Cited by 95Mental Health Treatment and AccessTreatment of Major DepressionAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Recurrence of major depressive disorder across different treatment settings: Results from the NESDA study

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Hardeveld, Florian, Spijker, Jan, De Graaf, Ron, Hendriks, Sanne M., Licht, Carmilla M.M., Nolen, Willem A., Penninx, Brenda W.J.H., Beekman, Aartjan T.F.·2013·Journal of Affective Disorders

Abstract

Objective Examine time to recurrence of major depressive disorder (MDD) across different treatment settings and assess predictors of time to recurrence of MDD.Methods Data were from 375 subjects with a MDD diagnosis from the Netherlands Study of Depression and Anxiety (NESDA). The study sample was restricted to subjects with a remission of at least three months. These subjects were followed until recurrence or the end of the two year follow-up. DSM-IV based diagnostic interviews and Life Chart Interviews were used to assess time to recurrence of MDD across treatment settings. Predictors of time to recurrence were determined using Cox's proportional hazards analyses.Results Although trends indicated a slightly higher rate of and shorter time to recurrence in specialized mental health care, no significant difference in recurrence rate (26.8% versus 33.5%, p=0.23) or in time to recurrence (controlled for covariates) of MDD was found between respondents in specialized mental health care and respondents treated in primary care (average 6.6 versus 5.5 months, p=0.09). In multivariable analyses, a family history of MDD and previous major depressive episodes were associated with a shorter time to recurrence. Predictors did not differ across treatment settings.Limitations The study sample may not be representative of the entire population treated for MDD in specialized mental health care.Conclusions Health care professionals in both settings should be aware of the same risk factors since the recurrence risk and its predictors appeared to be similar across settings.

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  1. [10]10. Fyer, A.J., Weissman, M.M., 1999. Genetic linkage study of panic: clinical meth- odology and description of pedigrees. American Journal of Medical Genetics 88, 173-181.
  2. [23]23. Lyketsos, C.G., Nestadt, G., Cwi, J., et al., 1994. The life-chart method to describe the course of psychopathology. International Journal of Methods in Psychiatric Research 4, 143-155.
  3. [37]37. Wacker, H.R., Battegay, R., Mullejans, R., et al., 2006. Using the CIDI-C in the general population. In: Stefanis, C.N., Rabavilas, A.D., Soldatos, C.R. (Eds.), Psychiatry: A World Perspective. Elsevier Science Publishers, Amsterdam.

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Authors
Hardeveld, F., Spijker, J., De Graaf, R., Hendriks, S. M., Licht, C. M. M., Nolen, W. A., Penninx, B. W. J. H., & Beekman, A. T. F.
Affiliations
  • Pro Persona (NL)
  • Amsterdam Public Health (NL)
  • University Medical Center Groningen (NL)
Corresponding author
Hardeveld, Florian
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2013-05
Volume
147
Issue
1-3
Pages
225-231
ISSN
0165-0327 (ISSN-L)
OpenAlex
W2096329254
Cited by
95
References
42
Citations by year
2026: 3 · 2025: 9 · 2024: 8 · 2023: 7 · 2022: 7 · 2021: 10 · 2020: 10 · 2019: 10 · 2018: 9 · 2017: 9 · 2016: 4 · 2015: 2 · 2014: 4 · 2013: 2
FWCI
3.86
Type
journal article
Language
en
Open access
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
  • VU Research Portal (publishedVersion, other-oa)
  • Pure Amsterdam UMC (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
major depressive disorder, recurrence, time to recurrence, treatment setting, specialized mental health care, primary care, predictors of recurrence, family history of depression, remission, NESDA
MeSH terms
Adult, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Mental Health Services, Netherlands, Primary Health Care, Recurrence, Time Factors

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