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PREDICTORS OF REMISSION FROM MAJOR DEPRESSIVE DISORDER IN SECONDARY CARE

Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención

Author
Salvo, Lilian; Universidad Católica de la Santísima Concepción. Hospital Clínico Herminda Martin

Saldivia, Sandra

Parra, Carlos

Cifuentes, Manuel

Bustos, Claudio

Acevedo, Paola

Díaz, Marcela

Ormazábal, Mitza

Guerra Figueroa, Ivonne

Navarrete, Nicol

Bravo, Verónica

Castro, Andrea

Full text
http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/6167
Abstract
Background: The knowledge of predictive factors in depression should help to deal with the disease. Aim: To assess potential predictors of remission of major depressive disorders (MDD) in secondary care and to propose a predictive model. Material and methods: A 12 month follow-up study was conducted in a sample of 112 outpatients at three psychiatric care centers of Chile, with baseline and quarterly assessments. Demographic, psychosocial, clinical and treatment factors as potential predictors, were assessed. A clinical interview with the checklist of DSM-IV diagnostic criteria, the Hamilton Depression Scale and the List of Threatening Experiences and Multidimensional Scale of Perceived Social Support were applied. Results: The number of stressful events, perceived social support, baseline depression scores, melancholic features, time prior to beginning treatment at the secondary level and psychotherapeutic sessions were included in the model as predictors of remission. Sex, age, number of previous depressive episodes, psychiatric comorbidity and medical comorbidity were not significantly related with remission. Conclusions: This model allows to predict depression score at six months with 70% of accuracy and the score at 12 months with 72% of accuracy.
 
Background: The knowledge of predictive factors in depression should help to deal with the disease. Aim: To assess potential predictors of remission of major depressive disorders (MDD) in secondary care and to propose a predictive model. Material and methods: A 12 month follow-up study was conducted in a sample of 112 outpatients at three psychiatric care centers of Chile, with baseline and quarterly assessments. Demographic, psychosocial, clinical and treatment factors as potential predictors, were assessed. A clinical interview with the checklist of DSM-IV diagnostic criteria, the Hamilton Depression Scale and the List of Threatening Experiences and Multidimensional Scale of Perceived Social Support were applied. Results: The number of stressful events, perceived social support, baseline depression scores, melancholic features, time prior to beginning treatment at the secondary level and psychotherapeutic sessions were included in the model as predictors of remission. Sex, age, number of previous depressive episodes, psychiatric comorbidity and medical comorbidity were not significantly related with remission. Conclusions: This model allows to predict depression score at six months with 70% of accuracy and the score at 12 months with 72% of accuracy.
 
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Discipline
Artes, Arquitectura y UrbanismoCiencias Agrarias, Forestales y VeterinariasCiencias Exactas y NaturalesCiencias SocialesDerechoEconomía y AdministraciónFilosofía y HumanidadesIngenieríaMedicinaMultidisciplinarias
Institutions
Universidad de ChileUniversidad Católica de ChileUniversidad de Santiago de ChileUniversidad de ConcepciónUniversidad Austral de ChileUniversidad Católica de ValparaísoUniversidad del Bio BioUniversidad de ValparaísoUniversidad Católica del Nortemore

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