Can the concepts of depression and quality of life be integrated using a time perspective?

Health and Quality of Life Outcomes

Lena Ring²  Hannah McGee²  Stefan Höfer²  Margaret Moore¹ 

[1] Belfast City Hospital, Department of Health Clinical Psychology, Northern Ireland, UK;Royal College of Surgeons in Ireland, Department of Psychology, Mercer St Lwr, Dublin 2, Ireland

关键词: time orientation;    theory;    Schedule for the Evaluation of Individual Quality of Life;    quality of life;    depression;   

Others  :  1216918
DOI  :  10.1186/1477-7525-3-1

 received in 2004-10-05, accepted in 2005-01-05,  发布年份 2005

【 摘 要 】

Background

Little is understood about the conceptual relationship of depression and quality of life (QoL). Judgments concerning both, implicitly or explicitly, involve a time perspective. The aim of this study was to test de Leval's theoretical model linking depression and QoL with a time perspective. The model predicts that changes in cognitions about one's past, present and future QoL, will be associated with changes in depressive symptomatology.

Methods

Eighteen psychiatric in-patients with a clinically confirmed diagnosis of depression were assessed on commencing treatment and 12 weeks later. QoL was assessed by the Schedule for Evaluation of Individual Quality of Life (SEIQoL), depression by the Beck Depression Inventory (BDI-II) and hopelessness by the Beck Hopelessness Scale (BHS). Time perspective was incorporated by asking QoL questions about the past, present and future.

Results

Depression and hopelessness were associated with a poorer present QoL. Depression lowered present QoL but did not alter future QoL, as these remained consistently high whether participants were depressed or recovering. However, depressed individuals had a larger gap between their actual present QoL and future (aspired to) QoL. Changes in QoL were influenced by depression and hopelessness. Contrary to the model, perception of "past" QoL was not affected by depression or hopelessness.

Conclusions

de Leval's model was largely confirmed. Thus depression and hopelessness influence a person's present and future QoL. The analysis of a temporal horizon was helpful in understanding the link between depression and QoL.

【 授权许可】

   
2005 Moore et al; licensee BioMed Central Ltd.

【 图 表 】

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