The impact of residual symptoms on relapse and quality of life among Thai depressive patients

Thanita Hiranyatheb,1 Daochompu Nakawiro,1 Tinakon Wongpakaran,2 Nahathai Wongpakaran,2 Putipong Bookkamana,3 Manee Pinyopornpanish,2 Nattha Saisavoey,4 Kamonporn Wannarit,4 Sirina Satthapisit,5 Sitthinant Tanchakvaranont6 1Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahido...

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Autores principales:	Hiranyatheb T, Nakawiro D, Wongpakaran T, Wongpakaran N, Bookkamana P, Pinyopornpanish M, Saisavoey N, Wannarit K, Satthapisit S, Tanchakvaranont S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Thai residual symptoms depression relapse quality of life treatment Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/9cf649548a724f0fa580b58e6adc14fb
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spelling	oai:doaj.org-article:9cf649548a724f0fa580b58e6adc14fb2021-12-02T01:13:39ZThe impact of residual symptoms on relapse and quality of life among Thai depressive patients1178-2021https://doaj.org/article/9cf649548a724f0fa580b58e6adc14fb2016-12-01T00:00:00Zhttps://www.dovepress.com/the-impact-of-residual-symptoms-on-relapse-and-quality-of-life-among-t-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Thanita Hiranyatheb,1 Daochompu Nakawiro,1 Tinakon Wongpakaran,2 Nahathai Wongpakaran,2 Putipong Bookkamana,3 Manee Pinyopornpanish,2 Nattha Saisavoey,4 Kamonporn Wannarit,4 Sirina Satthapisit,5 Sitthinant Tanchakvaranont6 1Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, 2Department of Psychiatry, Faculty of Medicine, 3Department of Statistics, Faculty of Science, Chiang Mai University, Chiang Mai, 4Department of Psychiatry, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, 5Department of Psychiatry Khon Kaen Hospital, Khon Kaen, 6Department of Psychiatry, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand Purpose: Residual symptoms of depressive disorder are major predictors of relapse of depression and lower quality of life. This study aims to investigate the prevalence of residual symptoms, relapse rates, and quality of life among patients with depressive disorder. Patients and methods: Data were collected during the Thai Study of Affective Disorder (THAISAD) project. The Hamilton Rating Scale for Depression (HAMD) was used to measure the severity and residual symptoms of depression, and EQ-5D instrument was used to measure the quality of life. Demographic and clinical data at the baseline were described by mean ± standard deviation (SD). Prevalence of residual symptoms of depression was determined and presented as percentage. Regression analysis was utilized to predict relapse and patients’ quality of life at 6 months postbaseline. Results: A total of 224 depressive disorder patients were recruited. Most of the patients (93.3%) had at least one residual symptom, and the most common was anxiety symptoms (76.3%; 95% confidence interval [CI], 0.71–0.82). After 3 months postbaseline, 114 patients (50.9%) were in remission and within 6 months, 44 of them (38.6%) relapsed. Regression analysis showed that residual insomnia symptoms were significantly associated with these relapse cases (odds ratio [OR] =5.290, 95% CI, 1.42–19.76). Regarding quality of life, residual core mood and insomnia significantly predicted the EQ-5D scores at 6 months postbaseline (B =-2.670, 95% CI, -0.181 to -0.027 and B =-3.109, 95% CI, -0.172 to -0.038, respectively). Conclusion: Residual symptoms are common in patients receiving treatment for depressive disorder and were found to be associated with relapses and quality of life. Clinicians need to be aware of these residual symptoms when carrying out follow-up treatment in patients with depressive disorder, so that prompt action can be taken to mitigate the risk of relapse. Keywords: Thai, residual symptoms, depression, relapse, quality of life, treatmentHiranyatheb TNakawiro DWongpakaran TWongpakaran NBookkamana PPinyopornpanish MSaisavoey NWannarit KSatthapisit STanchakvaranont SDove Medical PressarticleThairesidual symptomsdepressionrelapsequality of lifetreatmentNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 3175-3181 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Thai residual symptoms depression relapse quality of life treatment Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Thai residual symptoms depression relapse quality of life treatment Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Hiranyatheb T Nakawiro D Wongpakaran T Wongpakaran N Bookkamana P Pinyopornpanish M Saisavoey N Wannarit K Satthapisit S Tanchakvaranont S The impact of residual symptoms on relapse and quality of life among Thai depressive patients
description	Thanita Hiranyatheb,1 Daochompu Nakawiro,1 Tinakon Wongpakaran,2 Nahathai Wongpakaran,2 Putipong Bookkamana,3 Manee Pinyopornpanish,2 Nattha Saisavoey,4 Kamonporn Wannarit,4 Sirina Satthapisit,5 Sitthinant Tanchakvaranont6 1Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, 2Department of Psychiatry, Faculty of Medicine, 3Department of Statistics, Faculty of Science, Chiang Mai University, Chiang Mai, 4Department of Psychiatry, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, 5Department of Psychiatry Khon Kaen Hospital, Khon Kaen, 6Department of Psychiatry, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand Purpose: Residual symptoms of depressive disorder are major predictors of relapse of depression and lower quality of life. This study aims to investigate the prevalence of residual symptoms, relapse rates, and quality of life among patients with depressive disorder. Patients and methods: Data were collected during the Thai Study of Affective Disorder (THAISAD) project. The Hamilton Rating Scale for Depression (HAMD) was used to measure the severity and residual symptoms of depression, and EQ-5D instrument was used to measure the quality of life. Demographic and clinical data at the baseline were described by mean ± standard deviation (SD). Prevalence of residual symptoms of depression was determined and presented as percentage. Regression analysis was utilized to predict relapse and patients’ quality of life at 6 months postbaseline. Results: A total of 224 depressive disorder patients were recruited. Most of the patients (93.3%) had at least one residual symptom, and the most common was anxiety symptoms (76.3%; 95% confidence interval [CI], 0.71–0.82). After 3 months postbaseline, 114 patients (50.9%) were in remission and within 6 months, 44 of them (38.6%) relapsed. Regression analysis showed that residual insomnia symptoms were significantly associated with these relapse cases (odds ratio [OR] =5.290, 95% CI, 1.42–19.76). Regarding quality of life, residual core mood and insomnia significantly predicted the EQ-5D scores at 6 months postbaseline (B =-2.670, 95% CI, -0.181 to -0.027 and B =-3.109, 95% CI, -0.172 to -0.038, respectively). Conclusion: Residual symptoms are common in patients receiving treatment for depressive disorder and were found to be associated with relapses and quality of life. Clinicians need to be aware of these residual symptoms when carrying out follow-up treatment in patients with depressive disorder, so that prompt action can be taken to mitigate the risk of relapse. Keywords: Thai, residual symptoms, depression, relapse, quality of life, treatment
format	article
author	Hiranyatheb T Nakawiro D Wongpakaran T Wongpakaran N Bookkamana P Pinyopornpanish M Saisavoey N Wannarit K Satthapisit S Tanchakvaranont S
author_facet	Hiranyatheb T Nakawiro D Wongpakaran T Wongpakaran N Bookkamana P Pinyopornpanish M Saisavoey N Wannarit K Satthapisit S Tanchakvaranont S
author_sort	Hiranyatheb T
title	The impact of residual symptoms on relapse and quality of life among Thai depressive patients
title_short	The impact of residual symptoms on relapse and quality of life among Thai depressive patients
title_full	The impact of residual symptoms on relapse and quality of life among Thai depressive patients
title_fullStr	The impact of residual symptoms on relapse and quality of life among Thai depressive patients
title_full_unstemmed	The impact of residual symptoms on relapse and quality of life among Thai depressive patients
title_sort	impact of residual symptoms on relapse and quality of life among thai depressive patients
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/9cf649548a724f0fa580b58e6adc14fb
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The impact of residual symptoms on relapse and quality of life among Thai depressive patients

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