Improvements in mood symptoms, cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine: A patient-rated evaluation

Introduction Functional recovery is the contemporary treatment goal in Major Depressive Disorder (MDD). Although consistency among physician and patient expectations may influence the therapeutic result (Demyttenaere K et al, 2011), patients’ perceptions are not always fully captured. Vortioxetine...

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Main Authors: A. Galanopoulos, E. Tsiolka, P. Ntounas, D. Mpelimpasakis, D. Karakoutas, N. Sidiropoulos, I. Mpougiouklis, K. Kyziridis, E. Papalexi
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821008956/type/journal_article
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author A. Galanopoulos
E. Tsiolka
P. Ntounas
D. Mpelimpasakis
D. Karakoutas
N. Sidiropoulos
I. Mpougiouklis
K. Kyziridis
E. Papalexi
author_facet A. Galanopoulos
E. Tsiolka
P. Ntounas
D. Mpelimpasakis
D. Karakoutas
N. Sidiropoulos
I. Mpougiouklis
K. Kyziridis
E. Papalexi
author_sort A. Galanopoulos
collection DOAJ
description Introduction Functional recovery is the contemporary treatment goal in Major Depressive Disorder (MDD). Although consistency among physician and patient expectations may influence the therapeutic result (Demyttenaere K et al, 2011), patients’ perceptions are not always fully captured. Vortioxetine,a multimodal antidepressant, has shown encouraging data in achieving functional recovery, improving both mood and cognitive symptoms (Mahableshwarkar AR et al, 2015). Objectives The aim of the study was to assess the effectiveness of vortioxetine on mood symptoms, cognitive symptoms and functionality, assessed by patient-rated tools, in MDD outpatients in Greece. Methods In this non-interventional study, vortioxetine was administered as flexible dosing (5-20 mg/d). Mood symptoms, cognitive symptoms and functioning were assessed by the patient-rated scales PHQ-9, PDQ-D and SDS respectively, at baseline, 1 and 3 months. Repeated measures analysis of variance and t-test were used for the statistical analyses. Results 336 patients participated in the study. PHQ-9 score ±SD decreased from 16.1±5.3, to 10.0±5.7 and 4.6±4.5, PDQ-D score ±SD decreased from 37.3±16.6 to 23.1±14.8 and 12.0±10.6, SDS Score ±SD decreased from 18.7±5.3 to 12.9±5.9 and to 7.8±6.5, at baseline, 1 and 3 months, respectively. The 3 SDS subscales: work/school life improved from 5.8±2.4 to 4.2±2.2 and 2.6±2.2, social life improved from 6.6±2.0 to 4.5±2.2 and 2.7±2.3 and family life improved from 6.3±2.0 to 4.3±2.1 and 2.6±2.3 -baseline, 1 and 3 months, respectively (p<0.001 for all paired comparisons). Conclusions MDD patients in Greece treated with vortioxetine significantly improved on mood symptoms, cognitive symptoms and functioning, enriching the already published efficacy data which is mostly based on clinician-rated scales. Conflict of interest A. Galanopoulos and E. Papalexi are full-time employees in Lundbeck Hellas.
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spelling doaj.art-0c170db11f6748628860427c69cac4522023-11-17T05:08:43ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S334S33410.1192/j.eurpsy.2021.895Improvements in mood symptoms, cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine: A patient-rated evaluationA. Galanopoulos0E. Tsiolka1P. Ntounas2D. Mpelimpasakis3D. Karakoutas4N. Sidiropoulos5I. Mpougiouklis6K. Kyziridis7E. Papalexi8Medical, Lundbeck Hellas, Athens, GreecePsychiatric, Private Office, Athens, GreecePsychiatric, Private Office, Athens, GreecePsychiatric, Private Office, Athens, GreecePsychiatric, Private Office, Thesaloniki, GreecePsychiatric, Private Office, Thesaloniki, GreecePsychiatric, Private Office, Thesaloniki, GreecePsychiatric, Private Office, Thesaloniki, GreeceMedical, Lundbeck Hellas, ATHENS, Greece Introduction Functional recovery is the contemporary treatment goal in Major Depressive Disorder (MDD). Although consistency among physician and patient expectations may influence the therapeutic result (Demyttenaere K et al, 2011), patients’ perceptions are not always fully captured. Vortioxetine,a multimodal antidepressant, has shown encouraging data in achieving functional recovery, improving both mood and cognitive symptoms (Mahableshwarkar AR et al, 2015). Objectives The aim of the study was to assess the effectiveness of vortioxetine on mood symptoms, cognitive symptoms and functionality, assessed by patient-rated tools, in MDD outpatients in Greece. Methods In this non-interventional study, vortioxetine was administered as flexible dosing (5-20 mg/d). Mood symptoms, cognitive symptoms and functioning were assessed by the patient-rated scales PHQ-9, PDQ-D and SDS respectively, at baseline, 1 and 3 months. Repeated measures analysis of variance and t-test were used for the statistical analyses. Results 336 patients participated in the study. PHQ-9 score ±SD decreased from 16.1±5.3, to 10.0±5.7 and 4.6±4.5, PDQ-D score ±SD decreased from 37.3±16.6 to 23.1±14.8 and 12.0±10.6, SDS Score ±SD decreased from 18.7±5.3 to 12.9±5.9 and to 7.8±6.5, at baseline, 1 and 3 months, respectively. The 3 SDS subscales: work/school life improved from 5.8±2.4 to 4.2±2.2 and 2.6±2.2, social life improved from 6.6±2.0 to 4.5±2.2 and 2.7±2.3 and family life improved from 6.3±2.0 to 4.3±2.1 and 2.6±2.3 -baseline, 1 and 3 months, respectively (p<0.001 for all paired comparisons). Conclusions MDD patients in Greece treated with vortioxetine significantly improved on mood symptoms, cognitive symptoms and functioning, enriching the already published efficacy data which is mostly based on clinician-rated scales. Conflict of interest A. Galanopoulos and E. Papalexi are full-time employees in Lundbeck Hellas. https://www.cambridge.org/core/product/identifier/S0924933821008956/type/journal_articleMoodFunctionalityPatient-ratedVortioxetine
spellingShingle A. Galanopoulos
E. Tsiolka
P. Ntounas
D. Mpelimpasakis
D. Karakoutas
N. Sidiropoulos
I. Mpougiouklis
K. Kyziridis
E. Papalexi
Improvements in mood symptoms, cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine: A patient-rated evaluation
European Psychiatry
Mood
Functionality
Patient-rated
Vortioxetine
title Improvements in mood symptoms, cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine: A patient-rated evaluation
title_full Improvements in mood symptoms, cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine: A patient-rated evaluation
title_fullStr Improvements in mood symptoms, cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine: A patient-rated evaluation
title_full_unstemmed Improvements in mood symptoms, cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine: A patient-rated evaluation
title_short Improvements in mood symptoms, cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine: A patient-rated evaluation
title_sort improvements in mood symptoms cognitive symptoms and functioning in outpatients with mdd in greece treated with vortioxetine a patient rated evaluation
topic Mood
Functionality
Patient-rated
Vortioxetine
url https://www.cambridge.org/core/product/identifier/S0924933821008956/type/journal_article
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