12-month outcome and predictors of recurrence in psychiatric treatment of depression – a retrospective study.

Research output: Contribution to journalArticle

Abstract

Many individuals treated for depression suffer relapse or recurrence after treatment. Known risk factors include number of previous depressive episodes and residual symptoms after treatment. Both relapse/recurrence rates and predictors of relapse/recurrence, however, may differ between various settings. To perform a naturalistic evaluation of the sustained effectiveness of treatment for adult clinical depression in a psychiatric out-patient setting and to examine psychosocial and clinical predictors of relapse/recurrence. 51 individuals, who were successfully treated/discharged from psychiatric care 12 months prior, were assessed regarding current depressive status and regarding relapse and recurrence. Logistic regression was used to assess the predictive impact of the variables measured. At the 12-month follow-up, 26 % of the participants were in complete remission, 45 % were in partial remission, and 29 % were clinically depressed. In 1 year, 61 % suffered a new depressive episode. Having a greater number of previous episodes and having no partner significantly increased the risk of relapse or recurrence. A high prevalence of depression and partially remitted depression is reported at 12-month follow up, and a large proportion of the sample would likely benefit from active treatment. Relapse/recurrence rates are higher in this study than in many other studies, and it may be hypothesized that they are generally higher in psychiatric settings than in primary care. If so, this would indicate the need for a different treatment strategy in the psychiatric care of depression, with emphasis on long-term management of depression.

Details

Authors
Organisations
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Psychology

Keywords

  • depression, recurrence, psychiatry, follow-up
Original languageEnglish
Pages (from-to)407-417
JournalPsychiatric Quarterly
Volume86
Issue number3
Publication statusPublished - 2015
Publication categoryResearch
Peer-reviewedYes

Bibliographic note

First published Online, 18 January 2015

Total downloads

No data available

Related activities

Perrin, S. (First/primary/lead supervisor), Bjärehed, J. (Second supervisor), Lundh, L. (Second supervisor), Gerhard Andersson (Supervisory team member), Per Carlbring (Supervisory team member)
2019 → …

Activity: Examination and supervisionSupervision of PhD students

View all (1)