Predictors of recurrence of major depressive disorder Article Swipe
Munn Sann Lye
,
Yin-Yee Tey
,
Yin Sim Tor
,
Aisya Farhana Shahabudin
,
Normala Ibrahim
,
King‐Hwa Ling
,
Johnson Stanslas
,
Su Peng Loh
,
Rozita Rosli
,
Khairul Aiman Bin Lokman
,
Ibrahim Mohammed Badamasi
,
Asraa Faris-Aldoghachi
,
Nurul Asyikin Abdul Razak
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0230363
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0230363
A total of 201 patients with major depressive disorder from four hospitals in Malaysia were followed up for 5 years to determine the prognostic factors of recurrent major depressive disorder that could potentially contribute to improving the management of MDD patients. For each individual patient, at the time of recruitment as part of a case-control study, information was collected on recent threatening life events, personality and social and occupational functioning, while blood samples were collected to genotype single nucleotide polymorphisms of vitamin D receptor (VDR), zinc transporter-3 (ZnT3), dopamine transporter-1 (DAT1), brain-derived neurotropic factor (BDNF), serotonin receptor 1A (HT1A) and 2A (HT2A) genes. Kaplan-Meier and Cox-regression were used to estimate hazard functions for recurrence of major depressive disorder. Individuals with severe MDD in previous major depressive episodes had five and a half times higher hazard of developing recurrence compared to mild and moderate MDD (HR = 5.565, 95% CI = 1.631-18.994, p = 0.006). Individuals who scored higher on social avoidance had three and a half times higher hazard of recurrence of MDD (HR = 3.525, 95% CI = 1.349-9.209; p = 0.010). There was significant interaction between ApaI +64978C>A single nucleotide polymorphism and severity. The hazard ratio increased by 6.4 times from mild and moderate to severe MDD for A/A genotype while that for C/A genotype increased by 11.3 times. Social avoidance and severity of depression at first episode were prognostic of recurrence. Screening for personality factors at first encounter with MDD patients needs to be considered as part of the clinical practice. For those at risk of recurrence in relation to social avoidance, the psychological intervention prescribed should be customized to focus on this modifiable factor. Prompt and appropriate management of severe MDD is recommended to reduce risk of recurrence.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0230363
- OA Status
- gold
- Cited By
- 36
- References
- 69
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3012504469
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3012504469Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1371/journal.pone.0230363Digital Object Identifier
- Title
-
Predictors of recurrence of major depressive disorderWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-03-19Full publication date if available
- Authors
-
Munn Sann Lye, Yin-Yee Tey, Yin Sim Tor, Aisya Farhana Shahabudin, Normala Ibrahim, King‐Hwa Ling, Johnson Stanslas, Su Peng Loh, Rozita Rosli, Khairul Aiman Bin Lokman, Ibrahim Mohammed Badamasi, Asraa Faris-Aldoghachi, Nurul Asyikin Abdul RazakList of authors in order
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https://doi.org/10.1371/journal.pone.0230363Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://doi.org/10.1371/journal.pone.0230363Direct OA link when available
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Medicine, Major depressive disorder, MEDLINE, Psychiatry, Biology, Mood, BiochemistryTop concepts (fields/topics) attached by OpenAlex
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36Total citation count in OpenAlex
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2025: 12, 2024: 12, 2023: 3, 2022: 4, 2021: 3Per-year citation counts (last 5 years)
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69Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.used | 107 |
| abstract_inverted_index.were | 14, 73, 106, 230 |
| abstract_inverted_index.with | 5, 119, 241 |
| abstract_inverted_index.zinc | 85 |
| abstract_inverted_index.There | 183 |
| abstract_inverted_index.blood | 71 |
| abstract_inverted_index.could | 31 |
| abstract_inverted_index.first | 228, 239 |
| abstract_inverted_index.focus | 273 |
| abstract_inverted_index.major | 6, 27, 115, 124 |
| abstract_inverted_index.needs | 244 |
| abstract_inverted_index.ratio | 197 |
| abstract_inverted_index.those | 255 |
| abstract_inverted_index.three | 162 |
| abstract_inverted_index.times | 132, 166, 201 |
| abstract_inverted_index.total | 1 |
| abstract_inverted_index.while | 70, 212 |
| abstract_inverted_index.years | 19 |
| abstract_inverted_index.(HT1A) | 98 |
| abstract_inverted_index.(HT2A) | 101 |
| abstract_inverted_index.(VDR), | 84 |
| abstract_inverted_index.3.525, | 175 |
| abstract_inverted_index.5.565, | 146 |
| abstract_inverted_index.Prompt | 278 |
| abstract_inverted_index.Social | 221 |
| abstract_inverted_index.factor | 93 |
| abstract_inverted_index.genes. | 102 |
