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Correlations between doctors’ and patients’ assessment of depression’ severity and efficacy of treatment

Published online by Cambridge University Press:  23 March 2020

V. Medvedev ,
K. Retyunsky ,
A. Ovchinnikov ,
Y. Barilynik ,
A. Shmilovich ,
E. Antohin ,
G. Usov  and
V. Frolova
V. Medvedev
Affiliation:
PFUR University, Chair of Psychiatry, Psychotherapy and Psychosomatic Pathology, Moscow, Russia
K. Retyunsky
Affiliation:
Ural State Medical University, Chair of Psychiatry, Ekaterinburg, Russia
A. Ovchinnikov
Affiliation:
Novosibirsk State Medical University, Chair of Psychiatry, Narcology and Psychotherapy, Novosibirsk, Russia
Y. Barilynik
Affiliation:
Saratov State Medical University, Chair of Psychiatry, Narcology, Psychotherapy and Medical Psychology, Saratov, Russia
A. Shmilovich
Affiliation:
Russian Medical Research Medical University, Chair of Psychiatry and Medical Psychology, Moscow, Russia
E. Antohin
Affiliation:
Orenburg State Medical University, Chair of Clinical Psychology and Psychotherapy, Orenburg, Russia
G. Usov
Affiliation:
Omsk State Medical Academy, Chair of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Omsk, Russia
V. Frolova
Affiliation:
PFUR University, Chair of Psychiatry, Psychotherapy and Psychosomatic Pathology, Moscow, Russia

Abstract

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Introduction

Data on accordance and clinical significancy of objective (doctor, psychometric scales) and subjective (patient with depression) assessment of severity of depression are almost lacking. Aim of the multicenter study “EMOTION” was to compare prognostic value of doctor's and patient's assessment of depressive symptoms severity as for its grading and treatment outcome.

Method

Study sample consist of 107 depressive patients. The study used clinical and psychometric (HDRS, SHAPS, CGI-S, CGI-I, PGI-S, PGI-I, Visual Analog Scale) methods.

Results

Our data suggest that there's statistically significant (Р ˂ 0.001) discrepancy between doctors’ (CGI-S) and patients’ (PGI-S) assessment of depressive symptoms’ severity at first visit. Concordant opinions were found only in “marked depression” (37.49% of doctors and 36.59% of patients) and in “borderline depression” (4.79% of doctors and 3.79% of patients). Otherwise, doctors’ and patients’ opinions were discordant. Doctors’ scores were more extreme (severe and extremely severe depression); patients’ scores were more “moderate”. We have found inconsistence between HDRS and CGI-S scores. In the course of reduction of depression severity during antidepressive treatment (agomelatine) doctors’ and patients’ scores were more and more in line with each other.

Conclusion

We have found leveling of prognostic value of psychometric assessment of depression severity by doctors and patients (in terms of reduction of depressive symptoms severity and treatment outcome) during antidepressive therapy. It is possible that in some HDRS items scores were overestimated.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Cultural psychiatry
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S534
Copyright
Copyright © European Psychiatric Association 2017
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