Improving depression management with support from close others: A thematic analysis of individuals with depression and their partners in care.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2024-06-01 Epub Date: 2023-10-30 DOI:10.1177/17423953231175690

Sarah J Javier, Rashmi Risbud, Fernanda S Rossi, Cindie Slightam, James Aikens, Tim Guetterman, John D Piette, Ranak Trivedi

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Abstract

Objectives: With support from others, individuals with depression can build skills and implement lifestyle changes that help them manage their illness. The objective of the current study was to understand how the CarePartners for Depression Program, a randomized clinical trial aimed at enhancing the role of caregivers in the management of depression, improved communication and shared understandings of depression among individuals with depression and their close others.

Methods: We conducted in-depth, semi-structured interviews with individuals with depression and their caregivers who participated in the CarePartners program. Interviews were qualitatively coded using a thematic analytic framework.

Results: We conducted individual interviews with 39 participants in the CarePartners program, including 18 individuals with depression, 14 out-of-home care partners, and 7 informal caregivers. Three central themes were derived from analyses: (a) The quality of interpersonal relationships influenced the management of depression; (2) having clearly defined roles for CarePartners improved communication between CarePartners and individuals with depression; and (3) shared understanding of depression improved management of depression.

Discussion: Our findings established the conditions under which the management of depression was influenced in a dyadic intervention. Dyadic interventions may make it easier for individuals to support patients with depression by fostering communication and collaboration.

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在亲密他人的支持下改善抑郁症管理：对抑郁症患者及其护理伙伴的主题分析。

目标：在他人的支持下，抑郁症患者可以培养技能，改变生活方式，帮助他们控制疾病。本研究的目的是了解抑郁症护理伙伴计划（CarePartners for Depression Program）是一项旨在加强护理人员在抑郁症管理中的作用的随机临床试验，它如何改善抑郁症患者及其亲密他人之间的沟通和对抑郁症的共同理解。方法：我们对参与CarePartners计划的抑郁症患者及其护理人员进行了深入的半结构化访谈。访谈采用专题分析框架进行定性编码。结果：我们对CarePartners项目的39名参与者进行了个人访谈，其中包括18名抑郁症患者、14名家庭外护理伙伴和7名非正式护理人员。分析得出三个中心主题：（a）人际关系的质量影响抑郁症的管理；（2）为CarePartners明确定义角色，改善了CarePartners与抑郁症患者之间的沟通；以及（3）对抑郁症的共同理解改善了抑郁症的管理。讨论：我们的研究结果确定了在二元干预中影响抑郁症管理的条件。Dyadic干预措施可以通过促进沟通和协作，使个人更容易支持抑郁症患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.