Functional capabilities of depressed patients one year after hospitalization

J W Goethe1, E H Fischer

  • 1Department of Clinical Research, Institute of Living, Hartford, CT 06106, USA.

Insights

Major depression patients showed significant improvements in symptoms and daily functioning after treatment. The Sickness Impact Profile (SIP) effectively measured disability and recovery patterns over one year.

Area of Science:

  • Psychiatry and Mental Health
  • Clinical Psychology
  • Rehabilitation Medicine

Background:

  • Major depression significantly impacts patient functioning and quality of life.
  • Accurate measurement of disability and recovery is crucial for effective treatment of depression.

Purpose of the Study:

  • To assess the effectiveness of treatment for major depression.
  • To evaluate the utility of the Sickness Impact Profile (SIP) in measuring disability and recovery in depressed patients.

Main Methods:

  • 48 patients diagnosed with major depression completed the Inventory to Diagnose Depression and the Sickness Impact Profile (SIP) during hospitalization and at one-year follow-up.
  • Analysis of overall change scores and SIP subscale scores to evaluate depression severity and functional status.

Main Results:

  • Statistically significant and clinically important improvements in depression and overall functioning were observed.
  • While communication and bodily care showed no baseline deficits, other areas like emotionality, alertness, recreation, socialization, and work indicated continuing dysfunctions at one-year follow-up.
  • Restoration of functioning was noted in specific activities by the one-year mark.

Conclusions:

  • Treatment led to significant improvements in major depression and overall functioning.
  • The Sickness Impact Profile (SIP) is a valuable tool for quantifying disability and tracking recovery patterns in patients with major depression.

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