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. 1990 May;80(5):580–585. doi: 10.2105/ajph.80.5.580

Risk factors for depressive symptomatology in a drug using population.

J C Buckner 1, W Mandell 1
PMCID: PMC1404647  PMID: 2327536

Abstract

This study employs a prospective design to examine possible personality, drug use, stressful life event, and social support-related variables associated with the onset of a depressive episode in a cohort of psychoactive drug using young adults. Two waves of data, collected one year apart, were available on 942 individuals. Cases (n = 62) were free of depressive symptoms at time 1 but reported significant symptomatology at time 2 as measured by the depression subscale of the Brief Symptom Inventory. Controls (n = 490) were those free of depressive symptoms at both time points. In multivariate analyses, users of the central nervous system depressant methaqualone had a nearly four-fold elevated risk for depressed mood as compared to nonusers. Additional risk factors significant after multivariate adjustment included lower self-esteem at time 1 and negative life events. These results highlight the multifactorial nature of depressive symptomatology.

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Selected References

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  1. Aneshensel C. S., Huba G. J. Depression, alcohol use, and smoking over one year: a four-wave longitudinal causal model. J Abnorm Psychol. 1983 May;92(2):134–150. doi: 10.1037//0021-843x.92.2.134. [DOI] [PubMed] [Google Scholar]
  2. Barabas G., Matthews W. S. Barbiturate anticonvulsants as a cause of severe depression. Pediatrics. 1988 Aug;82(2):284–285. [PubMed] [Google Scholar]
  3. Barnett P. A., Gotlib I. H. Psychosocial functioning and depression: distinguishing among antecedents, concomitants, and consequences. Psychol Bull. 1988 Jul;104(1):97–126. doi: 10.1037/0033-2909.104.1.97. [DOI] [PubMed] [Google Scholar]
  4. Billings A. G., Cronkite R. C., Moos R. H. Social-environmental factors in unipolar depression: comparisons of depressed patients and nondepressed controls. J Abnorm Psychol. 1983 May;92(2):119–133. doi: 10.1037//0021-843x.92.2.119. [DOI] [PubMed] [Google Scholar]
  5. Blatt S. J., Quinlan D. M., Chevron E. S., McDonald C., Zuroff D. Dependency and self-criticism: psychological dimensions of depression. J Consult Clin Psychol. 1982 Feb;50(1):113–124. doi: 10.1037//0022-006x.50.1.113. [DOI] [PubMed] [Google Scholar]
  6. Brent D. A., Crumrine P. K., Varma R. R., Allan M., Allman C. Phenobarbital treatment and major depressive disorder in children with epilepsy. Pediatrics. 1987 Dec;80(6):909–917. [PubMed] [Google Scholar]
  7. Bridge T. P., Ellinwood E. H., Jr Quaalude alley: a one-way street. Am J Psychiatry. 1973 Feb;130(2):217–219. doi: 10.1176/ajp.130.2.217. [DOI] [PubMed] [Google Scholar]
  8. Craig T. J., van Natta P. A. Medication use and depressive symptoms. N Y State J Med. 1982 Sep;82(10):1439–1443. [PubMed] [Google Scholar]
  9. Deykin E. Y., Levy J. C., Wells V. Adolescent depression, alcohol and drug abuse. Am J Public Health. 1987 Feb;77(2):178–182. doi: 10.2105/ajph.77.2.178. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Dobson K. S., Shaw B. F. Specificity and stability of self-referent encoding in clinical depression. J Abnorm Psychol. 1987 Feb;96(1):34–40. doi: 10.1037//0021-843x.96.1.34. [DOI] [PubMed] [Google Scholar]
  11. Eaton W. W. Life events, social supports, and psychiatric symptoms: a re-analysis of the New Haven data. J Health Soc Behav. 1978 Jun;19(2):230–234. [PubMed] [Google Scholar]
  12. Finlay-Jones R. Showing that life events are a cause of depression--a review. Aust N Z J Psychiatry. 1981 Sep;15(3):229–238. doi: 10.3109/00048678109159440. [DOI] [PubMed] [Google Scholar]
  13. Gerald M. C., Schwirian P. M. Nonmedical use of methaqualone. Arch Gen Psychiatry. 1973 May;28(5):627–631. doi: 10.1001/archpsyc.1973.01750350011002. [DOI] [PubMed] [Google Scholar]
  14. Henderson S. The social network, support and neurosis. The function of attachment in adult life. Br J Psychiatry. 1977 Aug;131:185–191. doi: 10.1192/bjp.131.2.185. [DOI] [PubMed] [Google Scholar]
  15. Hirschfeld R. M., Cross C. K. Epidemiology of affective disorders. Arch Gen Psychiatry. 1982 Jan;39(1):35–46. doi: 10.1001/archpsyc.1982.04290010013003. [DOI] [PubMed] [Google Scholar]
  16. House J. S., Landis K. R., Umberson D. Social relationships and health. Science. 1988 Jul 29;241(4865):540–545. doi: 10.1126/science.3399889. [DOI] [PubMed] [Google Scholar]
  17. Kochansky G. E., Hemenway T. S., 3rd, Salzman C., Shader R. I. Methaqualone abusers: a preliminary survey of college students. Dis Nerv Syst. 1975 Jul;36(7):348–351. [PubMed] [Google Scholar]
  18. Lei H., Skinner H. A. A psychometric study of life events and social readjustment. J Psychosom Res. 1980;24(2):57–65. doi: 10.1016/0022-3999(80)90054-9. [DOI] [PubMed] [Google Scholar]
  19. Lloyd C. Life events and depressive disorder reviewed. II. Events as precipitating factors. Arch Gen Psychiatry. 1980 May;37(5):541–548. doi: 10.1001/archpsyc.1980.01780180055005. [DOI] [PubMed] [Google Scholar]
  20. Mitchell R. E., Cronkite R. C., Moos R. H. Stress, coping, and depression among married couples. J Abnorm Psychol. 1983 Nov;92(4):433–448. doi: 10.1037//0021-843x.92.4.433. [DOI] [PubMed] [Google Scholar]
  21. Monroe S. M., Bromet E. J., Connell M. M., Steiner S. C. Social support, life events, and depressive symptoms: a 1-year prospective study. J Consult Clin Psychol. 1986 Aug;54(4):424–431. doi: 10.1037//0022-006x.54.4.424. [DOI] [PubMed] [Google Scholar]
  22. Murrell S. A., Norris F. H. Resources, life events, and changes in positive affect and depression in older adults. Am J Community Psychol. 1984 Aug;12(4):445–464. doi: 10.1007/BF00896505. [DOI] [PubMed] [Google Scholar]
  23. Nicholi A. M., Jr The nontherapeutic use of psychoactive drugs. A modern epidemic. N Engl J Med. 1983 Apr 21;308(16):925–933. doi: 10.1056/NEJM198304213081604. [DOI] [PubMed] [Google Scholar]
  24. O'Malley P. M., Bachman J. G., Johnston L. D. Period, age, and cohort effects on substance use among young Americans: a decade of change, 1976-86. Am J Public Health. 1988 Oct;78(10):1315–1321. doi: 10.2105/ajph.78.10.1315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Parker D. A., Parker E. S., Harford T. C., Farmer G. C. Alcohol use and depression symptoms among employed men and women. Am J Public Health. 1987 Jun;77(6):704–707. doi: 10.2105/ajph.77.6.704. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Pascarelli E. F. Methaqualone abuse, the quiet epidemic. JAMA. 1973 Jun 11;224(11):1512–1514. [PubMed] [Google Scholar]
  27. Phifer J. F., Murrell S. A. Etiologic factors in the onset of depressive symptoms in older adults. J Abnorm Psychol. 1986 Aug;95(3):282–291. doi: 10.1037//0021-843x.95.3.282. [DOI] [PubMed] [Google Scholar]
  28. Ross C. E., Mirowsky J., 2nd A comparison of life-event-weighting schemes: change, undesirability, and effect-proportional indices. J Health Soc Behav. 1979 Jun;20(2):166–177. [PubMed] [Google Scholar]
  29. Ryser P. E. Students and drug abuse, 1974 and 1980. J Sch Health. 1983 Sep;53(7):435–436. doi: 10.1111/j.1746-1561.1983.tb03157.x. [DOI] [PubMed] [Google Scholar]
  30. Schwirian P. M., Gerland M. C. Personalities and attitudes of nonmedical users of methaqualone. Arch Gen Psychiatry. 1974 Apr;30(4):525–530. doi: 10.1001/archpsyc.1974.01760100087014. [DOI] [PubMed] [Google Scholar]
  31. Segal Z. V. Appraisal of the self-schema construct in cognitive models of depression. Psychol Bull. 1988 Mar;103(2):147–162. doi: 10.1037/0033-2909.103.2.147. [DOI] [PubMed] [Google Scholar]
  32. Slak S. A dozen and two years of methaqualone: a case report. Psychol Rep. 1985 Dec;57(3 Pt 2):1097–1098. doi: 10.2466/pr0.1985.57.3f.1097. [DOI] [PubMed] [Google Scholar]
  33. Thoits P. A. Conceptual, methodological, and theoretical problems in studying social support as a buffer against life stress. J Health Soc Behav. 1982 Jun;23(2):145–159. [PubMed] [Google Scholar]

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