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

Journal:
Anales de psicología

ISSN: 0212-9728,  1695-2294

Year of publication: 2019

Issue Title: October

Volume: 35

Issue: 3

Pages: 357-363

Type: Article

DOI: 10.6018/ANALESPS.35.3.329131 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Anales de psicología

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Abstract

Reward has not been examined as a predictor of depression in the caregiver population despite the high prevalence of depression. The aim of this study was to analyze reward as a predictor of the level of depression (without depression, subclinical depression, major depressive episode) in caregivers. Independent evaluators evaluated the socio-demographic variables of the caregiver, the person receiving care, the situation of care, reward and depressive symptomatology through self-reports. Expert clinicians evaluated the prevalence of major depressive episodes using the SCID-5-CV in 592 caregivers (87.2% women, average age = 55.4 years). The average reward score was 28.1. Reward was lower in caregivers younger than 55 years old who belonged to a low/low-middle social class. Reward was higher in caregivers without depression than in those with subclinical depression and a major depressive episode. Reward was also higher in caregivers with subclinical depression versus those with a major depressive episode. Caregivers with higher reward had a lower probability of subclinical depression (adjusted OR = 0.78, 95% CI 0.75-0.83) and a major depressive episode (adjusted OR = 0.67, 95% CI 0.62-0.72). Reward was a protective factor against subclinical depression and a major depressive episode in caregivers.

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Funding information

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.

Funders

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Data source: Dialnet