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  • Major depressive disorder (MDD) – Course, natural history and prognosis
  • What about patients who do not reach functional recovery?

What about patients who do not reach functional recovery?

Depression

The ultimate treatment goal in depression is functional recovery, and the aim of an intervention should be the complete relief of symptoms,1,2 associated with;

  • improved functioning6
  • better overall quality of life6
  • lower likelihood of relapse.7

References:
1.Bortolato B, Carvalho AF, McIntyre RS. Cognitive dysfunction in major depressive disorder: a state-of-the-art clinical review. CNS Neurol Disord Drug Targets 2014; 13 (10): 1804–1818.

2.Stotland. Recovery from depression. Psychiatr Clin N Am 2012; 35: 37–49.

3.Kupfer DJ. Long-term treatment of depression. J Clin Psych 1991; 52 (Suppl 5): 28–34.

4.McClintock SM, Husain MM, Wisniewski SR, et al. Residual symptoms in depressed outpatients who respond by 50% but do not remit to antidepressant medication. J Clin Psychopharmacol 2011; 31 (2): 180–186.

5.Trivedi MH, Rush AJ, Wisniewski SR, et al. Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: implications for clinical practice. Am J Psychiatry 2006; 163 (1): 28–40.

6.Greer TL, Kurian BT, Trivedi MH. Defining and measuring functional recovery from depression. CNS Drugs 2010; 24 (4): 267–284.

7.Tranter R, O’Donovan C, Chandarana P, Kennedy S. Prevalence and outcome of partial remission in depression. J Psychiatry Neurosci 2002; 27 (4): 241–247.

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Published 22.05.2025
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