Income and attrition in the treatment of depression: a STAR*D report

Abstract

Efforts to retain patients in antidepressant treatment should focus especially on less educated patients with lower household incomes and younger patients.

Prevalence and clinical characteristics of remission during treatment in generalized anxiety

“…In line with Yonkers et al (2000), living status and educational level were not found to be related to remission in this study. By contrast, for the fi rst time, a positive association was demonstrated between remission and less-deprived socioeconomic status in the study patients, which is consistent with the literature on depression where higher income or full employment was also found to be associated with higher remission rates (Warden et al 2009). …”

“…Overall, generalized anxiety runs a longitudinal course, involving recurrent remissions and recurrences. Since follow-up studies which monitored patients for 5 years Warden et al (2009) and 12 years Bruce et al (2005) reported remission rates of 38% and 58%, respectively, the choice of treatment period in this study may also account for the low remission rate. Accordingly, we believe that the results reported are largely representative of the population of adult outpatients with generalized anxiety in their fi rst year of treatment.…”

Influences of income and employment on psychological distress and depression treatment in Japanese adults

“…The optimistic speculation is that distress in higher-income people with depression treatment is well controlled, and therefore their psychological distress is eased. Reports from other countries that people with higher SES are likely to receive more appropriate care are in line with this speculation [27,28]. The lower, though not statistically significant, prevalence of psychological distress in the higher-income population, as shown in Table 6, may support this hypothesis.…”

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

“…Some important variables such as education, income, and physical disorders, found to be associated with remission in previous studies Warden et al, 2009), did not show any significant associations with remission in the CRESCEND cohort. In considering education and income, which reflect socioeconomic status, it is important to bear in mind that 95% of Koreans are covered by the government medical insurance program; and the remaining 5% are also covered by Medicare.…”