y la situación de cuidado, el refuerzo y la sintomatología depresiva mediante autoinformes, y clínicos expertos evaluaron el episodio depresivo mayor mediante la SCID-5-CV, en 592 cuidadores (87.2% mujeres; edad media = 55.4 años). La puntuación media en refuerzo fue 28.1. El refuerzo fue menor en cuidadores ≤55 años y de clase social baja-media/baja. Y mayor en cuidadores sin depresión que en aquellos con depresión subclínica y episodio depresivo mayor, y en cuidadores con depresión subclínica frente a aquellos con episodio depresivo mayor. Los cuidadores con mayor refuerzo tenían menor probabilidad de depresión subclínica (adjusted OR = 0.78, 95% CI 0.75-0.83) y episodio depresivo mayor (adjusted OR = 0.67, 95% CI 0.62-0.72). El refuerzo fue un factor de protección frente a la depresión subclínica y el episodio depresivo mayor en cuidadores.

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Información de financiamento

This project was approved by the Ethics Committee for Clinical Research of the corresponding health service area and the Secretariat General for Penitentiary Institutions of the Spanish Ministry of the Interior. The participants were informed that this was a study on aggressive experiences, and that confidentiality was ensured and no health risk was involved. Before the questionnaires were administered, the participants were provided with information about the general aims of the study. Once this information had been read, those who agreed gave their signed informed consent on the confidential treatment of the information obtained and its possible subsequent dissemination. The tests were individually administered in 30-45 minute sessions by an examiner who was previously trained to administer the instru- ments. The data collection was conducted in the prison infirmary.

Financiadores

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Fonte de datos: Dialnet