Residual symptoms after partial remission: an important outcome in depression.

This paper draws attention to an important adverse outcome in depression, the occurrence of residual symptoms after partial remission. Among patients with definite major depression followed every 3 months to remission and thereafter, residual symptoms reaching 8 or more on the Hamilton Depression Sc...

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Main Authors: Paykel, E, Ramana, R, Cooper, Z, Hayhurst, H, Kerr, J, Barocka, A
Format: Journal article
Language:English
Published: 1995
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author Paykel, E
Ramana, R
Cooper, Z
Hayhurst, H
Kerr, J
Barocka, A
author_facet Paykel, E
Ramana, R
Cooper, Z
Hayhurst, H
Kerr, J
Barocka, A
author_sort Paykel, E
collection OXFORD
description This paper draws attention to an important adverse outcome in depression, the occurrence of residual symptoms after partial remission. Among patients with definite major depression followed every 3 months to remission and thereafter, residual symptoms reaching 8 or more on the Hamilton Depression Scale 17-item total were present in 32% (19) of the 60 who remitted below major depression by 15 months. The pattern was of mild but typical depressive symptoms. Residual symptoms were more common in subjects with more severe initial illness, but were not related to any other predictors, including longer prior illness, dysthymia, or lower dose of drug treatment during the illness episode. There were weak associations with personality that might have been consequences of symptom presence. Residual symptoms were very strong predictors of subsequent early relapse, which occurred in 76% (13/17) of those with residual symptoms and 25% (10/40) of those without.
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spelling oxford-uuid:e03ae4d3-27a5-4fe8-b58a-e6195fa17b322022-03-27T09:45:37ZResidual symptoms after partial remission: an important outcome in depression.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e03ae4d3-27a5-4fe8-b58a-e6195fa17b32EnglishSymplectic Elements at Oxford1995Paykel, ERamana, RCooper, ZHayhurst, HKerr, JBarocka, AThis paper draws attention to an important adverse outcome in depression, the occurrence of residual symptoms after partial remission. Among patients with definite major depression followed every 3 months to remission and thereafter, residual symptoms reaching 8 or more on the Hamilton Depression Scale 17-item total were present in 32% (19) of the 60 who remitted below major depression by 15 months. The pattern was of mild but typical depressive symptoms. Residual symptoms were more common in subjects with more severe initial illness, but were not related to any other predictors, including longer prior illness, dysthymia, or lower dose of drug treatment during the illness episode. There were weak associations with personality that might have been consequences of symptom presence. Residual symptoms were very strong predictors of subsequent early relapse, which occurred in 76% (13/17) of those with residual symptoms and 25% (10/40) of those without.
spellingShingle Paykel, E
Ramana, R
Cooper, Z
Hayhurst, H
Kerr, J
Barocka, A
Residual symptoms after partial remission: an important outcome in depression.
title Residual symptoms after partial remission: an important outcome in depression.
title_full Residual symptoms after partial remission: an important outcome in depression.
title_fullStr Residual symptoms after partial remission: an important outcome in depression.
title_full_unstemmed Residual symptoms after partial remission: an important outcome in depression.
title_short Residual symptoms after partial remission: an important outcome in depression.
title_sort residual symptoms after partial remission an important outcome in depression
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AT ramanar residualsymptomsafterpartialremissionanimportantoutcomeindepression
AT cooperz residualsymptomsafterpartialremissionanimportantoutcomeindepression
AT hayhursth residualsymptomsafterpartialremissionanimportantoutcomeindepression
AT kerrj residualsymptomsafterpartialremissionanimportantoutcomeindepression
AT barockaa residualsymptomsafterpartialremissionanimportantoutcomeindepression