Patients
report that ability to engage in and enjoy personal activities is
key step in recovery from depression
The ability to engage in and enjoy personal activities is a critical
step in recovery from depression, according to an American survey
that defined treatment success based on patient reports. Nearly one
third of the 704 Americans ages 18 years or older diagnosed with depression
who achieved symptomatic remission reported that the strongest indicator
of treatment success was the ability to re-engage in family life,
followed by participation in hobbies and community service. The survey
was conducted as part of the new GOAL! "Go On And Live"
awareness campaign, which is sponsored by Wyeth Pharmaceuticals.
"The GOAL! survey confirms
what I see in my own patients -- achieving remission of depression
symptoms allows people to take pleasure again in the activities
most meaningful to them, which they could not undertake while depressed
or when not on the right therapy," says Norman Sussman, M.D.,
professor of psychiatry at the New York University School of Medicine.
"Too many doctors and patients are settling for a partial response
to depression treatment, which doesn't let people get back to a
full quality of life. Patients and their doctors should be looking
for options that have the greatest likelihood of getting them there."
Depression affects approximately
19 million Americans each year and can interfere with the ability
to work, study, sleep, eat, and enjoy once pleasurable activities,
according to the National Institute of Mental Health.
The survey asked people diagnosed
with depression about symptoms they experienced and activities they
once enjoyed and asked them to self identify if they had achieved
remission of symptoms. Overall, after remission, the respondents
were six times more likely to be satisfied with their quality of
life than those still suffering from depression (91 versus 15 percent).
The majority of people who had achieved remission (69 percent) reported
returning to activities they could not undertake while depressed.
Their top five activities, in rank order, were family life, indoor
hobbies, community service, exercise, and artistic endeavors.
The survey suggests that it
is vital that health-care professionals reinforce to patients that
recovery from depression can be achieved: 55 percent of patients
in remission versus 36 percent of patients with active symptoms
reported that either a medical professional or a friend had told
them remission was possible.
Survey results indicate that
depression and recovery from it has a significant impact on a patient's
perceptions about the quality of their interpersonal relationships.
Of patients who reported symptomatic remission, 89 percent reported
improved quality in relationships with a partner or loved one. In
addition, respondents reported increases in the stability of their
relationships, from 64 to 90 percent, and in having an active and
fulfilling sex life, from 42 to 61 percent.
Among respondents in remission
who were parents, 90 percent indicated their relationships with
their children improved. Specifically, they reported that their
children like to be around them more (88 percent), were happier
(86 percent) and talked to them more (78 percent).
With remission, 80 percent
of the respondents indicated an improved ability to be successful
at work, in looking for work, in school or as a homemaker. Of those
who were employed, 86 percent said they were much more productive
and 74 percent said they could assume more responsibilities.
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