Individual |
Psychological |
Chronic medical condition (9.3%-23.0% of patients with chronic physical disease have comorbid depression compared to 3.2% without chronic disease; P <0.0001) CHF (OR, 1.96; 95% CI, 1.23-3.11) HTN (OR, 2.00; 95% CI, 1.74-2.31) DM (OR, 1.96; 95% CI, 1.59-2.42) CAD (OR, 2.30; 95% CI, 1.94-2.68) CVA (OR, 3.15; 95% CI, 2.33-4.25) COPD (OR, 3.21; 95% CI, 2.72-3.79) ESRD (OR, 3.56; 95% CI, 2.61-4.87) Any chronic condition (OR, 2.61; 95% CI, 2.31-2.94) Migraine (RR, 1.53; 95% CI, 1.35-1.74) Headache (RR, 1.44; 95% CI, 1.32-1.56) Cancer (HR, 3.55; 95% CI, 2.79-4.52) Chronic lung disease (HR, 2.21; 95% CI, 1.64-2.79) Heart disease (HR, 1.45; 95% CI, 1.09-1.93) Arthritis (HR, 1.46; 95% CI, 1.11-1.92) |
Maltreatment in childhood Emotional abuse (F/M: OR, 2.7/2.5; 95% CI, 2.3-3.2/1.9-3.2) Physical abuse (F/M: OR, 2.1/1.6; 95% CI, 1.8-2.4/1.4-1.9) Sexual abuse (F/M: OR, 1.8/1.6; 95% CI, 1.5-2.0/1.3-2.0) Witnessed interpersonal violence (F/M: OR, 2.1/1.5; 95% CI, 1.8-2.5/1.2-1.9) |
Female sex (OR, 1.83; 95% CI, 1.43-2.35; P <0.001) |
Stressful life events |
Sleep disorder Insomnia (OR, 4.0; 95% CI, 2.2-7.0) Hypersomnia (OR, 2.9; 95% CI, 1.5-5.6) |
Recent bereavement (10%-20% of bereaved population develop clinical depression) |
Positive family history One parent affected (OR, 2.7; 95% CI, 2.1-3.5) Two parents affected (OR, 3.0; 95% CI, 2.2-4.1) |
Substance use and addictions Ethanol (OR, 1.50; 95% CI, 1.17-1.92; P <0.001) Marijuana (OR, 1.41; 95% CI, 1.21-1.65; P <0.001) Other illicit drugs (OR, 1.65; 95% CI, 1.34-2.02, P <0.001) |
Low socioeconomic status (low education/income/social status/combination; OR, 1.81; 95% CI, 1.57-2.10, P <0.001) |
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CAD, chronic artery disease; CHF, chronic heart failure; CI, confidence interval; COPD, chronic obstructive pulmonary disease; CVA, cerebrovascular accident; DM, diabetes mellitus; ESRD, end-stage renal disease; F, female; HR, hazard ratio; HTN, hypertension; M, male; OR, odds ratio; RR, relative risk. |