Social Psychiatry and Psychiatric Epidemiology

, Volume 46, Issue 2, pp 119–126

Predicting long-term recovery from depression in community settings in Western Europe: evidence from ODIN

  • Christopher Dowrick
  • C. Shiels
  • H. Page
  • J. L. Ayuso-Mateos
  • P. Casey
  • O. S. Dalgard
  • G. Dunn
  • V. Lehtinen
  • P. Salmon
  • M. Whitehead
Original Paper



To test the impact of socio-economic and psychological adversity and healthcare on long-term recovery from depression.


A community sample of 347 people with depressive disorders was followed up after 9 years. Baseline socio-economic adversity, social support, healthcare use, and psychiatric history were identified. Respondents completed self-report instruments on current depressive status (Beck depression inventory) and longstanding psychosocial adversity (sexual, physical or emotional abuse). Univariate analyses tested for association between recovery and respondent characteristics.


Follow-up was achieved for 182 (52%) of the sample, of whom 75 (41%) indicated recovery from depression. Psychological adversity definitely and socio-economic adversity probably were associated with lack of recovery. Baseline healthcare had no apparent impact on outcome. Rurality and support after life events were associated with recovery. History of depression was associated with non-recovery.


Psychological adversity is, and socio-economic adversity may be, associated with long-term non-recovery from depression in community settings.


Depression Community Recovery Adversity predictors 


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Christopher Dowrick
    • 1
  • C. Shiels
    • 2
  • H. Page
    • 1
  • J. L. Ayuso-Mateos
    • 3
    • 4
  • P. Casey
    • 5
  • O. S. Dalgard
    • 6
  • G. Dunn
    • 7
  • V. Lehtinen
    • 8
  • P. Salmon
    • 1
  • M. Whitehead
    • 1
  1. 1.School of Population, Community and Behavioural SciencesUniversity of LiverpoolLiverpoolUK
  2. 2.Centre for Public Health ResearchUniversity of SalfordSalfordUK
  3. 3.Department of Psychiatry, Hospital Universitario de la PrincesaAutonomous University of MadridMadridSpain
  4. 4.Instituto de Salud Carlos IIICentro de Investigación en Red de Salud Mental, CIBERSAMMadridSpain
  5. 5.Department of PsychiatryUniversity College DublinDublinIreland
  6. 6.National Institute of Public HealthOsloNorway
  7. 7.Health Sciences Research Group, School of Community Based MedicineUniversity of Manchester Medical SchoolManchesterUK
  8. 8.National Research and Development Centre for Welfare and HealthTurkuFinland

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