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Predictors of 12-week remission in a nationwide cohort of people with depressive disorders: the CRESCEND study

✍ Scribed by Jae-Min Kim; Sung-Wan Kim; Robert Stewart; Seon-Young Kim; Jin-Sang Yoon; Sung-Won Jung; Min-Soo Lee; Hyeon-Woo Yim; Tae-Youn Jun


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
521 KB
Volume
26
Category
Article
ISSN
0885-6222

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✦ Synopsis


Abstract

Objective

To estimate the 12‐week remission rate of patients with depressive disorders and predictors of this in a naturalistic clinical setting in South Korea.

Methods

For people with DSM‐IV depressive disorders about to receive treatment at 18 hospitals, data on sociodemographic and health status were obtained. A free choice of clinical interventions was allowed and naturalistic follow‐up took place at 1, 2, 4, 8, and 12 weeks later. Remission was defined as a Hamilton Depression Rating Scale score of ≤7 sustained to 12 weeks or last follow‐up, if earlier.

Results

For 723 participants, the 12‐week remission rate was 31.4%. Remission was more likely in women, and in patients without a prior history of suicide attempt, and those with lower baseline anxiety.

Conclusions

Remission associated with unrestricted clinical interventions was comparable to STAR*D estimates for citalopram alone. Comorbid anxiety and a previous suicide attempt were markers of worse outcome. Copyright © 2011 John Wiley & Sons, Ltd.