The impact of decreased environmental reward in predicting depression severity in caregivers

  • Fernando Lino Vázquez González Universidad de Santiago de Compostela
  • Lara López Universidad de Santiago de Compostela
  • Vanessa Blanco Universidad de Santiago de Compostela
  • Patricia Otero Universidad de A Coruña
  • Ángela J. Torres Universidad de Santiago de Compostela
  • María José Ferraces Universidad de Santiago de Compostela
Keywords: environmental reward, subclinical depression, major depression, non-professional caregivers

Abstract

Reward has not been examined as a predictor of depression in the caregiver population despite the high prevalence of depression. The aim of this study was to analyze reward as a predictor of the level of depression (without depression, subclinical depression, major depressive episode) in caregivers. Independent evaluators evaluated the socio-demographic variables of the caregiver, the person receiving care, the situation of care, reward and depressive symptomatology through self-reports. Expert clinicians evaluated the prevalence of major depressive episodes using the SCID-5-CV in 592 caregivers (87.2% women, average age = 55.4 years). The average reward score was 28.1. Reward was lower in caregivers younger than 55 years old who belonged to a low/low-middle social class. Reward was higher in caregivers without depression than in those with subclinical depression and a major depressive episode. Reward was also higher in caregivers with subclinical depression versus those with a major depressive episode. Caregivers with higher reward had a lower probability of subclinical depression (adjusted OR = 0.78, 95% CI 0.75-0.83) and a major depressive episode (adjusted OR = 0.67, 95% CI 0.62-0.72). Reward was a protective factor against subclinical depression and a major depressive episode in caregivers.

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Author Biographies

Fernando Lino Vázquez González, Universidad de Santiago de Compostela

Prof Titular del Área de Personalidad, Evaluación y Tratamiento Psicológico del Dep. Psicología Clínica y Psicobiología

Lara López, Universidad de Santiago de Compostela

Department of Clinical Psychiatry and Psychobiology, Universidad de Santiago de Compostela

Vanessa Blanco, Universidad de Santiago de Compostela

Department of Evolutionary and Educational Psychology, Universidad de Santiago de Compostela

Patricia Otero, Universidad de A Coruña

Department of Psychology, Universidad de A Coruña

Ángela J. Torres, Universidad de Santiago de Compostela

Department of Psychiatry, Radiology, Public Health, Nursing, and Medicine, Universidad de Santiago de Compostela

María José Ferraces, Universidad de Santiago de Compostela

Department of Social and Basic Psychology and Methodology, Universidad de Santiago de Compostela

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Published
30-07-2019
How to Cite
Vázquez González, F. L., López, L., Blanco, V., Otero, P., Torres, Ángela J., & Ferraces, M. J. (2019). The impact of decreased environmental reward in predicting depression severity in caregivers. Anales De Psicología / Annals of Psychology, 35(3), 357-363. https://doi.org/10.6018/analesps.35.3.329131
Section
Clinical and Health Psychology