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KMID : 1007420140120030200
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Mood and Emotion
2014 Volume.12 No. 3 p.200 ~ p.206
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Predictors Associated with Outpatient Maintenance Treatment for Patients Discharged after First Time Hospitalization with Major Depressive Disorder
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Lim Dae-Chang
Kim Sang-Hoon
Park Sang-Hag
Kim Seung-Gon
Jang Hyun
Choo Il-Han
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Abstract
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Objectives : This study aims to identify clinical factors associated with outpatient maintenance treatment for major depressive disorder patients who discharged after first psychiatric admission.
Methods : Ninety-three patients who discharged after first psychiatric admission from June 2008 to May 2011 were selected. Until Nov. 2013, we examined outpatient follow-up rate. And univariate logistic regression was applied to find influencing clinical factors on outpatient maintenance treatment.
Results : Fifty-two patients (55.9%) maintained outpatient treatment more than 6 months and 42 patients (45.2%) did more than 12 months. Outpatient maintenance treatment over 6 months was significantly related to major depressive disorder treatment history, outpatient clinical treatment in prior 30 days before admission, no suicide attempt history, inpatient stays more than 7 days, augmentation of antianxiety drugs, discharge with medical advice, kept first outpatient appointment. Outpatient maintenance treatment over 12 months was significantly related to female, major depressive disorder treatment history, no suicide attempt history, augmentation of antianxiety drugs, discharge with medical advice, kept first outpatient appointment.
Conclusion : Our research suggest that outpatient maintenance treatment after first time hospitalization with major depressive disorder is related to psychiatric histories of previous outpatient treatment and suicide before admission, inpatient duration, and keeping first outpatient appointment after discharge.
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KEYWORD
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Major depressive disorder, First time hospitalization, Outpatient maintenance treatment
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