Es. Paykel et al., LIFE EVENTS, SOCIAL SUPPORT AND MARITAL RELATIONSHIPS IN THE OUTCOME OF SEVERE DEPRESSION, Psychological medicine, 26(1), 1996, pp. 121-133
The effects of life events, social support and marital relationships o
n outcome were examined in a predominantly recurrent in-patient sample
of depressives studied longitudinally every 3 months to remission and
up to 15 months thereafter. Outcomes examined were length of time to
remission, presence of residual symptoms at remission, and subsequent
relapse. There were few associations between these outcomes and the so
cial variables. These findings add to other recent evidence that psych
osocial factors are relatively unimportant in the subsequent course of
severe and recurrent depressions, in contrast to their contribution t
o onset of such depressions and subsequent outcome of milder depressio
ns.