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Assessment of remission as an indicator of recurrent depression of quality of medical aid

[Psychiatry]
Anton Nikolaevich Gvozdetsky; Natalia Nikolaevna Petrova; Igor Mikhailovich Akulin;

The aim of the study was a clinical and functional assessment of residual symptoms, functional status, quality of life of patients in remission with recurrent depression. 52 patients were examined, 50.0 % met the criterion of complete remission. Regardless of the type of remission, functional disorders and a decrease in cognitive functions are detected. Patients with incomplete remission are characterized by moderate functional impairment, a decrease in the mental component of the quality of life, and a greater number of cognitive impairments. Thus, socio-functional maladaptation of patients with remission is revealed. For a differentiated assessment of the condition of patients and individualization of outpatient treatment and rehabilitation care, it is necessary to assess the level of residual symptoms, quality of life, functional state, and cognitive functions.

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References:
1. Whiteford H. A., Degenhardt L., Rehm J., Baxter A. J., Ferrari A. J. [et al.]. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. The Lancet. 2013;382(9904):1575-1586. https://doi.org/10.1016/S0140-6736(13)61611-6
2. Ferrari A. J., Charlson F. J., Norman R. E., Patten S. B., Freedman G. [et al.]. Burden of Depressive Disorders by Country, Sex, Age, and Year: Findings from the Global Burden of Disease Study 2010. PLoS Medicine. 2013;10(11):e1001547. https://doi.org/10.1371/journal.pmed.1001547
3. Sheehan D. V., Nakagome K., Asami Y., Pappadopulos E. A., Boucher M. Restoring function in major depressive disorder: A systematic review. Journal of Affective Disorders. 2017;215:299-313. https://doi.org/10.1016/j.jad.2017.02.029
4. IsHak W. W., Greenberg J. M., Cohen R. M. Predicting relapse in major depressive disorder using patient-reported outcomes of depressive symptom severity, functioning, and quality of life in the individual burden of illness index for depression (IBI-D). Journal of Affective Disorders. 2013;151(1):59-65. https://doi.org/10.1016/J.JAD.2013.05.048
5. Order of the Ministry of Health of the Russian Federation of 10.05.2017 No 203n «On the approval of criteria for assessing the quality of medical care». Available at: https://cdnimg.rg.ru/pril/140/46/90/46740.pdf. Accessed September 19, 2018. (In Russ.).
6. Montgomery S. A., Asberg M. A new depression scale designed to be sensitive to change. The British Journal of Psychiatry: The Journal of Mental Science. 1979;134(4):382-389. https://doi.org/10.1192/bjp.134.4.382
7. Zimmerman M., Posternak M. A., Chelminski I. Derivation of a definition of remission on the Montgomery – Asberg depression rating scale corresponding to the definition of remission on the Hamilton rating scale for depression. Journal of Psychiatric Research. 2004;38(6):577-582. https://doi.org/10.1016/j.jpsychires.2004.03.007
8. Maruish M. E. User’s Manual for the SF-36v2 Health Survey (3rd ed.). Lincoln, RI: QualityMetric Incorporated, 2011.
9. Üstün T. B., Chatterji S., Kostanjsek N., Rehm J., Kennedy C. [et al.]. Developing the World Health Organization Disability Assessment Schedule 2.0. Bulletin of the World Health Organization. 2010;88(11):815-823. https://doi.org/10.2471/BLT.09.067231
10. Yanushko M. G., Shamanina M. V., Aristova T. A., Keefe R., Ivanov M. V., Tolmacheva M. Standardization of the scale «Brief assessment of cognition in patients with affective disorders» (BAC-A) on the basis of normative data for Russian population. Rossiiskii psikhiatricheskii zhurnal. – Russian Journal of Psychiarty. 2015;(2):68-75. (In Russ.).
11. Knight M. J., Air T., Baune B. T. The role of cognitive impairment in psychosocial functioning in remitted depression. Journal of Affective Disorders. 2018;235:129-134. https://doi.org/10.1016/j.jad.2018.04.051
12. Woo Y. S., Rosenblat J. D., Kakar R., Bahk W. M., McIntyre R. S. Cognitive Deficits as a Mediator of Poor Occupational Function in Remitted Major Depressive Disorder Patients. Clinical Psychopharmacology and Neuroscience. 2016;14(1):1-16. https://doi.org/10.9758/cpn.2016.14.1.1
13. Romera I., Perez V., Gilaberte I. Remission and functioning in major depressive disorder. Actas Espanolas de Psiquiatria. 2013;41(5):263-268. Available at: http://www.actaspsiquiatria.es/repositorio//15/85/ENG/15-85-ENG-263-268-956516.pdf. Accessed September 19, 2018.
14. Voort T. Y. G. van der, Seldenrijk A., Meijel B. van, Goossens P. J. J., Beekman A. T. F. [et al.]. Functional Versus Syndromal Recovery in Patients With Major Depressive Disorder and Bipolar Disorder. The Journal of Clinical Psychiatry. 2015;76(6):809-814. https://doi.org/10.4088/JCP.14m09548
15. IsHak W. W., Bonifay W., Collison K., Reid M., Youssef H. [et al.]. The recovery index: A novel approach to measuring recovery and predicting remission in major depressive disorder. Journal of Affective Disorders. 2017;208:369-374. https://doi.org/10.1016/j.jad.2016.08.081
16. Xiao L., Feng L., Zhu X. q., Feng Y., Wu W. [et al.]. Comparison of residual depressive symptoms and functional impairment between fully and partially remitted patients with major depressive disorder: a multicenter study. Psychiatry Research. 2018;261:547-553. https://doi.org/10.1016/j.psychres.2018.01.020
17. Svetlichnaja T. G., Smirnova E. A., Mordovsky E. A. Comparison of access resources to psychiatric support for groups of mentally sane and abnormal people. Sociological Journal. 2014;(3):86-100. (In Russ.). https://doi.org/10.19181/socjour.2014.3.514
18. Valinurov R. G., Ahmerova I. U., Tulbaeva N. R. Review of mental health services status of Privolzhskiy Federal district and its development prospects. Vestnik Kaluzhskogo universiteta. – Bulletin of the Kaluga University. 2015;(4):25-28. (In Russ.).
19. Bukreeva N. D. Outlook for improved quality of psychiatric care in the Russian Federation. Rossiiskii psikhiatricheskii zhurnal. – Russian Journal of Psychiarty. 2016;(1):4-9. (In Russ.).

Keywords: recurrent depression, remission, quality of life, recovery, ability to work, cognitive functioning, sychiatric care


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