Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study

Alberta SJ Van der Watt,1 Alexandra PSP Suryapranata,2 Soraya Seedat1 1Department of Psychiatry, Stellenbosch University, Cape Town, South Africa; 2Internal Medicine, Onze Lieve Vrouwe Gasthuis West, Amsterdam, the Netherlands Objectives: Our primary objective was to assess the feasibility of intere...

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Autores principales:	Van der Watt ASJ, Suryapranata APSP, Seedat S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	affective disorders anxiety disorder bipolar disorder depression experiences mood disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/57a7f8ee61184c27b9665a205f04b77b
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spelling	oai:doaj.org-article:57a7f8ee61184c27b9665a205f04b77b2021-12-02T00:14:44ZProspective interepisodal mood monitoring in patients with affective disorders: a feasibility study1178-2021https://doaj.org/article/57a7f8ee61184c27b9665a205f04b77b2018-02-01T00:00:00Zhttps://www.dovepress.com/prospective-interepisodal-mood-monitoring-in-patients-with-affective-d-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Alberta SJ Van der Watt,1 Alexandra PSP Suryapranata,2 Soraya Seedat1 1Department of Psychiatry, Stellenbosch University, Cape Town, South Africa; 2Internal Medicine, Onze Lieve Vrouwe Gasthuis West, Amsterdam, the Netherlands Objectives: Our primary objective was to assess the feasibility of interepisodal telephonic mood monitoring in patients with affective disorders in a low-resource setting. Secondary objectives included gathering data on longitudinal mood trajectories and assessing patient acceptance of mood monitoring. Methods: Inpatients with a primary mood or anxiety disorder were recruited predischarge. Assessment at intake included demographic information, the Life Events Checklist, and the Childhood Trauma Questionnaire. Participants telephonically completed the Altman Self-Rating Mania Scale (ASRM) and Quick Inventory of Depressive Symptomatology (QIDS), weekly, for 26 weeks. Units of alcohol consumed and life events were recorded. Semi-structured interviews were conducted midway through the mood monitoring protocol. Results: Of the 61 eligible participants (77% female; mean age =35.3 years), 28 completed 26 weeks of telephonic mood monitoring. Thirty-three participants (54.1%) withdrew prematurely or were lost to follow-up. Males were more likely to terminate study participation prematurely. Despite the significant decline in depression scores over 26 weeks, participants endorsed persistent mild-to-moderate depressive symptoms. Statistically, participants who were married/in a relationship had higher mean depression scores throughout the study compared to participants who were single. Throughout the study, ASRM scores were not indicative of significant mania. Suicidality (as measured by QIDS item 12) was highest at Week 3 and Week 12 postdischarge for those who completed 26 weeks of monitoring. Conclusion: Despite the high attrition rate, interepisodal telephonic mood monitoring was deemed to be feasible and it can provide useful information to track progress, encourage medication adherence, and manage early warning signs of relapse. Further research is required to determine the benefit of weekly mood monitoring on mood fluctuations and to examine strategies that enhance retention. Keywords: telephonic, anxiety disorder, bipolar disorder, depression, experiences, mood disorders, mixed methodVan der Watt ASJSuryapranata APSPSeedat SDove Medical Pressarticleaffective disordersanxiety disorderbipolar disorderdepressionexperiencesmood disordersNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 517-524 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	affective disorders anxiety disorder bipolar disorder depression experiences mood disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	affective disorders anxiety disorder bipolar disorder depression experiences mood disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Van der Watt ASJ Suryapranata APSP Seedat S Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study
description	Alberta SJ Van der Watt,1 Alexandra PSP Suryapranata,2 Soraya Seedat1 1Department of Psychiatry, Stellenbosch University, Cape Town, South Africa; 2Internal Medicine, Onze Lieve Vrouwe Gasthuis West, Amsterdam, the Netherlands Objectives: Our primary objective was to assess the feasibility of interepisodal telephonic mood monitoring in patients with affective disorders in a low-resource setting. Secondary objectives included gathering data on longitudinal mood trajectories and assessing patient acceptance of mood monitoring. Methods: Inpatients with a primary mood or anxiety disorder were recruited predischarge. Assessment at intake included demographic information, the Life Events Checklist, and the Childhood Trauma Questionnaire. Participants telephonically completed the Altman Self-Rating Mania Scale (ASRM) and Quick Inventory of Depressive Symptomatology (QIDS), weekly, for 26 weeks. Units of alcohol consumed and life events were recorded. Semi-structured interviews were conducted midway through the mood monitoring protocol. Results: Of the 61 eligible participants (77% female; mean age =35.3 years), 28 completed 26 weeks of telephonic mood monitoring. Thirty-three participants (54.1%) withdrew prematurely or were lost to follow-up. Males were more likely to terminate study participation prematurely. Despite the significant decline in depression scores over 26 weeks, participants endorsed persistent mild-to-moderate depressive symptoms. Statistically, participants who were married/in a relationship had higher mean depression scores throughout the study compared to participants who were single. Throughout the study, ASRM scores were not indicative of significant mania. Suicidality (as measured by QIDS item 12) was highest at Week 3 and Week 12 postdischarge for those who completed 26 weeks of monitoring. Conclusion: Despite the high attrition rate, interepisodal telephonic mood monitoring was deemed to be feasible and it can provide useful information to track progress, encourage medication adherence, and manage early warning signs of relapse. Further research is required to determine the benefit of weekly mood monitoring on mood fluctuations and to examine strategies that enhance retention. Keywords: telephonic, anxiety disorder, bipolar disorder, depression, experiences, mood disorders, mixed method
format	article
author	Van der Watt ASJ Suryapranata APSP Seedat S
author_facet	Van der Watt ASJ Suryapranata APSP Seedat S
author_sort	Van der Watt ASJ
title	Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study
title_short	Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study
title_full	Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study
title_fullStr	Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study
title_full_unstemmed	Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study
title_sort	prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/57a7f8ee61184c27b9665a205f04b77b
work_keys_str_mv	AT vanderwattasj prospectiveinterepisodalmoodmonitoringinpatientswithaffectivedisordersafeasibilitystudy AT suryapranataapsp prospectiveinterepisodalmoodmonitoringinpatientswithaffectivedisordersafeasibilitystudy AT seedats prospectiveinterepisodalmoodmonitoringinpatientswithaffectivedisordersafeasibilitystudy
_version_	1718403867071217664

Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study

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