Acute and continuation therapy in unipolar depression: observations from the run-in phase of a maintenance trial

TY - JOUR

T1 - Acute and continuation therapy in unipolar depression: observations from the run-in phase of a maintenance trial

AU - Rasmussen, N.A.

AU - Andersen, P.M.

AU - Licht, R.W.

AU - Klaening, U.

AU - Egander, A.

AU - Abildgaard, W.

AU - Richelsen, B.

AU - Stadil, B.

AU - Clemmensen, K.

AU - Reiner, M.

AU - Vestergaard, P.

AU - Hausmann, G.

AU - Kristensen, J.

AU - Molgaard, K.

AU - Malling, B.

AU - Jensen, C.Z.

AU - Olsen, M.

AU - Egersgard, J.

AU - Stage, K.B.

AU - Christoffersen, J.

AU - Bendsen, B.B.

AU - Larsen, J.K.

AU - Waetjen, I.

AU - Holgersen, B.

AU - Jensen, B.M.

AU - Christensen, M.B.

AU - Andersson, J.E.

AU - Wedervang-Jensen, T.

AU - Clemmensen, P.

AU - Kayser, C.

AU - Bock, C.

AU - Andersen, J.

AU - Nalders, K.

AU - Frederiksen, K.

AU - Andersen, M.

AU - Christensen, E.M.

AU - Johansen, A.M.

AU - Martiny, K.

AU - Borup, H.

AU - Thomsen, I.S.

AU - Matzen, P.

AU - Kragh-Sorensen, P.

AU - Bech, P.

AU - Gram, L.F.

N1 - Times Cited: 0ArticleEnglishGram, L. FUniv So Denmark, IST, Dept Clin Pharmacol, Winslowpl 19, DK-5000 Odense C, DenmarkCited References Count: 35323VCBLACKWELL PUBLISHING9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLANDOXFORD

PY - 2008

Y1 - 2008

N2 - Objective: The aim of the study was to analyze treatments and outcome in depressed patients. Method: Patients with recurrent depressive disorder (n = 289), recruited for a prophylaxis study, were followed up in hospital settings for 6 months with diagnostic and depression ratings at baseline and monthly depression ratings. Data on psychotropic drugs were retrieved from hospital case records. Independent associations between baseline, treatment and outcome variables were examined by logistic regression models. Results: Depressive symptoms subsided gradually. After 6 months, 21% had dropped out, 43% were rated as remitted (HAM-D-17 < 8) and 8% had not responded (HAM-D-17 > 15). Patients once remitted rarely relapsed (< 5%). All patients received antidepressant drugs, half of them more than one (2-4) as well as other psychotropic drugs. Patients responding poorly received more frequently multiple antidepressants, tricyclic antidepressants, hypnosedatives, lithium and/or antipsychotics. Conclusions: The 6-month outcome was generally poor. Choice of treatment appeared at least partly to be determined by the therapeutic outcome Udgivelsesdato: 2008/8

AB - Objective: The aim of the study was to analyze treatments and outcome in depressed patients. Method: Patients with recurrent depressive disorder (n = 289), recruited for a prophylaxis study, were followed up in hospital settings for 6 months with diagnostic and depression ratings at baseline and monthly depression ratings. Data on psychotropic drugs were retrieved from hospital case records. Independent associations between baseline, treatment and outcome variables were examined by logistic regression models. Results: Depressive symptoms subsided gradually. After 6 months, 21% had dropped out, 43% were rated as remitted (HAM-D-17 < 8) and 8% had not responded (HAM-D-17 > 15). Patients once remitted rarely relapsed (< 5%). All patients received antidepressant drugs, half of them more than one (2-4) as well as other psychotropic drugs. Patients responding poorly received more frequently multiple antidepressants, tricyclic antidepressants, hypnosedatives, lithium and/or antipsychotics. Conclusions: The 6-month outcome was generally poor. Choice of treatment appeared at least partly to be determined by the therapeutic outcome Udgivelsesdato: 2008/8

U2 - 10.1111/j.1600-0447.2008.01182.x

DO - 10.1111/j.1600-0447.2008.01182.x

M3 - Journal article

C2 - 18384466

SN - 0001-690X

VL - 118

SP - 123

EP - 129

JO - Acta Psychiatrica Scandinavica

JF - Acta Psychiatrica Scandinavica

IS - 2

ER -