Evidence map›Paper›PMID 24954156›Full record

Trial reportActa psychiatrica Scandinavica2015

Quality of life in major depressive disorder before/after multiple steps of treatment and one-year follow-up.

W W IsHak, J Mirocha, D James, G Tobia, J Vilhauer, H Fakhry, S Pi, E Hanson, R Nashawati, E D Peselow and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta psychiatrica Scandinavica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Effectiveness of unguided web-based interventions for the treatment of depressive symptoms in improving the quality of life: a meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

W W IsHakDepartment of Psychiatry and Behavioral Neurosciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California Los Angeles (UCLA), Los Angeles, CA, USA.
J Mirocha
D James
G Tobia
J Vilhauer
H Fakhry
S Pi
E Hanson
R Nashawati
E D Peselow
R M Cohen

Funding

TREATMENT RESISTANT DEPRESSION-278990003N01MH090003 · NIMH · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · 1999 to 2003
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NIMH NIH HHS N01 MH090003
6 · The paper itself

Abstract

objectiveThis study examines the impact of major depressive disorder (MDD) and its treatment on quality of life (QOL).

methodFrom the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial, we analyzed complete data of 2280 adult MDD out-patients at entry/exit of each level of antidepressant treatments and after 12 months of entry to follow-up. QOL was measured using the QOL Enjoyment and Satisfaction Questionnaire (Q-LES-Q). The proportions of patients scoring 'within-normal' QOL (within 10% of Q-LES-Q community norms) and those with 'severely impaired' QOL (>2 SD below Q-LES-Q community norms) were analyzed.

resultsBefore treatment, no more than 3% of MDD patients experienced 'within-normal' QOL. Following treatment, statistically significant improvements were detected; however, the proportion of patients achieving 'within-normal' QOL did not exceed 30%, with >50% of patients experiencing 'severely impaired' QOL. Although remitted patients had greater improvements compared with non-remitters, 32-60% continued to experience reduced QOL. 12-month follow-up data revealed that the proportion of patients experiencing 'within-normal' QOL show a statistically significant decrease in non-remitters.

conclusionSymptom-focused treatments of MDD may leave a misleading impression that patients have recovered when, in fact, they may be experiencing ongoing QOL deficits. These findings point to the need for investigating specific interventions to ameliorate QOL in MDD.

Indexed as

AdolescentAdultAgedAntidepressive AgentsCognitive Behavioral TherapyCombined Modality TherapyFemaleFollow-Up StudiesHumansMajor Depressive DisorderMaleMiddle AgedPsychiatric Status Rating ScalesQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesAntidepressive Agentsantidepressantsfunctional outcomesmajor depressionpatient-reported outcomesquality of life

Identifiers

PMID24954156
PMCPMC4267902

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.