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Participants (N = 7) who had sought help for at least one previous episode of depression sought help more quickly in their most recent depressive episode (Mean delay = 4.28 years, SD = 7.27) than those who had no history of help-seeking (Mean delay = 8.06 years, SD = 8.78).
DEPRES II demonstrated that 70% of depressed patients had received no antidepressant therapy during their most recent depressive episode [ 6, 7].
During the index (most recent) depressive episode, we obtained a significantly higher rating of "suicidal thoughts" associated with higher levels of "sadness guilt," psychomotor agitation, and lower "retardation fatigue" (all from the HAM-D) in the PR group; better and faster response to current treatment (as prospectively assessed) were also observed in the GR.
gThe most recent depressive episode.
Therefore, the present paper focuses on treatment received during the most recent depressive episode.
Our participants were young and we investigated the most recent depressive episode, and these factors also support the conclusion that memory bias is not a major problem in this study.
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This may also be one explanation for a higher estimate of treatment adequacy in our study compared to other previously mentioned studies: we investigated the most recent lifetime depressive episode whereas many other studies have looked at depressive episodes within the last 12 months.
Patients with the following ICD codes were classified as depressive: 296.3 major depressive disorder, recurrent episode; 296.5 bipolar disorder, most recent episode depressed; 296.1 manic disorder; 296.6 manic-depressive psychosis; 300.4 dysthymic disorders; 300.5 neurasthenia; 309.0 adjustment reaction; 309.1 prolonged depressive reaction; 311.9 unclassified depressive disorders.
For example, 83% of subjects began their illness with a depressive episode and in 33% their most recent episode was depressive.
Our results suggest that an effort should be made to disseminate the most recent evidences on the management of depressive and anxiety disorders in Primary Care during and after the family medicine education.
The most recent episode for 74.6% of subjects with significant current depressive symptoms was a depressive episode; the most recent episode for 70.9% of subjects with significant manic/mixed symptoms was a manic episode.
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