Psychosocial predictors of outcome in major depression: a prospective 12-month study

J Affect Disord. 1999 Jan-Mar;52(1-3):209-16. doi: 10.1016/s0165-0327(98)00057-3.

Abstract

This study examined the relationship between clinical and psychosocial variables and unipolar major depression outcome. Ninety ambulatory patients, with an index phase duration of less than 6 months, were followed-up for 12 months. Two measures of outcome were used: persistence of severe or partial symptomatology. Sixty percent of the patients were asymptomatic (HDRS < 8), 24% improved but not totally and 17% persisted with severe symptomatology (HDRS> 18). Personality disorder, recurrent depression, low self-esteem and low satisfaction with social support were associated to non-full remission. Personality disorder and low satisfaction with social support were associated to non-improvement. This work underlines the need during treatment to take into account personality and social variables.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Depressive Disorder, Major / diagnosis*
  • Depressive Disorder, Major / psychology
  • Disease Progression
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Patient Satisfaction
  • Personality Disorders / diagnosis
  • Personality Disorders / psychology
  • Prognosis
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Self Concept
  • Severity of Illness Index
  • Social Support