Changes in Depression Subtypes Among Men in STAR*D: A Latent Transition Analysis
Department of Psychiatry; Department of Quantitative Health Sciences
Mental Disorders | Psychiatry
The burden of depression in men is high. Current diagnostic criteria may not fully capture men's experience with depression. Descriptions of the heterogeneity in depression among men are lacking. The purpose of the study was to characterize latent subtypes of major depression and changes in these subtypes among men receiving citalopram in Level 1 of the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial. Latent transition analysis was applied to data from 387 men who completed baseline and Week 12 study visits in Level 1 of STAR*D. Items from the self-report version of the Quick Inventory of Depressive Symptomatology were used as indicators of latent depression subtypes. Four statuses were identified at baseline and Week 12. Baseline statuses were Mild (10% of men), Moderate (53%), Severe with Psychomotor Slowing (20%), and Severe with Psychomotor Agitation (17%). At Week 12, the statuses were Symptom Resolution (41%), Mild (36%), Moderate (18%), and Severe with Psychomotor Slowing (5%). Men in the Mild status were most likely to transition to Symptom Resolution (probability = 69%). Men in the Severe with Agitation status were least likely to transition to Symptom Resolution (probability = 0%). This work highlights the need to not focus solely on summary rating scores but to also consider patterns of symptoms when treating depression.
STAR*D, depression subtypes, latent transition analysis, major depressive disorder
DOI of Published Version
Am J Mens Health. 2015 Oct 5. pii: 1557988315607297. Link to article on publisher's site
American journal of men's health
Ulbricht, Christine M.; Dumenci, Levent; Rothschild, Anthony J.; and Lapane, Kate L., "Changes in Depression Subtypes Among Men in STAR*D: A Latent Transition Analysis" (2015). University of Massachusetts Medical School Faculty Publications. 902.