Depression in the U.S. Household Population

Data from the National Health and Nutrition Examination Survey, 2009–2012

• During 2009–2012, 7.6% of Americans aged 12 and over had depression (moderate or severe depressive symptoms in the past 2 weeks). Depression was more prevalent among females and persons aged 40–59.
• About 3% of Americans aged 12 and over had severe depressive symptoms, while almost 78% had no symptoms.
• Persons living below the poverty level were nearly 2½ times more likely to have depression than those at or above the poverty level.
• Almost 43% of persons with severe depressive symptoms reported serious difficulties in work, home, and social activities.
• Of those with severe symptoms, 35% reported having contact with a mental health professional in the past year.

Source: Centers for Disease Control and Prevention

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Depression in Mothers: More Than the Blues

Description:

Equips providers with information and strategies for use in working with mothers who may be depressed. Includes facts about depression; screening tools for more serious depression; and referrals, resources, and handouts for mothers who are depressed. 

Source: Substance Abuse and Mental Health Services Administration (SAMHSA)

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Predictors of depression, stress, and anxiety among non-tenure track faculty

Abstract:

Nationwide in the United States, 70% of faculty members in higher education are employed off the tenure-track. Nearly all of these non-tenure-track (NTT) appointments share a quality that may produce stress for those who hold them: contingency. Most NTT appointments are contingent on budget, enrollment, or both, and the majority of contingent faculty members are hired for one quarter or semester at a time. Significant research has investigated the effects of contingency on teaching, students, departments, colleges, and universities; however, little research has focused on the psychological experiences of NTT faculty. The current study examined perceptions of workplace stressors and harm, organizational commitment, common coping mechanisms, and depression, anxiety and stress among NTT faculty using a longitudinal design that spanned 2–4 months. Results indicate that NTT faculty perceive unique stressors at work that are related to their contingent positions. Specific demographic characteristics and coping strategies, inability to find a permanent faculty position, and commitment to one's organization predispose NTT faculty to perceive greater harm and more sources of stress in their workplaces. Demographic characteristics, lower income, inability to find a permanent faculty position, disengagement coping mechanisms (e.g., giving up, denial), and organizational commitment were associated with the potential for negative outcomes, particularly depression, anxiety, and stress. Our findings suggest possibilities for institutional intervention. Overall, we argue that universities would be well-served by attending to the needs of NTT faculty on campus in order to mitigate negative outcomes for institutions, students, and faculty.

Authors: Reevy Gretchen Maria, Deason Grace    
Source: Frontiers in Psychology: Educational Psychology

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Risky Music Listening, Permanent Tinnitus and Depression, Anxiety, Thoughts about Suicide and Adverse General Health

Objective:

To estimate the extent to which exposure to music through earphones or headphones with MP3 players or at discotheques and pop/rock concerts exceeded current occupational safety standards for noise exposure, to examine the extent to which temporary and permanent hearing-related symptoms were reported, and to examine whether the experience of permanent symptoms was associated with adverse perceived general and mental health, symptoms of depression, and thoughts about suicide.

Source: PLoS ONE

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Mental Illness Not Usually Linked to Crime

From the press release:

In a study of crimes committed by people with serious mental disorders, only 7.5 percent were directly related to symptoms of mental illness, according to new research published by the American Psychological Association.  


Researchers analyzed 429 crimes committed by 143 offenders with three major types of mental illness and found that 3 percent of their crimes were directly related to symptoms of major depression, 4 percent to symptoms of schizophrenia disorders and 10 percent to symptoms of bipolar disorder.  Read more.

Abstract:

Although offenders with mental illness are overrepresented in the criminal justice system, psychiatric symptoms relate weakly to criminal behavior at the group level. In this study of 143 offenders with mental illness, we use data from intensive interviews and record reviews to examine how often and how consistently symptoms lead directly to criminal behavior. First, crimes rarely were directly motivated by symptoms, particularly when the definition of symptoms excluded externalizing features that are not unique to Axis I illness. Specifically, of the 429 crimes coded, 4% related directly to psychosis, 3% related directly to depression, and 10% related directly to bipolar disorder (including impulsivity). Second, within offenders, crimes varied in the degree to which they were directly motivated by symptoms. These findings suggest that programs will be most effective in reducing recidivism if they expand beyond psychiatric symptoms to address strong variable risk factors for crime like antisocial traits. 

Source: Law and Human Behavior
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What Makes Lawyers Happy? Transcending the Anecdotes with Data from 6200 Lawyers

Abstract:

Attorney well-being and depression are topics of great concern, but there has been no theory-driven empirical research to guide lawyers and law students seeking well-being. This article reports a unique study establishing a hierarchy of five tiers of factors for lawyer well-being, including choices in law school, legal career, and personal life, and psychological needs and motivations established by Self-Determination Theory. Data from several thousand lawyers in four states show striking patterns, repeatedly indicating that common priorities on law school campuses and among lawyers are confused or misplaced. Factors typically afforded most attention and concern, those relating to prestige and money (income, law school debt, class rank, law review, and USNWR law school ranking) showed zero to small correlations with lawyer well-being. Conversely, factors marginalized in law school and seen in previous research to erode in law students (psychological needs and motivation) were the very strongest predictors of lawyer happiness and satisfaction. Lawyers were grouped by practice type and setting to further test these findings. The group with the lowest incomes and grades in law school, public service lawyers, had stronger autonomy and purpose and were happier than those in the most prestigious positions and with the highest grades and incomes. Additional measures raised concerns: subjects did not broadly agree that judge and lawyer behavior is professional, nor that the legal process reaches fair outcomes. Specific explanations and recommendations for lawyers, law teachers, and legal employers are drawn from the data, and direct implications for attorney productivity and professionalism are explained.

