Predictors of antidepressant treatment outcome in melancholia: psychosocial, clinical and biological indicators

J Affect Disord. 1991 Mar;21(3):151-62. doi: 10.1016/0165-0327(91)90036-r.

Abstract

Predictive variables of response to imipramine and to phenelzine at 6 weeks and 6 months were studied in 116 patients suffering from major depression with melancholia (DSM-III). Several sociodemographic, clinical, and biological variables were studied. For imipramine-treated patients, high social support predicted a better response at 6 weeks, while development of hypomania during follow-up was associated with a better response at 6 weeks; absence of life events during the 6-month follow-up and initial non-suppression of dexamethasone predicted a better outcome at 6 months. For phenelzine-treated patients, development of hypomania during follow-up was associated with a better outcome at 6 months and absence of life events prior to the onset of the episode was associated with a worse outcome at 6 months.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Adult
  • Depressive Disorder / blood
  • Depressive Disorder / drug therapy*
  • Depressive Disorder / psychology
  • Dexamethasone*
  • Female
  • Humans
  • Hydrocortisone / blood*
  • Imipramine / therapeutic use*
  • Life Change Events
  • Long-Term Care
  • Male
  • Middle Aged
  • Personality Tests*
  • Phenelzine / therapeutic use*
  • Social Adjustment*
  • Social Support

Substances

  • Dexamethasone
  • Phenelzine
  • Imipramine
  • Hydrocortisone