Preliminary Evidence for Sociotropy and Autonomy in Relation to Antidepressant Treatment Outcome
| Autor: | Christian A. Webb, Joseph M. Trombello, Ryan Cardinale, Manish K. Jha, Margo W. Menkes, Carolyn M. Andrews, Melvin G. McInnis, Patricia J. Deldin, Madhukar H. Trivedi |
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| Rok vydání: | 2021 |
| Předmět: |
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Treatment outcome Article 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Depressive symptoms media_common Depressive Disorder Major Sertraline business.industry medicine.disease Antidepressive Agents 030227 psychiatry Psychiatry and Mental health Treatment Outcome Positive response Sociotropy Personal Autonomy Major depressive disorder Antidepressant business Autonomy Personality Clinical psychology medicine.drug |
| Zdroj: | Psychiatr Q |
| ISSN: | 1573-6709 0033-2720 |
| DOI: | 10.1007/s11126-021-09891-1 |
| Popis: | Sociotropy and autonomy are cognitive-personality styles that have been hypothesized to confer vulnerability to different presentations of major depressive disorder (MDD), which may respond differentially to treatment. Specifically, the profile of low sociotropy and high autonomy is hypothesized to indicate a positive response to antidepressant medication. The current study examines sociotropy and autonomy in relation to sertraline treatment response in individuals with MDD. As part of an ancillary study to the larger Establishing Moderators and Biosignatures of Antidepressant Response for Clinical Care (EMBARC) project, individuals with MDD participated in an 8-week trial of sertraline and completed a self-report questionnaire of sociotropy and autonomy. Discriminant function analyses were used to examine whether sociotropy and autonomy scores could distinguish antidepressant treatment responders (determined by a 50% or greater reduction in depressive symptoms) from non-responders. The sociotropy scale successfully discriminated sertraline treatment responders from non-responders. Further, lower sociotropy was associated with greater improvements in depressive symptomology following sertraline treatment. The current findings suggest individuals with MDD characterized by low sociotropy are more likely to benefit from sertraline. Given the promising results of the Sociotropy-Autonomy Scale in discriminating treatment responders from non-responders, the low resources necessary for administration, and the ease of translation into routine clinical care, the scale warrants further research attention. |
| Databáze: | OpenAIRE |
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