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Differential psychopharmacotherapy in remission of recurrent depressive disorder

https://doi.org/10.30629/2618-6667-2015-67-32-41

Abstract

Background. The relevance of developing differentiated therapeutic strategies in remission of recurrent depressive disorder is based on an underestimation of the problem. Since there is alot of studies devoted to depressive episodes treatment, treatment modalities in remission are underinvestigated and limited by general recommendations about stabilizing and anti-recurrence treatment.The objective of the study was a naturalistic analysis of the methods of differential therapy of remissions in recurrent depression, depending on their clinical typology (symptomatic/partial or syndromal/ complete ) and residual symptoms genesis including psychopharmacological strategies investigation (i.a. combination therapy) during a period of maximum possible duration.Material and Methods. The sample included 186 patients (130 women, 56 men; mean age 45,8 ± 15,3 years) who have had at least three episodes of recurrent depression, separated by remissionslasting atleast 6 months.Results. The basic strategies of maintenance treatment in routine clinical practice, differentiated strategies offered drug treatment depending on the typology of remission and psychopathological characteristics of residual symptoms have been established on the basis of retro- and prospective study data.

About the Author

Nataliya Zakharova
FSBSI «Mental Health Research Center»
Russian Federation


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For citations:


Zakharova N. Differential psychopharmacotherapy in remission of recurrent depressive disorder. Psychiatry (Moscow) (Psikhiatriya). 2015;(3):32-41. (In Russ.) https://doi.org/10.30629/2618-6667-2015-67-32-41

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