| abstract_inverted_index.hazard | 110, 134, 168, 196 |
| abstract_inverted_index.higher | 133, 157, 167 |
| abstract_inverted_index.recent | 60 |
| abstract_inverted_index.reduce | 288 |
| abstract_inverted_index.scored | 156 |
| abstract_inverted_index.severe | 120, 207, 283 |
| abstract_inverted_index.should | 269 |
| abstract_inverted_index.single | 77, 190 |
| abstract_inverted_index.social | 66, 159, 263 |
| abstract_inverted_index.study, | 55 |
| abstract_inverted_index.times. | 220 |
| abstract_inverted_index.(BDNF), | 94 |
| abstract_inverted_index.(DAT1), | 90 |
| abstract_inverted_index.(ZnT3), | 87 |
| abstract_inverted_index.0.006). | 153 |
| abstract_inverted_index.0.010). | 182 |
| abstract_inverted_index.between | 187 |
| abstract_inverted_index.episode | 229 |
| abstract_inverted_index.events, | 63 |
| abstract_inverted_index.factor. | 277 |
| abstract_inverted_index.factors | 24, 237 |
| abstract_inverted_index.samples | 72 |
| abstract_inverted_index.vitamin | 81 |
| abstract_inverted_index.Malaysia | 13 |
| abstract_inverted_index.clinical | 252 |
| abstract_inverted_index.compared | 138 |
| abstract_inverted_index.disorder | 8, 29 |
| abstract_inverted_index.dopamine | 88 |
| abstract_inverted_index.episodes | 126 |
| abstract_inverted_index.estimate | 109 |
| abstract_inverted_index.followed | 15 |
| abstract_inverted_index.genotype | 76, 211, 216 |
| abstract_inverted_index.moderate | 142, 205 |
| abstract_inverted_index.patient, | 44 |
| abstract_inverted_index.patients | 4, 243 |
| abstract_inverted_index.previous | 123 |
| abstract_inverted_index.receptor | 83, 96 |
| abstract_inverted_index.relation | 261 |
| abstract_inverted_index.severity | 224 |
| abstract_inverted_index.+64978C>A | 189 |
| abstract_inverted_index.Screening | 234 |
| abstract_inverted_index.avoidance | 160, 222 |
| abstract_inverted_index.collected | 58, 74 |
| abstract_inverted_index.determine | 21 |
| abstract_inverted_index.disorder. | 117 |
| abstract_inverted_index.encounter | 240 |
| abstract_inverted_index.functions | 111 |
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| abstract_inverted_index.increased | 198, 217 |
| abstract_inverted_index.patients. | 40 |
| abstract_inverted_index.practice. | 253 |
| abstract_inverted_index.recurrent | 26 |
| abstract_inverted_index.serotonin | 95 |
| abstract_inverted_index.severity. | 194 |
| abstract_inverted_index.avoidance, | 264 |
| abstract_inverted_index.considered | 247 |
| abstract_inverted_index.contribute | 33 |
| abstract_inverted_index.customized | 271 |
| abstract_inverted_index.depression | 226 |
| abstract_inverted_index.depressive | 7, 28, 116, 125 |
| abstract_inverted_index.developing | 136 |
| abstract_inverted_index.individual | 43 |
| abstract_inverted_index.management | 37, 281 |
| abstract_inverted_index.modifiable | 276 |
| abstract_inverted_index.nucleotide | 78, 191 |
| abstract_inverted_index.prescribed | 268 |
| abstract_inverted_index.prognostic | 23, 231 |
| abstract_inverted_index.recurrence | 113, 137, 170, 259 |
| abstract_inverted_index.Individuals | 118, 154 |
| abstract_inverted_index.appropriate | 280 |
| abstract_inverted_index.information | 56 |
| abstract_inverted_index.interaction | 186 |
| abstract_inverted_index.neurotropic | 92 |
| abstract_inverted_index.personality | 64, 236 |
| abstract_inverted_index.potentially | 32 |
| abstract_inverted_index.recommended | 286 |
| abstract_inverted_index.recruitment | 49 |
| abstract_inverted_index.recurrence. | 233, 291 |
| abstract_inverted_index.significant | 185 |
| abstract_inverted_index.threatening | 61 |
| abstract_inverted_index.1.349-9.209; | 179 |
| abstract_inverted_index.Kaplan-Meier | 103 |
| abstract_inverted_index.case-control | 54 |
| abstract_inverted_index.functioning, | 69 |
| abstract_inverted_index.intervention | 267 |
| abstract_inverted_index.occupational | 68 |
| abstract_inverted_index.polymorphism | 192 |
| abstract_inverted_index.1.631-18.994, | 150 |
| abstract_inverted_index.brain-derived | 91 |
| abstract_inverted_index.polymorphisms | 79 |
| abstract_inverted_index.psychological | 266 |
| abstract_inverted_index.transporter-1 | 89 |
| abstract_inverted_index.transporter-3 | 86 |
| abstract_inverted_index.Cox-regression | 105 |
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| cited_by_percentile_year.min | 94 |
| corresponding_author_ids | https://openalex.org/A5042420879, https://openalex.org/A5026839316, https://openalex.org/A5022089104, https://openalex.org/A5091890488, https://openalex.org/A5034088646, https://openalex.org/A5112514901, https://openalex.org/A5031515960, https://openalex.org/A5060722205, https://openalex.org/A5059365801, https://openalex.org/A5011863478, https://openalex.org/A5017625734, https://openalex.org/A5033372641, https://openalex.org/A5088387922 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 13 |
| corresponding_institution_ids | https://openalex.org/I130343225 |
| citation_normalized_percentile.value | 0.84679064 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |