Patients’ subjective complaints and evaluation of life during inpatient treatment of depression ; Depresija sergančių asmenų savijauta ir subjektyvus gyvenimo vertinimas stacionarinio gydymo laikotarpiu

Aras Pranckevicius

Sujets

• Depresija
• Dépression

Informations

• Publié par: vytautas_magnus_university
• Publié le: 01 janvier 2008
• Nombre de lectures: 38

Extrait

VYTAUTAS MAGNUS UNIVERSITY










Aistė Pranckevičienė

PATIENTS’ SUBJECTIVE COMPLAINTS AND
EVALUATION OF LIFE DURING INPATIENT
TREATMENT OF DEPRESSION

Summary of Doctoral Dissertation
Social Sciences, Psychology (06 S)

















Kaunas, 2008 The dissertation was prepared at Vytautas Magnus University, Department of
Theoretical Psychology during 2002 - 2007.

Scientific supervisor:
Prof. Habil. Dr. Antanas Goštautas (Vytautas Magnus University, biomedical
sciences, medicine – 07 B, psychiatry – B 650, social sciences, psychology – 06 S)

The dissertation is defended at Vytautas Magnus University, Council of
Psychology sciences.

Chairperson:
Prof. Dr. Rita Ţukauskienė (Mykolas Romeris University, social sciences,
psychology – 06 S)
Members:
Assoc. Prof. Dr. Ina Pilkauskienė (Vytautas Magnus University, social sciences,
psychology – 06 S)
Assoc. Prof. Dr. Liuda Šinkariova (Vytautas Magnus University, social sciences,
psychology – 06 S)
Prof. Habil. Dr. Rimantas Ţelvys (Vilnius Pedagogical University, social sciences,
educology – 07 S)
Assoc. Prof. Dr. Nida Ţemaitienė (Kaunas University of Medicine, biomedical
sciences, public health – 10 B; social sciences, psychology – 06 S)
Opponents:
Prof. Habil. Dr. Algirdas Dembinskas (Vilnius University, biomedical sciences,
medicine -07 B, psychiatry – B 650)
Prof. Habil. Dr. Vytautas Gudonis (Academician of the Academy of Education and
Social Sciences of Russia, Academician of New York Academy of Sciences, Siauliai
University, social sciences, psychology – 06 S, educology – 07 S)

The public defense of the dissertation will be held at the Small Hall of the Vytautas
Magnus University, April 21, 2008, from 2 PM.
Address: S. Daukanto str. 28, LT-44248, Kaunas, Lithuania.
The summary of doctoral dissertation was sent on March 21, 2008. The dissertation is
available at the Martynas Maţvydas National Library of Lithuania and the Library of
Vytautas Magnus University.
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VYTAUTO DIDŽIOJO UNIVERSITETAS










Aistė Pranckevičienė

DEPRESIJA SERGANČIŲ ASMENŲ SAVIJAUTA IR
SUBJEKTYVUS GYVENIMO VERTINIMAS
STACIONARINIO GYDYMO LAIKOTARPIU

Daktaro disertacijos santrauka
Socialiniai mokslai, psichologija (06S)
















Kaunas, 2008

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Disertacija rengta 2002-2007 metais Vytauto Didţiojo universitete

Mokslinis vadovas:
Prof. habil. dr. Antanas Goštautas (Vytauto Didţiojo universitetas, biomedicinos
mokslai, medicina – 07 B, psichiatrija – B 650; socialiniai mokslai, psichologija –
06 S)

Disertacija ginama Vytauto Didžiojo universiteto Psichologijos mokslo krypties
taryboje

Pirmininkė:
Prof. dr. Rita Ţukauskienė (Mykolo Romerio universitetas, socialiniai mokslai,
psichologija - 06 S)
Nariai:
Doc. dr. Ina Pilkauskienė (Vytauto Didţiojo universitetas, socialiniai mokslai,
psichologija – 06 S)
Doc. dr. Liuda Šinkariova (Vytauto Didţiojo universitetas, socialiniai mokslai,
psichologija – 06 S)
Prof. habil. dr. Rimantas Ţelvys (Vilniaus pedagoginis universitetas, edukologija -
07S)
Doc. dr. Nida Ţemaitienė (Kauno Medicinos universitetas, biomedicinos mokslai,
visuomenės sveikata -10 B; socialiniai mokslai, psichologija – 06 S)
Oponentai:
Prof. habil. dr. Algirdas Dembinskas (Vilniaus universitetas, biomedicinos mokslai,
medicina – 07 B, psichiatrija – B 650)
Prof. habil. dr. Vytautas Gudonis (Rusijos pedagoginių ir socialinių mokslų
akademijos akademikas, Niujorko mokslų akademijos narys, Šiaulių universitetas,
socialiniai mokslai, psichologija – 06 S, edukologija – 07 S)

Disertacija bus ginama viešame Psichologijos mokslo krypties tarybos posėdyje 2008 m.
balandţio 21 d. 14 val. VDU Maţojoje salėje.
Adresas: S.Daukanto 28, LT-44248, Kaunas, Lietuva.

Disertacijos santrauka išsiuntinėta 2008 m. kovo 21 d.
Disertaciją galima perţiūrėti Lietuvos nacionalinėje M.Maţvydo ir VDU bibliotekose.
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CONTENT

1. INTRODUCTION ................................................................................................. 6
2. STUDY OBJECTIVES .......................... 8
3. STUDY AIMS ....... 8
4. THESES ................................................................................................................ 9
5. RESEARCH METHODS ....................... 9
5.1. Measures used in the study ............. 9
5.2. Setting ......................................................................................................... 10
5.3. Sample ......... 10
6. RESULTS ............ 11
6.1. Structure of depressed patients‟ subjective complaints .................................. 11
6.2. Relationship between patients‟ subjective complaints and evaluation of life at
the beginning of inpatient treatment of depression .................................................... 12
6.3. Impact of somatic and psychological components of patients‟ subjective
complaints on subjective evaluation of life at the beginning of inpatient treatment of
depression ............................................................................................................... 13
6.4. Changes of components of subjective complaints during inpatient treatment of
depression ............... 14
6.5. Changes of patients‟ subjective evaluation of life during inpatient treatment of
depression ............................................................................................................... 15
6.6. Relationships of changes of subjective complaints with changes of evaluation
of life 15
6.7. Relationships between changes of somatic and psychological components of
subjective complaints and changes of subjective evaluation of life ............................ 16
6.8. Usefulness of the patients‟ primary evaluation of life for prediction of
subjective complaints at the end of the treatment ..................................................... 17
7. DISCUSSION ...................................................................................................... 18
8. CONCLUSIONS .. 19
9. REFERENCES .... 20
10. LIST OF PUBLICATIONS .................................................................................. 22
REZIUMĖ ................................ 23

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1. INTRODUCTION
Object of the study. This study analyses patients‟ Subjective Complaints (SC) and
Subjective Evaluation of Life (SEL), and seeks to evaluate changes and relationships of
these phenomena during inpatient treatment of depression. In a broad sense, concepts of
SC and SEL cover the phenomena of illness and health. This study analyses the recovery
process of the people ill with depression as the health and illness changes. Both health
and illness are analyzed from psychological perspective of the patient, stressing the
importance of subjective experience in understanding the burden of the illness, resources
for recovery and treatment outcomes. The study is based on biopsychosocial paradigm of
health and illness.
Problem definition. Depressive disorders are common illnesses associated with
long duration of episodes, high rates of chronicity, relapse and recurrence (Ayuso-
Mateos et al., 2001; Bland, 1997). In 2005 there were 20,606 registered cases of
depression in Lithuania. The World Health Organization (WHO, 2001) suggests that by
the year 2020 the burden of depression will increase to 5.7% of the total burden of
disease and will then be the highest ranking cause of burden of disease in developed
regions.
Treatment of depression has yielded mixed results. Approximately one third of
patients achieve full remission, one third experience improvement and one third are
nonresponders (Tranter et al., 2002). Studies show that about 20% of depressed
patients do not improve even after one year period. In addition approximatelly 90% of
patients experience more than one depressive episode during their lifetime (for review
see Bland, 1997).
Hospitalization is necessary for about 5 to 10% of cases of depression with
overwhelming severity of symptoms and/or suicidal or life-threatening behavior (Hollon,
Thase, Markowitz, 2002). However, hospitalization is also mentioned as a risk factor for
a chronic course of depression (Angst, 1999; Keller et al., 1984). On the other hand,
rapid remission of depressive symptoms during 6 weeks of acute phase inpatient
treatment was found to be the most important predictor for the favorable long term
outcome of depression (Szadocsky et al., 2004). According to Lam and Kennedy (2004),
achieving full remission with acute therapy is one of the most important strategies in the
prevention of relapse and recurrence. The absence of full remission constitutes an
adverse outcome and is associated with more recurrent and chronic course, increased
medical and psychiatric comorbidities, greater functional burden and increased social and
economic cost (McIn