reviewTranslational PsychiatryApr 3, 2019GOLD OA

Prognosis and improved outcomes in major depression: a review

National Institutes of Health · National Institute of Mental Health · +1 more institution

PubMed
Indexed incrossrefdoajpubmed

Abstract

Treatment outcomes for major depressive disorder (MDD) need to be improved. Presently, no clinically relevant tools have been established for stratifying subgroups or predicting outcomes. This literature review sought to investigate factors closely linked to outcome and summarize existing and novel strategies for improvement. The results show that early recognition and treatment are crucial, as duration of untreated depression correlates with worse outcomes. Early improvement is associated with response and remission, while comorbidities prolong course of illness. Potential biomarkers have been explored, including hippocampal volumes, neuronal activity of the anterior cingulate cortex, and levels of…

Citation impact

480
total citations
FWCI
39.36
Percentile
100%
References
210
Citations per year

Authors

5

Topics & keywords

Keywords
  • Anterior cingulate cortex
  • Medicine
  • Electroconvulsive therapy
  • Depression (economics)
  • Treatment-resistant depression
  • Major depressive disorder
  • Neurotrophic factors
  • Translocator protein
UN Sustainable Development Goals
  • Good health and well-being
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Funding