Improving Identification and Treatment Outcomes of Treatment-Resistant Depression Through Measurement-Based Care

Psychiatr Clin North Am. 2023 Jun;46(2):227-245. doi: 10.1016/j.psc.2023.02.002. Epub 2023 Mar 25.

Abstract

Measurement-based care (MBC) is the systematic screening and ongoing assessment of symptoms, side effects, and adherence to adjust treatments as needed based on these factors. Studies show MBC leads to improved outcomes for depression and treatment-resistant depression (TRD). In fact, MBC may reduce the chances of developing TRD, as it leads to optimized treatment strategies based on symptom changes and compliance. There are many rating scales available for monitoring depressive symptoms, side effects, and adherence. These rating scales can be used in a variety of clinical settings to help guide treatment decisions, including depression treatment decisions.

Keywords: Improving outcomes; Measurement-based care; Rating scales; Treatment-resistant depression.

Publication types

  • Review

MeSH terms

  • Antidepressive Agents / adverse effects
  • Depression* / therapy
  • Depressive Disorder, Treatment-Resistant* / diagnosis
  • Depressive Disorder, Treatment-Resistant* / therapy
  • Humans
  • Psychiatric Status Rating Scales
  • Treatment Outcome

Substances

  • Antidepressive Agents