Clinical Course of Affective Disorders

Angst, J.

doi:10.1007/978-3-642-73546-2_1

Cited by 68 publications

(30 citation statements)

References 142 publications

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“…This may allow for the identification of ' at-risk ' individuals at the time of admission through the use of a brief cognitive screen. This is important since follow-up studies suggest that people with depression spend a considerable proportion of their time in illness (Angst, 1988 ;Judd et al 1998 ;Wittchen et al 2001). Problems with executive function, in particular perseveration, and prospective memory might be indicative of problems with seeking out and utilising postdischarge rehabilitation and/or of more brain pathology.…”

Section: Discussionmentioning

confidence: 97%

The relationship between cognitive function and clinical and functional outcomes in major depressive disorder

2008

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Section: Discussionmentioning

confidence: 97%

The relationship between cognitive function and clinical and functional outcomes in major depressive disorder

2008

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“…Those who recover from their first episode of depression have a 50% risk of becoming depressed again, and among those with two or more depressive episodes, the risk for relapse is 70% to 80% (Angst, 1992). In as many as one in five patients depression becomes a chronic illness (Angst, 1988). Research has shown that mindfulness training can result in increased psychological and physical well-being (Baer, 2003(Baer, , 2009Brown & Ryan, 2003;Nyklicek, 2010).…”

Section: Introductionmentioning

confidence: 99%

Mindfulness-Based Cognitive Therapy: Primary Care Patients’ Experiences of Outcomes in Everyday Life and Relapse Prevention

Lilja¹,

Broberg²,

Norlander³

et al. 2015

PSYCH

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The concept of mindfulness has attracted a growing body of research within behavioural medicine over the last decade. Mindfulness-based cognitive therapy (MBCT) has been developed to prevent relapse among people who suffer recurrent depression. Studies show impressive results, with a decrease in the risk of relapse of up to 50%. However, primary care patients' own experiences and MBCT's effectiveness as a relapse program and aid to their ability to deal with everyday life remain relatively unexplored. The aim of the study, therefore, was to examine how primary care patients with recurrent depression perceive the usefulness of MBCT in preventing relapse. Nineteen patients who had participated in a MBCT program for recurrent depression within a primary care setting were interviewed 12 months after treatment. Qualitative thematic analysis was used to identify, analyse, and report patterns in the interviews. Analysis suggests two overarching themes, "Strategies for remission" and "Personal development". This study brings new information about what participants in MBCT classes describe as the most useful interventions for relapse prevention. The formal and informal meditation exercises focused on the body and the breath were described as the most important strategies for remission and the mindfulness practice gave the participants an enhanced self-knowledge that helped them to better deal with everyday stress and interpersonal functioning. The findings also indicate that traditional cognitive behavioural interventions, such as behaviour activation and establishing a maintenance plan, might not be as essential to relapse prevention as formerly thought.

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“…Depression is increasingly viewed as a chronic illness, 1 2 as depressed individuals experience high rates of symptom recurrence3 – 6 and sustained functional impairment 7. In recognition of the chronicity of the condition, most trials of depression treatment incorporate principles of chronic disease management into the interventions tested 8 – 10.…”

Section: Introductionmentioning

confidence: 99%

Managing depression as a chronic disease: a randomised trial of ongoing treatment in primary care

Rost

Nutting²,

Smith³

et al. 2002

BMJ

154

123

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Objectives To evaluate the long term effect of ongoing intervention to improve treatment of depression in primary care. Design Randomised controlled trial. Setting Twelve primary care practices across the United States. Participants 211 adults beginning a new treatment episode for major depression; 94% of patients assigned to ongoing intervention participated. Intervention Practices assigned to ongoing intervention encouraged participating patients to engage in active treatment, using practice nurses to provide care management over 24 months. Main outcome measures Patients' report of remission and functioning. Results Ongoing intervention significantly improved both symptoms and functioning at 24 months, increasing remission by 33 percentage points (95% confidence interval 7% to 46%), improving emotional functioning by 24 points (11 to 38) and physical functioning by 17 points (6 to 28). By 24 months, 74% of patients in enhanced care reported remission, with emotional functioning exceeding 90% of population norms and physical functioning approaching 75% of population norms. Conclusions Ongoing intervention increased remission rates and improved indicators of emotional and physical functioning. Studies are needed to compare the cost effectiveness of ongoing depression management with other chronic disease treatment routinely undertaken by primary care.

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Clinical Course of Affective Disorders

Cited by 68 publications

References 142 publications

The relationship between cognitive function and clinical and functional outcomes in major depressive disorder

The relationship between cognitive function and clinical and functional outcomes in major depressive disorder

Mindfulness-Based Cognitive Therapy: Primary Care Patients’ Experiences of Outcomes in Everyday Life and Relapse Prevention

Managing depression as a chronic disease: a randomised trial of ongoing treatment in primary care

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