Recovery in patients with major depressive disorder (MDD): results of a 6-month, multinational, observational study
Diego Novick,1 William Montgomery,2 Ellen Vorstenbosch,3 Maria Victoria Moneta,3 Héctor Dueñas,4 Josep Maria Haro3 1Eli Lilly and Company, Windlesham, Surrey, UK; 2Eli Lilly Australia Pty Ltd, West Ryde, NSW, Australia; 3Parc Sanitari Sant Joan de Déu, Fundaci&o...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2017-10-01
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| Series: | Patient Preference and Adherence |
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| Online Access: | https://www.dovepress.com/recovery-in-patients-with-major-depressive-disorder-mdd-results-of-a-6-peer-reviewed-article-PPA |
| _version_ | 1819042808592334848 |
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| author | Novick D Montgomery W Vorstenbosch E Moneta MV Dueñas H Haro JM |
| author_facet | Novick D Montgomery W Vorstenbosch E Moneta MV Dueñas H Haro JM |
| author_sort | Novick D |
| collection | DOAJ |
| description | Diego Novick,1 William Montgomery,2 Ellen Vorstenbosch,3 Maria Victoria Moneta,3 Héctor Dueñas,4 Josep Maria Haro3 1Eli Lilly and Company, Windlesham, Surrey, UK; 2Eli Lilly Australia Pty Ltd, West Ryde, NSW, Australia; 3Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain; 4Eli Lilly de Mexico, Mexico City, Mexico Abstract: Not all individuals treated for major depressive disorder (MDD) achieve recovery. This observational study examined the recovery rates in MDD patients and the patient characteristics associated with achieving recovery in a naturalistic clinical setting. Recovery was defined as having both clinical and functional remission. Data for this post hoc analysis were taken from a 24-week prospective, observational study that involved 1,549 MDD patients. Clinical remission was assessed using the 16-item Quick Inventory of Depressive Symptomatology Self-Report and functional remission through the Sheehan Disability Scale and no days of reduced productivity in the previous week. Generalized estimating equation regression models were used to examine the baseline factors associated with recovery during follow-up. Clinical and functional remission was achieved in 70.6% and 56.1% of the MDD patients, respectively. MDD patients who achieved recovery (52.1%) were significantly less likely to have impaired levels of functioning, concurrent medical or psychiatric conditions, low levels of education, or nonadherence to therapy at follow-up. The level of functioning during the index episode seems to be a better predictor of recovery than symptom severity. Therefore, the level of functioning should be considered while determining recovery from depression. Keywords: remission, functional impairment, clinical remission, course of illness, disability, predictors |
| first_indexed | 2024-12-21T09:46:46Z |
| format | Article |
| id | doaj.art-34f935e810c4463e8c655ae6d59965bc |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-21T09:46:46Z |
| publishDate | 2017-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-34f935e810c4463e8c655ae6d59965bc2022-12-21T19:08:18ZengDove Medical PressPatient Preference and Adherence1177-889X2017-10-01Volume 111859186835400Recovery in patients with major depressive disorder (MDD): results of a 6-month, multinational, observational studyNovick DMontgomery WVorstenbosch EMoneta MVDueñas HHaro JMDiego Novick,1 William Montgomery,2 Ellen Vorstenbosch,3 Maria Victoria Moneta,3 Héctor Dueñas,4 Josep Maria Haro3 1Eli Lilly and Company, Windlesham, Surrey, UK; 2Eli Lilly Australia Pty Ltd, West Ryde, NSW, Australia; 3Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain; 4Eli Lilly de Mexico, Mexico City, Mexico Abstract: Not all individuals treated for major depressive disorder (MDD) achieve recovery. This observational study examined the recovery rates in MDD patients and the patient characteristics associated with achieving recovery in a naturalistic clinical setting. Recovery was defined as having both clinical and functional remission. Data for this post hoc analysis were taken from a 24-week prospective, observational study that involved 1,549 MDD patients. Clinical remission was assessed using the 16-item Quick Inventory of Depressive Symptomatology Self-Report and functional remission through the Sheehan Disability Scale and no days of reduced productivity in the previous week. Generalized estimating equation regression models were used to examine the baseline factors associated with recovery during follow-up. Clinical and functional remission was achieved in 70.6% and 56.1% of the MDD patients, respectively. MDD patients who achieved recovery (52.1%) were significantly less likely to have impaired levels of functioning, concurrent medical or psychiatric conditions, low levels of education, or nonadherence to therapy at follow-up. The level of functioning during the index episode seems to be a better predictor of recovery than symptom severity. Therefore, the level of functioning should be considered while determining recovery from depression. Keywords: remission, functional impairment, clinical remission, course of illness, disability, predictorshttps://www.dovepress.com/recovery-in-patients-with-major-depressive-disorder-mdd-results-of-a-6-peer-reviewed-article-PPAremissionfunctional impairmentclinical remissioncourse of illnessdisabilitypredictors |
| spellingShingle | Novick D Montgomery W Vorstenbosch E Moneta MV Dueñas H Haro JM Recovery in patients with major depressive disorder (MDD): results of a 6-month, multinational, observational study Patient Preference and Adherence remission functional impairment clinical remission course of illness disability predictors |
| title | Recovery in patients with major depressive disorder (MDD): results of a 6-month, multinational, observational study |
| title_full | Recovery in patients with major depressive disorder (MDD): results of a 6-month, multinational, observational study |
| title_fullStr | Recovery in patients with major depressive disorder (MDD): results of a 6-month, multinational, observational study |
| title_full_unstemmed | Recovery in patients with major depressive disorder (MDD): results of a 6-month, multinational, observational study |
| title_short | Recovery in patients with major depressive disorder (MDD): results of a 6-month, multinational, observational study |
| title_sort | recovery in patients with major depressive disorder mdd results of a 6 month multinational observational study |
| topic | remission functional impairment clinical remission course of illness disability predictors |
| url | https://www.dovepress.com/recovery-in-patients-with-major-depressive-disorder-mdd-results-of-a-6-peer-reviewed-article-PPA |
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