Source: FSU College of Law, Public Law Research Paper via Social Science Research Network (SSRN)

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Under the Skin: How Childhood Adversity Takes Its Toll

Abstract from the study:

The current study examined the prospective effects of exposure to stressful conditions in early childhood on physical health in young adulthood, and explored continuing exposure to stressors, as well as depression, in adolescence as possible mechanisms of this relationship. Method: A prospective longitudinal design was used to examine 705 mother–child pairs from a community-based sample, followed from offspring birth through age 20 years. Mothers provided contemporaneous assessments of early adverse conditions from offspring birth through age 5. Offspring responses to the UCLA Life Stress Interview, Structured Clinical Interview for DSM Disorders, Physical Functioning subscale of the SF-36 Health Survey, and questions about the presence of chronic disease were used to assess youth stress at age 15, depression from ages 15–20, and physical health at age 20. Results: Early adversity conferred risk for elevated levels of social and nonsocial stress at youth age 15, as well as depression between ages 15 and 20. Social and nonsocial stress, in turn, had effects on physical health at age 20, directly and indirectly via depression. Conclusion: Findings suggest that early adverse conditions have lasting implications for physical health, and that continued exposure to increased levels of both social and nonsocial stress in adolescence, as well as the presence of depression, might be important mechanisms by which early adversity impacts later physical health.

Source: American Psychological Association
From online article:  Under the Skin: How Childhood Adversity Takes Its Toll
Download pdf published in Health Psychology: Early Adversity and Health Outcomes in Young Adulthood: The Role of Ongoing Stress

Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs (2014)

Description:

Being deployed to a war zone can result in numerous adverse psychological health conditions. It is well documented in the literature that there are high rates of psychological disorders among military personnel serving in Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom in Iraq as well as among the service members' families. For service members' families, the degree of hardship and negative consequences rises with the amount of the service members' exposure to traumatic or life-altering experiences. Adult and child members of the families of service members who experience wartime deployments have been found to be at increased risk for symptoms of psychological disorders and to be more likely to use mental health services.
In an effort to provide early recognition and early intervention that meet the psychological health needs of service members and their families, DOD currently screens for many of these conditions at numerous points during the military life cycle, and it is implementing structural interventions that support the improved integration of military line personnel, non-medical caregivers, and clinicians, such as RESPECT-Mil (Re-engineering Systems of Primary Care Treatment in the Military), embedded mental health providers, and the Patient-Centered Medical Home.
Preventing Psychological Disorders in Service Members and Their Families evaluates risk and protective factors in military and family populations and suggests that prevention strategies are needed at multiple levels - individual, interpersonal, institutional, community, and societal - in order to address the influence that these factors have on psychological health. This report reviews and critiques reintegration programs and prevention strategies for PTSD, depression, recovery support, and prevention of substance abuse, suicide, and interpersonal violence.

Source: National Research Council, The National Academies Press

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Impaired social decision making in patients with major depressive disorder

From the abstract:

Abnormal decision-making processes have been observed in patients with major depressive disorder (MDD). However, it is unresolved whether MDD patients show abnormalities in decision making in a social interaction context, in which decisions have actual influences on both the self-interests of the decision makers per se and those of their partners. 

Source:  BMC Psychiatry

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Contractors Who Worked in Conflict Zones Suffer High Rates of PTSD, Depression and Get Little Help

From the press release:

Private contractors who worked in Iraq, Afghanistan or other conflict environments over the past two years report suffering from post-traumatic stress disorder and depression more often than military personnel who served in recent conflicts, according to a new RAND Corporation study.
Researchers found that among the contractors studied, 25 percent met criteria for PTSD, 18 percent screened positive for depression and half reported alcohol misuse. Despite their troubles, relatively few get help either before or after deployment.

Source: RAND Corporation
Download pdf of Out of the ShadowsThe Health and Well-Being of Private Contractors Working in Conflict Environments

Improving Maternal Depression Screening and Treatment for Pregnant Women

From introduction:

Although depression is highly treatable, especially in early stages, only half of women are screened for maternal depression, and only a minority receive treatment. Untreated depression puts women and children at risk, as pregnant women with depression are 3.4 times more likely than baseline women to deliver preterm, and children of depressed mothers also demonstrate high lifetime medical spending, because maternal depression can impact child development. Maternal depression disproportionately impacts low-income women, as evidenced by their overrepresentation among women suffering from depression overall.

Source: Policy Briefs, UCLA Center for the Study of Women, UCLA [via eScholarship Repository]

Download: Improving Maternal Depression Screening and Treatment for Pregnant Women

Burden of Depressive Disorders by Country, Sex, Age, and Year

From the abstract:

Depressive disorders were a leading cause of burden in the Global Burden of Disease (GBD) 1990 and 2000 studies. Here, we analyze the burden of depressive disorders in GBD 2010 and present severity proportions, burden by country, region, age, sex, and year, as well as burden of depressive disorders as a risk factor for suicide and ischemic heart disease.

Source: Public Library of Science, Medicine

Link to article: Burden of Depressive Disorders by Country, Sex, Age, and Year

Psychological and Physiological Responses following Repeated Peer Death.

From the abstract:

Undergraduates at a university in the United States were exposed – directly and indirectly – to 14 peer deaths during one academic year. We examined how individual and social factors were associated with psychological (e.g., anxiety, depression, somatization) and physiological (i.e., cortisol) distress responses following this unexpected and repeated experience with loss.

 Source: PLoS One

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