PMID- 15196600 OWN - NLM STAT- MEDLINE DCOM- 20041026 LR - 20200109 IS - 0924-9338 (Print) IS - 0924-9338 (Linking) VI - 19 IP - 4 DP - 2004 Jun TI - Psychosocial functioning in patients with treatment resistant depression. PG - 196-201 AB - BACKGROUND: Depression is a disorder that causes disability, with a profound adverse impact on all areas of psychosocial functioning. This is particularly true for those with treatment resistant depression (TRD). However, to date, no systematic assessments of psychosocial functioning for patients with TRD have been conducted. METHODS: In the present study, we used the Longitudinal Interval Follow-up Evaluation (LIFE) scale to measure psychosocial functioning in 92 patients with TRD. These patients met formal criteria for TRD and were part of a clinical trial examining the efficacy of lithium augmentation of nortriptyline. RESULTS: Clinicians rated this sample of patients as experiencing mild to moderate impairment in work-related activities, good to fair interpersonal relations, poor level of involvement in recreational activities, and mild impairment of ability to enjoy sexual activity. Patients and clinicians rated global social adjustment as poor. CONCLUSIONS: Patients with formally defined TRD experience significant impairment in psychosocial functioning. In this sample a tendency existed for both clinicians and patients to assign more severely impaired global ratings when compared with ratings for specific functional areas. FAU - Petersen, Timothy AU - Petersen T AD - Department of Psychiatry, Depression Clinical and Research Program, Massachusetts General Hospital, 15 Parkman Street, WAC 812 Boston, MA 02114, USA. tpetersen@partners.org FAU - Papakostas, George I AU - Papakostas GI FAU - Mahal, Yasmin AU - Mahal Y FAU - Guyker, Wendy M AU - Guyker WM FAU - Beaumont, Erin C AU - Beaumont EC FAU - Alpert, Jonathan E AU - Alpert JE FAU - Fava, Maurizio AU - Fava M FAU - Nierenberg, Andrew A AU - Nierenberg AA LA - eng GR - R29 MH 46952/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Eur Psychiatry JT - European psychiatry : the journal of the Association of European Psychiatrists JID - 9111820 RN - 0 (Antidepressive Agents) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antidepressive Agents/*therapeutic use MH - Depression/*drug therapy/*psychology MH - Female MH - Follow-Up Studies MH - Humans MH - Interpersonal Relations MH - Male MH - Middle Aged MH - Sexual Behavior/psychology MH - Treatment Failure EDAT- 2004/06/16 05:00 MHDA- 2004/10/27 09:00 CRDT- 2004/06/16 05:00 PHST- 2003/03/15 00:00 [received] PHST- 2003/10/24 00:00 [revised] PHST- 2003/11/20 00:00 [accepted] PHST- 2004/06/16 05:00 [pubmed] PHST- 2004/10/27 09:00 [medline] PHST- 2004/06/16 05:00 [entrez] AID - S0924933804000616 [pii] AID - 10.1016/j.eurpsy.2003.11.006 [doi] PST - ppublish SO - Eur Psychiatry. 2004 Jun;19(4):196-201. doi: 10.1016/j.eurpsy.2003.11.006.