کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6082428 1205691 2011 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Psychiatry and Primary CareToward a more comprehensive assessment of depression remission: the Remission Evaluation and Mood Inventory Tool (REMIT)
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Psychiatry and Primary CareToward a more comprehensive assessment of depression remission: the Remission Evaluation and Mood Inventory Tool (REMIT)
چکیده انگلیسی

ObjectiveDepression remission continues to be defined in terms of resolution of the Diagnostic and Statistical Manual of Mental Disorders criteria symptoms. However, it may be useful to assess additional symptoms as part of a more complete evaluation of remission. We sought to develop an adjunct self-report measure that can be used with commonly used depression measures when assessing remission.MethodsSecondary data analysis and expert input were used to develop candidate items that were evaluated cross-sectionally in 1003 primary care clinician-identified depressed patients from two practice-based research networks. Multivariable regression analysis, with self-assessed recovery as the dependent variable, identified five symptoms that contributed significantly beyond the Patient Health Questionnaire (PHQ)-8. Further analysis was performed in selected subsamples.ResultsEmotional control, contentedness, future seeming dark, ability to bounce back and happiness yielded an 11% increase in R2 beyond 60% yielded by the PHQ-8. The summed Remission Evaluation and Mood Inventory Tool (REMIT) 5 items have a mean=9.6 (S.D.=4.5), range 0-20 and reliability of 0.86. Subsample analysis showed incremental R2 ranging from 9% in men to 15% in African-Americans.ConclusionDepression remission is a multidimensional concept that includes important nondepressive symptom dimensions. These important dimensions can be measured using a self-report instrument feasible for routine primary care. Pending longitudinal validation, REMIT5 is a promising tool for depression management.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: General Hospital Psychiatry - Volume 33, Issue 3, May–June 2011, Pages 279-286
نویسندگان
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