PMID- 25829103 OWN - NLM STAT- MEDLINE DCOM- 20150916 LR - 20151224 IS - 2224-7041 (Electronic) IS - 2078-9947 (Linking) VI - 25 IP - 1 DP - 2015 Mar TI - Effectiveness of psycho-educational intervention in improving outcome of unipolar depression: results from a randomised clinical trial. PG - 29-34 AB - OBJECTIVES: Depressive disorders are one of the leading components of the global burden of disease with a prevalence of up to 14% in the general population. Numerous studies have demonstrated that pharmacotherapy combined with non-pharmacological measures offer the best treatment approach. Psycho-education as an intervention has been studied mostly in disorders such as schizophrenia and dementia, less so in depressive disorders. The present study aimed to assess the impact of psycho-education of patients and their caregivers on the outcome of depression. METHODS: A total of 80 eligible depressed subjects were recruited and randomised into 2 groups. The study group involved an eligible family member and all were offered individual structured psycho-educational modules. Another group (controls) received routine counselling. The subjects in both groups also received routine pharmacotherapy and counselling from the treating clinician and were assessed at baseline, 2, 4, 8, and 12 weeks using the Hamilton Depression Rating Scale (HDRS), Global Assessment of Functioning (GAF), and Psychological General Well-Being Index (PGWBI). Results from both groups were compared using statistical methods including Chi-square test, Fisher's exact test, Student's t test, Pearson's correlation coefficient, as well as univariate and multiple regression analyses. RESULTS: Baseline socio-demographic and assessment measures were similar in both groups. The study group had consistent improvement in terms of outcome measures with HDRS, GAF, and PGWBI scores showing respective mean change of -15.08, 22, and 60 over 12 weeks. The comparable respective changes in the controls were -8.77, 18.1, and 43.25. CONCLUSION: Structured psycho-education combined with pharmacotherapy is an effective intervention for people with depressive disorders. Psycho-education optimises the pharmacological treatment of depression in terms of faster recovery, reduction in severity of depression, and improvement in subjective wellbeing and social functioning. FAU - Kumar, K AU - Kumar K AD - Department of Psychiatry, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi 110029, India. FAU - Gupta, M AU - Gupta M AD - Department of Psychiatry, GB Pant Hospital and Maulana Azad Medical College, New Delhi 110029, India. LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - China TA - East Asian Arch Psychiatry JT - East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan JID - 101536416 SB - IM CIN - East Asian Arch Psychiatry. 2015 Sep;25(3):137. PMID: 26429841 CIN - East Asian Arch Psychiatry. 2015 Sep;25(3):137-8. PMID: 26429842 MH - Adult MH - *Counseling MH - Depressive Disorder, Major/drug therapy/*therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Depression OT - Psychotherapy OT - Randomized controlled trial OT - Treatment outcome EDAT- 2015/04/02 06:00 MHDA- 2015/09/17 06:00 CRDT- 2015/04/02 06:00 PHST- 2015/04/02 06:00 [entrez] PHST- 2015/04/02 06:00 [pubmed] PHST- 2015/09/17 06:00 [medline] PST - ppublish SO - East Asian Arch Psychiatry. 2015 Mar;25(1):29-34.