1. Which factors are important predictors of non-recovery from major depression? A 2-year prospective observational study.
- Author
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Viinamäki H, Haatainen K, Honkalampi K, Tanskanen A, Koivumaa-Honkanen H, Antikainen R, Valkonen-Korhonen M, and Hintikka J
- Subjects
- Adult, Comorbidity, Depressive Disorder, Major diagnosis, Depressive Disorder, Major psychology, Female, Humans, Life Change Events, Longitudinal Studies, Male, Middle Aged, Outcome Assessment, Health Care, Personality Disorders diagnosis, Personality Disorders psychology, Prognosis, Prospective Studies, Risk Factors, Rural Population, Socioeconomic Factors, Statistics as Topic, Treatment Failure, Depressive Disorder, Major therapy, Personality Disorders therapy
- Abstract
Our aim was to study factors associated with long-term non-recovery from major depression. A total of 109 patients with major depression were followed prospectively for 2 years. A diagnosis of major depression based on SCID interviews at follow-up indicated non-recovery. The effect of several established risk factors was assessed. A third (30%) of the patients did not recover. Severity of initial depression were associated with poor outcome according to univariate analysis. Nevertheless, personality disorder and rural area of residence were associated with non-recovery in final multivariate analysis. Major depression in patients with personality disorder should be treated as effectively as possible. Moreover, service planning in rural areas needs attention.
- Published
- 2006
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