Prognosis
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La dépression chez l'adultePublished by: Domus MedicaLast published: 2017Majeure depressie (bij volwassenen): Doeltreffendheid op lange termijn van psychotherapie, op zichzelf of in combinatie met antidepressivaPublished by: KCELast published: 2015Dépression majeure (de l'adulte): efficacité à long terme de la psychothérapie, seule ou en combinaison avec des antidépresseursPublished by: KCELast published: 2015Richtlijn voor preventie van herval na ontslag bij patiënten met een unipolaire depressieve stemmingsstoornis met aandacht voor de levensdomeinen lichamelijk, psychisch, sociaal en seksueel functionerenPublished by: PXL-Healthcare - HasseltLast published: 2015Richtlijn voor preventie van herval na ontslag bij patiënten met een unipolaire depressieve stemmingsstoornis met aandacht voor de levensdomeinen lichamelijk, psychisch, sociaal en seksueel functioneren (traduisible via le navigateur)Published by: PXL-Healthcare - HasseltLast published: 2015Depressie bij volwassenen. DiagnostiekPublished by: Domus Medica | SSMGLast published: 2017La dépression chez l’adultePublished by: Domus Medica | SSMGLast published: 2017Depressie bij volwassenen. BeleidPublished by: Domus MedicaLast published: 2017Complete remission of symptoms and return to normal functioning are the therapy goals. For patients in their first episode of depression, treatment to remission may take up to several months and should be continued for a minimum of 6-12 months after remission.[162][322] Depression lasting more than 12 months occurs in approximately 12% of patients according to community studies, and in up to 61% of patients treated in secondary care.[469]
Depression may be intermittent and recurrent across the lifespan.[470] For patients who are established on antidepressants clinical guidance supports consideration of prolonged antidepressant treatment and psychologic therapy for relapse prevention, either alone or in combination.[162][332]
Depression recurs in about one third of patients within 1 year of discontinuing treatment and in >50% of patients during their lifetime.[39] Evidence that antidepressants can prevent relapse is unclear.[471] After 15 years, 87% will experience a recurrence. For patients with multiple recurrent depressive episodes, many experts advocate long-term maintenance therapy.[332]
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