OBJECTIVE: To describe the demographic and clinical characteristics, adequacy of antidepressant treatment, and changes in quality of life of patients with major depression receiving follow-up care from primary care centers. METHOD: A cohort study was performed in which major depression patients were followed-up over a nine-month period. Several evaluation instruments were used, including the World Health Organization Quality of Life and the Quality of Life-Depression, Centers for Epidemiologic Studies-Depression questionnaires. RESULTS: The sample comprised 179 individuals, mostly female (73%), with a mean age of 38 years and mean education of 9 years. At the end of the follow-up period, 42% of the individuals still presented with major depression, 25% had complete symptom remission, and only 9% were properly treated with antidepressants. In relation to quality of life, there were significant differences especially between baseline and after nine months in almost all measures. CONCLUSION: This study demonstrated that depressive symptoms are poorly recognized and that treatment is often inadequate for patients followed-up in primary care units in the south of Brazil. Most of the patients continued to have symptoms of depression over the nine-month period which were associated with impaired quality of life.
OBJECTIVE: To describe the demographic and clinical characteristics, adequacy of antidepressant treatment, and changes in quality of life of patients with major depression receiving follow-up care from primary care centers. METHOD: A cohort study was performed in which major depressionpatients were followed-up over a nine-month period. Several evaluation instruments were used, including the World Health Organization Quality of Life and the Quality of Life-Depression, Centers for Epidemiologic Studies-Depression questionnaires. RESULTS: The sample comprised 179 individuals, mostly female (73%), with a mean age of 38 years and mean education of 9 years. At the end of the follow-up period, 42% of the individuals still presented with major depression, 25% had complete symptom remission, and only 9% were properly treated with antidepressants. In relation to quality of life, there were significant differences especially between baseline and after nine months in almost all measures. CONCLUSION: This study demonstrated that depressive symptoms are poorly recognized and that treatment is often inadequate for patients followed-up in primary care units in the south of Brazil. Most of the patients continued to have symptoms of depression over the nine-month period which were associated with impaired quality of life.
Authors: Marcelo Machado de Almeida; Luís Augusto Vasconcelos da Silva; Francisco Inácio Bastos; Mark Drew Crosland Guimarães; Carolina Coutinho; Ana Maria de Brito; Socorro Cavalcante; Inês Dourado Journal: PLoS One Date: 2022-09-01 Impact factor: 3.752
Authors: Bianca Fresche de Souza; Jéssica Andrade de Moraes; Aline Inocenti; Manoel Antônio dos Santos; Ana Elisa Bauer de Camargo Silva; Adriana Inocenti Miasso Journal: Rev Lat Am Enfermagem Date: 2014-10
Authors: Leonardo Cubillos; Sophia M Bartels; William C Torrey; John Naslund; José Miguel Uribe-Restrepo; Chelsea Gaviola; Sergio Castro Díaz; Deepak T John; Makeda J Williams; Magda Cepeda; Carlos Gómez-Restrepo; Lisa A Marsch Journal: BJPsych Bull Date: 2021-02