PMID- 12524635 OWN - NLM STAT- MEDLINE DCOM- 20030422 LR - 20071114 IS - 0010-440X (Print) IS - 0010-440X (Linking) VI - 44 IP - 1 DP - 2003 Jan-Feb TI - Functioning and interpersonal relationships as predictors of response in treatment-resistant depression. PG - 44-50 AB - The purpose of this study was to examine whether occupational functioning or the quality of interpersonal relationships is predictive of clinical response to a 6-week open trial of nortriptyline (NT) in patients with treatment-resistant depression (TRD). Ninety-two subjects with TRD were treated openly with NT for 6 weeks. The longitudinal interval follow-up evaluation (LIFE) scale was administered at baseline. A logistic regression was performed using occupational functioning and interpersonal relationships (over the past month and over the past 5 years) as predictors of treatment response. Unpaired t tests were performed to examine mean composite LIFE score values between responders and nonresponders. The composite scores that were statistically significant were used as single predictors of treatment status in separate logistic regression equations. Better occupational function over the past 5 years predicted better response to treatment with NT in patients with TRD. Beyond a history of nonresponse to antidepressants, long-term occupational function may be a predictor of outcome in the treatment of TRD. CI - Copyright 2003, Elsevier Science (USA). All rights reserved. FAU - Papakostas, George I AU - Papakostas GI AD - Depression Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA. FAU - Petersen, Timothy AU - Petersen T FAU - Mischoulon, David AU - Mischoulon D FAU - Hughes, Megan E AU - Hughes ME FAU - Spector, Andrew R AU - Spector AR FAU - Alpert, Jonathan E AU - Alpert JE FAU - Fava, Maurizio AU - Fava M FAU - Nierenberg, Andrew A AU - Nierenberg AA LA - eng GR - R29 MH46952/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Compr Psychiatry JT - Comprehensive psychiatry JID - 0372612 RN - 0 (Antidepressive Agents) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antidepressive Agents/*therapeutic use MH - Depressive Disorder, Major/*drug therapy MH - Drug Resistance MH - Female MH - Follow-Up Studies MH - Humans MH - *Interpersonal Relations MH - Male MH - Middle Aged MH - Prospective Studies MH - Retrospective Studies EDAT- 2003/01/14 04:00 MHDA- 2003/04/23 05:00 CRDT- 2003/01/14 04:00 PHST- 2003/01/14 04:00 [pubmed] PHST- 2003/04/23 05:00 [medline] PHST- 2003/01/14 04:00 [entrez] AID - S0010440X03000324 [pii] AID - 10.1053/comp.2003.50012 [doi] PST - ppublish SO - Compr Psychiatry. 2003 Jan-Feb;44(1):44-50. doi: 10.1053/comp.2003.50012.