title: Analysis of Patient-reported Outcomes of Quality of Life and Functioning Before and After Treatment of Major Depressive Disorder Comorbid With Alcohol Use Disorders.
abstract: Alcohol use disorders (AUDs) are common among persons with major depressive disorder (MDD) and have an adverse impact on course of illness and patient outcomes. The aim of this study was to examine whether AUD adversely impacted patient-centered outcomes in a sample of research subjects evaluated as part of a large clinical trial for depression. The outcomes of interest to this post hoc analysis are quality of life (QOL), functioning, and depressive symptom severity.
  
  
  
  We analyzed 2280 adult MDD outpatient research subjects using data from the Sequenced Treatment Alternatives to Relieve Depression trial. We compared entry and post-selective serotonin reuptake inhibitors (SSRI) treatment QOL, functioning, and depressive symptom severity scores between 121comorbid MDD with AUD (MDD + AUD) subjects and 2159 MDD-no-AUD subjects, and also differences between subjects categorized as remitters versus nonremitters within each group at exit.
  
  
  
  At entry, MDD + AUD subjects reported similar QOL, functioning, and depressive symptom severity compared with the MDD-no-AUD subjects. After treatment with citalopram, both groups showed significant improvements throughout treatment; however, 36% to 55% of subjects still suffered from severely impaired QOL and functioning at exit.
  
  
  
  The overall study population demonstrated a significant response to treatment with large effect sizes in depressive symptom reduction, but to a lesser extent in QOL and functioning. Findings suggest that subjects with MDD + AUD benefited equally as MDD-no-AUD from treatment with selective serotonin reuptake inhibitors (SSRI) medication, yet both groups continue to experience reduced QOL and functioning after treatment. Monitoring QOL and functioning is critical to determine whether interventions that improve clinical outcomes also impact patient-centered outcomes, and our analysis suggests that there is a pressing need for innovative interventions that effectively improve these outcomes.
authors.affiliation: Department of Psychiatry and Behavioral Neurosciences (ID, AJS, AK, MG, MH, BV, JD, WWI), Cedars-Sinai Medical Center; Department of Psychiatry and Biobehavioral Sciences (WWI), David Geffen School of Medicine, University of California; Department of Psychology (AJS), California School of Professional Psychology at Alliant International University; Biostatistics Core (JM), Research Institute and Clinical & Translational Science Institute (CTSI), Cedars-Sinai Medical Center, Los Angeles, CA; and Department of Psychological Sciences (KC), Purdue University, West Lafayette, IN.
authors.forename: Itai
authors.initials: I
authors.lastname: Danovitch
authors.forename: Alexander Joseph
authors.initials: AJ
authors.lastname: Steiner
authors.forename: Anna
authors.initials: A
authors.lastname: Kazdan
authors.forename: Matthew
authors.initials: M
authors.lastname: Goldenberg
authors.forename: Margaret
authors.initials: M
authors.lastname: Haglund
authors.forename: James
authors.initials: J
authors.lastname: Mirocha
authors.forename: Katherine
authors.initials: K
authors.lastname: Collison
authors.forename: Brigitte
authors.initials: B
authors.lastname: Vanle
authors.forename: Jonathan
authors.initials: J
authors.lastname: Dang
authors.forename: Waguih William
authors.initials: WW
authors.lastname: IsHak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019973:Alcohol-Related Disorders / Q000188:drug therapy* / Q000453:epidemiology; D015283:Citalopram / Q000008:administration & dosage / Q000494:pharmacology*; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D011788:Quality of Life; D017367:Selective Serotonin Reuptake Inhibitors / Q000494:pharmacology*; D012720:Severity of Illness Index; D055815:Young Adult
chemical_list: D015283:Citalopram; D017367:Selective Serotonin Reuptake Inhibitors