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Are depressive residual symptoms independent of treatments?

Residual symptoms occur in many depressive patients after acute treatment [1]. There is growing evidence that residual symptoms are also prevalent in bipolar disorder during the euthymic phase and in unipolar depression, they are predictors of early relapse [2, 3]. In long-term outcome, patients remitting from depression with residual symptoms, have more depressive symptoms and impaired social functioning, thus needing more aggressive treatment [4]. Residual symptoms might be conceived as the persistence of the original mood disorder, despite in a milder presentation, or still be in relation to the neurobiological disorder substrate. Residual symptoms include core mood and functional symptoms of depression. The most common residual symptoms are sleep disturbances, fatigue, and disinterest. The clinician should be aware that patients despite being in apparent remission should be questioned thoroughly in order to identify residual cognitive difficulties, impairment of work and activities, psychic anxiety, sleep disturbances or mild depressive mood [5]. The consequences of low-quality remission impairing psychosocial functioning have to be emphasized. In this presentation we will review the available evidence of the role played by the pharmacological treatments in the residual depressive symptoms.

References

  1. 1.

    Fava GA, Fabbri S, Sonino N: Residual symptoms in depression: an emerging therapeutic target. Prog Neuropsychopharmacol Biol Psychiatry. 2002, 26 (6): 1019-27. 10.1016/S0278-5846(02)00226-9.

    Article  PubMed  Google Scholar 

  2. 2.

    Paykel ES, Abbott R, Morriss R, Hayhurst H, Scott J: Sub-syndromal and syndromal symptoms in the longitudinal course of bipolar disorder. Br J Psychiatry. 2006, 189: 118-23. 10.1192/bjp.bp.105.013870.

    Article  PubMed  Google Scholar 

  3. 3.

    Paykel ES, Ramana R, Cooper Z, Hayhurst H, Kerr J, Barocka A: Residual symptoms after partial remission: an important outcome in depression. Psychol Med. 1995, 25 (6): 1171-80. 10.1017/S0033291700033146.

    CAS  Article  PubMed  Google Scholar 

  4. 4.

    Kennedy N, Paykel ES: Residual symptoms at remission from depression: impact on long-term outcome. J Affect Disord. 2004, 80 (2-3): 135-44. 10.1016/S0165-0327(03)00054-5.

    CAS  Article  PubMed  Google Scholar 

  5. 5.

    Paykel ES: Partial remission, residual symptoms, and relapse in depression. Dialogues Clin Neurosci. 2008, 10 (4): 431-7.

    PubMed Central  CAS  PubMed  Google Scholar 

Download references

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Correspondence to Maria Luisa Figueira.

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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.

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Figueira, M.L. Are depressive residual symptoms independent of treatments?. Ann Gen Psychiatry 9, S72 (2010). https://doi.org/10.1186/1744-859X-9-S1-S72

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Keywords

  • Depressive Symptom
  • Bipolar Disorder
  • Sleep Disturbance
  • Mood Disorder
  • Psychosocial Functioning