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Titolo:
Predictors of 1-year outcome in depression
Autore:
Parker, G; Wilhelm, K; Mitchell, P; Gladstone, G;
Indirizzi:
Univ New S Wales, Sch Psychiat, Sydney, NSW 2031, Australia Univ New S Wales Sydney NSW Australia 2031 t, Sydney, NSW 2031, Australia Prince Wales Hosp, Mood Disorders Unit, Sydney, NSW 2031, Australia PrinceWales Hosp Sydney NSW Australia 2031 , Sydney, NSW 2031, Australia
Titolo Testata:
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
fascicolo: 1, volume: 34, anno: 2000,
pagine: 56 - 64
SICI:
0004-8674(200002)34:1<56:PO1OID>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISORDER; PERSONALITY; RECOVERY;
Keywords:
depression; outcome; predictors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Parker, G Univ New S Wales, Sch Psychiat, Sydney, NSW 2031, Australia UnivNew S Wales Sydney NSW Australia 2031 NSW 2031, Australia
Citazione:
G. Parker et al., "Predictors of 1-year outcome in depression", AUST NZ J P, 34(1), 2000, pp. 56-64

Abstract

Objective: We compared several different methods for assessing depression 'recovery' over a 1-year review interval, to determine the utility of the contrasting approaches. Second, we assessed baseline predictors of 1-year outcome and recovery status. Third, we examined the extent to which predictors showed consistency across the variable definitions of outcome and recovery. Methods: Twelve-month outcome was assessed in a sample of 182 subjects whoat baseline assessment met DSM criteria for a major depressive episode. The contrasting methods involved a defined percentage reduction in Beck Depression Inventory self-rating scores, formalised change point definitions, nolonger meeting DSM-IV major depression criteria, and clinical global improvement (CGI) ratings. Results: Sixty-one per cent reached formalised change point criteria for full remission or recovery when trajectories across the 12-month interval were examined. Other measures quantified recovery rates ranging from 43% to 70%. Those with a psychotic or melancholic depression were more likely to have achieved recovery status in some analyses. Non-recovery at 12 months waspredicted most consistently by higher baseline levels of anxiety and depression; high trait anxiety and a lifetime anxiety disorder; disordered personality function; and having reported exposure to acute and enduring stressors at baseline assessment. Conclusions: While the CGI was the superior system in terms of number of significant discriminating predictors of outcome, the change point definitional approach provides much greater information across the follow-up interval, arguing for their complementary utility. As several currently identifiedbaseline predictors of outcome (i.e. anxiety, disordered personality function) also predicted onset of depression, their relevance as both depression-inducing and depression-propagating variables is suggested.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 23:17:49