Quality of life, diagnosis, and treatment of patients with major depression: a prospective cohort study in primary care

Lima, Ana Flávia Barros da Silva; Fleck, Marcelo Pio de Almeida

doi:10.1590/s1516-44462011005000001

Cited by 7 publications

(7 citation statements)

References 17 publications

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“…The change in HRQoL during follow-up correlated strongly with changes in the severity of depression and anxiety. These findings are consistent with our hypothesis and also in accordance with earlier literature [7,8,11,13]. Only few studies have taken into account the duration of time spent in MDEs.…”

Section: Discussionsupporting

confidence: 94%

Health-related quality of life of primary care patients with depressive disorders

Riihimäki

2017

Eur. psychiatr.

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BackgroundDepressive disorders are known to impair health-related quality of life (HRQoL) both in the short and long term. However, the determinants of long-term HRQoL outcomes in primary care patients with depressive disorders remain unclear.MethodsIn a primary care cohort study of patients with depressive disorders, 82% of 137 patients were prospectively followed up for five years. Psychiatric disorders were diagnosed with SCID-I/P and SCID-II interviews; clinical, psychosocial and socio-economic factors were investigated by rating scales and questionnaires plus medical and psychiatric records. HRQoL was measured with the generic 15D instrument at baseline and five years, and compared with an age-standardized general population sample (n = 3707) at five years.ResultsDepression affected the 15D total score and almost all dimensions at both time points. At the end of follow-up, HRQoL of patients in major depressive episode (MDE) was particularly low, and the association between severity of depression (Beck Depression Inventory, BDI) and HRQoL was very strong (r = −0.804). The most significant predictors for change in HRQoL were changes in BDI and Beck Anxiety Inventory (BAI) scores. The mean 15D score of depressive primary care patients at five years was much worse than in the age-standardized general population, reaching normal range only among patients who were in clinical remission and had virtually no symptoms.ConclusionsAmong depressive primary care patients, presence of current depressive symptoms markedly reduces HRQoL, with symptoms of concurrent anxiety also having a marked impact. For HRQoL to normalize, current depressive and anxiety symptoms must be virtually absent.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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Section: Discussionsupporting

confidence: 94%

Health-related quality of life of primary care patients with depressive disorders

Riihimäki

2017

Eur. psychiatr.

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“…A medida da qualidade de vida gera informações que podem ser usadas para rastreamento e identificação das necessidades de saúde de uma população, decisão sobre as prioridades em assistir a determinados setores, alocação de recursos e comparação dos estados de saúde de diferentes tipos de tratamentos realizados 3,20,23,31 .…”

Section: Discussionunclassified

“…A atenção primária à saúde é definida como estratégia de organização do sistema de saúde para realizar ações de promoção à saúde, prevenção de agravos, diagnóstico, tratamento de problemas de saúde mais prevalentes e reabilitação individual e coletiva 2 . A atenção primária à saúde é a porta de entrada dos sistemas de saúde que oferece desafios especiais, pois muitos dos problemas trazidos pelos pacientes são geralmente vagos e não relacionados a doenças orgânicas específicas 3 .…”

Section: O Objetivo Do Estudo é Avaliar a Qualidade De Vida Entre Os unclassified

Doenças crônicas e qualidade de vida na atenção primária à saúde

Azevedo¹,

Silva²,

Tomasi³

et al. 2013

Cad. Saúde Pública

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“…This is supported by a cohort study that was performed on patients with major depression for a period exceeding 9 months [13]. One hundred seventy-nine patients (mostly women, 73%), with an average age of 38 years were followed in that study.…”

Section: Discussionmentioning

confidence: 82%

Quality Of Life Among Patients With Depression

Matovic

Janković

2015

Serbian Journal of Experimental and Clinical Research

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Depression is a disease of great social and medical im 70.84, p=0.000; psychological health -38.69 versus 69.85, p=0.000; social relations -53.73 versus 64.89, p=0.004; living conditions -54.58 versus 66.7, p=0.000, and in overall quality of life -75.41 versus 96.00, p=0. 49.64 prema 70,84, p = 0,000; psihičko zdravlje-38.69 prema 69.85, p = 0,000; društveni odnosi-53.73 prema 64,89, p = 0,004; život-ni uslovi 54.58 prema 66,7, p = 0,000, kao i ukupan kvalitet života-75.41 prema 96,00, p = 0,000. Rezultati pokazuju da ne postoji statistički značajna razlika u kvalitetu života u zavisnosti od primenjene terapije.Vrednosti ukupnog kvaliteta života depresivnih pacijenata ne zavise od bračnog statusa ili pola ispitanika.Depresivni pacijenti imaju generalno niske vrednosti kvaliteta života u svim pojedinačnim domenima, kao i u ukupnom kvalitetu života. U ime unapređenja mentalnog zdravlja, jedan od primarnih ciljeva treba da bude poboljšanje kvaliteta života depresivnih pacijenata.

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Quality of life, diagnosis, and treatment of patients with major depression: a prospective cohort study in primary care

Cited by 7 publications

References 17 publications

Health-related quality of life of primary care patients with depressive disorders

Health-related quality of life of primary care patients with depressive disorders

Doenças crônicas e qualidade de vida na atenção primária à saúde

Quality Of Life Among Patients With Depression

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