Cited by 96Treatment of Major DepressionAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesBipolar Disorder and Treatment

Relapse of major depression after complete and partial remission during a 2-year follow-up

Pintor, L·2003·Journal of Affective Disorders

Abstract

Background Rates of remission and relapse were studied over more than 2 years in a sample of Spanish outpatients with DSM-III-R criteria of unipolar major depressive episodes.Methods Patients were treated following standardised pharmacological protocols at our centre. In the first visit, the structured clinical interview for DSM-III-R (SCID) was used. The following visits were held monthly. Phases of evolution were recorded using the Hamilton Depression Rating Scale (HDRS), applying the Frank criteria.Results A significantly greater proportion of relapse was observed in the partial remission group compared to the complete remission one. The rate of relapses for patients in complete remission was 15.18%, while for patients in partial remission was 67.61%. Partial remission was significantly associated with relapses.Limitations The short duration of the study and the decreasing sample size during the follow-up.Conclusions Partial remission after a depressive episode seems to be strongly associated with relapses. Moreover, this clinical factor could by itself fully predict short-term relapses.Clinical relevance The study shows the importance of reaching complete remission to decrease the rate of short-term relapses.

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Crossref · 10.1016/s0165-0327(01)00480-3

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39 of 39 references verified0 citation errors · 0 not checkable

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  • Clinical variables such as number of previous episodes, severity of last episode, and family history of MDD are strong predictors of recurrence.

    “However, clinical variables such as number of previous episodes [7, 11, 19–22], severity of last episode [21, 22] and family history of MDD [21– 23] were strong predictors of recurrence.”

    From Predictors of recurrence of major depressive disorder (2020) · cites this paper as [21]

  • Other studies reported that family history significantly predicted recurrence.

    “Other studies [21–23] have reported that family history significantly predicted recurrence.”

    From Predictors of recurrence of major depressive disorder (2020) · cites this paper as [21]

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Authors
Pintor, L.
Affiliations
Hospital Clínic de Barcelona (ES)
Corresponding author
Pintor, L
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2003-02
Volume
73
Issue
3
Pages
237-244
ISSN
0165-0327 (ISSN-L)
OpenAlex
W2007622737
Cited by
96
References
39
Citations by year
2024: 2 · 2023: 6 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 6 · 2018: 2 · 2017: 6 · 2016: 4 · 2015: 2 · 2014: 5 · 2013: 9 · 2012: 7
FWCI
2.33
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
major depressive disorder, relapse, remission, partial remission, complete remission, outpatients, antidepressant treatment, recurrence prediction, long-term follow-up
MeSH terms
Adult, Aged, Antidepressive Agents, Combined Modality Therapy, Depressive Disorder, Major, Major Depressive Disorder, Dose-Response Relationship, Drug, Drug Therapy, Combination, Female, Follow-Up Studies, Humans, Male, Middle Aged, Psychotherapy, Recurrence, Treatment Outcome

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