Major depression and its correlates in primary care settings in six countries - 9-month follow-up study

被引:36
作者
Fleck, MPD
Simon, G
Herrman, H
Bushnell, D
Martin, M
Patrick, D
机构
[1] Univ Fed Rio Grande do Sul, Dept Psiquiatria & Med Legal, BR-90035003 Porto Alegre, RS, Brazil
[2] Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Washington, DC USA
[3] Univ Melbourne, Melbourne, Vic, Australia
[4] St Vincents Mental Hlth Serv, Melbourne, Vic, Australia
[5] Hlth Res Associates Inc, Seattle, WA USA
[6] Univ Washington, Seattle, WA 98195 USA
关键词
D O I
10.1192/bjp.186.1.41
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Few published studies address depression outcomes in primary care from a cross-cultural perspective. Aims To define baseline factors associated with 9-month clinical outcomes across six countries. Method Adults meeting criteria for current major depression were recruited from primary care clinics in Australia, Brazil, Israel, Spain, Russia and the USA; 968 patients were assessed at the 9-month follow-up. Predictors of complete remission were examined using logistic regression with a hierarchical model. Results Rates of complete remission in the six sites ranged from 25% to 48%. Logistic regression using pooled data showed that education, key life events and the Quality of Life Depression Scale score at baseline were the final predictors of complete remission, adjusting for centres, socio-demographic data, severity of depression, comorbidity and general quality of life. Variation in predictors across sites was not statistically significant. Conclusions The two major findings of this study were the low proportion of people achieving complete remission at follow-up across the six sites, and that some baseline characteristics (education, Quality of Life Depression Scale score and key life events) are modest predictors of outcome in depression.
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页码:41 / 47
页数:7
相关论文
共 20 条
  • [1] Angst J, 1997, BMJ-BRIT MED J, V315, P1143
  • [2] [Anonymous], 2001, International Journal of Methods in Psychiatric Research, DOI 10.1002/mpr. 101
  • [3] [Anonymous], 1989, AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary health care
  • [4] Bagby RM, 2002, J PSYCHIATR NEUROSCI, V27, P250
  • [5] Derogatis L R, 1974, Mod Probl Pharmacopsychiatry, V7, P79
  • [6] Development of the World Health Organization WHOQOL-BREF quality of life assessment
    Harper, A
    Power, M
    [J]. PSYCHOLOGICAL MEDICINE, 1998, 28 (03) : 551 - 558
  • [7] Longitudinal investigation of depression outcomes in primary care in six countries: the LIDO Study. Functional status, health service use and treatment of people with depressive symptoms
    Herrman, H
    Patrick, DL
    Diehr, P
    Martin, ML
    Fleck, M
    Simon, GE
    Buesching, DP
    [J]. PSYCHOLOGICAL MEDICINE, 2002, 32 (05) : 889 - 902
  • [8] THE QLDS - A SCALE FOR THE MEASUREMENT OF QUALITY-OF-LIFE IN DEPRESSION
    HUNT, SM
    MCKENNA, SP
    [J]. HEALTH POLICY, 1992, 22 (03) : 307 - 319
  • [9] Katschnig H, 1997, QUALITY OF LIFE IN MENTAL DISORDERS, P137
  • [10] KELLER MB, 1986, AM J PSYCHIAT, V143, P24