Predictors of depressive symptoms at hospital discharge in patients with major depressive disorder
| Autor: | Ivan W. Miller, Lauren M. Weinstock, Gary Epstein-Lubow, Michelle M. Wedig |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Logistic regression Risk Factors medicine Humans Age of Onset Psychiatry Depression (differential diagnoses) Depressive Disorder Major Sex Characteristics Hamilton Rating Scale for Depression medicine.disease Patient Discharge Hospitalization Clinical trial Psychiatry and Mental health Logistic Models Major depressive disorder Female Symptom Assessment Age of onset Psychology Social Adjustment Psychosocial Sex characteristics |
| Zdroj: | International Journal of Psychiatry in Clinical Practice. 17:144-147 |
| ISSN: | 1471-1788 1365-1501 |
| DOI: | 10.3109/13651501.2013.777746 |
| Popis: | Often patients with major depressive disorder (MDD) leave the hospital with continued significant symptomatology. This study sought to evaluate demographic, clinical, and psychosocial predictors of the presence of clinically significant depressive symptoms, defined as a Modified Hamilton Rating Scale for Depression score of ≥ 14, immediately following hospitalization for MDD.The study enrolled 135 patients with MDD as part of a larger clinical trial investigating the efficacy of post-hospitalization pharmacologic and psychosocial treatments for depressed inpatients. Structured clinical interview and self-report data were available from 126 patients at hospital admission and discharge.Despite the significant decreases in depressive symptoms over the course of hospitalization, 91 (72%) displayed clinically significant depressive symptoms at discharge. Multivariate logistic regression analysis revealed that female sex, earlier age of onset, and poorer social adjustment were unique predictors of symptom outcome.Results suggest that a large proportion of patients leave the hospital with continued significant symptomatology, and the presence of such symptoms following hospitalization for MDD is likely to be explained by a combination of factors. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |