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Koivumaa-Honkanen H, Tuovinen TK, Honkalampi K, et al. Mental health and well-being in a 6-year follow-up of patients with depression: assessments of patients and clinicians. Soc Psychiatry Psychiatr Epidemiol. 2008;43(9):688-96doi: 10.1007/s00127-008-0353-x.
Koivumaa-Honkanen, H., Tuovinen, T. K., Honkalampi, K., Antikainen, R., Hintikka, J., Haatainen, K., & Viinamäki, H. (2008). Mental health and well-being in a 6-year follow-up of patients with depression: assessments of patients and clinicians. Social psychiatry and psychiatric epidemiology, 43(9), 688-96. https://doi.org/10.1007/s00127-008-0353-x
Koivumaa-Honkanen, Heli, et al. "Mental health and well-being in a 6-year follow-up of patients with depression: assessments of patients and clinicians." Social psychiatry and psychiatric epidemiology vol. 43,9 (2008): 688-96. doi: https://doi.org/10.1007/s00127-008-0353-x
Koivumaa-Honkanen H, Tuovinen TK, Honkalampi K, Antikainen R, Hintikka J, Haatainen K, Viinamäki H. Mental health and well-being in a 6-year follow-up of patients with depression: assessments of patients and clinicians. Soc Psychiatry Psychiatr Epidemiol. 2008 Sep;43(9):688-96. doi: 10.1007/s00127-008-0353-x. Epub 2008 Apr 25. PMID: 18438597.
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Soc Psychiatry Psychiatr Epidemiol. 2008 Sep;43(9):688-96. doi: 10.1007/s00127-008-0353-x. Epub 2008 Apr 25.

Mental health and well-being in a 6-year follow-up of patients with depression: assessments of patients and clinicians.

Social psychiatry and psychiatric epidemiology

Heli Koivumaa-Honkanen, Timo K Tuovinen, Kirsi Honkalampi, Risto Antikainen, Jukka Hintikka, Kaisa Haatainen, Heimo Viinamäki

Affiliations

  1. Department of Psychiatry, University of Oulu, Oulu, Finland. [email protected]

PMID: 18438597 DOI: 10.1007/s00127-008-0353-x

Abstract

BACKGROUND: Psychiatric patients have the right to strive for well-being and not only be confined to symptom reduction. Studies are needed to assess global well-being during recovery from depression by comparing the assessments of patients and clinicians.

METHOD: A 6-year natural follow-up of 185 depressive out-patients was carried out with health questionnaires at baseline, 0.5, 1, 2 and 6 years, including scales on depression (BDI, HDRS), general psychopathology (SCL), functional capacity (GAF, SOFAS) and life satisfaction (LS). A structured diagnostic interview was carried out at baseline, 2 and 6 years. Complete follow-up data were obtained from 121 patients.

RESULTS: In general, depressive patients mainly attained a normal mood, adequate functional capacity and life satisfaction. Those with a slow recovery improved with successive treatment contacts, eventually reaching levels of mental health not significantly different from the others. Throughout the follow-up, recovery was similarly shown with the self-reported BDI-21, SCL-90 and LS-4, while intercorrelations between clinician ratings were low at baseline.

CONCLUSIONS: Adequate mental health and global well-being can be reached among depressive patients, but it may take time in treatment. Subjective assessments are reliable. The 4-item life satisfaction scale is a global well-being indicator and a valid treatment outcome measure.

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