The predictors of depression in a longitudinal cohort of community dwelling rural adults in Australia

Social Psychiatry and Psychiatric Epidemiology
Tonelle HandleyBrian J Kelly

Abstract

Many major studies of depression in Australia are under-representative of rural and remote residents, limiting the generalizability of their findings. This study explores the contributions of a range of individual, social, and community factors to the trajectory of depressive symptoms among a cohort of rural and remote residents. Data from four waves of the Australian Rural Mental Health Study (baseline n = 2639), a 5 year longitudinal study of rural community residents, were examined within generalized linear mixed models to predict depressive symptoms. Depression was measured using the PHQ-9, with key correlates including social support, employment status, financial wellbeing, neuroticism, and rural community factors. Moderate-to-severe depression was reported by 6.3% of the baseline sample. Being permanently unable to work resulted in over a threefold increase in the odds of depression at the following survey wave. Self-rated financial hardship was associated with a fourfold increase in the odds of future depression, as was a high level of community concerns. Neuroticism and tobacco use also made a significant independent contribution to future depressive symptoms. Interpersonal support was a protective factor, reducing the ...Continue Reading

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Nov 4, 2010·Social Psychiatry and Psychiatric Epidemiology·Brian J KellyJohn R Beard
Jul 21, 2011·The Australian Journal of Rural Health·Kerry J InderBrian J Kelly
Oct 13, 2011·Social Psychiatry and Psychiatric Epidemiology·Tonelle E HandleyFrances J Kay-Lambkin
Dec 7, 2013·BMC Public Health·Stefanie SperlichDorothee Noeres
Jun 24, 2015·Journal of Aging and Health·Lydia W LiZhenmei Zhang
Nov 27, 2015·BMC Public Health·Tonelle E HandleyKerry J Inder
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Sep 11, 2017·Social Psychiatry and Psychiatric Epidemiology·Aliza Werner-SeidlerTim Slade

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Citations

Mar 7, 2020·Journal of Community Psychology·Michael R CopeAlex Nicholas Andre
Sep 15, 2019·Social Psychiatry and Psychiatric Epidemiology·Ankur SinghRebecca Bentley
Aug 9, 2020·Health & Social Care in the Community·Matthew J LeachMartin Jones
May 12, 2021·BMC Public Health·Tonelle E HandleyBrian J Kelly
Jul 15, 2021·International Journal of Occupational Safety and Ergonomics : JOSE·Sohrab Amiri
Nov 11, 2021·The Australian Journal of Rural Health·Tonelle E HandleyDavid Perkins

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