Koen Demyttenaere1, Anne-Françoise Donneau2, Adelin Albert2, Marc Ansseau3, Eric Constant4, Kees van Heeringen5. 1. University Psychiatric Centre, University of Leuven, Campus Gasthuisberg, Leuven, Belgium. Electronic address: koen.demyttenaere@med.kuleuven.be. 2. Department of Medical Informatics and Biostatistics, University of Liège, CHU, Sart Tilman, Liège, Belgium. 3. Department of Psychiatry and Medical Psychology, University and CHU of Liège, CHU, Sart-Tilman, Liège, Belgium. 4. Department of Psychiatry, Catholic University of Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium. 5. University Department of Psychiatry and Medical Psychology, Unit for Suicide Research, University of Ghent Hospital, Ghent, Belgium.
Abstract
AIMS: The comparison of what physicians and patients consider important in being cured from depression. METHODS: 426 outpatients (in primary care and in psychiatric care) with a clinical diagnosis of major depression were included: at the start of antidepressant treatment, the importance of a range of items for being cured from depression (depressive, anxious and somatic symptoms, positive affect, functional impairment, quality of life) was assessed in physicians and patients separately and a ranking was made; after 3 months of treatment, the importance of these items for being cured from depression was re-assessed in the patients. RESULTS: The items ranked top 10 by physicians mainly contain depressive symptoms while those ranked top 10 by patients mainly contain positive affect items and this attention to positive affect even increases at 3 months follow-up and is higher in patients with recurrent depression than in patients with a first episode of depression. Somatic symptoms consistently get the lowest ranking, as well in physicians as in patients. CONCLUSIONS: Physicians differ significantly from patients in what they consider important for 'being cured from depression': physicians mainly focus on alleviation of depressive symptoms while patients mainly focus on the restoration of positive affect.
AIMS: The comparison of what physicians and patients consider important in being cured from depression. METHODS: 426 outpatients (in primary care and in psychiatric care) with a clinical diagnosis of major depression were included: at the start of antidepressant treatment, the importance of a range of items for being cured from depression (depressive, anxious and somatic symptoms, positive affect, functional impairment, quality of life) was assessed in physicians and patients separately and a ranking was made; after 3 months of treatment, the importance of these items for being cured from depression was re-assessed in the patients. RESULTS: The items ranked top 10 by physicians mainly contain depressive symptoms while those ranked top 10 by patients mainly contain positive affect items and this attention to positive affect even increases at 3 months follow-up and is higher in patients with recurrent depression than in patients with a first episode of depression. Somatic symptoms consistently get the lowest ranking, as well in physicians as in patients. CONCLUSIONS: Physicians differ significantly from patients in what they consider important for 'being cured from depression': physicians mainly focus on alleviation of depressive symptoms while patients mainly focus on the restoration of positive affect.
Authors: Mario Maj; Dan J Stein; Gordon Parker; Mark Zimmerman; Giovanni A Fava; Marc De Hert; Koen Demyttenaere; Roger S McIntyre; Thomas Widiger; Hans-Ulrich Wittchen Journal: World Psychiatry Date: 2020-10 Impact factor: 49.548
Authors: Muzaffer Kaser; Julia B Deakin; Albert Michael; Camilo Zapata; Rachna Bansal; Dragana Ryan; Francesca Cormack; James B Rowe; Barbara J Sahakian Journal: Biol Psychiatry Cogn Neurosci Neuroimaging Date: 2017-03
Authors: Barnaby D Dunn; Emily Widnall; Nigel Reed; Rod Taylor; Christabel Owens; Anne Spencer; Gerda Kraag; Gerjo Kok; Nicole Geschwind; Kim Wright; Nicholas J Moberly; Michelle L Moulds; Andrew K MacLeod; Rachel Handley; David Richards; John Campbell; Willem Kuyken Journal: Pilot Feasibility Stud Date: 2019-04-27