In the multivariate analysis, the variables that obtained a significant value in the logistic regression analysis were age (OR: 1.03 value: 0.007) and having suffered sexual abuse during childhood (OR: 1.64 value: 0.072).Ĭonclusion: These indicators should be considered by primary care physicians when attending patients suffering from major depression.ĭepression is the most prevalent psychiatric disorder worldwide and is the most common mental illness appearing in primary care ( Roca et al., 2009 Kessler et al., 2011). Results: The average age of those suffering more than one depressive episode is significantly older (5 years), and a higher percentage of subjects who have experienced more than one depressive episode have a history of anxiety disorders. A multivariate analysis (ordinary logistic regression) was performed. The differences of the variables were compared between the case subjects and the control subjects, using the Mann–Whitney, chi-square, and Fisher’s U statistics. The variables of the study are age at first episode number of episodes perception of severity of the depression episode suffered prior to recurrence number of residual symptoms physical and psychiatric comorbidity history of anxiety disorders family psychiatric history high incidence of stressful life events (SLEs) and experiences of physical, psychological, or sexual abuse in childhood. The cases consisted of patients who had been diagnosed with major depression and who had presented recurrences ( n = 101), in comparison with patients who had experienced a single major depression episode with no recurrence ( n = 99). Methods: A retrospective, descriptive study of cases-controls was proposed. So, this study aims to analyze the factors that may be associated with an increased risk of recurrence of major depression episodes in patients treated in primary care. Introduction and Objective: The early identification of depressive patients having a poor evolution, with frequent relapses and/or recurrences, is one of the priority challenges in this study of high prevalence mental disorders, and specifically in depression. 4Primary Health Care, Aragón Health Service, Zaragoza, Spain.3Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain.2Department of Medicine, Psychiatry and Dermatology, University of Zaragoza, Zaragoza, Spain.1Institute for Health Research Aragón (IIS Aragón), Zaragoza, Spain.Shysset Nuggerud-Galeas 1,2, Bárbara Oliván Blázquez 1,3*, María Cruz Perez Yus 1,3, Begoña Valle-Salazar 1,4, Alejandra Aguilar-Latorre 1 and Rosa Magallón Botaya 1,2,4
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