Skip to main content

Advertisement

Outcome measures in depression

Article metrics

  • 4444 Accesses

Outcome measures are dependent on the type of therapy phase:

In the treatment of depressive illness, the acute or short phase of 6–8 weeks is focused on response and remission in terms of symptom reduction. The continuation or medium phase of the next 6–8 months of treatment focuses on social functioning and subjective quality of life.

In the acute treatment, the Hamilton Depression Scale (HAM-D17) is the internationally most frequently used scale, although the total score of all 17 items rarely has been found to be a valid measure of severity of depressive illness. the six-item Hamilton subscale (HAM-D6), on the other hand, has consistently been shown to be a valid scale to measure response or remission in controlled clinical trials of antidepressants. Both the HAM-D6 and the analogous six-item Montgomery-Asberg Depression Scale (MADRS6) have been able to demonstrate dose-response relationship with different antidepressants, in contrast to HAM-D17.

In the continuation therapy, national norm scores on self-rating scales measuring social functioning (e.g. SF-36) or positive psychological well-being questionnaires (e.g. WHO-5) are the goal of treatment. It has been demonstrated that after only 12 weeks of therapy, social functioning is restored in patients with major depression treated with SSRIs, i.e. they obtain scores on the SF-36 subscale of social well-being within the range of the general population scores.

Author information

Correspondence to Per Bech.

Rights and permissions

Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and Permissions

About this article

Cite this article

Bech, P. Outcome measures in depression. Ann Gen Psychiatry 5, S17 (2006) doi:10.1186/1744-859X-5-S1-S17

Download citation

Keywords

  • Social Functioning
  • Depression Scale
  • Subjective Quality
  • Symptom Reduction
  • Depressive Illness